• Title/Summary/Keyword: 의학 임상교육

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인터넷을 통한 멀티미디어 의료 정보 전달

  • 김경섭;윤태호;송철규
    • 전기의세계
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    • v.53 no.4
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    • pp.59-61
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    • 2004
  • 컴퓨터 기술의 발전과 데이터 압축 및 전송 기술의 발달로 인하여, 인터넷을 통하여 실시간으로 전송된 음성, 비디오, 생체 신호, 문자, 처방, 의료 영상 등으로 이루어진 멀티미디어 의료 정보가 임상 진료, 의학 연구 및 교육에 활용되고 있다.(중략)

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Psychosomatic Medicine in Korean Medical Practice : Past, Present and Future (한국 임상진료에서 정신신체 의학의 과거와 현재 그리고 미래)

  • Seo, Jeong-Seok
    • Korean Journal of Psychosomatic Medicine
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    • v.20 no.1
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    • pp.18-21
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    • 2012
  • It has passed 20 years since the first conference of the Korean Psychosomatic Society(KPMS) had been held. Therefore, it seems that it is the appropriate time to evaluate the current status and to look back the history of the Korean psychosomatic medicine in three aspects, clinical treatment, education, and research, and to make a plan for the future. Of the three areas, the clinical practice of Korean psychosomatic medicine will be discussed. As the past, I reviewed the historical background and development of KPMS, and the proposals presented at the first conference of KPMS in 1992. As the present, I presented the short stories about the psychosomatic clinic in Japan, Germany, and USA, to compare it with the present status of Korean one. And finally I made careful proposals for the future of the Korean psychosomatic medicine.

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Models of Genetic Counseling Services and Quality Assurance: A Theoretical Inquiry (유전상담 서비스 모델 분석 : 이론적 탐색)

  • Jun, Myung-Hee;Anderson, Gwen
    • The Journal of Korean Academic Society of Nursing Education
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    • v.17 no.3
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    • pp.524-535
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    • 2011
  • 유전 위험 사정과 상담서비스가 임상실무에 널리 적용되어 감에 따라, 다양한 비용효율 면에서 다양한 상담서비스 모델을 사정하고, 대상자의 임상 요구와 건강문제를 해결하는데 어떤 모델이 유용한 지 확인할 필요가 있다. 본 연구의 목적은 114건의 현장 관찰과 문헌고찰을 통하여 3가지 유전상담 모형을 분석하였다. 유전의학 전문가 모델, 유전상담사 모델, 임상연구전문가 모델을 중심으로 각 모델의 구조, 전문가의 역할 및 기능, 목표, 물리적 세팅, 교육도구 등을 분석하였다. 각 모형 안에서 환자에게 기대되는 결과 면에서 질적 서비스가 보장되는지 확인하기 위하여 이론적 분석을 실시하였다. 본 연구를 통하여 각 모형의 상담 전, 중, 후 환자 만족, 지식 변화, 상담 효과 및 커뮤니케이션 효과 등을 분석하였지만, 결론적으로 상담서비스가 이루어지고 있는 기관의 구조를 충분히 고려하지 않은 상태에서 최상의 서비스 모델을 제시하기 어려울 것임을 논의하였다.

A study on the Participation Motivation of Clinical Nurses in Job Training (임상간호사의 융복합적 직무교육 참여동기에 관한 연구)

  • Park, Hyun Hee;Lee, Kwang-Ok;Kim, Soon-Ok
    • Journal of Digital Convergence
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    • v.14 no.8
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    • pp.319-329
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    • 2016
  • This study aimed to identify nurses' participation motivation, its influence factors, and their job training need. A survey was conducted on 345 nurses of general hospitals in Gyeonggi-do. Data was collected from October 5th to 18th, 2016 and was analyzed through t-test, ANOVA, Bonferroni post-test, and multiple regressions using SPSS 21.0. Participation motivation was high in 'expertise capability improvement and development' and low in personal gain and job stability. Job training need was the highest in nosocomial infection management and CPR and was the lowest in hospice and rehabilitation nursing. Participation motivation had significant differences depending on age, marital status, educational level, and clinical experience, and was influenced by the job training need of professional nursing and medical knowledge for disease treatment. Therefore, it is necessary to plan medical educational programs to enhance job training effectiveness, establish a strategy to increase participation motivation; and expand various job training support.

Assessing the Validity of the Preclinical Objective Structured Clinical Examination Using Messick's Validity Framework (Messick의 타당도 틀을 활용한 임상실습 전 실기시험의 타당도 평가)

  • Lee, Hye-Yoon;Yune, So-Jung;Lee, Sang-Yeoup;Im, Sunju
    • Korean Medical Education Review
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    • v.23 no.3
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    • pp.185-193
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    • 2021
  • Students must be familiar with clinical skills before starting clinical practice to ensure patients' safety and enable efficient learning. However, performance is mainly tested in the third or fourth years of medical school, and studies using the validity framework have not been reported in Korea. We analyzed the validity of a performance test conducted among second-year students classified into content, response process, internal structure, relationships with other variables, and consequences according to Messick's framework. As results of the analysis, content validity was secured by developing cases according to a pre-determined blueprint. The quality of the response process was controlled by training and calibrating raters. The internal structure showed that (1) reliability by generalizability theory was acceptable (coefficients of 0.724 and 0.786, respectively, for day 1 and day 2), and (2) the relevant domains had proper correlations, while the clinical performance examination (CPX) and objective structured clinical examination (OSCE) showed weaker relationships. OSCE/CPX scores were correlated with other variables, especially grade point average and oral structured exam scores. The consequences of this assessment were (1) making students learn clinical skills and study themselves, while causing too much stress for students due to lack of motivation; (2) reminding educators of the need to apply practical teaching methods and to give feedback on the test results; and (3) providing an opportunity for faculty to consider developing support programs. It is necessary to develop the blueprint more precisely according to students' level and to verify the validity of the response process with statistical methods.

Analysis of Role Modeling Experiences and Reflection Level of Fourth-Year Medical Students at a Single Medical College: A Focus on the Clinical Clerkship (일개 의과대학 본과 4학년의 롤 모델링 경험과 성찰수준 분석: 임상실습을 중심으로)

  • Lee, Sangmi Teresa;Park, Kyung Hye;Park, Yon Chul;Yeh, Byung-il
    • Korean Medical Education Review
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    • v.24 no.1
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    • pp.46-55
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    • 2022
  • This study aimed to analyze the subjects, situations, and reflection levels related to role modeling experienced by medical students during their clinical clerkship and their own reflections. This study intends to suggest ways of improving how residents and clinical faculty should treat and teach medical students. Written interviews were conducted regarding senior medical students' role modeling experiences during their clinical clerkships in 2018 and 2019. Content analysis was conducted for a total of 224 cases from 196 students. Content analysis revealed three types of role modeling content: subjects (faculty, residents, nurses, peer students), situations (clinical competence, personal qualities, teaching skills), and the level of reflection (critical reflection, reflection, thoughtful action, and habitual action) in each case. As role model subjects, faculty were found to be the paramount role model (n=142, 62.83%). Role modeling was the most frequently performed for clinical competence (n=103, 45.98%). Clinical competence was frequently shown in communication and empathic listening during rounds and outpatient relationships between the patient and doctor. Regarding the level of reflection for role modeling, the number of critical reflections was 86 (38.39%) and that of reflections was 80 (35.71%). In particular, negative role modeling showed a high level of critical reflection in relation to faculty (64.44%) and nurses (8.89%). In conclusion, role modeling of medical students participating in clinical clerkships occurs in situations that the role models are not aware of, with positive or negative effects on the formation of professional identity among medical students.

QA활동의 작은 경험

  • Gwak, Gyeong-Deok
    • Quality Improvement in Health Care
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    • v.2 no.2
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    • pp.14-18
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    • 1996
  • 1. QA담당자로서 전문적인 지식습득 노력이 필요하다. 2. 직원홍보가 필요하다. QA활동이 자신의 진료내용 및 관련업무를 감시하는 것이 아니라고 홍보할 필요가 있다. 3. 의료인 특히 의사의 의식 및 행동에 변화가 필요하다. 4. 직원교육이 필요하다. QA를 쉽게 할 수 있는 방법을 교육시킬 필요가 있다. 복잡한 통계처리 방법보다는 쉽게 할 수 있는 단순비교방법이 더 효과적이라고 본다. 또 어떤 기준치와 역치를 설정하여 시행하기 보다는 지난번 조사결과와 비교하여 개선되는 정도를 파악하는 것이 방법도 더 쉽고 접근하기도 쉽다. 5. 긍정적인 면의 평가도 필요하다. 예를 들어 과잉치료억제보다 의학발전을 위해서는 최신 치료방법 장점을 파악하는 데에도 역점을 둘 필요가 있다. 6. 직원교육과 심도있는 QA활동을 위해서는 전담인력이 필요할 것으로 본다. 7. 경영진의 확고한 의지가 있어야 한다. 8. 병원 QA활동이 서비스 측면보다는 의학적 측면에 더 역점을 두어야 할 것이다. 9. 일반병원에서 쉽게 시행할 수 있는 평가대상과 항목, 기준을 QA학회와 임상학회차원에서 마련하여 주면 일선에서 QA활동하기가 훨씬 수월할 것으로 본다.

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The Role of Perfusionists during the COVID-19 Pandemic and Clinical Laboratory Technologists: Comparison of Training Systems in Japan and the United States (코로나19를 통해서 바라본 체외순환사의 역할과 임상병리사: 일본과 미국의 양성체계를 비교)

  • Dong-Ok, Aum;Dae Jin, Kim;Dae Eun, Kim;Myong Soo, Kim;Bon-Kyeong, Koo
    • Korean Journal of Clinical Laboratory Science
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    • v.54 no.4
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    • pp.293-297
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    • 2022
  • In 2022, Korea reported a total of 224 perfusionists, employing nurses or clinical laboratory technologists (also known as medical technologists) to provide hospital self-education or reliable education. In 2021, the total number of perfusionists in Japan was 2,100, mainly supported by clinical engineering technologists. During the same period, the number of perfusionists reported in the United States was 4,212, who had received training in the master's program, post-bachelor certificate program, and bachelor's program. Most personnel in the USA were graduates of healthcare sciences or life sciences. Perfusionists must be knowledgeable in heart anatomy, physiology, pharmacology, pathology, hemodynamics, laboratory analysis, and quality assurance, as well as techniques to operate the cardiopulmonary bypass machine (heart-lung bypass machine). These are jobs similarly handled by clinical laboratory technologists. The importance of perfusionists became more prominent during two major crises: the MERS-CoV and COVID-19 pandemic. Currently, perfusionists play a significant role in the rapidly expanding field of extracorporeal membrane oxygenation (ECMO) and extracorporeal circulation during cardiac surgery. Results of the current study indicate that hospitals offering cardiac surgery and infectious disease hospitalization need to be institutionalized to secure a certain number of qualified perfusionists. In the future, we look forward to establishing a perfusion technology association under the Korean Society for Clinical Laboratory Physiology to provide academic exchanges.

A Comparative Analysis of Research Trends in Korean Modern Medicine: Focusing on Two Journals of Medical School (근대의학 논문의 계량학적 방법을 통한 연구 경향 비교 분석 - 의학전문학교 학술지 2종을 중심으로 -)

  • Mijin Seo;Jisu Lee
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.34 no.4
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    • pp.29-54
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    • 2023
  • This study aimed to analyze the research trends of journal articles published by medical schools representing Korean modern. A total of 682 were selected from two journals published by Medical College in Keijo and Keijo Imperial University Medical Faculty. In results, the affiliations of authors who participated in Acta Medicinalia in Keijo included various schools and hospitals, and the authors' major was found to be similar in basic medicine and clinical medicine. In The Keijo Journal of Medicine, only school-affiliated authors participated, and 96.33% of the authors were majors in basic medicine. Co-occurrence network analysis was conducted on MeSH terms from the title of the article using MeSH on Demand, and the keyword that derived in both journals was 'erythrocytes', which analyzed the condition of red blood cells according to organs and diseases. In frequency analysis, a common area of research in both journals was the study focusing on blood and blood cells, and the study of anemia and tuberculosis, which were prevalent diseases at the time. As for comparing each journal, Acta Medicinalia in Keijo has focused on inflammatory diseases and clinical pathological studies in humans, and The Keijo Journal of Medicine has focused on anatomical studies on animals and pharmacological studies on medicines. Through this study, it was possible to identify the research topics and major keywords in two medical schools with different founding goals.