연구 목적: 본 연구는 우수한 1급 응급구조사 인력 양성 및 배출을 위해 응급구조사의 역량을 도출하여 교육제도를 재정립하고 국가시험 및 자격제도를 개선하기 위한 정책 제안을 하고자 하였다. 연구 방법: 본 연구는 전문가 회의 및 설문지를 이용하였다. 설문 자료는 교육 전문가(응급구조학과 대학교수)와 현장 전문가(소방 119구급대원 및 병원에 근무하는 1급 응급구조사) 총 277명으로부터 수집되었으며, 자료수집 기간은 2016년 9월 7일부터 9월 20일까지였다. 수집된 자료는 SPSS 22.0을 이용하여 분석하였다. 연구 결과: 1급 응급구조사 교육과정 강화를 위해 표준교육과정안으로 총 27과목 94학점을 제안하였고 1급 응급구조사의 핵심역량 9가지를 도출하였다. 국가 자격시험은 필기시험 과목을 통합하는 방안과, 실기시험에 시나리오형의 문제를 추가하고, 실기를 절차대로 수행하는 단순실기시험에 낙제기준(critical criteria)를 적용하며, 실기시험은 통과/실패만 결정하는 것을 제안하였다. 또한 1급 응급구조사의 보건의료적 업무특성을 반영하여 자격은 면허로 바꾸는 것을 제안하였다. 결 론: 본 연구 결과를 토대로 표준교육과정 운영으로 핵심역량을 갖추고 배출된 인력들이 신뢰성 있는 국가시험제도를 통해 자격을 취득하고 1급 응급구조사로서 전문성을 강화할 수 있는 자격관리제도가 선순환을 이룰 때 우리나라 응급의료서비스의 질적 수준이 향상될 것이다.
연구 목적: 본 연구는 우수한 1급 응급구조사 인력 양성 및 배출을 위해 응급구조사의 역량을 도출하여 교육제도를 재정립하고 국가시험 및 자격제도를 개선하기 위한 정책 제안을 하고자 하였다. 연구 방법: 본 연구는 전문가 회의 및 설문지를 이용하였다. 설문 자료는 교육 전문가(응급구조학과 대학교수)와 현장 전문가(소방 119구급대원 및 병원에 근무하는 1급 응급구조사) 총 277명으로부터 수집되었으며, 자료수집 기간은 2016년 9월 7일부터 9월 20일까지였다. 수집된 자료는 SPSS 22.0을 이용하여 분석하였다. 연구 결과: 1급 응급구조사 교육과정 강화를 위해 표준교육과정안으로 총 27과목 94학점을 제안하였고 1급 응급구조사의 핵심역량 9가지를 도출하였다. 국가 자격시험은 필기시험 과목을 통합하는 방안과, 실기시험에 시나리오형의 문제를 추가하고, 실기를 절차대로 수행하는 단순실기시험에 낙제기준(critical criteria)를 적용하며, 실기시험은 통과/실패만 결정하는 것을 제안하였다. 또한 1급 응급구조사의 보건의료적 업무특성을 반영하여 자격은 면허로 바꾸는 것을 제안하였다. 결 론: 본 연구 결과를 토대로 표준교육과정 운영으로 핵심역량을 갖추고 배출된 인력들이 신뢰성 있는 국가시험제도를 통해 자격을 취득하고 1급 응급구조사로서 전문성을 강화할 수 있는 자격관리제도가 선순환을 이룰 때 우리나라 응급의료서비스의 질적 수준이 향상될 것이다.
Purpose: With the purpose of educating and producing outstanding paramedics by enhancing their competencies, this study aimed to make policy suggestions to re-establish the education system and improve the national examination and the certification scheme. Methods: This study used focus group interv...
Purpose: With the purpose of educating and producing outstanding paramedics by enhancing their competencies, this study aimed to make policy suggestions to re-establish the education system and improve the national examination and the certification scheme. Methods: This study used focus group interviews and questionnaires to collect data. Totally, there were 277 subjects, including experts from the education and field. Data were collected from September 9 to 20, 2016, and analyzed using SPSS 22.0. Results: To strengthen the curriculum of paramedics, this study suggested 27 courses with 94 credits as the standardized curriculum and derived 9 core competencies of paramedics. For the national examination, this study suggested consolidating written test subjects, adding scenario questions to practical tests, and applying critical criteria to simple practical tests that performs a procedure, grading these tests on a pass/fail basis. In addition, this study suggested converting certification into license, reflecting paramedics' healthcare job characteristics. Conclusion: The quality of emergency medical services in Korea will improve when those with core competencies that originated from the standardized curriculum based on the results of this study acquire their certification through the national test scheme, and the certification management system creates a virtuous cycle to further enhance paramedics' professionalism.
Purpose: With the purpose of educating and producing outstanding paramedics by enhancing their competencies, this study aimed to make policy suggestions to re-establish the education system and improve the national examination and the certification scheme. Methods: This study used focus group interviews and questionnaires to collect data. Totally, there were 277 subjects, including experts from the education and field. Data were collected from September 9 to 20, 2016, and analyzed using SPSS 22.0. Results: To strengthen the curriculum of paramedics, this study suggested 27 courses with 94 credits as the standardized curriculum and derived 9 core competencies of paramedics. For the national examination, this study suggested consolidating written test subjects, adding scenario questions to practical tests, and applying critical criteria to simple practical tests that performs a procedure, grading these tests on a pass/fail basis. In addition, this study suggested converting certification into license, reflecting paramedics' healthcare job characteristics. Conclusion: The quality of emergency medical services in Korea will improve when those with core competencies that originated from the standardized curriculum based on the results of this study acquire their certification through the national test scheme, and the certification management system creates a virtuous cycle to further enhance paramedics' professionalism.
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문제 정의
This study also suggested converting certification into license, reflecting paramedics’ healthcare job characteristics.
This study is a descriptive study that conducted focus group interview (FGI) and questionnaire surveys to propose policies to educate and produce outstanding paramedic.
This study surveyed expert comments on the relevance of the national test (written and practical tests) to paramedic job duties. The expert comments on the written test’s relevance to paramedic job duties showed that 48.
With the purpose of educating and producing outstanding paramedics by enhancing their competencies, this study aimed to make policy suggestions to re-establish the education system and improve the national examination and the certification scheme.
제안 방법
Based on the analysis results of curriculum tables of 17 4-year universities and 21 3-year colleges and the questionnaire survey results [4], this study proposed a standardized paramedic curriculum with increasing disaster management 2 credits to 3 credits by focus group interview.
Based on the results, this study established questions in the questionnaire about whether to agree with paramedic core competency, opinions on proposed common courses in the curriculum, whether to introduce the paramedic certification evaluation scheme, written and practical tests in the national test, and the certification (license) scheme.
This study suggested 27 courses with 94 credits as the standardized curriculum and derived paramedics’ 9 core competencies. For the national examination, this study suggested consolidating written test subjects, adding scenario questions to the practical test, and applying critical criteria to the simple practical test that performs a procedure, grading practical test on pass/fail basis. This study also suggested converting certification into license, reflecting paramedics’ healthcare job characteristics.
For the standardized curriculum, this study suggested 27 courses in total with 94 credits: 2 general education courses, 6 basic medicine courses, 3 advanced emergency medical service – general courses, 2 emergency patient management courses, 9 advanced emergency medical service – specific courses, 1 law course, 1 medical assistance course, and 3 field practice courses.
In addition, based on the standardized curriculum developed by analyzing the curriculums of 17 4-year universities and 21 3-year colleges that produce paramedics [4], this study derived the “core competencies matrix” of job duties for subjects in the standardized paramedic curriculum.
Therefore, the practical test needs to expand the number of evaluated subjects required on the field and develop scenario-based performance subjects. For the practical test, it would be equally needed to set critical criteria in the simple performance test among other protocols so that evaluation criteria are put in place to ensure an appropriate level of difficulty in the national test.
This study aims to re-establish the education system to develop paramedics’ core competency, to explore changes to ensure that the national test scheme reflects paramedics’ job competencies, and to review whether a “certification” is acceptable in consideration of paramedics’ job duties.
To derive paramedic core competencies and examine the details of the questionnaires, this study performed basic questionnaire surveys and focus group interview on September 3 and 8, 2016 with 29 experts with 3 years or more of experience (university-16, fire department-6, and hospital-7). Based on the results, this study established questions in the questionnaire about whether to agree with paramedic core competency, opinions on proposed common courses in the curriculum, whether to introduce the paramedic certification evaluation scheme, written and practical tests in the national test, and the certification (license) scheme.
대상 데이터
For paramedics in 119 Fire Department and hospital, to make sure that graduates of this research team’s university and other subjects were distributed evenly in regions, this study handed out questionnaires to 2 universities in Gyeongsang Province, to which no member of the research team belonged, explained to them, and collected their questionnaires back only from those who gave their approval voluntarily. The data were collected from September 9 to 20, 2016, and 277 copies in total were collected from 83 education experts (professors related to emergency medical services), 194 field experts (100 paramedics in 119 Fire Department, and 92 paramedics in hospital, and 2 paramedics in other area).
This study suggested 27 courses with 94 credits as the standardized curriculum and derived paramedics’ 9 core competencies.
성능/효과
About the practical test’s relevance on paramedic job duties, on the other hand, 38.6% of education experts “agreed” and 9.6% of them “strongly agreed” while 38.1% of field experts “agreed” and 12.1% of them “strongly agreed”.
In conclusion, the quality of emergency medical services in Korea would improve when those with core competencies produced from the standardized curriculum based on the results of this study acquire their certification through the national test scheme, and the certification management system creates a virtuous cycle to further enhance paramedics’ professionalism.
In regards to applying critical criteria to simple performance (a procedure-based practical test) in the practical test, the majority 83.1% of the experts–87.5% of the education experts and 81.3% of the field experts–said critical criteria should be put in place [Table 5].
The expert comments on the written test’s relevance to paramedic job duties showed that 48.2% of education experts “agreed” and 16.9% of them “strongly agreed” while 39.2% of field experts “agreed” and 18.9% of them “strongly agreed”.
후속연구
If a reasonable and appropriately difficult national test makes sure a certification is given to those who could fully tap into their potential based on the standardized education system as suggested in the aforementioned results of this study, it would greatly contribute to nurturing and producing paramedics who are extraordinary in their ability to adapt to the situation on the site. When the paramedic education system, the national test scheme, and the certification management system create a virtuous cycle, it would improve the quality of emergency medical service in Korea.
참고문헌 (7)
Korean Association of Emergency Medical Technician. Available at: http://www.emt.or.kr/stats_recsroom/stats_recsroom_base/stats_recsroom_main/emrrsc_sttus
Kim SS. A study on the curriculum of emergency medical technology in Korea. Korean J Emerg Med Ser 2009;13(2):17-59.
Korean Ministry of Government Legislation. Emergency Medical Service Laws. Available at: http://www.law.go.kr/lsInfoP.do?lsi-Seq195201&lsId000218&chrClsCd010202&urlModelsEfInfoR&viewClslsPtnThdCmp#0000, 2018.
Choi ES, Hong SG, Kwon HR, Koh BY, Lee KY, Jung HH, Lee MR, Yun SW, Park SE, Cho KJ. Standardization of a curriculum for paramedic students. Korean J Emerg Med Ser 2017;21(2):17-37. https://doi.org/10.14408/KJEMS.2017.21.2.017
Yu SK, Kwon HR, Park HJ, Shin SD, Choi ES, Um TH. Job analysis of paramedic on the developing a curriculum method. Korean J Emerg Med Ser 2013;17(3):115-37. https://doi.org/10.14408/KJEMS.2013.17.3.115
Koh BY, Hong SG, Kim SS, Hyun JS, Baek M, Moon JD, Kwon HR, Kim GY, Min SG, Kang GH. Varying levels of difficulty index of skills-test items randomly selected by examinees on the Korean emergency medical technician licensing examination. J Educ Eval Health Prof 2016;13:5. https://doi.org/10.3352/jeehp.2016.13.5
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