• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제4권1호
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• pp.27-38
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• 1993

전반적 발달장애는 가장 심각한 소아정신과 장애중 하나로 발달의 여러가지 영역에 있어 이상 소견을 보인다. 약물치료로 전반적 발달장애를 완치 할 수 없으며 치료효과 역시 비특이적이다. 그러나 일부의 전반적 발달장애 아동에게 약물치료는 매우 중요하기도 하고, 행동치료나 교육에 임하는 데에 있어 휠씬 도움을 줄 수 있다. 지금까지 가장 많이 연구된 항정신병 약물인 halopcridol은 임상적으로나 통계적으로 확실히 위약보다 훌륭한 효과를 보이고 있고, 약물의 부작용을 초래하지 않으면서 변별학습이나 모방적 언어사용등 긍정적인 기능을 촉진하는 것으로 보고되고 있다. 그러나 이러한 halopcridol의 투여는 약물과 관련된 운동장애를 초래할 수 있기 때문에 보다 안전한 다른 약물을 찾고자 하는 이유가 된다. 지금까지의 몇몇 생화학적인 연구들은 전반적 발달장애 아동의 일부에서 대조군에 비하석 혈중내 세로토닌치가 높거나, 내인성 opioid 측정치가 높은 군이 있을 것이라는 보고를 하고 있다. 이러한 소견을 근거로 하여 약물치료가 시도 되기도 하였는데, 예를들면, fenfluramine이나 naltrexone등이 그러하다. 그러나 아직 까지의 결과는 결론적이지 못하다. 이 약물들과 이 밖에도 지금까지 전반적 발달장애 아동에게 사용되어진 약물들과 그들의 효과에 대하여 고찰하고자 한다.

• 대한불안의학회지
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• 제9권1호
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• pp.45-53
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• 2013

본 연구는 한국인에게 맞는 강점 척도의 개발과 타당화를 목적으로 한다. 연구 참여자는 남녀 성인 355명이었으며, 측정도구는 HEXACO 성격 검사, 삶의 만족도 척도, 긍정적 부정적 정서 척도, 행복추구경향 척도를 사용하였다. 탐색적 요인 분석 결과, 25개의 하위 영역은 4개의 상위 요인 구조를 보였다. 한국인 강점 척도는 높은 내적일치 신뢰도를 보였고, 각각의 하위영역와 개념적으로 유사하기 때문에 높은 상관을 나타내리라고 기대하였던 관련 측정치들과 예상대로 높은 상관을 보였다. 본 연구에서 개발된 한국인 강점 척도는 신뢰롭고 타당한 측정 도구로 평가되었으며, 개인의 대표강점의 발견과 활용에 관한 임상적 실제, 연구 및 교육에 효과적으로 이용 가능할 것이다.

• 의학교육논단
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• 제14권1호
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• pp.51-56
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• 2012

Purpose: Precepted video review (PVR) has been considered one of the methods for the remediation of clinical performance examinations (CPX). This study quantified the effect of brief PVR on CPX scores. Methods: For two years, final-year students (61 students in the 1st year's cohort and 54 in the 2nd year's cohort) participated in CPXs. The scores on the initial CPX were announced to the students shortly after that CPX administration. There was no PVR after the initial CPX in the 1st year. All participants of the 2nd year were notified of the opportunity to voluntarily receive brief PVR after the initial CPX. Several months after the initial CPX, the students took the latter CPX in both years. The differences of scores between initial and latter CPX were compared in good performers and poor performers of the initial CPX. Results: Thirteen poor performers and 8 good performers received PVR in the 2nd year. In the 1st year, history taking (Hx), physical examination, and patient physician interaction (PPI) scores of the good performers of the initial CPX were significantly decreased on the latter CPX. In the 2nd year, the Hx and PPI scores of the good performers of the initial CPX, who received PVR, were significantly decreased at the latter CPX. The Hx and PPI scores of the poor performers of the initial CPX were significantly increased at the latter CPX in both years regardless of PVR. Conclusion: The changes in CPX scores according to PVR did not show any consistent trend. Brief PVR appears to be not sufficient for improving CPX scores.

• 의학교육논단
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• 제20권1호
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• pp.15-19
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• 2018

The longitudinal integrated clerkship is an innovative approach in medical education that emphasizes continuity as a key principle to provide student-centered experiences and learning. Seoul National University College of Medicine decided to adapt longitudinal integrated clerkships to the new curriculum beginning in 2018, and therefore conducted pilot studies in 2016 and 2017. This study aimed to analyze the program evaluation results of the two pilot programs and discuss issues related to the successful implementation of longitudinal integrated clerkships in Korea. We conducted a focus group interview with nine students who participated in the 2016 pilot program and 13 students who participated in the 2017 pilot program. We also conducted a focus group interview with 11 faculty members who either participated in the pilot program or will participate in the main program. From the 2016 experience, we found that it is not appropriate to assign each patient to a single student and let the students contact their patients personally for feasibility and safety reasons. In the 2017 pilot program, we assigned each patient to a group of students, which made it more feasible for the students to follow-up with their patients. The students were satisfied with their new experience of longitudinal patient follow-up and regular meetings in the pilot program. Faculty emphasized the importance of establishing the course objectives and holding an orientation for the students and the faculty. Further study is planned to evaluate the early outcomes of the main longitudinal integrated clerkship.

• 지질동맥경화학회지
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• 제7권2호
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• pp.122-154
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• 2018

Familial hypercholesterolemia (FH) is typically associated with single gene mutation that is inherited by autosomal dominant manner. Due to high cardiovascular risk, aggressive discovery, diagnosis, and treatment of FH are critical. Although FH is being increasingly spotlighted, we do not have sufficient data on Korean patients with FH. Here, we present the content of symposium of the Education Committee, Korean Society of Lipid and Atherosclerosis held in May 2018: 1) epidemiology, clinical diagnosis, Korean FH data, and regulation in Korea; 2) genes associated with FH, sequencing process in suspicious proband, cascade screening, and difficulty in genetic diagnosis in FH; 3) the importance of lipid-lowering therapy in FH, conventional and novel therapeutics for FH; 4) diagnosis of FH in children and adolescence, screening, and treatment of FH in children and adolescence; 5) history of FH studies in Korea, the structure and current status of FH registry of Korean Society of Lipid and Atherosclerosis; and 6) difficulty in diagnosis of heterozygous and homozygous FH, drug intolerance and achievement of treatment target. Discussion between speakers and panels were also added. We hope that this article is helpful for understanding FH and future studies performed in Korea.

• 대한한방내과학회지
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• 제41권6호
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• pp.984-992
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• 2020

Objectives: This survey research was conducted to evaluate real-time non-face-to-face education in clinical Korean medicine conducted during the COVID-19 outbreak. Methods: This study was conducted with all 3rd and 4th grade students of the Department of Korean Medicine, Gachon University. The Korean Internal Medicine (Pulmonary) lecture course was held from April 1st to July 1st, 2020 for one semester. The lectures were conducted through real-time non-face-to-face education using the Cisco Webex program, and the lectures were mainly conducted by sharing a PowerPoint summarizing textbook. The questionnaire consisted of 3 parts and a total of 18 questions. The survey was conducted anonymously to ensure the confidentiality of all responses. Results: The overall score for real-time non-face-to-face education was 74.69±18.15 points. The efficiency of real-time non-face-to-face education was 2.12±0.78 points, and opinions on the expansion of future use were 2.08±0.91 points and were generally positive. The ratio of non-face-to-face education and face-to-face education in future clinical Korean medicine theory lectures was about 63:27, with a higher proportion of non-face-to-face education. Conclusions: Promoting clinical Korean medicine as a non-face-to-face education has generally been positively evaluated in terms of efficiency and overall, and its use should be expanded in the future. In particular, it will be necessary to use non-face-to-face education in the theory classes of clinical Korean medicine. However, technical problems involving internet, video, equipment, and communication tools will need to be improved in the future.

• 대한통합의학회지
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• 제10권4호
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• pp.251-259
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• 2022

Purpose : This study was conducted to check the effect on nursing college students' major satisfaction, adjustment to college life and nurse's image nursing students before clinical practical education. Methods : The study surveyed 209 college students majoring in nursing science in the city of B for the period of April through May 2022. The collected data were analyzed using SPSS/WIN 22.0 to determine the frequency, percentage ratio, average, and standard deviation. Statistical analyses included the t-test, analysis of variance, pearson's correlation coefficients. Results : As a result of this study, the average degree of satisfaction with majors was 3.88±.50, the average of college life adaptation was 3.26±.47, and the average of the nurse image was 3.90±.51. The major satisfaction according to the general characteristics of the study subjects showed a statistically significant difference in the motive for choosing a department (F=3.70, p=.003) and the thought of a nursing job (F=2.95, p=.004). The adjustment to college life according to the general characteristics of the study subjects showed a statistically significant difference in grade (F=3.50, p=.001), department selection motivation (F=2.69, p=.022) showed a statistically significant difference. The nurse image showed a statistically significant difference in residence type (F=6.00, p=.001) and nursing job thinking (F=2.11, p=.036). The correlation between the variables of the study subjects showed that major satisfaction was found to have a positive correlation with adjustment college life (r=.51, p<.001) and nurse image (r=.54, p<.001). It was found that adjustment college life had a positive correlation with the nurse image (r=.32, p<.001). Conclusion : The higher the degree of satisfaction with the major of nursing students prior to clinical practice education, the higher the degree of adaptation to college life. It is need to intervention studies that can improve the image of positive nursing.

• 대한통합의학회지
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• 제10권1호
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• pp.27-38
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• 2022

Purpose : This study is aimed to develop and validate the clinical practice education program and clinical competence scale of occupational therapy student. Methods : The development of the clinical practice education program used the delphi technique method, which had a total of five steps. Based on the occupational therapist's job analysis, the first stage assessed the importance of 21 experts, and the second stage examined the importance of 19 new specialists to derive constitutive factors. In the third stage, in-depth interviews were conducted with three experts based on the derived factors, and in the fourth stage, the final clinical practice education program was derived. In the final stage, the details of the clinical training program were drawn up based on the themes and were reviewed by two experts. Structured and unstructured interviews were conducted with 43 job experts. Results : The expert survey through the delphi technique was conducted three times, and content analysis and descriptive statistics were conducted to examine the distribution of responses. The final 11 educational program topics and contents were derived. Topics are confirmation of client information, evaluation and intervention, cognitive therapy, spinal cord injury, brain injury, musculoskeletal disorders, pediatric occupational therapy, interventions in activities of daily living, driving rehabilitation, vocational rehabilitation, occupational therapy assessment tool, safety training and management. Conclusion : The clinical practice education program reduce the difference between school education and clinical education of occupational therapy student. Occupational therapy helps college student understand occupational therapy practices and improve the quality of clinical education. Through more research and supplementation of clinical practice education programs in the future, it is suggested that clinical practice education be successfully operated in various practice institutions and used as basic data for designing and evaluating useful educational models.

• 대한통합의학회지
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• 제11권4호
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• pp.157-166
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• 2023

Purpose : The purposes of this study were to determine the relationships of communication skills with smartphone addiction and self-efficacy before clinical practice training among nursing students and to provide basic data for developing and verifying the effectiveness of an intervention program for improving nursing students' communication skills. Methods : This study targeted those who obtained consent to collect data explained the purpose and procedure of the study for the first and second graders of the nursing department at one university located in B city. The data collection period was from April 24 to May 13, 2023. A total of 207 questionnaire responses were included in the analysis. The collected data were analyzed using t-tests and analysis of variance in the SPSS/Win 230 program. The results were reported as real numbers, percentages, mean values, and standard deviations. The correlations between the variables were analyzed using the Pearson correlation coefficient. Results : Smartphone addiction according to the general characteristics of the study subjects showed significant differences in 'residence type' (F=2.91, p=.035) and 'average smartphone usage time' (F=20.15, p=.000). It seemed. self-efficacy was determined by 'age' (F=2.74, p=.045), 'subjective academic level' (F=7.71, p=.001), and 'average smartphone usage time' (F=3.96, p=.009) showed a significant difference. Communication skills showed a significant difference in 'average smartphone usage time' (F=3.83, p=.011). The correlation between the variables of the study subjects showed that self-efficacy was negatively correlated with smartphone addiction (r=-.42, p<.001), and communication ability was positively correlated with self-efficacy. It was found that (r=.55, p<.001). 15) Conclusion : On the basis of the study results, the higher the nursing students' smartphone addiction, the lower their self-efficacy, and the higher their communication ability, the higher their self-efficacy. Therefore, intervention research is necessary to develop interventions for preventing smartphone addiction and increasing communication ability among nursing students.

• Journal of Genetic Medicine
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• 제4권2호
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• pp.167-178
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• 2007

목 적:최근 들어서 국내 의료계에서도 Non-MD 전문 유전상담사의 필요성이 대두되고 있으며, 유전상담과 전문유전상담자 수요에 대한 전국적 기초조사를 수행함으로서, 향후 중장기 계획 Master plan을 가지고 유전상담교육 및 상담사 배출을 체계적으로 할 수 있게 될 것이다. 방 법:2007년 9월 3일부터 2007년 10월 4일까지 1개월 동안 이메일, 전화, 팩스, 직접수령의 방법으로 의료기관, 유전자 검사평가원에 등록된 비 의료기관, 정책연구기관, 자조회 등을 통하여 주임연구원, 교수 등을 대상으로 총 16문항의 설문을 하였다. 결 과:설문 내용의 분석 결과 "유전상담의 필요성을 느끼고 있는지"에 대하여 응답자의 90명(88%)에서 유전상담의 필요성을 느끼고 있었으며, 그 중 "매우 필요하다"는 답변은 31명(34%)으로 나타났다. 또 "응답자 또는 응답자가 근무하는 기관에서는 의학유전학 석사학위 이상의 교육을 받은 전문직 유전상담사의 필요성을 느끼고 있는지"에 대한 문항에서는 필요하다는 의견이 68명(77%)을 차지하였고, 그 중 "매우 필요하다"는 의견은 16명(23%)의 결과를 보였다. 전문 유전상담에 대한 수가 책정이 건강보험급여로 인정되어야 한다고 생각하는 응답자가 78명(77%)으로 나타났으며, 그 중 23명(29%)이 매우 필요하다고 응답하였다. 이에 전문 유전상담사를 채용할 계획이 있다고 응답한 57명의 답변으로, 5년 이내 채용계획이 있다는 의견이 41명(71%)이었고, 채용 시 기대하는 담당 업무는 "유전 카운슬링" 34명(60%), "학술담당" 24명(42%), "교육담당" 10명(18%), "임상검사담당" 11명(19 %)으로 나타났다. 결 론:이번 조사에는 대상자 650명 중에 총 102명이 설문에 응하였고, 국내 유전상담과 전문 유전상담사 수요에 대한 전국적 기초조사 결과를 토대로, 향후 5-10년 중장기계획을 가지고 유전상담교육, 유전 상담의 의료보험 적용과 전문 유전상담사 배출을 체계적으로 하는데 있었으며 이에 효율적인 유전질환 관리와 국가차원의 시스템 구축 및 유전질환 환자에 대한 양질의 의료서비스를 제공할 수 있을 것으로 기대된다.