• 의학교육논단
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• 제24권3호
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• pp.180-192
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• 2022

Research suggests that medical students frequently experience mental health problems such as stress, burnout, and depression, which may, in turn, affect suicidal ideation and behaviors. Since mental health problems profoundly impact academic achievement and professionalism, it is vital to understand factors influencing students' mental health and identify strategies to provide the necessary support. Some relevant influencing factors range from the personal level, including gender, personality traits, perfectionism, and social support, to the environmental level, including the grading system, educational phases, exposure to patients' death, mistreatment, and culture of medicine. In this regard, a comprehensive mental health support system that encompasses environmental interventions, as well as personal-level support, is needed. Simultaneously, proactive approaches that address the improvement of self-care and alleviation of systemic burdens are essential, together with the predominant reactive approaches focusing on problems and deficits. Altogether, we proposed a framework for enhancing mental health constructed by four categories (personal-reactive, environmental-reactive, personal-proactive, environmental-proactive) based on the intervention level and goal of support. All four categories have important implications, and one cannot replace the other, but expanding environmental-proactive support will allow more students to learn how to pursue health independently. We expect that this comprehensive framework for enhancing mental health could expand support systems for medical students' personal and professional development.

• 한국비블리아학회지
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• 제34권4호
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• pp.149-182
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• 2023

본 연구는 국내 의학사서 역량 강화를 위한 KMLA의 지원 프로그램 개선 방안을 제언하기 위한 목적으로 수행되었다. 이를 위하여 전문직협회의 역할 조사 후, 공통된 역할 추출 및 이를 5개 영역으로 범주화한 후 MLA와 KMLA의 지원 프로그램을 비교·분석하였다. 결과 KMLA의 지원 프로그램 개선 방안으로 여섯 가지를 제언할 수 있다. 첫째, 의학사서를 공식적·지속적으로 지원하기 위한 정책개발이 필요하다. 둘째, (계속)교육 및 훈련 프로그램 영역에서 의학 분야에서 필요한 전문적인 영역의 교육적 지원이 필요하며 IRB 위원회 역할을 위한 교육도 필요하다. 셋째, 연구 및 출판 지원에 있어서 연구비 및 연수프로그램에 대한 다양한 지원이 요구된다. 넷째, 네트워크 및 협력 지원에 있어서 멘토링, 리더십·펠로우십 프로그램 지원이 필요하며 국내·외 파트너십에 대한 개선과 다양한 수상 지원도 계획도 필요하다. 다섯째, 전문자격증 및 각종 인증서 제도에 있어서 관련 분야의 학위 취득 지원, 다양한 강좌 지원을 통한 인증서 발급 등이 필요하다. 여섯째, 기부금 유치를 위한 KMLA의 적극적인 대내외적 홍보 및 활동이 수행되어야 할 것이다.

• Journal of the Korean Data and Information Science Society
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• 제14권4호
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• pp.817-824
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• 2003

We employed a hierarchical document classification method to classify a massive collection of electronic medical records(EMR) written in both Korean and English. Our experimental system has been learned from 5,000 records of EMR text data and predicted a newly given set of EMR text data over 68% correctly. We expect the accuracy rate can be improved greatly provided a dictionary of medical terms or a suitable medical thesaurus. The classification system might play a key role in some clinical decision support systems and various interpretation systems for clinical data.

• 산업공학
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• 제20권4호
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• pp.488-497
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• 2007

In order to provide appropriate decision supports in medical domain, it is required that clinical knowledge should be implemented in a computable form and integrated with hospital information systems. Healthcare organizations are increasingly adopting tools that provide decision support functions to improve patient outcomes and reduce medical errors. This paper proposes a process centric clinical decision support system based on medical knowledge. The proposed system consists of three major parts - CPG (Clinical Practice Guideline) repository, service pool, and decision support module. The decision support module interprets knowledge base generated by the CPG and service part and then generates a personalized and patient centered clinical process satisfying specific requirements of an individual patient during the entire treatment in hospitals. The proposed system helps health professionals to select appropriate clinical procedures according to the circumstances of each patient resulting in improving the quality of care and reducing medical errors.

• 의학교육논단
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• 제24권3호
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• pp.205-214
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• 2022

The purpose of this study was to analyze the results of a study on the psychological state, lifestyle, self-management ability, and academic adaptation of medical students, and to present examples of improvement of a student support center based on the results. A medical school in Daegu has been surveying the living conditions of students every year for 6 years since 2016. More than 60% of medical students experienced depression and more than 70% experienced stress, but these rates have significantly improved over the past 5 years. There were many cases of drinking or smoking to relieve stress, but the frequency of drinking recently decreased substantially. Some students had difficulties in emotional regulation (11.5%) and time management (16.6%), and challenges in planning and self-management increased significantly during the coronavirus disease 2019 (COVID-19) pandemic. The satisfaction and adaptability of medical students are high, but the number of students who are not satisfied with but negative response rate is 2%-3% in every year. However, satisfaction has significantly increased in tandem with curriculum changes and COVID-19. Based on these data, the counseling system was reorganized to support psychological stability, the medical humanities curriculum was improved, and changes in actual quality of life were induced by developing and operating non-curricular programs. Furthermore, standardized questionnaires will be developed and data from many medical schools will be shared, which is expected to support medical students more effectively.

• 의학교육논단
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• 제16권1호
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• pp.16-24
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• 2014

The development of information technology (IT) has led to changes in medical education. IT has been used for e-learning and e-teaching, e-assessment, e-logistics, and e-administration. Pusan National University School of Medicine has developed its own educational information system using IT to support students' learning and assessment and to manage curricular activities. Based on our experience, we propose six suggestions for designing new software, specifically regarding simplifying the design for users, communication with the programmer, a rapid cycle from design to implementation, orientation support for users, backup and security support, and obtaining patents. Collaborating with the Department of Medical Informatics within the School of Medicine has advantages, and an alliance among medical schools can simplify the development of software. In any case, curricular innovation should precede the introduction of technology because all technologies should support curricular goals.

• 한국융합학회논문지
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• 제10권11호
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• pp.117-124
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• 2019

최근 의료IT 분야 솔루션들이 분산 환경 기반으로 제공되고 있는 추세이다. 국내에서도 분산 환경에서 의료정보를 공유할 수 있는 임상의사결정지원시스템 개발의 필요성이 인식되어 연구되고 있다. 기존 임상의사결정지원시스템은 병원 내의 자체적인 의료정보만을 사용하여 구축되고 있다. 이로 인해 기존의 시스템은 의사결정지원의 효율성 및 정확성 측면에서 좋은 결과를 얻기 어렵다. 이러한 한계점을 해결하기 위해 이 논문에서는 의료분야의 공통 데이터 모델을 기반으로 하는 임상의사결정지원시스템 모델을 설계하고 구축방안을 제시한다. 제안 모델의 적용 과정을 설명하기 위해 대장암 진단을 위한 임상의사결정지원시스템의 개발 시나리오를 기술한다. 또한 성공적인 임상의사결정지원시스템 개발을 위한 필수 요구사항을 제시한다. 이를 통해 여러 병원에서 공통으로 사용이 가능하고 시스템의 효율성과 정확성을 높일 수 있는 임상의사결정지원시스템 개발이 가능할 것으로 기대한다.

• International Journal of Quality Innovation
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• 제8권3호
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• pp.46-70
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• 2007

Customer Support Knowledge of Customer Support Organization is one of the important assets of enterprises and "Customer Support Knowledge Management" is also the critical aspect of Business Knowledge Management; however, the attributes of Customer Support Knowledge are complicated, diverse, renewed rapidly and difficult to be managed. Thus, in order to design a successful Customer Support Knowledge Management System, apart from the consideration of "human" and "information technology" aspects, the concerns of attributes and Customer Support Knowledge and industry characteristics should be involved for meeting the requirements of Customer Support Organization and allowing the organization to acquire the competitive advantage of "Differentiation Service". This research used the "Customer Support Knowledge Management System" in a high-tech industry as an example and treated the end users of medical instruments in different types of hospitals in Taiwan which have received the support service of our company in recent six months as the population. The end users were mostly the nursing executives or ultrasonic wave technical personnel in intensive care unit and they had similar educational background and incomes and adopted the medical instruments such as physical supervision system, ultrasonic wave system, heart start or ECG machine produced by our company; the research method was to randomly treat the investigation results of the telephone customers' satisfaction from respective 30 end users in the population three months before and after this system execution as the samples and use hypotheses to validate if the end users' customer satisfaction significantly improved in terms of "Remote Support," "On-site Support," "Service Turn Around time," "Technical Competence" and "Manner" in order to understand the influence and managerial significance of execution of "Customer Support Knowledge Management System" on Customer Support Organization.

• 의학교육논단
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• 제17권1호
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• pp.33-38
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• 2015

During the education reform in 2009, the Catholic University of Korea College of Medicine (CUMC) adopted body systems as the basis for structuring basic medical education. After running the new program for 5 years, we need to evaluate the program by comparing it with nationwide standards. This study was designed to evaluate the coverage of our basic medical education program by comparing it with the assessment items of the medical licensing examination for physicians in the Republic of Korea. We built a relational database populated with 3,017 learning outcomes from all the courses on basic medical education. We tagged each learning outcome according to 2 criteria: 206 physician encounters and 9 outcome domains. A majority of the learning outcomes were in the domains of 'knowledge' and 'critical thinking'. In addition, we repeated the categorization process with 584 assessment items of the medical licensing examination in the Republic of Korea and compared them with the categorization results of the learning outcomes. Among the 206 physician encounters, we found that outcomes on family violence and sexual violence were missing in the learning outcomes of CUMC. Eighty-two physician encounters were associated with more than one outcome domain, and 96 physician encounters were covered in more than one course. Twenty-one physician encounters were repeated in 5 or more courses and 34 physician encounters had outcomes categorized into 3 or more domains. Thus, we showed that the 2-way categorization could be applied to the comparison and evaluation of two different education formats.

• 한국응급구조학회지
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• 제23권3호
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• pp.83-96
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• 2019

Purpose: This study was conducted to provide fundamental resource in improving the quality of life and stress by understanding the influence of egoresilience and social support by paramedic students during field practice. Methods: The measurement instrument consisted of 100 questions on the general characteristics, egoresilience, social support, stress, and quality of life of the participants. Frequency and descriptive analysis, t-test, ANOVA, correlation analysis, and multiple regression analysis were performed. Results: The average scores for egoresilience, social support, and stress were 3.00, 3.14, and 1.68 out of 4.00, respectively. The degree of stress was high enough to be statistically significant in the case of women compared to men, and if unsatisfied with one's major. The average quality of life score was 4.50. The degree of quality of life was high enough to be statistically significant in the case of men compared to women, smokers, drinkers, and if content with one's major. Conclusion: It is suggested that colleges develop programs to increase the satisfaction rate of the students and improve their egoresilience and social support. Such programs would improve the quality of life and address the stress experienced by emergency medical technology students.