• 대한한의학원전학회지
• /
• 제33권3호
• /
• pp.63-89
• /
• 2020

Objectives : To suggest conditions that will allow for change in Traditional Korean Medicine (TKM) curricula through analysis of the failure of widespread acceptance of the integrated curriculum into all Traditional Medicine Colleges. Methods : First, the process of change between TKM education and medical education was compared. Next, the conditions that would stimulate change in TKM curricula were analyzed in three levels: structure, policy, and actor. Results : TKM colleges have not experienced a structural change from the six-year to four-year structure. The accreditation standards of TKM education (KAS2021) should be more supportive instead of forcing change, and the goals should be reset to education improvement instead of meeting the standards of WFME. The deans' leadership and professors' ownership over their subjects need to be modified. A group of professionals that could lead change is required, while other factors such as full-time professorships, clinical practice hours, obligatory teaching hours and overall teaching environment need to be improved. Conclusions : It would be ideal if individual TKM colleges created success models of curricula change-despite the time and effort that is required-that could spread to other colleges. After the new curriculum has been accepted in more that half of the total eleven TKM colleges, an institutional isomorphism can be demanded.

• 대한한의학원전학회지
• /
• 제20권2호
• /
• pp.201-230
• /
• 2007

Basic summary of the medical administration : First of all Ming dynasty was at its last stage of dynastic era that the politics reached absolute autocracy. The influence of centralized power lead to systematical medical administration management system that was generally formed around Tai Yi Yuan(太醫院). Criticizing treatments via shamanism with supernatural powers and advent of strengthening medical concepts were steps toward a new phase. Medical education in regional areas showed drastic development and preventative medicine on epidemics as well as relief work succeeded to a certain amount. Overall Ming(明) dynasty has somewhat of a growth in some areas keeping the basics of Tang(唐) Song(宋) and Yuan(元)'s medical administration, however basically, unique contribution was not shown much. But on the other hand, measures such as common medical system, reserving incompetent doctors, positioning medical officers by the amount of contributions, paying salary with medicine instead of currency brought losses on medical development.

• 대한한의학원전학회지
• /
• 제33권4호
• /
• pp.33-56
• /
• 2020

Objectives : The objective of this paper is to develop a standardized patient program with a focus on diagnosis and treatment of internal damage fever in Korean Medical education. Methods : First, cases of diagnosis and treatment of internal damage fever were collected from various classical texts, then a module was developed according to pre-existing standardized patient program's protocols based on selected cases. Careful consideration was given to developing evaluation criteria on history taking and physical examination that are necessary to accurately differentiating the 9 types. Results : Nine types of differentiation models on internal damage fever were selected, which are qi deficiency from overexertion/fatigue and famish; blood deficiency from overexertion/fatigue, famish and fullness; fire stagnation from excessive eating and cold foods; food damage; yang deficiency; yin deficiency; phlegm; stagnated blood; liver qi stagnation. For each type, evaluation criteria in regards to history taking, physical examination, communication with patient, and patient education were developed. Conclusions : When developing a standardized patient program using internal damage fever cases, it would better reflect the characteristics of Korean Medicine in clinical education of Korean Medicine if the program is based on classical texts. It would also be useful in evaluating students' graduation competence in exams such as CPX.

• 대한한의학원전학회지
• /
• 제30권4호
• /
• pp.123-153
• /
• 2017

Objective : This paper attempts to analyze the curriculum of the modern Korean Medicine's higher education institutions and study their significance. Rather than conducting an in-depth pedagogical research, the paper attempts to summarize and provide a simple analysis on the subject matter due to the lack of the historical evidence of modern Korean Medicine. Method : General theses and academic papers along with daily publications before the Japanese colonial era, materials owned by Kyunghee University Korean Medicine History Museum, and history databases owned by the National Institute of Korean History and Kyujanggak were investigated Result : Upon studying the curriculum of Korean Medicine's higher education institutions, it could be concluded that the efforts to maintain the independence and professionalism of Korean Medicine in its relationship with the Western Medicine. It could also be discovered that the curriculum was improved through policy measures in order to raise the status of the practitioners and expand the scope of their practices. These higher education institutions has been continuously working to develop the Korean Medicine and raise the quality of curriculum, and their efforts were vital in the establishment of the Korean Medicine Doctor system. Conclusion : Systematic academic researches should be done on the curriculum of Korean Medicine's high education institutions in order to fulfill the objective of normalizing the Korean Medicine education and contributing to the growth of Korean Medicine.

• 대한예방한의학회지
• /
• 제26권3호
• /
• pp.73-86
• /
• 2022

Objectives : The purpose of this study was to investigate the satisfaction of students who participated in a role play using the syndrome differentiation CPX (Clinical Performance Examination) scenario in Korean Medicine Classics class, and to find out whether the results were correlated with self-assessment of treatment skills and subject achievement. Methods : In the Korean Medicine Classics class in the first semester of 2022, 44 first-year students in the Department of Korean Medicine completed theoretical education and formative evaluation on the subject of internal damage fever, and then role-played using CPX scenarios. Among them, 41 students consented to the study. Students who agreed to the study answered the satisfaction questionnaire consisting of 13 questions in 2 areas on learning methods and effects, and self-evaluation was conducted according to the evaluation items of medical technology consisting of 23 questions. Satisfaction and self-assessment results were analyzed for correlation, and additionally, correlation with Korean Medicine Classics subject achievement was also analyzed. Results : The result of student satisfaction with the role play was 4.87±0.06 while the result of student self-assessment of clinical skill was 4.73±0.16. The student satisfaction with the role play showed statisticallysignificant correlations with the self-assessment of clinical skill and quiz score of Korean Medical Classics while it did not show correlations with the total score of Korean Medical Classics and paper test. Also, the self-assessment of clinical skill did not show correlations with the total score of Korean Medical Classics, paper test, and quiz. Conclusions : Even though the students who performed the role play using the syndrome differentiation based CPX scenario highly assessed their clinical skill and showed high satisfaction, it did not show significant correlation with the achievement of Korean Medical Classics.

• 대한한의학원전학회지
• /
• 제20권1호
• /
• pp.17-37
• /
• 2007

Basic summary of the medical administration: First of all, Liao Jin Yuan dynasties had broad cultural exchange between north and south that the two traditional medical administrations were closely linked which later formed a system that united as one. Establishment of governmental medical office and governmental medical education organization was the very first attempt in the history of the medical administration. The measure on promoting the social level of medical doctors has an important meaning on the growth of the medical field. Medical policy on prisoners was done under the new condition brought on from experience. Medicine not of China was broadly interchanged, medicine from Arab was spread throughout China, and the department on skeletal injuries and the dietary treatments had major development. At this era, under a overall expansion of politics, economy, culture and medicine, scholastic dispute on medicine triggered medical expansion.

• 대한한의학원전학회지
• /
• 제31권2호
• /
• pp.105-126
• /
• 2018

Objectives : This paper aims to study the educational meaning of Shanghanjiushilun in Shanghanlun education focusing on purgation therapy. Methods : Clinical medical records in Shanghanjiushilun associated with purgation therapy were chosen, analyzed and its educational meaning was studied. Results & Conclusions : 1. Xushuwei's clinical medical records are significant as it helps the readers think of various disease mechanisms by not omitting mistreatment of the other doctors. 2. Xushuwei's clinical medical records are significant as it helps the readers become aware of the importance of a differential diagnosis through questions and answers. 3. Xushuwei's clinical medical records are significant as it helps the readers avoid looking at one side of things through taking a comprehensive look at disease syndrome in various fields. 4. Xushuwei's clinical medical records are significant as it helps the readers escape unreasonableness by suggesting practical aspect managing the patient. 5. Xushuwei's clinical medical records are significant as it enable the readers to draw a new disease mechanism interpretation by making up for explanations of the pathogenesis quoting medical classics. 6. Consequently, in learning and teaching Shanghanlun, Xushuwei's clinical medical records have enough educational meaning as mentioned above.

• 대한한의학원전학회지
• /
• 제34권4호
• /
• pp.1-25
• /
• 2021

Objectives : This paper analyzes the exam paper titled, 'Is Traditional Chinese Medicine Just an Art?' of the Yixuetongzong(醫学統宗) to provide basis for research on regional physicians' examination in the Ming period. Methods : Cross examination, interpretation and content analysis of the exam paper were carried out. Results : This document is the examination paper that He Jian(何柬) submitted past the age of 40 at a regional examination for physicians that took place at the Duxue Wenyuan which is presumed to have been a regional education institute for medicine in Nanjing. While he had experience in anatomy, having been an army doctor when he was young, and was an experienced doctor who was an expert in acupuncture, it seems his goal to become a medical official at the royal medical center failed. He accumulated knowledge and experience as a Confucian doctor for more than 25 years under his teacher Pan Xiquan. It is unclear whether he had been educated at the regional medical education institute. Conclusion : The regional physicians' examination during the Ming period promoted test takers to learn both medical and Confucian knowledge quite thoroughly.

• 대한한의학원전학회지
• /
• 제25권1호
• /
• pp.69-87
• /
• 2012

Objective: "Nan Jing Hui Zhu Jian Zheng" published in 1923 is a book that 'Jiang Shan-Lei' wrote. He selected the past footnotes about "Nan Jing(難經)" and developed his own medical ideas on its base. Method : We will try to understand on scholarship paradigm of 'Jiang Shan-Lei' focus on his "Nan Jing Hui Zhu Jian Zheng". Result and Conclusion : He introduced the western medicine system to the Chinese medicine education, and he introduced a viewpoint of the human body of the western medicine to the structure of the human body as well. He judged yes or no of the Chinese medicine theory on the base of his human body viewpoint focused on an anatomy and a physiology. His human body viewpoint like this helped prove actually some of the Chinese medicine theory that was explained ideally. However, it had inappropriate aspects in explaining the Chinese medicine, which has a low alteration of a theory by inferring from the principle, due to a changeability of the western medicine theory itself. Moreover, his rash judgement concerning the Chinese medicine theory on its base brought about even side effects hampering efforts which reveal the Chinese medicine essence.

• 대한한의학원전학회지
• /
• 제23권4호
• /
• pp.39-62
• /
• 2010

Background : I investigated clinical research methodology of Traditional Korean Medicine(TKM) for treatment of lung cancer with Evidence Based Medicine(EBM) approach. Methods : I conducted the internet search of National Central Library, the National Assembly Library, Korea Education & Research Information Service, Korea Institute of Science and Technology Information for Korean theses and papers, and MEDLINE for the outside articles. Conclusion : In addition to outcomes of clinical trial, abundant clinician's experience and patients' preference are also considered. Pragmatic trials and quasi-experimental trials are better than clinical trials to plan clinical design of TKM for lung cancer and appropriate endpoints includes overall survival, disease-free survival, patient reporting outcome.