Comparative Study on Ideal and Realistic Doctor-patient Relationship / 中国医学伦理学

"Good doctor" plus "good patient" do not necessarily mean "good doctor-patient relationship", but both are the basis for building a harmonious doctor -patient relationship and neither of the two can be dis-pensed. This paper conducted a comparative study on ideal and realistic doctor-patient relationship, digged and refined the characteristics of"good doctor" and"good patients", and agreed that it was possible to construct a har-monious doctor-patient relationship when doctors pursued professional excellence and moral integrity, and patients had good "patient literacy".

Perceptual comparison of the "good doctor" image between faculty and students in medical school / 한국의학교육

PURPOSE: The purpose of this study is to analyze the differences in the perception of the "good doctor" image between faculty and students, based on the competencies of the "Korean doctor's role." METHODS: The study sample comprised 418 students and 49 faculty members in medical school. They were asked to draw images of a "good doctor," and the competencies were then analyzed using the Draw-A-Scientist test and the social network program Netminer 4.0. RESULTS: Of the competency areas, "communication and collaboration with patient" and "medical knowledge and clinical skills" were the most frequently expressed, and "education and research," "professionalism," and "social accountability" were less commonly expressed. Images of a good doctor by the faculty focused on competencies that were directly related to current clinical doctors. Conversely, those by the students expressed various competencies equally. CONCLUSION: We have provided basic data for faculties and schools to plan various education strategies to help students establish the image of a good doctor and develop the necessary competencies as physicians.

Physicians for 'here and now'

Three reports published in the 20th century have functioned as standard guidelines for medical education: the General Professional Education of the Physician report by the Association of American Medical Colleges, Tomorrow's Doctors from the General Medical Council of the UK, and Korean Physicians for the 21st Century by the Korean Association of Medical Colleges. At the moment, a great deal of innovation is occurring in Korean medical societies. However, these innovations bring to mind the parable of the blind men and an elephant in which each blind man feels part of an elephant with his hands and misunderstands the elephant's nature because he cannot see the whole animal. In the same way, there is no comprehensive picture of 'what is the good doctor' for here and now. Korean society is changing more and more rapidly in the 21st century due to influences such as an influx of immigration and resulting multiculturalism. We could not predict these changes even in the 1990s, when Korean Association for Medical Colleges was preparing its report. In light of a dynamically changing society, we must review and revise our definitions of a 'physician for here and now' every ten or twenty years.

A Preliminary Study for Exploring the Attributes of being a "Good Doctor" / 한국의학교육

PURPOSE: Our understanding of the characteristics that make a 'good doctor' is continually changing. The aim of this study is to identify the attributes deemed important for being a 'good doctor' and to examine to what extent doctors actually possess them. METHODS: A list of characteristics of a good doctor was generated from literature review and from opinions from medical education experts, a focus group of medical students and a pilot survey of patients. An inventory comprising 33 statements was administered to 598 medical students, 145 faculty, 164 primary care physicians and 85 patients. RESULTS: All participants regarded 'accurate diagnosis and treatment' as the most important attribute for being a 'good doctor' and 'keeping up-to-date' as the second important attribute. Empathy towards patients, continuing professional development (CPD), kind manners towards patients were also regarded as important. There was a discrepancy between perceived importance and competency in the areas of communication skills, health advocacy and social contribution according to the participating groups. CONCLUSION: Excellence in clinical ability was identified as the most important attribute of a 'good doctor'. Compassion and CPD were also identified as important characteristics. More sophisticated studies are needed to further explore the attributes of a 'good doctor' for our society.