ArticleBMC medical education2024
The hidden hurdles of clinical clerkship: unraveling the types and distribution of professionalism dilemmas among South Korean medical students.
Article in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Implementing team-based sequential simulation for medical students in clinical clerkship: preliminary findings and learning efficiency evaluation.BMC medical education · 2026Observational
- Development of a Clinical Clerkship Mentor Using Generative AI and Evaluation of Its Effectiveness in a Medical Student Trial Compared to Student Mentors: 2-Part Comparative Study.JMIR medical education · 2025Article
- Ethical dilemmas experienced by midwives in their professional practice in Northwestern Ethiopia: a phenomenological interview study.BMC medical ethics · 2025Article
- Transforming Professionalism Education in Clerkships: A Student-Driven Approach Utilizing The Hidden Curriculum.Perspectives on medical education · 2025Article
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Abstract
backgroundTo improve the medical professionalism of medical students, it is essential to understand the dilemmas they face in various situations. This study explored the types and distribution of dilemmas Korean medical students encounter during their clinical clerkships. It then compared these with previous dilemma frameworks and identified the types and distribution of "complexity dilemmas," wherein two dilemma themes emerge in a single clinical situation.
methodsThe researchers organized and recorded a group discussion with 106 third-year medical students who had completed their clinical clerkships. These students participated in the discussion as part of an assignment, focusing on the dilemmas they encountered during their clerkships. For data analysis and visualization, the researchers employed the MAXQDA software program and utilized the template analysis method, a qualitative research methodology.
resultsA total of seven dilemma themes and sixteen sub-themes were identified. The identity-related dilemma concerning student-doctors had the highest frequency. The themes "mismatch" and "Nun-chi" emerged as new additions not found in previous dilemma frameworks. The complexity dilemmas appeared in the sequence of "identity-dignity," "identity-abuse," and "identity-consent".
conclusionsTo navigate the unique dilemmas present within South Korea's clinical culture, several key issues need consideration: elevating the role of student-doctors, balancing the primary emphasis of educational hospitals on delivering medical services, and understanding interpersonal strategies, such as "Nun-chi".
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