• 제목/요약/키워드: Clinical Learning Environment

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일개 의과대학의 온라인 수업 만족도 비교 연구 (A Comparative Study on the Results of Online Learning Satisfaction at a Medical School)

  • 김세진
    • 한국콘텐츠학회논문지
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    • 제22권4호
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    • pp.547-557
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    • 2022
  • 이 연구에서는 일개 의과대학의 2020학년도 1학기 온라인 수업 만족도를 평가하여 분석 결과 및 온라인 수업 구성 원칙에 따라 수업 환경을 개선하였고, 2학기 수업을 재평가하여 그 결과를 비교하였다. 온라인 수업 평가를 위해 온라인 수업 플랫폼 이용, 학생 참여도, 수업 방식, 수업 내용, 학생 평가, 수업 지원 등의 영역에 대한 만족도 설문 문항을 개발하였고, 1학기에는 학생 223명과 교수 37명, 2학기에는 학생 218명과 교수 49명이 연구대상자로 설문에 응답하였다. 수집한 자료는 기술통계 및 두 종속 표본 t검정으로 분석하여 비교하였다. 연구 결과, 온라인 수업 플랫폼, 수업 방식, 수업 내용, 수업 지원에 대한 학생들의 만족도는 개선 후 전체적으로 긍정적 변화를 보인 것으로 나타났다. 다만, 학생 참여도와 학생 평가 만족도는 개선 후 통계적으로 유의미한 차이를 보이지 않았다. 각 학습시기별 결과를 비교한 결과, 기초 및 임상의학시기 학생들의 만족도는 부정적인 차이를 보였으며, 이는 본격적으로 학습량이 증가하는 학습시기로 학생들의 수업 집중도가 떨어짐을 확인할 수 있었다. 상대적으로 예비의학시기 및 임상실습시기 학생들의 만족도는 긍정적인 변화를 보였다. 연구 결과를 통해 전국 의과대학의 온라인 수업 개선에 의미 있는 기초자료가 될 수 있길 기대한다.

Adaptive Recommendation System for Health Screening based on Machine Learning

  • Kim, Namyun;Kim, Sung-Dong
    • International journal of advanced smart convergence
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    • 제9권2호
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    • pp.1-7
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    • 2020
  • As the demand for health screening increases, there is a need for efficient design of screening items. We build machine learning models for health screening and recommend screening items to provide personalized health care service. When offline, a synthetic data set is generated based on guidelines and clinical results from institutions, and a machine learning model for each screening item is generated. When online, the recommendation server provides a recommendation list of screening items in real time using the customer's health condition and machine learning models. As a result of the performance analysis, the accuracy of the learning model was close to 100%, and server response time was less than 1 second to serve 1,000 users simultaneously. This paper provides an adaptive and automatic recommendation in response to changes in the new screening environment.

기본의학교육 학습성과 개발과 활용 (Specification and Application of Learning Outcomes in Basic Medical Education)

  • 이병두
    • 의학교육논단
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    • 제18권3호
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    • pp.119-124
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    • 2016
  • The Korea Association of Medical Colleges (KAMC) has been developing learning outcomes for basic medical education (BME) since 2012. This initiative is designed to help medical schools implement competency-based medical education. KAMC divided the BME competencies into three domains (clinical practice, scientific concepts and principles, and human beings and society) with learning outcomes for each domain. KAMC plans to revise the learning outcomes to reflect feedback from medical schools, changes in social health needs, and changes in the healthcare environment and healthcare system in the near future. KAMC also plans to specify learning outcomes that integrate the three domains.

기본간호학 실습교육에 있어 표준화 환자를 이용한 학습방법의 효과 (The Effectiveness of Standardized Patient Managed Instruction for a Fundamental Nursing Course)

  • 유문숙
    • 한국간호교육학회지
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    • 제7권1호
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    • pp.94-112
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    • 2001
  • The main purpose of this study was to investigate the effectiveness of a standardized patients managed instruction program for a fundamentals of nursing. The standardized patients managed instruction was evaluated by using a quasi-experimental, nonequivalent control group posttest design with two separate classes of sophomore students attending fundamentals of nursing classes at one baccaleureate nursing school in Korea. Control group was taught by traditional lecture/model instruction and experimental group was taught by standardized patient managed instruction. Data were collected from December, 1999 to July, 2000 using checklist developed by researcher on following areas; clinical nursing performance, communication skills, and learning motivation. There were 36 students in the experimental group and 40 students in the control group. Data analysis was done using SPSS WINDOW. The results were summarized as follows ; 1. Clinical nursing performances were evaluated by change position, back care and hot bag apply. The total score was statistically significant higher in the experimental group than the control group(t=3.325, p=.000). Thus hypothesis 1 was supported. 2. Communication skill was evaluated by professional attitude and ability to explain to patients. There was a statistically significant difference between the experimental group and the control group (t=4.232, p=.000). Thus hypothesis 2 was supported. 3. Learning motivation was evaluated by self-reported questionnaires. There was statistically a significant difference between the experimental group and the control group(t=3.024, p=.004). Thus hypothesis 3 was supported. In conclusion, this study suggests that standardized patients managed instruction is an effective learning method to nursing students. By utilizing a standardized patient managed instruction, learning can proceed in a more relaxed environment and reduce the risks to patients because student inexperience are avoided. It is recommended to develop more standardized patients cases for wider areas of nursing educational and evaluate the program with more students using logitudinal method.

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여성건강간호학의 시뮬레이션 실습교육에서 간호대학생의 환자역할경험의 교육적 효과 (The Educational Effects of the Experience of Nursing Students' Patients Role in the Simulation Practice Education for the Women's Health Nursing)

  • 이보경;김선희
    • 한국간호교육학회지
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    • 제25권4호
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    • pp.436-447
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    • 2019
  • Purpose: The purpose of this study is to identify the educational effect among nursing students who performed the patient role in women's health nursing simulations. Methods: In this exploratory qualitative study, a sample of 31 third- and fourth-grade nursing students who participated in scenario-based patient roles in clinical performance examination of the women's health nursing simulation practice training. Data were collected through focus group interviews. Qualitative data were analyzed using qualitative content analysis. Results: Three themes emerged from the data analysis. Participants experienced an enhancement of patient-centered nursing competence, deep learning immersion and display of self-regulated learning. The difficulty of performing the patient role contributed additional effects such as the difficulty to perform the patient role in the psychological training environment. Conclusion: It is recommended to utilize nursing students as patients in simulation practice training. On the other hand, the psychological training environment can cause difficulties in performing patient roles, a burden on the role of the patient, and involves the interruption of the role.

방사선(학)과 재학생의 임상적응 향상을 위한 개방형 임상실습 프로그램의 제안 (Development of Open Clinical Training Program to Improve Radiology-Major Students' Clinical Competency)

  • 김선칠
    • 대한방사선기술학회지:방사선기술과학
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    • 제33권3호
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    • pp.193-201
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    • 2010
  • 본 연구는 환자 중심의 의료서비스를 강화하고 있는 현 병원 이미지에 부합하는 개방형 임상실습 프로그램을 개발하여 방사선(학)과 졸업생의 임상 적응력과 전문성을 높이는데 목적을 두고 있다. 개방형 임상실습 프로그램은 학습모형 개발과정과 유사하여 ADDIE학습모형을 근간으로 각 단계별 요소를 구성하여 개발하였다. 문헌고찰과 임상의 요구사항을 수렴하여 일부 학생을 대상으로 1차 시안을 통해 예비수업을 시행하였으며, 관련 전문가의 자문과 수정을 거쳐 프로그램을 개발하였다. 개발된 프로그램은 전문가 그룹을 통해 내용 타당도의 검증을 받고자 하였다. 분석, 설계, 개발, 실행, 평가의 다섯 단계가 순환적으로 구성되어 있는 프로그램은 임상의 변화와 요구사항에 적절한 학습과제에 대해 적용할 수 있는 단계별 과정으로 구현되었다. 프로그램의 유용성과 단계별 내용 타당도는 유의 수준에서 만족한 결과를 도출하였다. 개방형 임상실습 프로그램은 의료계의 요구사항과 효과적인 학습 프로그램 적용을 통해 임상에 있는 방사선사가 환자 중심의 의료서비스에 좀 더 적극적으로 임상에 적응하고 이를 통해 전문적인 전공기술을 활용하는데 도움을 주고자 제안되었다.

간호 대학생의 응급실 관찰 경험 (The Study about Nursing Students' Experience on Emergency Room Environment Observation)

  • 김혜옥;서봉화;남문희;박은아
    • 디지털융복합연구
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    • 제11권12호
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    • pp.589-598
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    • 2013
  • 본 연구의 목적은 종합병원 응급실 임상실습을 경험한 간호 대학생의 경험의 의미를 이해하고 서술함으로써 간호교육에서 효과적인 임상교육 전략을 개발하고 임상실습의 질을 향상하기 위함이다. 4학년 간호 대학생 30명에게 응급실 임상실습 동안 응급실의 상황에 대한 관찰경험을 서술하도록 한 후 서술 내용을 분석하여 의미를 도출하고 실행학습을 통하여 성찰학습의 의미로 분석하였다. 간호 대학생들의 응급실 임상실습 참여관찰 경험의 내용을 분석한 결과 도출된 주제는 '역동적인 간호사', '응급상황에 맞는 의사소통', '응급실 간호사는 교통정리 담당자'라는 긍정적인 주제와 '임시방편적인 사고', '환자보호자와 간호사의 갈등', '기계적인 움직임' 등의 부정적인 주제가 도출되었다. 연구의 활용과 관련하여 간호 대학생들의 응급실 관찰경험은 간호학생 측면에서는 자신의 미래 모습을 구체적으로 생각해보고 올바른 간호중재법에 대해 생각해보는 계기를 마련할 수 있으며, 간호교육측면에서는 효과적인 임상실무교육 전략 개발에 도움이 되는 기초적인 자료가 될 것이다.

사용자 참여형 웨어러블 디바이스 데이터 전송 연계 및 딥러닝 대사증후군 예측 모델 (Deep Learning Algorithm and Prediction Model Associated with Data Transmission of User-Participating Wearable Devices)

  • 이현식;이웅재;정태경
    • 한국산업정보학회논문지
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    • 제25권6호
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    • pp.33-45
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    • 2020
  • 본 논문은 최근 다양한 종류의 웨어러블 디바이스가 헬스케어 도메인에 급증하여 사용되고 있는 상황에서 최신 첨단 기술이 실제 메디컬 환경에서 개인의 질병예측이라는 관점을 바라본다. 사용자 참여형 웨어러블 디바이스를 통하여 임상 데이터와 유전자 데이터, 라이프 로그 데이터를 병합하여 데이터를 수집, 처리, 전송하는 과정을 걸쳐 딥뉴럴 네트워크의 환경에서 학습모델의 제시와 피드백 모델을 연결하는 과정을 제시한다. 이러한 첨단 의료 현장에서 일어나는 메디컬 IT의 임상시험 절차를 걸친 실제 현장의 경우 대사 증후군에 의한 특정 유전자가 질병에 미치는 영향을 측정과 더불어 임상 정보와 라이프 로그 데이터를 병합하여 서로 각기 다른 이종 데이터를 처리하면서 질병의 특이점을 확인하게 된다. 즉, 이종 데이터의 딥뉴럴 네트워크의 객관적 적합성과 확실성을 증빙하게 되고 이를 통한 실제 딥러닝 환경에서의 노이즈에 따른 성능 평가를 실시한다. 이를 통해 자동 인코더의 경우의 1,000 EPOCH당 변화하는 정확도와 예측치가 변수의 증가 값에 수차례 선형적으로 변화하는 현상을 증명하였다.

한의과대학의 예방(사회)의학 관련 교과목의 교육과정 및 표준화방안 (Curriculum and Standardization of Preventive Medicine Education in Traditional Korean Medicine)

  • 고성규;신용철
    • 대한예방한의학회지
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    • 제12권2호
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    • pp.73-83
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    • 2008
  • The rapid change of the health and medical environment and the globalization of medicine has driven doctors to converge and analyse of new and up-to-date medical information and decide to what to make decision for diagnosis and treatments in clinical practice. Medical environment goes with the changes with social environment such as rapid increase of aging population, changes of disease pattern, formation of new area of experts except doctors, government intervention for the medical system, medical insurance of the charges of medical treatment, a increased desire for human rights. These trends should be adopted rapidly to the education system for the students of medical school. The learning objectives of the preventive medicine was developed in 1995 and underwent necessary revision of the contents to create the first revision in 2006. However, the required educational contents of health promotion and disease prevention have been changed by the new trends of medical education such as PBL and integrated curriculum and the 2006 revision does not satisfy these needs. We formed a task force which surveyed all the Western and Traditional Korean medical colleges to describe the state of preventive medicine education in Korea, analyzed the changing education demand according to the change of health environment and quantitatively measured the validity and usefulness of each learning objective in the previous curriculum. With these results, for the good education for preventive medicine, each Traditional Korean medicine schools need more preventive medicine faculties and teaching assistants and opening of some required subjects such as Yangsaeng and Qigong. And future studies of the learning process and ongoing development of teaching materials according to the new learning objectives should be undertaken with persistence in order to ensure the progress of preventive medicine education.

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한국의 의사상: 좋은 의사양성 (The Future Roles of Korean Doctors: Cultivating Well-Rounded Doctors)

  • 안덕선
    • 의학교육논단
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    • 제16권3호
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    • pp.119-125
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    • 2014
  • Much of the behavior of doctors reflects the influences from the social, cultural, historical, and economic environment of the time. Therefore, it is very important for future doctors to understand the practice environment in an ever changing world. Traditionally, doctors' competence has been based on the doctor-patient relationship. However, the social practice of medicine in the contemporary era asks future doctors to have social competencies, which often are defined as non-clinical competencies. As a global project, the World Federation for Medical Education has urged every country to define the future role of doctors to encompass global roles based on the duty toward and value of clinical as well as non-clinical competencies. In the past four years, Korean medical professional societies have coordinated to set forth the global role of Korean doctors. Five domains of clinical competence, professionalism, social accountability, communication and collaboration, and education and research have been chosen. The current version of the "global role of Korean doctors" can be used not only for the common objectives of medical education, but also for translating into the competencies of doctors that can be achieved through life-long learning. If we all want to improve medical education in order to produce more qualified and competent doctors as the public desires, then it may be the most urgent task to produce doctors who are equipped with social competencies to persuade, negotiate, and engage in constructive dialogues with society for better health care for a better society.