• Journal of Preventive Medicine and Public Health
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• 제29권2호
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• pp.265-278
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• 1996

This paper concerns professional socialization of medical students. Professional socialization, in the context of this paper, means the process through which a layperson becomes a doctor equipped with professional identity and values. While medical education does not include such process in the curriculum, medical students obtain certain values and identity informally. The dependent variables were professional values and professionalism. The former means the desirable attributes required to conducting professional works such as humane attitudes, science-oriented mind, capability for organizational management. The latter means socio-political reasoning with which doctors can rationalize their privileges such as autonomy. A specially designed questionnaire was developed. The data were collected from five medical schools for 1,318 students in 1994. A total of 1,070 cases were finally included in the statistical analysis. The students emphasized the human factor in the professional values. Their attitude did not change with the grade. Other independent variables such as motives for entering a medical school, socioeconomic status, satisfaction with medical education, etc. also did not influence professinal values. It implies that professional values were not consolidated among the students. However, the factors of professionalism change significantly with the grade. It implies that the students paid more attention to socio-political issues related to doctor's interests as the grade went up. And the factor scores for professionalism were higher for those students who had more positive attitude towards doing medical practice for profit, expected higher income, and were more conservative about social reform. Other independent variables did not influence professionalism. It seems that the students also give emphasis on professionalism, like current medical doctors, mainly because of their concern with recent unfavorable changes in economic conditions of medical care providers.

• 의학교육논단
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• 제10권1호
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• pp.19-33
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• 2008

Purpose: This study is purposed to analyze the curriculum on medical humanity and social science in foreign medical schools. The Main topics are classified into three parts: the characteristics of American medical humanity and social science curriculum: understanding of medical humanity and social science in medical school in USA, UK, and Australia: standard recommendations on medical ethics and professionalism in curriculum design. Methods: The literature reviews and on-line searching were conducted to collect the information and data on medical humanity and social science in foreign medical schools, 9 medical schools were selected in terms of reputations in USA, UK, and Australia. Results: First, American medical humanity and social science curriculum have changed, especially from cores to electives, from informal to formal and from subjects to interdisciplinary. In addition. teaching methods have changed into small-group discussion and teaching materials into various sources, such as essays, poetry, films and so forth. Second, most medical schools had their own unique curriculum adjusted to their academic traditions. Especially, curriculum of UK and Australia were more integrated than those of USA. Finally, it is recommended that standards of medical ethics and professionalism have to be considered in curriculum design. Conclusion: It is suggested that medical humanity and social science curriculum be designed closely connecting with clinical medicine.

• 대한간호학회지
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• 제51권6호
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• pp.678-688
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• 2021

Purpose: The purpose of this study was to identify factors influencing nurses' performance of care in COVID-19 wards. Methods: The participants were 132 nurses who worked in COVID-19 wards at three hospitals, and were recruited from April 1 to May 31, 2021. Data were analyzed using descriptive statistics, t-test, ANOVA, and multiple regression analysis with SPSS/WIN 24.0 program. Results: Nursing performance was significantly and positively correlated with ethical sensitivity (r = .75, p < .001), nursing professionalism (r = .67, p < .001), and social support (r = .67, p < .001). Nursing professionalism was positively correlated with ethical sensitivity (r = .64, p < .001) and social support (r = .55, p < .001). Multiple regression analysis for nursing performance revealed that the most significant factor was ethical sensitivity (β = .47, p < .001). Ethical sensitivity, nursing professionalism, and social support explained 66.0% of total variance in nursing performance. Conclusion: Ethical sensitiviy, nursing professionalism, and social support significantly influence nurses' performace of care in COVID-19 wards. It suggests that intervention programs should be directed at improving nurses' ethical sensitivity, bolstering social support, and enhancing nursing professionalism.

• 보건의료산업학회지
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• 제8권3호
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• pp.63-73
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• 2014

This research seeks opinions and development plan in forceful measures of qualifying examinations analyzing awareness of people in charge of medical tour about the qualifying examination system of international medical tour coordinator. The result of research shows the relatively positive awareness towards the qualifying examination and its system of international medical tour coordinator. Regarding the examination subjects, score about the necessity of subject where medical professionalism is considered marked high(4.01). About whether they would take the test or not, there was careful difference in the awareness of examination system(0.019) and operation method(0.004.). For the qualifying examination to be settled and thus to reinforce the professionalism, it is considered essential to have improvement in the problems of treatment towards acquisitors of certificate and awareness of field regarding the certificate, and review of supplementary subject aimed at the reinforcement of medical professionalism in terms of examination subjects.

• 한국콘텐츠학회논문지
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• 제18권1호
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• pp.164-172
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• 2018

본 연구는 의과대학에서 학습자 주도의 학습경험중심의 전문직업성 프로그램을 개발하여 운영한 후 효과성과 사용성 평가를 통해 대학수준에서 학습경험 중심의 교육과정의 실제적 함의를 밝히고자 한다. 의과대학 1학년 74명의 학생들이 학생경험개발 모형에 기반하여 설계된 PDS1(Patient-Doctor-Society1): 전문직업성, 1주일 블록수업(총 30시간), 1학점 과목에 참여하였다. 학생들은 모두 6가지의 학습주제와 학습자원 및 지원도구를 제공받아 경험의 준비, 조직, 공유, 성찰, 평가로 구성된 학습활동 단계를 수행하였다. 교육의 효과성 평가는 24개 설문항목을 사전-사후 비교하였고, 사용성 평가는 학생대상의 만족도 설문 및 교수자 학생대상의 면담이 시행되었다. 전문직업성에 대한 학습자 자기평가 결과, 리더십과 자기 주도적 학습, 전문성에 대한 태도, 사회적 책무성 모두 학습 이전과 이후의 결과에 유의미한 차이가 확인되었다. 학생을 대상으로 하는 프로그램의 만족도는 항목별 3.58~3.78에 분포하였다. 교수자와 학습자 면담에서는 교육과정설계, 운영, 평가의 전 과정에서 실질적인 사용성을 확인하였다. 연구결과는 학습경험중심의 교육과정설계와 평가의 현장 적용 가능성에 대하여 실증적 타당성을 제시해주었다. 본 연구는 의과대학에서 학습자 주도의 학습경험 방식으로 전문직업성 교육프로그램을 개발하여 운영한 실증적 사례로써 함의가 있다.

• 한국컴퓨터정보학회논문지
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• 제25권10호
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• pp.95-102
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• 2020

본 연구는 간호간병통합병동과 일반병동에 근무하는 간호사의 업무수행능력 차이를 확인하기 위한 서술적 조사연구이다. D광역시의 S병원에 근무하는 간호사 185명을 대상으로 자료를 수집하여 간호전문직관은 윤은자 등(2005)이 개발한 간호전문직관으로, 업무수행능력 정도는 이원희 등(1990)이 개발한 임상수행능력 측정도구를 이용하여 측정하였다. 자료는 SPSS 20.0 프로그램을 이용하여 기술통계, t-test, ANOVA, Duncan test, Pearson's correlation coefficients, multiple regression을 이용하여 분석하였다. 본 연구결과 간호간병통합병동 간호사가 일반병동 간호사보다 간호전문직관이 높게 나타났고, 간호간병통합병동과 일반병동의 간호사 모두 간호전문직관이 업무수행능력 향상에 영향을 미치고 있음을 확인할 수 있었다. 그러므로 향후 간호사의 간호전문직관을 정립하는 방안을 모색하여 간호업무의 수행능력을 향상시키는 방안으로 활용할 수 있을 것이다.

• 한국콘텐츠학회논문지
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• 제13권12호
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• pp.910-920
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• 2013

본 연구는 35개 병원급 이상 의료기관에 종사하는 물리치료사, 방사선사, 임상병리사, 작업치료사 437명을 대상으로 전문직업성이 조직성과에 어떠한 영향을 미치는지 살펴보고자 하였다. 분석결과 첫째, 의료기사 직종 종사자들의 전문직업성은 직업에 대한 가치 구성변수 중 직무수행능력과 직무의미성 보수의 적절성 직무자율성이 성별과 연령대에 따라 유의한 차이가 있었고, 직무에 대한 영향력은 연령에 따라서만 유의한 차이가 있었다. 둘째, 조직성과 측정변수인 직장에 대한 애착에 가장 큰 영향력을 미치는 변수는 직업에 대한 가치 변수중 보수의 적절성이었다. 셋째, 직무특성 중 현 병원 근무년수가 높을수록 직장에 대한 애착이 높다는 것을 알 수 있었다. 넷째, 직종별로 살펴본 결과, 의료기사 직종의 조직성과(직장에 대한 애착)에 영향을 미치는 전문직업성 변수들은 의료기사 직종에 따라 차이가 있었다.

• 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.

• 대한정형도수물리치료학회지
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• 제29권2호
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• pp.11-22
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• 2023

Background: This study examined the relationship between the empowerment, and occupational professionalism of physical therapists, and the factors affecting their job satisfaction. Methods: The subjects of the study were 240 physical therapists who had worked at medical institutions for more than a year. Data were collected from April 1 to 30, 2022. Results: The mean scores for job satisfaction, empowerment, and occupational professionalism were 3.43±.52, 3.60±.60, and 3.74±.40 points, respectively. Empowerment was positively correlated with occupational professionalism (r=.75, p<.001) and job satisfaction (r=.59, p<.001). Also, occupational professionalism was positively correlated with job satisfaction (r=.68, p<.001). The factors influencing job satisfaction were empowerment (β=.17, p<.05) and occupational professionalism (β=.56, p<.001), showing an explanatory power of 48%. Conclusions: The results of this study revealed that the higher the empowerment and occupational professionalism, the higher the job satisfaction of physical therapists. To improve their job satisfaction, it is, therefore, necessary to develop and apply an effective program to improve their empowerment and occupational professionalism level. These research results can be useful as basic data for improving the job environment of these therapists and the policies relating to their work.

• 근관절건강학회지
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• 제4권2호
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• pp.177-196
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• 1997

This study was undertaken to explore the antecedent factors and process of the treatment-seeking behaviors of medical and alternative treatments in patients with arthritis using methodological triangulation. The data were collected from 995 arthritic patients who were registered either in a center of rheumatology for medical treatment or residents of community having no treatment to classify different treatment patterns. Sixteen patients with various types of treatment only, alternative treatment only, and no treatment were selected among the total samples to identify the antecedent factors through in-depth interview. The quantitative data were analyzed by percentile, t-test, chi-square test and discrimant analysis using SAS PC program, while the qualitative data were analyzed by means of grounded theory methodology. Treatment-seeking behaviors of patients change from the early stage to the sick-role stage. At the early stage, initial characteristics of pain and acculturation of medical professionalism affect the choice of treatment patterns. The acculturation of medical professionalism is affected by health care accessibility, level of education, duration of sickness and lay referral system. At the sick-role stage, lay referral system and acculturation of medical professionalism affect the choice of treatment patterns. The acculturation of medical professionalism is affected by characteristics of symtoms, perceived treatment effects, perceived causes of diseases and socio-economic status as well as health care accessibility, level of education and lay referral system. In conclusion, different factors as well as common factors are influencing the treatment-seeking behaviors depending on the disease and treatment stages. More detailed further studies are required to explore the value system or medical acculturation of patients which is one of the most important factors in decision-making about treatment modalities.