{"title":"Medical students' unprofessional behavior and educators' support.","authors":"Ryoko Igarashi","doi":"10.3946/kjme.2025.322","DOIUrl":"10.3946/kjme.2025.322","url":null,"abstract":"<p><p>In recent years, professionalism education has been incorporated into medical education as an important part of the curriculum. Through receiving professionalism education, most medical students gradually acquire professionalism, including a professional attitude. However, some medical students demonstrate unprofessional behavior that raises concerns among faculty and other students. There are various stages to dealing with unprofessional behavior, as follows: definition, prevention, detection, evaluation, correction, and follow-up. However, it is often difficult to identify unprofessional behavior and respond appropriately. In this study, overview of medical students' unprofessional behavior from previous studies on medical students' unprofessionalism behavior, and how to identify and evaluate medical students' unprofessional behavior, and effective education that can correct medical students' unprofessional behavior was analyzed by reviewing 52 articles. Medical students' unprofessional behavior is classified into the following four categories: \"lack of involvement,\" \"lack of integrity,\" \"lack of interaction,\" and \"lack of introspection.\" The occurrence of unprofessional behavior was found to be attributed to personal problems, interpersonal problems, external factors, and environmental factors. Educators analyzed unprofessional behavior and its causes from four categories. Medical students should perform reflective writing to help them reflect on their unprofessional behavior. Educators should use this reflective writing to interact with medical students, and to investigate and analyze the students' unprofessional behavior. Furthermore, educators will need to assess unprofessional behavior using a roadmap to address unprofessionalism, and to respond appropriately to each stage of the roadmap. Individualized educational interventions should be provided to help students correct their unprofessional behavior.</p>","PeriodicalId":37737,"journal":{"name":"Korean journal of medical education","volume":"37 1","pages":"47-58"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11900838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Suyoun Kim, Su Hyun Kim, Hansea Kim, Young-Mee Lee
{"title":"Integrating artificial intelligence into medical curricula: perspectives of faculty and students in South Korea.","authors":"Suyoun Kim, Su Hyun Kim, Hansea Kim, Young-Mee Lee","doi":"10.3946/kjme.2025.324","DOIUrl":"10.3946/kjme.2025.324","url":null,"abstract":"<p><strong>Purpose: </strong>With the accelerated adoption of artificial intelligence (AI) in medicine, the integration of AI education into medical school curricula is gaining significant attention. This study aimed to gather the perceptions of faculty members and students regarding the integration of AI education into medical curricula in the Korean context.</p><p><strong>Methods: </strong>Faculty members and medical students' perspectives on integrating AI into medical curricula were assessed through thematic analysis of free-written responses from 157 faculty members and 125 students in a national online survey on medical AI competencies in South Korea.</p><p><strong>Results: </strong>Three key themes emerged: content, which prioritizes basic knowledge and its practical applications, with an emphasis on ethical and legal responsibilities; curricular design, which advocates for a spiral curriculum tailored to learners' needs; and concerns, which highlight balancing AI integration with the principal goals of medical education while critically evaluating ongoing advancements.</p><p><strong>Conclusion: </strong>Our study adds valuable insights into the content and methods to prioritize AI education. Given the rapid evolution of medical learners and AI technologies, continuous and timely needs assessment for AI curriculum development is crucial to maintain relevance and effectiveness.</p>","PeriodicalId":37737,"journal":{"name":"Korean journal of medical education","volume":"37 1","pages":"65-70"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11900830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The role of transfer motivation and self-efficacy on student satisfaction during early clinical experiences in South Korea: a cross-sectional study.","authors":"In-Kyung Song, Hwa-Young Jang, Su Jin Chae","doi":"10.3946/kjme.2025.319","DOIUrl":"10.3946/kjme.2025.319","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to identify the factors influencing premedical students' satisfaction with early clinical experience and determine the mediating effect of self-efficacy on the relationship between learning motivation and satisfaction.</p><p><strong>Methods: </strong>This cross-sectional study included 35 second-year premedical students who completed the early clinical experience course and responded to course evaluation questionnaires on self-efficacy, transfer motivation, and student satisfaction. The data were analyzed using descriptive statistics, Pearson's correlation, Baron and Kenny's hierarchical multiple regression analyses, and the Sobel test.</p><p><strong>Results: </strong>Student satisfaction was significantly correlated with self-efficacy (r=0.724, p<0.01) and transfer motivation (r=0.538, p<0.01). Self-efficacy and transfer motivation were also highly correlated (r=0.789, p<0.01). Multiple regression analyses and Sobel test indicated that self-efficacy fully mediated the relationship between student satisfaction and transfer motivation (Z=2.704, p<0.01).</p><p><strong>Conclusion: </strong>In this study, early clinical experience program increased premedical students' self-efficacy and transfer motivation for clinical knowledge and confirmed that self-efficacy mediated student satisfaction. These findings demonstrate the positive effects of early clinical experience on the medical school curriculum and suggest the need for educational strategies to increase self-efficacy in learning.</p>","PeriodicalId":37737,"journal":{"name":"Korean journal of medical education","volume":"37 1","pages":"13-21"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11900835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Relationship between intern performance assessed by peers and academic performance in medical school: a preliminary study.","authors":"Kyong-Jee Kim","doi":"10.3946/kjme.2025.326","DOIUrl":"10.3946/kjme.2025.326","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated the association between intern doctors' performance as assessed by their peers and their academic performance in medical school.</p><p><strong>Methods: </strong>A retrospective cohort analysis was conducted with 21 graduates from a South Korean medical school who interned at an affiliated center. Participants underwent bi-annual peer evaluation for intern performance evaluations using a 5-point Likert scale on professionalism, clinical competencies, and interpersonal skills. Associations between peer ratings and grade point average (GPA), exit assessment scores, and Korean Medical Licensing Examination (KMLE) scores were analyzed.</p><p><strong>Results: </strong>Peer ratings showed moderate to strong positive associations with exit assessments and KMLE scores, but no relationship with cumulative GPAs. Peer ratings correlated more strongly with objective structured clinical examinations than written tests.</p><p><strong>Conclusion: </strong>Medical students' outcomes in exit assessments and KMLEs, especially clinical performance tests, are strong predictors of their performance as intern doctors. These findings highlight the value of clinical performance assessments for predicting intern doctors' performance and suggest the need for more comprehensive and authentic assessment methods to enhance their predictive validity.</p>","PeriodicalId":37737,"journal":{"name":"Korean journal of medical education","volume":"37 1","pages":"77-83"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11900832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Retrospective study of cultural biases and their reflections among Korean medical students: a cultural hybridity perspective.","authors":"Kyung Hye Park, Ki-Byung Lee, HyeRin Roh","doi":"10.3946/kjme.2025.320","DOIUrl":"10.3946/kjme.2025.320","url":null,"abstract":"<p><strong>Purpose: </strong>Most of studies about racial or ethnic biases among medical students have been conducted in English-speaking developed countries. This study explores the hybridity and transformation of Korean medical students' biases, arguing that a nation's identity and culture are constantly in a state of ever-changing hybridity.</p><p><strong>Methods: </strong>This research used a qualitative document analysis. The study participants were 600 pre-clinical medical students at two medical colleges in Korea, who enrolled in anti-bias programs and subsequently submitted self-reflection essays. Data collection focused on biases related to race, ethnicity, nationality, and medical practices as doctors. Bhabha's cultural hybridity concepts guided the coding of the data in order to explore the hybridity and transformation of the students' biases.</p><p><strong>Results: </strong>The students presented cultural biases toward patients and doctors with ambivalence related to a person's high socioeconomic status and open-mindedness, as well as doctors' excellence and superiority as Korean authoritative figures. Since the students had ambivalent and complex biases toward patients and doctors, they felt unhomeliness as Korean doctors encountering international patients in Korean clinics. However, after discovering their contradictory assumptions, they transformed their unhomeliness into new hybrid identities. The students' biases were rarely based on race but instead were based on nationality, specifically national class by national income.</p><p><strong>Conclusion: </strong>Understanding the changing hybrid nature of identities and culture from a cultural hybridity perspective could help clarify medical students' complex and changing biases and improve anti-bias education. Korean medical students' hybridized positions suggest that anti-bias education goes beyond focusing on prestige or racism.</p>","PeriodicalId":37737,"journal":{"name":"Korean journal of medical education","volume":"37 1","pages":"23-34"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11900837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The paradox caused by the standardized pre-clinical objective structured clinical examination in Japan.","authors":"Mikio Hayashi","doi":"10.3946/kjme.2025.327","DOIUrl":"10.3946/kjme.2025.327","url":null,"abstract":"","PeriodicalId":37737,"journal":{"name":"Korean journal of medical education","volume":"37 1","pages":"85-87"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11900834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sydney Tjandra, Arnold Keane, Defin Allevia Yumnanisha, Mukhlis Akmal Taher, Hansel Andita Kristiandi, Anyta Pinasthika, Nadia Greviana
{"title":"Association between non-academic activities and professional identity formation of Indonesian medical students: a nationwide cross-sectional study.","authors":"Sydney Tjandra, Arnold Keane, Defin Allevia Yumnanisha, Mukhlis Akmal Taher, Hansel Andita Kristiandi, Anyta Pinasthika, Nadia Greviana","doi":"10.3946/kjme.2025.318","DOIUrl":"10.3946/kjme.2025.318","url":null,"abstract":"<p><strong>Purpose: </strong>This study explores the association between student involvement in non-academic activities (NAA) and the stages of professional identity formation (PIF) among Indonesian medical students.</p><p><strong>Methods: </strong>This cross-sectional survey was distributed to students in 50 medical schools, across both preclinical and clinical students in years 2-6. Respondents completed a Developmental Scale (DS) questionnaire to assess PIF and self-reported the number of hours spent on different NAA. Descriptive and bivariate analyses were performed; multiple linear regression was utilized to predict PIF.</p><p><strong>Results: </strong>Indonesian medical students reported a median of 13 NAA hours and a median DS score of 5.07 on a scale of 7. NAA hours were significantly different across sex groups, years of study, university regions, and institution types. Female participants spent significantly more hours on NAA than male students and PIF was predicted by the number of hours spent on research and competition-related activities. Shifts between the types of NAA were also observed among year groups.</p><p><strong>Conclusion: </strong>NAA are positively associated with the PIF process, with students' active involvement in research and competitionrelated activities as predictors in this area. Supporting these activities becomes imperative for medical schools in order to optimize students' potential, motivation, and PIF.</p>","PeriodicalId":37737,"journal":{"name":"Korean journal of medical education","volume":"37 1","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11900836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Stress and coping skills in medical students.","authors":"Yu Ra Kim, Hye Jin Park, Seong Yong Kim","doi":"10.3946/kjme.2025.323","DOIUrl":"10.3946/kjme.2025.323","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to confirm the degree of stress perceived by medical students in Korea and to study the difference between the methods used to relieve stress. In addition, this study evaluates the stress relief methods medical students believe are effective.</p><p><strong>Methods: </strong>The subjects of the study were 147 students of a medical school in Korea who voluntarily participated in an online survey. The degree of stress perceived by medical students in Korea was confirmed, and the differences between the methods used to relieve stress were analyzed, along with the effective stress relief methods considered by the students themselves.</p><p><strong>Results: </strong>There was no difference found in the degree of stress experienced by medical students based on their year in school and gender. The most commonly reported method to relieve stress was sleep, and it was found that this method provided the highest degree of stress relief.</p><p><strong>Conclusion: </strong>As stress has been consistently reported as an issue among medical students, tackling stress among medical students should not be handled solely at the individual level.</p>","PeriodicalId":37737,"journal":{"name":"Korean journal of medical education","volume":"37 1","pages":"59-63"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11900831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kyung Hye Park, Jannet J Lee-Jayaram, Benjamin W Berg
{"title":"Medical students' experience of culturally diverse family presence during resuscitation simulation.","authors":"Kyung Hye Park, Jannet J Lee-Jayaram, Benjamin W Berg","doi":"10.3946/kjme.2025.325","DOIUrl":"10.3946/kjme.2025.325","url":null,"abstract":"<p><strong>Purpose: </strong>This report describes the development of a simulation scenario for medical student that incorporates cultural diversity within the context of family presence during resuscitation (FPDR).</p><p><strong>Methods: </strong>Using a hybrid simulation approach, we designed a scenario focusing on communication with a family that immigrated from Korea to the United States during cardiopulmonary resuscitation (CPR). The scenario objectives were for learners to perform CPR with family presence, communicate with the family, and understand and negotiate cultural needs. Following a pilot scenario with two inexperienced volunteer medical students as learners, the program was evaluated through anonymous surveys and informal focus group feedback.</p><p><strong>Results: </strong>Students noted that this simulation differed from previous experiences as compared with emphasizing family communication rather than patient diagnosis or treatment. Students valued experiencing the practical application of cultural competence concepts. The suggestions for scenario improvement included balancing two student participation roles, adjusting the timeline, and utilizing a standardized family member.</p><p><strong>Conclusion: </strong>This pilot study suggests that an FPDR simulation program can be effectively repeated with multiple medical students and applied to CPR simulations involving diverse cultural backgrounds.</p>","PeriodicalId":37737,"journal":{"name":"Korean journal of medical education","volume":"37 1","pages":"71-76"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11900829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Standardized learner simulation for debriefer training through video conference.","authors":"Jiyoung Rhee, Hyun Soo Park","doi":"10.3946/kjme.2025.321","DOIUrl":"10.3946/kjme.2025.321","url":null,"abstract":"<p><strong>Purpose: </strong>Debriefing after simulation-based healthcare education (SBHE) is challenging. Educators' debriefing skills are essential to the success of learning. For debriefing skill training, we designed a simulation course with the standardized learner (SL) through video conference. The purpose of this study was to describe the implementation process of the SL simulation course and evaluate its effectiveness on educators' self-confidence and debriefing skills.</p><p><strong>Methods: </strong>This simulation course involved six trainees and two trainers. After watching a 5-minute sample video of SBHE, each trainee conducted their role as a debriefer in this video and the trainer acted as a learner (SL) in this video. Following each simulation, individual feedback by the trainer was immediately implemented. To evaluate the course's effectiveness, trainees' self-confidence questionnaire was collected, and objective structured assessment of debriefing (OSAD) scores were evaluated.</p><p><strong>Results: </strong>After completing five SL simulation sessions in 2 weeks, the trainees' self-confidence level and OSAD scores improved significantly (estimate=0.114, standard error=0.020, p<0.001, and p=0.006).</p><p><strong>Conclusion: </strong>This debriefer training course using SL simulation via video conference could improve self-confidence and debriefing skills of trainees. This SL simulation can be used as a new and flexible method for training debriefers.</p>","PeriodicalId":37737,"journal":{"name":"Korean journal of medical education","volume":"37 1","pages":"35-45"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11900833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}