• Title/Summary/Keyword: 병원실습

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Two Year Experiences of the International Elective Clerkship for Medical Students (2년간의 의과대학 학생의 해외임상실습 경험)

  • Lee, Sam-Beum;Bang, Jae-Beum;Lee, Young-Hwan
    • Journal of Yeungnam Medical Science
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    • v.26 no.1
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    • pp.24-29
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    • 2009
  • Background : The aims of medical education have recently been changing in Korea, which has been accompanied by efforts to modify the rotating clerkship courses, improve the quality of clinical education, and make global doctors. We report the experiences of medical students going through an international elective clerkship for during past two years. Materials and Methods: Third year medical students could apply to the international elective clerkship course during a 4 week period alter their third-year rotating clerkship at a university hospital. This was done twice - in 2008 and in 2009. Applicant students were allowed to select hospitals anywhere in the world. We analyzed their choices including data on nation, state or city, hospital or institute, contacted hospitals by medical college, differences of two years, etc. Results : Twelve students (10.9%) of a total of 75 third-year students applied to 3 nations and 4 hospitals in 2008. Nine students applied to the Tampa General Hospital at the University of South Florida (USF) in the USA, which was arranged by their medical college. In 2009, a total of five (4.2%) of 77 students applied to 2 nations and 3 hospitals, including three at the University of South Florida, one in another city in the USA, and one in another nation because of the increased financial burden due to a higher exchange rate. Conclusion: Medical students started their first international elective clerkship courses during the past two years. Experiences were interesting and meaningful to the students and the medical college. Greater effort and support to developing a new paradigm and to enlarge the scope of the program for making global doctors are required in the future.

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A Study on the Characteristics of Shaft Electric Motive Force of Controllable Pitch Propeller - Focusing on the M/V Segero - (가변피치 프로펠러의 축기전력 특성에 관한 연구 - 세계로호를 중심으로 -)

  • Park, Kyung-Min;Im, Myeong-Hwan;Choe, Sang-Bom;Ahn, Byong-Won
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.28 no.1
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    • pp.135-140
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    • 2022
  • Most machines are made of several types of . In particular, the shaft system of the ship consists of the brass of the propeller blade and the stainless steel of the shaft. When dissimilar the electrolyte solution of seawater, a voltaic cell and a shaft electromotive force is generated. This electromotive force causes electrical corrosion of the bearing and shaft supporting the shaft system. prevent this corrosion, a shaft grounding system is installed in ships. As for the experimental method, various information acquired by designing a program to periodically measure the electromotive force of the controllable pitchpropeller) system using an A/D converter of NI. This study analyzed the generation and characteristics of accumulator electromotive force for CPP and considered the installation location of the grounding system to remove the accumulator electromotive force.

Factors influencing Academic Stress among Nursing Students who experienced COVID-19 (코로나19를 경험한 간호대학생의 학업스트레스 영향요인)

  • Jung-Hye Lim;Jeong-Ja Nam;Mi-Jung Kim;Oe-Seon Lee;Bong-Hi Sim;Soon-Mi Lee
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.4
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    • pp.445-455
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    • 2023
  • This study aimed to identify academic stress factors of nursing students who have experienced COVID-19. The subjects of this study were 172 nursing students from three universities in Gyeongsangnam-do. Data were collected at November 2022 and analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation, Hierarchical regression by SPSS/WIN 21.0. As a result of the study, the degree of academic stress 2.09 points and the factors affecting nursing students' academic stress were major satisfaction, satisfaction with alternative clinical practicum, emotion-focused coping, problem-focused coping, self-efficacy, perceived health status, and depression due to COVID-19, and the total explanatory power was 62.3%. Based on these research results, we need to prepare a systematic education plan to reduce the academic stress of nursing students in future disasters and infectious diseases by preparing measures to increase nursing students' major satisfaction and satisfaction with alternative clinical practicum.

Intraosseous line insertion education effectiveness for pediatric and emergency medicine residents (소아과와 응급의학과 전공의를 대상으로 한 골강내 주사 실습 교육의 효과 분석)

  • Lee, Jung Woo;Seo, Jun Seok;Kim, Do Kyun;Lee, Ji Sook;Kim, Seonguk;Ryu, Jeong-Min;Kwak, Young Ho
    • Clinical and Experimental Pediatrics
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    • v.51 no.10
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    • pp.1058-1064
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    • 2008
  • Purpose : This study aimed to assess current knowledge of and training experiences with the intraosseous (IO) line among emergency medicine (EM) and pediatric residents who care for critically ill children and to evaluate the educational effectiveness of the IO line workshop. Methods : During May and June 2008, a workshops on IO line insertion was held for EM and pediatric residents. The workshop comprised a 45-min lecture and a 15-min hands-on session. A semi-drill type EZ-IO machine was used for education. Self-assessment questionnaires gauged residents knowledge of and experiences with IO line insertion or bone marrow (BM) examination and their confidence with IO line insertion before and after the workshop. Performance tests were completed for skill evaluation. Results : Forty-five pediatric residents and 22 EM residents participated in the workshop. The pre-educational questionnaire revealed that EM residents had more educational experience in IO line insertion than pediatric residents (P<0.001), while pediatric residents reported more experience in BM examination (P<0.001). The post-educational questionnaire showed a statistically significant higher percentage of correct answers (P<0.001). Although the pediatric residents inserted an IO line more quickly (P=0.001), most residents (88.7%) succeeded in IO line insertion on their first attempt; there was no difference in the groups success rates. Both groups showed higher confidence in performing IO line insertion after training (P<0.001). Conclusion : Observed educational effectiveness in both knowledge and confidence of IO line insertion skill suggest educational opportunities for pediatric and EM residents should be increased.

A study on stress factors in dental hygienists caused by students in clinical practice by pattern of hospital (병원형태별 치과위생사가 임상실습 과정 중 실습생으로부터 경험하게 되는 스트레스 요인에 관한 연구)

  • Jang, Sung-Yeon;Kwon, Soon-Bok;Yang, Seung-Kyeong
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.2
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    • pp.181-191
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    • 2013
  • Objectives : The research was performed to be used as basic data for dental hygienists' job satisfaction during clinical practice, and planning and operating effective clinical practice by analyzing stress factors in dental hygienists and the extent of stress caused by students in clinical practice. Methods : The research was aimed at dental hygienists working at college dental hospitals, dental clinic of general hospitals, dental hospitals and dental clinics located in Seoul and Gyeonggi province where clinical practices were conducted for dental hygiene students. For analysis, collected data was analyzed by using SPSS 20.0. Results : Results derived from analysis on characteristic difference by pattern of hospital were observed that there was a significant difference in job satisfaction by pattern of hospital. Results from analysis on correlation among stress factors were observed that there was correlation between behavior and attitude, interpersonal relationships, role and activity, ideal and value, and treatment fields. Results derived from analysis on the effect of stress factors on the job satisfaction were observed that role and activity (p=.002<.01), ideal and value (p=.019<.05), and treatment fields (p=.032<.05) affected the job satisfaction, while behavior and attitude (p=.386>.05), and interpersonal relationships ((p=.421>.05) did not affect the job satisfaction. A stress factor, role and activity (${\beta}$=.350) affected the job satisfaction the most, followed by ideal and value (${\beta}$=.242), and treatment fields (${\beta}$=-.185). For the explanation ability, the stress factors accounted for 20.5% of the job satisfaction. Conclusions : In conclusion, most of the dental hygienists are satisfied with students' clinical practice by pattern of hospital. Positive correlation was shown between stress factors. Behavior and attitude and ideal and value are high in stress in college dental hospitals, role and activity and treatment fields are high in stress in dental hospital, and interpersonal relationships are high in stress in dental clinics.

Assessment of the Activities of General Physicians in Health Subcenters and a Scheme to Improve the Training Program (보건지소 공중보건 일반의사의 업무수행정도와 수련개선방안)

  • Park, Jung-Han;Chun, Byung-Yeol;Woo, Kuck-Hyeun
    • Journal of Preventive Medicine and Public Health
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    • v.19 no.2 s.20
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    • pp.193-202
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    • 1986
  • The activities of general physicians (GPs) in health subcenters and their competency for clinical skills were assessed to develop a scheme to improve the training program. One hundred-twenty GPs in southern four provinces (Kyungpook, Kyungnam, Chunpook, Chunnam) were randomly selected and 97 were interviewed between January 9 and February 10, 1984. Of the 97 GPs, 86 provided all the information we requested. Average number of patient visits per health subcenter in a day was 30-40 in the demonstration project area for the class II medical insurance whereas it was 3-4 visits in other area. The interviewees were asked to rate their competency in 63 clinical skills. The skills in which over 50% of the interviewees rated themselves competent were only 12 items including IM injection, IV injection, wound dressing, etc. Less than 10% of the interviewees rated themselves competent in such skills as maternal health care, emergency medical care, preventive and promotive health services. Most part of the training program of the NIH for the GPs were not applicable to their field work as the training contents were unrealistic. Clinical training at a local general hospital was of great help in 38.8% and the rest of training was not much helpful as the training was inadequate due to lack of trainer or indifference of the trainer. For more effective training of the GPs, the training program of the NIH should be modified to be more realistic and utilize competent field workers as the instructors. It may be more effective if the training is carried out at several local centers. Ideal length of the clinical training for the GPs is 4 months. A pocketbook should be developed that includes specific skills to master during the clinical training and require the trainer to confirm the achievement. The Ministry of Health and Social Affairs should provide the training hospitals with a training guideline and evaluate the training activities and make sure that the training hospital has specialist for each of the 4 major clinical departments. The Ministry of Health and Social Affairs should provide the GPs with a continuing education to assist the problem solving in the field and motivate them to actively carry out the health program. A province may be divided into several regions and a supervisory committee may be organized with specialists in each region. The committee may hold a meeting for the GPs periodically and respond to the specific questions of the GPs by mail.

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Effects of Patient Safety Motivation and Degree of Patient Safety on Patient Safety Management Activities of Geriatric Hospitals Nurses (노인 요양병원 간호사의 환자 안전동기와 환자안전도가 환자안전관리 활동에 미치는 영향)

  • Ju-Yul Lee;Soon-Ok Kim
    • Journal of the Korean Applied Science and Technology
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    • v.40 no.4
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    • pp.773-785
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    • 2023
  • This study is a descriptive research conducted to identify the factors influencing patient safety management activities of geriatric hospitals nurses and use basic data to prevent patient safety accidents. Subjects were 220 nurses and data were collected by questionnaires from february 1 to 28, 2023. Data were analyzed using t-test, ANOVA, Scheffe's test, Pearson correlation coefficients and Multiple regression analysis using the SPSS 29.0 program. Patient safety motivation was positive correlated with degree of patient safety(r=.41, p<.001), and degree of patient safety was positive correlated with patient safety nursing activity(r=.18, p<.01). Degree of patient safety(𝛽=.21, p<.001) and patient safety guidelines(𝛽=.16, p<.001) were main factors that affect patient safety nursing activity, and its explanatory power was 7.5%(Adj R2=.075, p<.001). For patient safety nursing activity, it is proposed to develop and apply a education program that strengthens practical training for effective coping after safety accidents along with risk prediction training to prevent before safety accidents.

Training of Radiofrequency Ablation for Thyroid Nodules in Korea: Current and Future Perspective (국내의 갑상선 고주파 절제술에 대한 교육: 현황 및 미래 전망)

  • Hye Shin Ahn;So Lyung Jung;Jung Hwan Baek;Jin Yong Sung;Ji-hoon Kim
    • Journal of the Korean Society of Radiology
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    • v.84 no.5
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    • pp.1009-1016
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    • 2023
  • Radiofrequency ablation (RFA) is a minimally invasive treatment modality used as an alternative to surgery in patients with benign thyroid nodules and recurrent thyroid cancers. In Korea, RFA for thyroid nodules was first performed in 2002, and a large population study was published in 2008. The Task Force Committee of the Korean Society of Thyroid Radiology (KSThR) developed its first recommendations for RFA in 2009, which were revised in 2012 and 2018. The KSThR guideline was the first guideline for RFA of thyroid nodules worldwide and has become a guideline for physicians to perform thyroid RFA in Korea and other countries around the world. These guidelines have contributed significantly to the establishment and widespread use of RFA worldwide. In addition, since 2015, the KSThR has conducted intensive hands-on courses depending on the level of the participants. In this article, the authors introduce the history of eduction for RFA conducted by the KSThR and describe the learning curve of RFA and current training programs in Korea, along with future directions for training programs.

A Study on Uniform Recognition of Some Dental Hygiene Students (일부 치위생과 학생의 유니폼 인식에 관한 연구)

  • Son, Eun-Gyo;Jung, Hwa-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.2
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    • pp.388-395
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    • 2020
  • This study was conducted from March 15 to March 19, 2019. The purpose of this study was to examine the recognition of uniforms and their images for the selection and development of uniforms and the pursuit of images for dental hygienists and students in some regions. Study methods included frequency analysis, factor analysis, reliability analysis, ANOVA, chi-squared test, and regression analysis. The collected data was analyzed using the IBM SPSS Statistics 21.0 program. This study found that students majoring in dental hygiene thought that uniforms influenced their image and that they influenced the image of the hospital. In addition, students who experienced clinical practice preferred the pants type to the uniform type and the color to achromatic color. In addition, these students preferred scrubs and the use of Crocs for shoes. The results of this study showed that dental hygiene students considered image transmission through uniforms as important. However, it appears that they prefer practical uniforms and shoes over uniforms that convey external images. This is a part that makes us aware of the need for changes in training clothes and training. In conclusion, it is necessary to develop a practical uniform while expressing the image of the institution, which will be reflected in future dental uniform selection.

Research on Cognition of Infection Control by Dental Hygienics Student's in some Areas (일부 지역 치위생학과 학생들의 감염방지에 관한 인식 조사)

  • Moon, Seon-Jeong;Ku, In-Young
    • The Journal of the Korea Contents Association
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    • v.12 no.12
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    • pp.313-320
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    • 2012
  • A dental treatment room is always exposed to diverse kinds of pathogenic bacteria, and may be a mediating place of cross-infection given being contaminated the interior of a room through several routes in the form of patient's secretion and aerosol. The main agent of preventing cross-infection is a dental hygienist in the dental treatment and the dental treatment room where are scattered about a risk of cross-infection. A dental hygienist needs to have right recognition on infection control before being active as a clinical expert. This infection-control recognition level is influenced from the clinical practice. Accordingly, to survey recognition of infection control, a self-administered questionnaire research was conducted targeting 314 students who are fixed the clinical practice as regular subject in the junior course out of curriculum for the Department of Dental Hygiene at some of 4-year universities. Data collection was performed from December 9, 2011 to February 22, 2012. Except 11 copies of questionnaire with insincere response among the collected materials, 303 copies were finally analyzed by using SPSS WIN 20.0. The following conclusions were obtained. In the infection disease section, both on and off campus showed 4.89 points from 'the importance of recognizing the infections prevention', 4.65 points from 'recognizing the compulsory preventative injection for hepatitis type B', 4.77 points from 'recognizing the necessity of the preventative injection for hepatitis type B', 4.71 points from 'whether practice the prevention in reality or not', and 4.76 points from 'the educational helps to the prevention'. In other words, the section recorded the highest and meaningful points. It is considered to be needed the development in systematic and diverse infection-control educational programs and the differentiated education depending on school year for dental hygiene students.