• 제목/요약/키워드: Knowledge of narrative

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의과대학 교수의 국제진료 경험에 대한 내러티브: 의료인문학 교육과정의 적용 가능성 (A Narrative of Medical School Professors' International Medical Experience: Applicability of Medical Humanities Curriculum)

  • 김유라;박혜진;김병희
    • 국제교류와 융합교육
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    • 제1권1호
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    • pp.1-12
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    • 2021
  • 본 연구는 외국인 환자의 국제진료에 대한 내러티브를 통한 의료인문학 교육과정의 적용 가능성에 대한 연구이다. 내러티브를 분석한 결과 첫째, 한국의 의료시스템과 수준은 세계적인 수준이며, 환자 진료를 위한 지식과 술기가 충분하다는 것을 알 수 있었고, 둘째, 한국의 의사상에서 강조하는 환자 진료에 대한 역량이 충분하다는 것을 알 수 있었다. 셋째, 한국의 의사상의 사회적 책무성 측면에서 봉사활동의 중요성을 알고 이러한 봉사활동을 의과대학 교육부터 체득화되고, 또한 다양한 문화권의 의료 현장 경험을 통하여 봉사활동은 의사로서 평생 할 수 있는 일로 이어지는 것이 중요함을 알 수 있다. 전문직업성 영역에서는 의사로서 프로페셔널리즘을 발현할 수 있었고, 모든 과정에서 의료진들은 환자의 아픔을 이해하고, 공감하여 환자에게도 진심이 전달되었음을 알 수 있었다, 전문직업성은 최근 더욱 강조되고 있는 영역으로 의과대학 교육뿐만 아니라, 의사들에게도 전문직업성에 대한 교육적 기회를 제공하는 것이 필요하다. 이러한 국제진료 경험은 의과대학 의료인문학 교육과정에 적용 가능하며, 6년 교육과정 전체에 조화와 통합된 의료인 문학 교육과정이 운영될 수 있다.

앙부일구(仰釜日晷) 활동에서 드러난 탈북 학생들의 과학 학습 (North Korean Defector Students' Science Learning in Angbuilgu Activity)

  • 이지혜;신동희
    • 한국과학교육학회지
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    • 제35권1호
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    • pp.1-14
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    • 2015
  • 이 연구의 목적은 한국 전통 과학 소재인 앙부일구 과학 활동에서 나타나는 탈북 청소년들의 목소리를 통해 그들의 과학 학습 특성을 파악하는 것이다. 우리는 탈북 청소년들과 다른 교육적, 문화적 배경과 연령을 가진 다른 두 개 집단을 비교했다. 본 연구에 적용된 앙부일구 프로그램은 시간에 대한 의미 있는 질문, 일상생활 지식, 한국 전통 과학 지식, 서양 현대 과학 지식을 포함한다. 또 수업 과정은 교사와 학생 간 상호 작용과 실험 활동으로 이루어졌다. 이 프로그램은 탈북 청소년 집단, 초등 과학 우수아 집단, 고등 과학 심화 집단의 세 집단에 적용 후 분석되었다. 본 연구에서 드러난 탈북 청소년들의 과학 학습 특징은 다음과 같다. 첫째, 탈북 청소년들에게 시간의 의미는 생활속에 녹아 있는 자연 그 자체다. 그들은 자연의 시간에 익숙하고 생활 경험이 풍부하다. 둘째, 탈북 청소년은 보완적이고 배려하는, 그리고 인간의 다양한 측면을 고려하는 과학을 선호한다. 이는 새롭고 실용적인 과학을 선호하는 다른 집단들과는 대조적이다. 셋째, 탈북 학생들은 과학 개념 지식이 부족한 반면 일상생활 지식은 풍부하다. 이들의 언어적 표현도 과학적이기 보다는 일상적이다. 넷째, 탈북 학생들은 과학적 사고보다는 일상적 사고에 익숙하다. 이 결과를 통해 한국 전통 과학 소재의 과학 활동 프로그램이 탈북 학생들에게 새로운 과학 지식과 문화적 자긍심을 주고, 그들의 민족적 정체성을 확인할 수 있는 기회를 만드는 계기가 되었다. 한국의 전통 과학 소재는 탈북 학생과 우리 과학 교육 과정의 간문화적 장을 만들어 줄 수 있을 것으로 기대된다.

예비 과학교사의 과학의 본성에 대한 인식 (Pre-service Science Teachers' Understanding of the Nature of Science)

  • ;최준환;임재항;남정희
    • 한국과학교육학회지
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    • 제27권3호
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    • pp.253-262
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    • 2007
  • 이 연구에서는 교사양성 과정에 있는 예비 과학교사들의 과학의 본성에 대한 인식을 알아보고자 하였다. 연구참여자는 사범대학 과학교육학부 4학년에 재학 중인 학생 중에서 선정하였으며 물리교육 전공 5명, 생물교육 전공 8명, 지구과학교육 전공 1명, 화학교육 전공 8명으로 총 22명으로 구성되었다. 인식을 조사하기 위하여 개방형의 질문지를 개발하였다. 개발된 질문지는 크게 과학 지식의 본성, 과학적 방법의 본성, 과학이 미치는 영향의 세 가지 영역으로 이루어졌다. 면담은 반구조화된 형식으로 이루어졌으며, 참여자 1인당 평균 20분 정도 소요되었고, 면담 내용은 모두 녹음한 후 분석을 위하여 전사하였다. 대부분의 예비 과학교사들은 과학 지식의 가변성 및 발달적인 속성에 대해서는 비교적 이해를 잘 하고 있었으나 과학적 진설의 존재에 대한 이중적인 생각을 가지고 있었다. 대부분의 학생들은 과학이 개인 및 사회생활에 미친 영향으로 기술의 측면을 언급하고 있으며, 과학과 기술과의 관게에 대한 제한된 인식으로 가지고 있었다. 과학적 방법에 대해서는 가설연역적 방법을 이용한 실험연구가 더 과학적이라고 생각하는 경향이 있었으며 실험의 과정에 대해 일련의 정형화된 단계가 있는 것으로 인식하고 있었다. 이로부터 볼 때 예비 과학교사들은 과학의 본성의 다양한 측면들에 대해 제대로 이해하지 못하고 있으며 매우 제한된 인식을 갖고 있다고 생각된다.

의과대학생을 위한 환자안전 교육의 국제적 동향 및 국내 현황 (Patient Safety Education for Medical Students: Global Trends and Korea's Status)

  • 노혜린
    • 의학교육논단
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    • 제21권1호
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    • pp.1-12
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    • 2019
  • This study is a narrative review introducing global trends in patient safety education within medical schools and exploring the status of Korean education. Core competences for patient safety include patient centeredness, teamwork, evidence- and information-based practice, quality improvement, addressing medical errors, managing human factors and system complexity, and patient safety knowledge and responsibility. According to a Korean report addressing the role of doctors, patient safety was described as a subcategory of clinical care. Doctors' roles in patient safety included taking precautions, educating patients about the side effects of drugs, and implementing rapid treatment and appropriate follow-up when patient safety is compromised. The Korean Association of Medical Colleges suggested patient safety competence as one of eight essential human and society-centered learning outcomes. They included appropriate attitude and knowledge, human factors, a systematic approach, teamwork skills, engaging with patients and carers, and dealing with common errors. Four Korean medical schools reported integration of a patient safety course in their preclinical curriculum. Studies have shown that students experience difficulty in reporting medical errors because of hierarchical culture. It seems that patient safety is considered in a narrow sense and its education is limited in Korea. Patient safety is not a topic for dealing with only adverse events, but a science to prevent and detect early system failure. Patient safety emphasizes patient perspectives, so it has a different paradigm of medical ethics and professionalism, which have doctor-centered perspectives. Medical educators in Korea should understand patient safety concepts to implement patient safety curriculum. Further research should be done on communication in hierarchical culture and patient safety education during clerkship.

어깨 충돌증후군의 침치료에 관한 연구 동향 (Research Trends on the Acupuncture Treatment of Shoulder Impingement Syndrome)

  • 윤광식
    • 동의생리병리학회지
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    • 제32권5호
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    • pp.315-320
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    • 2018
  • The purpose of this study is to investigate reasearch trend of acupuncture treatment on shoulder impingement syndrome. This study investigated the recent studies about acupuncture treatment for shoulder impingement syndrome via searching Korean and foreign electronic databases(Research Information Services, National Digital Science Library, Oriental Medicine Advanced Searching Integated Services, PubMed, China National Knowledge Infrastructure). The search term was searched by combining 'shoulder impingement sydrome', 'subacrominal pain', 'acupuncture', 'needle therapy', and was limited to the articles published from 2005 to 2017. 14 studies were found to be analyzed according to the type of study, the number of cases, the type of treatment, the instruments for assessment and published year. 14 studies were published since 2005, 6 case reports, 8 randomized controlled trials. In the treatment of shoulder impingement syndrome, treatments such as acupuncture, acupotomy, pharmacopuncture, laser acupuncture, combined treatment of exercise and rehabilitation were performed. Visual analogue scale(VAS), range of motion(ROM) and various questionnaires were used as primary assessments. In each study, acupuncture treatment was reported to have a significant effect in the pain, range of motion and disability of shoulder impingement syndrome. In order to ensure objective evidence on acupuncture treatment, large scale case reports and randomized controlled trials should be continued.

임상실습 경험 내러티브에 나타난 간호학생의 자리매김 (Analysis of Positioning in the Nursing Students' Narrative of the Experiences of Clinical Practice)

  • 손행미
    • 한국간호교육학회지
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    • 제20권1호
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    • pp.129-137
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    • 2014
  • Purpose: The purpose of this study was to understand the positioning which was perceived by nursing students from their clinical practice experiences. Methods: The data were 80 narratives of practice experience written by 20 nursing students. Using qualitative contents analysis, nursing students' reflective narratives were analyzed in the aspects of the positioning which including personal characteristics, designated social role, and ethical order. Results: In personal characteristics, nursing students positioned themselves as they had vague fear and cold feet about the physical and personal environment of the clinical setting. In the aspects of the designated social role, they positioned themselves to learn more knowledge and skills of the nursing, to put effort in maintaining good relationship with their patients and other nurses, and to evaluate the nurses on their job performances and professional attitudes. In ethical order, nursing students positioned themselves as a person who worries about their work as a future professional nurse. Conclusion: The result of this study can be used to better understand nursing students and application of the nursing students' narratives in the clinical practice education, and to facilitate positive outcomes and transitions from nursing students to nurses.

C. S. Lewis's View of Myth, Fantasy, and Nostalgic National Restoration in Till We Have Faces

  • 진성은
    • 영미문화
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    • 제18권3호
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    • pp.93-113
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    • 2018
  • This paper examines C. S. Lewis's view of myth and religion in the mid-twentieth century England. Lewis provided his social and cultural criticisms for materialistic contemporary culture and a decline in religiosity in Till We Have Faces (1956). Under the agitated influence of the time period and social movements in which he had lived, Lewis's writing uncovers dynamic interactions with the traumatized world aroused by two World Wars and the apocalyptic aura of an upcoming new world. The narrative of Lewis's novel Till We Have Faces, in a larger perspective, presents the mixtures of mythic motifs and nostalgia. On the plot basis, the novel depicts contemporary spiritual blindness and national dissociations. Many criticisms of Lewis have not been exploring the author's keen knowledge of the modern society because of his conspicuous depictions of evil and grace involving religious and medievalist views. Nonetheless, the paper explores how Lewis's apocalyptical views, related to turmoil and nostalgia, uncover complexities of his religious dilemmas between restoring the deteriorated status of the privileged. Ultimately, it analyzes Lewis's consciousness of the social changes related to the larger, more often than not psychological, context of redefining the national empire.

Unusual or Uncommon Histology of Gastric Cancer

  • Jinho Shin;Young Soo Park
    • Journal of Gastric Cancer
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    • 제24권1호
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    • pp.69-88
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    • 2024
  • This review comprehensively examines the diverse spectrum of gastric cancers, focusing on unusual or uncommon histology that presents significant diagnostic and therapeutic challenges. While the predominant form, tubular adenocarcinoma, is well-characterized, this review focuses on lesser-known variants, including papillary adenocarcinoma, micropapillary carcinoma, adenosquamous carcinoma, squamous cell carcinoma (SCC), hepatoid adenocarcinoma, gastric choriocarcinoma, gastric carcinoma with lymphoid stroma, carcinosarcoma, gastroblastoma, parietal cell carcinoma, oncocytic adenocarcinoma, Paneth cell carcinoma, gastric adenocarcinoma of the fundic gland type, undifferentiated carcinoma, and extremely well-differentiated adenocarcinoma. Although these diseases have different nomenclatures characterized by distinct histopathological features, these phenotypes often overlap, making it difficult to draw clear boundaries. Furthermore, the number of cases was limited, and the unique histopathological nature and potential pathogenic mechanisms were not well defined. This review highlights the importance of understanding these rare variants for accurate diagnosis, effective treatment planning, and improving patient outcomes. This review emphasizes the need for ongoing research and case studies to enhance our knowledge of these uncommon forms of gastric cancer, which will ultimately contribute to more effective treatments and better prognostic assessments. This review aimed to broaden the pathological narrative by acknowledging and addressing the intricacies of all cancer types, regardless of their rarity, to advance patient care and improve prognosis.

한국인 영어 학습자와 영어 모국어 화자의 불평 발화 행위 비교 연구 (A Comparison of Native and Narrative English Speakers' Complaints)

  • 정은혁;안경민
    • 영어영문학
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    • 제53권2호
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    • pp.335-357
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    • 2007
  • This study aims to investigate the pragmatic features of Korean EFL learners' interlanguage in the communicative act of complaining. Since a complaint, by its nature, is likely to cause offence, thereby threatening the social relationship between the speaker and the hearer, making a complaint in a polite manner is of crucial importance in maintaining harmonious social relationships. However, very little research has been carried out on the complaint speech act performances of Korean EFL learners. In particular, studies which attempt to examine the effect of social status on the choice of complaint speech act strategies are rare. The present study compared the complaint speech act performances of Korean EFL learners and those of native speakers of English with respect to social status. 24 Korean EFL learners and 28 native speakers of English participated and the data were collected via a Discourse Completion Test. The findings revealed that Korean EFL learners differed from native English speakers in the use of complaint strategies. These results indicate that Korean EFL learners lack certain important skills necessary to make complaints appropriately, suggesting the need for the foreign language learners to develop a more extensive pragmatic knowledge of complaint strategies.

수학교육에서 스토리텔링(storytelling)에 대한 문헌 분석 연구 (A literature research on storytelling in mathematics education)

  • 서보억
    • 한국수학교육학회지시리즈A:수학교육
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    • 제52권1호
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    • pp.65-82
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    • 2013
  • This study has to do with storytelling. In this study, analyzed the domestic and international academic literature and scientific papers. The purpose of this study is to provide the meaningful basic material on mathematics education for the development of storytelling lesson model and teaching material. First, we analyze the causes and background storytelling appeared. The psychologists found that the human cognition's structure consists of a narrative system. And, We realize that the problem 'How will attract the attention of the students in math class' will be solved by storytelling. Second, the means of storytelling about the educational value and benefits were discussed in Mathematics Education. The story has a powerful force in the delivery of mathematical content. And, the story has strong power, led to feelings of students receiving transfer mathematical content. Finally, examined the characteristics of the psychology of learning in mathematics education by storytelling. We were studied about internal and external story. And, we studies on storytelling as the mediator, story as the knowledge transfer, story as the problem-solving process, story as the script.