• 한국치위생학회지
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• 제15권6호
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• pp.1027-1032
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• 2015

Objectives: The purpose of the study is to investigate the attitude toward medical health information in the dental hygiene students. Methods: The subjects were 370 dental hygiene college students in the metropolitan area. A self-reported questionnaire was completed by 350 students from March 2 to May, 3, 2014. Except 20 incomplete answers, data were analyzed by frequency analysis, t-test, and one-way ANOVA using SPSS 12.0 program. The questionnaire consisted of general characteristics of the subjects, satisfaction of internet use, and attitude toward medical health information. Results: Most of the students had personal computers and they did not receive computer education. The students used internet in the variety of the fields. Satisfaction level was 3.28 by 5 point Likert scale. The attitude toward medical health information was 3.20. They would not use computer if possible, and the score was 3.50 points that was the highest mark. There was no statistically significant difference in medical health information by the general characteristics of the subjects. Conclusions: The attitude toward medical health information was not fully satisfactory in many fields. The curriculum for the dental hygiene must include step-by-step computer course and the computer education must provide the diverse educational opportunities for the students.

• 한국엔터테인먼트산업학회논문지
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• 제14권3호
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• pp.75-82
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• 2020

본 연구는 국내 의료기관에서 시행된 의료정보보안 교육 효과를 확인하고 향후 이에 관한 교육프로그램 개발에 기초 자료를 제공하고자 시도되었다. 2010년 1월부터 2019년 7월까지 국내에서 발표된 논문을 체계적으로 고찰하여 총 4편을 최종 연구대상으로 선정 하였다. 선정된 4편의 논문을 메타 분석하여 효과크기를 확인한 결과, 의료정보보안 교육과 실천 간 상관관계에는 큰 효과크기가 있었다. 2010년 발행된 논문부터 대상으로 하여 의료정보보안 교육 효과 결과를 의료정보보안 실천만으로 제한했다는 한계점이 있지만 국내 의료정보보안 교육 효과를 확인한 점에서 의의가 있다. 본 연구 결과를 바탕으로 의료정보 유출을 예방할 수 있는 의료정보보안 교육 프로그램 개발에 기초자료로 사용될 수 있을 것이다.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제18권7호
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• pp.1706-1725
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• 2024

The unique U-shaped structure of U-Net network makes it achieve good performance in image segmentation. This network is a lightweight network with a small number of parameters for small image segmentation datasets. However, when the medical image to be segmented contains a lot of detailed information, the segmentation results cannot fully meet the actual requirements. In order to achieve higher accuracy of medical image segmentation, a novel improved U-Net network architecture called multi-scale encoder-decoder U-Net+ (MEDU-Net+) is proposed in this paper. We design the GoogLeNet for achieving more information at the encoder of the proposed MEDU-Net+, and present the multi-scale feature extraction for fusing semantic information of different scales in the encoder and decoder. Meanwhile, we also introduce the layer-by-layer skip connection to connect the information of each layer, so that there is no need to encode the last layer and return the information. The proposed MEDU-Net+ divides the unknown depth network into each part of deconvolution layer to replace the direct connection of the encoder and decoder in U-Net. In addition, a new combined loss function is proposed to extract more edge information by combining the advantages of the generalized dice and the focal loss functions. Finally, we validate our proposed MEDU-Net+ MEDU-Net+ and other classic medical image segmentation networks on three medical image datasets. The experimental results show that our proposed MEDU-Net+ has prominent superior performance compared with other medical image segmentation networks.

• 한국컴퓨터정보학회논문지
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• 제28권9호
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• pp.129-135
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• 2023

본 연구는 심폐소생술 교육이 유치원 및 초·중등 교사의 지식, 태도, 자기효능감에 미치는 영향을 알아보기 위해 시도되었다. 자료 수집은 2023년 3월 21일부터 6월 20일까지 일개 응급의료 교육센터에서 심폐소생술 교육을 받은 J도 소재 유치원 및 초·중등 교사 176명을 대상으로 설문조사를 실시하였다. 수집된 자료는 SPSS WIN 20.0을 이용하여 일반적 특성, 지식, 태도, 자기효능감, 교육프로그램의 효과를 분석하였다. 연구결과 교육 후 지식점수(t=-15.93, p<.001), 태도점수(t=-5.11, p<.001), 자기효능감 점수(t=-12.52, p<.001)가 유의하게 증가하였다. 전문가에 의한 교육을 통해 지식, 태도, 자기효능감이 향상되었으며, 지식의 증가가 태도와 자기효능감을 높인 것으로 생각된다. 따라서, 효과적인 심폐소생술 교육을 위한 방안 모색이 필요하겠다.

• Korean journal of medical education
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• 제30권4호
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• pp.317-326
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• 2018

Purpose: The study examines changes in students' self-assessment of their general communication (GC) and medical communication (MC) competencies, as well as perceptions of MC concepts. Methods: Participants included 108 second year medical students enrolled at a Korean medical school studying an MC curriculum. It was divided into three sections, and participants responded to questionnaires before and after completing each section. To assess perceived GC and MC competency, items based on a 7-point Likert scale were employed; a single open-ended item was used to examine students' perceptions of MC. Statistical analysis was conducted to gauge GC and MC competency, whereas semantic network analysis was used to investigate students' perceptions of MC. Results: Students perceived their GC competency to be higher than MC. Perceived MC competency differed significantly across the three sections, whereas no differences were found for GC. There were no statistically significant differences after completing the curriculum's second and third sections; however, the vocabulary students used to describe MC concepts became more scholarly and professional. In the semantic networks, the link structure between MC-related words decreased in linearity and looseness, becoming more complex and clustered. The words 'information' and 'transfer' proved integral to students' perceptions; likewise, 'empathy' and 'communication' became closely connected in a single community from two independent communities. Conclusion: This study differed from prior research by conducting an in-depth analysis of changes in students' perceptions of MC, and its findings can be used to guide curriculum development.

• 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.

• 의학교육논단
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• 제26권1호
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• pp.48-54
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• 2024

The career choices of medical students are significant for both individual students and society, which relies on a robust public healthcare system. Medical schools should provide a conducive environment and diverse information to enable students to make mature career decisions. Yonsei University College of Medicine conducts extracurricular programs for students' career development, including the Career Choice Expo, Career Path Survey, Special Lecture on Career Development, and a Visible Radio Show focused on career counseling. Additionally, the intracurricular activities offered by the college include career advising to students through faculty advisors in learning communities based on students' reflective writing about career-related activities. Medical students, in the process of forming their career decisions, compare what they have learned in the medical school curriculum with information acquired through extracurricular activities, taking into consideration their individual characteristics. Through longitudinal discussions with faculty advisors in learning communities, medical students not only gain recognition for the validity of their exploratory activities but also develop a sense of self-efficacy in making career decisions. The career education program at Yonsei University College of Medicine aligns with recent perspectives emphasizing the integration of career counseling for medical students into the curriculum in order to increase effectiveness.

• 의학교육논단
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• 제25권2호
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• pp.109-113
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• 2023

An educational outcome cohort has been established at Keimyung University School of Medicine to help make educational policy decisions and improve educational programs based on data. The purpose of the educational outcome cohort is to support educational policy decisions for achieving graduation outcomes smoothly and to accomplish the intended human resources development of the university through objective analyses and regular monitoring, providing continuous feedback. The data collected for the educational outcome cohort include the student identifications of freshmen, entrance exam scores, premedical and medical school grades, titles and forms of student academic research, the results of psychological testing, scholarship recipient lists, volunteer clubs, and so forth. The data are collected using an information utilization agreement approved by the Institutional Review Board, and the collected data are encrypted and stored on a dedicated computer for enhanced personal information security. Proposals to access and utilize the educational outcome cohort data must be discussed and approved by the Educational Outcome Cohort Committee, which decides on the scope and method of utilization. The collected and managed educational outcome cohort data have been used to develop comparative programs to improve students' competency and to support admission policy decisions through an analysis of the characteristics and performance of medical school students. The establishment and utilization of the educational outcome cohort will play an important role in determining the School of Medicine's educational policies and suggesting new directions for educational policies in the future.

• 의학교육논단
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• 제23권3호
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• pp.160-167
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• 2021

Rapid developments in technology as part of the Fourth Industrial Revolution have created a demand for educational technology (EdTech) and a gradual transition from traditional teaching and learning to EdTech-assisted learning in medical education. EdTech is a portmanteau (blended word) combining the concepts of education and technology, and it refers to various attempts to solve education-related problems through information and communication technology. The aim of this study was to explore the use of key EdTech applications in medical education programs. A scoping review was conducted by searching three databases (PubMed, CINAHL, and Educational Sources) for articles published from 2000 to June 2021. Twenty-one studies were found that presented relevant descriptions of the effectiveness of EdTech in medical education programs. Studies on the application and effectiveness of EdTech were categorized as follows: (1) artificial intelligence with learner-adaptive evaluation and feedback, (2) augmented/virtual reality for improving learning participation and academic achievement through immersive learning, and (3) social media/social networking services with learner-directed knowledge generation, sharing, and dissemination in medical communities. Although this review reports the effectiveness of EdTech in various medical education programs, the number of studies and the validity of the identified research designs are insufficient to confirm the educational effects of EdTech. Future studies should utilize suitable research designs and examine the instructional objectives achievable by EdTech-based applications to strengthen the evidence base supporting the application of EdTech by medical educators and institutions.

• 의학교육논단
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• 제20권3호
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• pp.164-172
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• 2018

The aim of this study is to determine whether the 65 competencies, defined in "the role of Korean doctor, 2014", are suitable for basic medical education phase in Korea. It seeks to analyze the gap among the educational reality and expectation, assessment situation of the competencies above. We also try to define issues of the development, application and assessment phases of competency-based medical education (CBME) at individual medical schools. We designed survey tools based on the Miller's assessment pyramid (knowledge, explanation, demonstration, and performance) for each of the 65 competencies. The survey distributed to 41 medical schools in April 2015 and 38 replies were received (92.7%). Competencies that matched both the educational reality and expectation were numbers 1 (patient care), 33 (social accountability), and 49 (professionalism). However, all the other competencies ranked lower in current status than that of desirable level. 54 out of 65 competencies (83.07%) remained at the knowledge and explanation level when each competence were assessed. In the development, application, and assessment phases of CBME, common issues that medical schools commonly noted were difficulty linking competencies to curriculum preparation and student assessment, the lack of faculty's understanding, difficulty to reach consensus among faculties, and absence of teaching and learning methods and assessment tools that fits CBME. For the successful settle down of CBME, there is a need for efforts to develop the model of graduate outcomes, to share information and experience, and to operate faculty development program by the medical education communities.