• Korean Medical Education Review
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• v.17 no.3
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• pp.131-139
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• 2015

The purpose of this study was to develop a career planning program for medical students and to examine its effectiveness with regard to career choice motivation and career maturity. A total of 89 medical students participated in the study. Forty-four were in the experimental group and 45 were in the control group. The collected data were analyzed with the t-test, analysis of covariance, descriptive statistics, and analysis of frequency by PASW SPSS ver. 18.0 (SPSS Inc.). A career planning program was developed using the ADDIE (analysis, design, development, implementation, and evaluation) model. The contents of self-understanding and career exploration were included in this program. The program was conducted as a seminar with preferred major professors. There was a significant difference in the intrinsic motivation score between the control and experimental groups (p<0.05). The score of the experimental group (M=4.59) was higher than that of the control group (M=4.40). Significant differences in decisiveness (p<0.01) and realistic choice (p<0.05), the sub-factors of the career maturity test, were found between the control and experimental groups. The score of decisiveness of the experimental group (M=2.94) was higher than that of the control group (M=2.79). The score of realistic choice in the experimental group (M=3.17) was lower than that in the control group (M=3.37). Most medical students were satisfied with the career planning program. It is hoped that these results provide useful information for designing career guidance programs for students in medical schools.

• Korean journal of medical education
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• v.30 no.4
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• pp.309-315
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• 2018

Purpose: The introduction of community-based medical education would help improve the quality of primary care. This paper suggests learning objectives and an educational program for community-based medical education. Methods: The educational program was developed in a 1-day consensus workshop. Twenty experts, including faculty members from family medicine department of a college of medicine in Seoul and community-based preceptors, participated in the program. A needs-assessment survey was conducted among community-based preceptors before the workshop. Through this workshop, we derived learning objectives and a standardized curriculum for community-based medical education. Results: In the questionnaire before the workshop, community-based preceptors voiced concerns over the program's potential costs and the time required for teaching. The learning objectives and educational programs derived from the workshop's consensus were consistent with the characteristics of the primary care. Based on the results of this workshop, the joint expert team developed a standard educational program on two core topics: clinical teaching and mentoring. Conclusion: From this curriculum development process, participants could construct a more standardized curriculum for community-based medical education. Future studies are needed to evaluate the long-term outcomes of these educational programs, such as the learners' satisfaction and achievement.

• Journal of Korean Clinical Nursing Research
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• v.15 no.3
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• pp.5-16
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• 2009

Purpose: This study was done to provide effective nursing interventions using an individualized educational program designed to contribute to the knowledge, compliance and physiologic parameters (serum potassium, phosphorus and interdialytic weight gain) of non-compliant hemodialysis patients. Methods: There were 22 participants in the experimental group and 19 in the control group. Nurses with rapport with patients provided education to non-compliant hemodialysis patients for 20 minutes three times a week for six weeks. This education program consisted of individual consulting, telephones conversations regarding hemodialysis, and requests for patient support from patients' families and colleagues. Results: Hypothesis 1; "Knowledge about hemodialysis in the experimental group will be higher than the control. group" was not supported. Hypothesis 2; "Compliance will be higher in the experimental group than in the control group", and Hypothesis 3; "Physiologic parameters of experimental group will improve" were supported as serum potassium and interdialytic weight gain decreased, but results were not consistent for phosphorous. Conclusion: This program for non-compliant patients increased compliance and improved physiologic parameters. Therefore, this educational program should be effective as a nursing intervention.

• Journal of the Korean Dietetic Association
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• v.8 no.4
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• pp.408-414
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• 2002

The purpose of this study was to develop the standardized manual for dietetic internship. The general information of the dietetic internship program in Korea was gathered and of dietetic internship(DI) in the USA was also surveyed. The existence of DI program manual, the number of intern and length of the dietetic internship program, and other general information were investigated. At first, the questionnaire was developed and mailed to 130 hospitals in Korea and the number of returned questionnaires was 42 showing participating rate of 28%. Second, telephone survey was carried out and the number of response was 40 out of 46 participating rate of 87%. The results of this study could be summarized as follow. 1. eneral informations of dietetic internship program in Korea; The hospital having a dietetic internship program was 31.7% and of them 14.6%(12 hospitals) have a manual developed by themselves. The number of dietetic intern per hospital was 2.0$\pm$ 1.4. The length of the program was from 3 to 12 months. Ten hospitals (38.5%) have a only food service program and 16 hospitals (62.5%) have both food service and clinical program. Seventy one percent (58 hospitals) of total hospital were willing to use the well developed standardized dietetic internship manual. 2. eneral information of Dietetic Internship Program in the USA; Two hundred fifty nine hospital had the dietetic internship program approved by ADA. The number of dietetic intern in each hospital was 10.6$\pm$ 6.3. The mean length of the program was 13.6$\pm$ 6.3 months. Twenty seven percent of institution have coordinated internship/masters degree program. The range of tuition for DI program was from 300 to 30,855(otherwise, interns were payed by the hospital in Korea). As a conclusion, the standardized dietetic internship program for the clinical dietitian as nutrition professionals to carry out their job at the hospitals should be developed. And the coordinated internship/masters degree program could be considered to improve the skill levels and job performances of clinical dietitian.

• Journal of Veterinary Clinics
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• v.33 no.4
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• pp.237-242
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• 2016

A 1.86 kg, 3-year-old, female, Maltese was presented to the Veterinary Medical Teaching Hospital of Seoul National University after being hit by a car. The patient was diagnosed with urinary bladder rupture, diaphragmatic hernia and fracture of ilium, tibia and fibula. Repair surgery was performed after stabilizing treatment. During the surgery, hypoxia was identified and it worsened after positive pressure ventilation (partial pressure of oxygen in arterial blood ($PaO_2$): 52 mmHg, pulse oximetry ($SpO_2$): 87%, arterial hemoglobin oxygen saturation ($SpO_2$): 85.8%). In addition to hypoxia, blood pressure decreased to 30 mmHg. Positive pressure ventilation was discontinued because hypoxia and hypotension were aggravated. After suturing the diaphragm, air was withdrawn to form negative pressure within the thorax. However, negative pressure was not attained despite continuous withdrawal of air. A thoracostomy tube was placed because tension pneumothorax was strongly suspected. The patient recovered through close monitoring with the tube for 3 days. Due to limitation of evaluation of the lung, predicting occurrence of tension pneumothorax is difficult in patient of diaphragmatic hernia. Therefore, it is recommended that indicators of tension pneumothorax should be closely monitored during diagnosis and repair procedures of diaphragmatic hernia.

• The Korean Journal of Emergency Medical Services
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• v.14 no.3
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• pp.41-56
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• 2010

Purpose: To compare and analyze current state of domestic and foreign educational program to develop a program and provide basic information for qualitative improvement of the program. Method: Referred to records and used various methods as searching on the Internet. Analyzing methods and standards are as follow : 1) As for the current status of domestic educational program, find out about organizations that conduct the program 2) As for the current status of foreign program, find out about United States, Canada and United Kingdom. 3) As for comparison and analysis, find out about curriculum, subject, the number of people, content, cost and time. Results: In comparison and analysis of subjects and program, United States, Canada and U. K. specified the subjects according to occupations to offer various programs appropriate for special occupational situations whereas domestic program only provide education of CPR and usage of AED. Foreign countries provide sufficient time from 5.5 to 40 hours according to occupations. In contrast, Korea only provide 2-4 hours of educations, which is insufficient to master techniques of first aid. In addition, foreign countries precisely regulate organizations that fulfill the qualification and specific guidelines for content of education. However, Korea doesn't have any standards of qualification or guidelines. Discussion: It is necessary to specify first aid education according to occupations to provide diverse programs. Furthermore, it is necessary to establish nationwide regulations for subjects and content of the programs of the first responder.

• Journal of Preventive Medicine and Public Health
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• v.24 no.3 s.35
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• pp.441-458
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• 1991

The objective of this study was to provide basic reference data for stabilization scheme of medical insurance benefits through forecasting of the medical care utilization rate, the medical expence per case, and the treatment days per case in medical insurance program for government employees & private school teachers and for industrial workers. For the achievement of above objective, this study was carried out by Box-Jenkins time series analysis (ARIMA Model), using monthly statistical data from Jan. 1979 to Dec. 1989, of medical insurance program for government employees & private school teachers and for industrial workers. The results are as follows ; ARIMA model of the medical care utilization rate in medical insurance program for government employees & private school teachers was ARIMA (1, 1, 1) and it for outpatient in medical insurance program for industrial workers was ARIMA (1, 1, 1), while it for inpatient in medical insurance program for industrial workers was ARIMA (1, 0, 1). ARIMA model of the medical expense per case in medical insurance program for government employees & private school teachers and for outpatient in medical insurance program for industrial workers were ARIMA (1, 1, 0), while it for inpatient in medical insurance program for industrial workers was ARIMA (1, 0, 1). ARIMA model of the treatment days per case of both medical insurance program for government employees & private school teachers and industrial workers were ARIMA (1, 1, 1). Forecasting value of the medical care utilzation rate for inpatient in medical insurance program for government employees & private school teachers was 0.0061 at dec. 1989, 0.0066 at dec. 1994 and it for outpatient was 0.280 at dec. 1989, 0.294 at dec. 1994, while it for inpatient in medical insurance program for industrial workers was 0.0052 at dec. 1989, 0.0056 at dec. 1994 and it for outpatient was 0.203 at dec. 1989, 0.215 at 1994. Forecasting value of the medical expense per case for inpatient in medical insurance program for government employees & private school teachers was 332,751 at dec. 1989, 354,511 at dec. 1994 and it for outpatient was 11,925 at dec. 1989, 12,904 at dec. 1994, while it for inpatient in medical insurance program for industrial workers was 281,835 at dec. 1989, 293,973 at dec. 1994 and it for outpatient was 11,599 at dec. 1989, 11,585 at 1994. Forecasting value of the treatment days per case for inpatient in medical insurance program for government employees & private school teachers was 13.79 at dec. 1989,13.85 at an. 1994 and in for outpatient was 5.03 at dec. 1989, 5.00 at dec. 1994, while it for inpatient in medical insurance program for industrial workers was 12.23 at dec. 1989, 12.85 at dec. 1994 and it for outpatient was 4.61 at dec. 1989, 4.60 at 1994.

• Journal of Korean Academy of Nursing Administration
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• v.12 no.1
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• pp.41-51
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• 2006

Purpose: The purposed of this study was to develop and evaluate a Web-based for medical terminology educational program. Method: For the development of this program, the NBISD model was applied as a basic model and WBI ID Process Action model was applied. It was executed for 15 weeks along with off-line lectures. After the operation of this program to 210 nursing students, learners' responses were analyzed twice(at 5th week and 15th week). Result: The satisfaction with this program was slightly above the center point. But the structure of system and composition of design were high score. The results of the final evaluation were more positive than those of the interim one. This program have the advantage of easy accessibility and easy understandability with picture and testing. Conclusions: This study proved the importance of the suitability of learning contents and learning form in developing WBI programs and showed possibility for applying WBI to medical terminology. In order to enhance the effects of Web-based medical terminology educational program for, it is necessary to perform analytic comparison with the effect of WBI based on self-directed learning.

• Nutrition Research and Practice
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• v.11 no.1
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• pp.76-76
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• 2017

• The Korean Journal of Emergency Medical Services
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• v.21 no.1
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• pp.45-58
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• 2017

Purpose: This study investigated the health status and health management program of 119 emergency medical technicians (EMTs). Methods: A self-reported questionnaire was completed by 794 EMTs in two cities from November 15 to December 20, 2016. The questionnaire collected the general characteristics of the subjects (10 items) and health-related information from 119 EMTs (14 items). Data were analyzed by using SPSS 23.0. Results: The mean value for the general health status of the 119 EMTs was 2.68. The general health status was lower for female 119 EMTs, older 119 EMTs, and married 119 EMTs; it was higher for 119 EMTs with more than 5 years of experience and for 119 EMTs with diseases. The mean value for work-related fatigue of the 119 EMTs was 3.26. This value was higher for female 119 EMTs (p<.05). 119 EMTs with more than 2 years of experience, and 119 EMTs with diseases (p<.01). The correlation between health program participation and general health status was significantly positive (r=.271), whereas the correlation between health program participation and work-related fatigue was significantly negative (r=-.375). The correlation between health program participation and program satisfaction was significantly positive (r=-.770). Conclusion: It is important to develop health management program for 119 EMTs and to offer them at all times. Moreover, the health status of 119 EMTs can be increased through improvements to working environments.