• Journal of Society of Preventive Korean Medicine
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• v.25 no.3
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• pp.73-88
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• 2021

Objectives : The purpose of this study is to explore the experiences of traditional korean medical doctors (TKMD) who have treated victims of sexual violence by collecting their qualitative data that cannot be obtained with statistical data. Methods : In-depth interviews were conducted with semi-structured questionnaires for each of 5 TKMDs who had experiences in treating sexual violence victims. For analysis, the interviews were recorded along with their facial expressions and actions during the interview process, and all collected data were analyzed by colaizzi's method. In each process, a 'phenomenological reduction' was applied. Results : The identity of TKMD's experience of treating sexual violence victims was structured into 25 themes, 9 theme clusters, and 4 categories. The 4 categories included 'Professionalism and sense of efficacy', 'Personal life experiences and mental trauma treatment experiences that are mutually influencing each other', 'Factors needed to increase TKMD's participation in treatment of sexual violence victims', 'Deriving the future strategy of traditional korean medicine'. Conclusions : This study derived the essence and meaning of TKMDs' experiences in treating sexual violence victims, and presented future directions of traditional korean medicine in this field. It is expected that the results of this study would be used as the basis for establishing the traditional korean medical support system for sexual violence victims in the context of the korean medical system.

• Korean Medical Education Review
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• v.24 no.3
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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.

• The Korean Society of Law and Medicine
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• v.15 no.2
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• pp.91-122
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• 2014

For a variety of reasons, the number of medical disputes is continuously rising. Due to the intrinsic qualities of medical treatments, one would find it more apt to subject medical disputes to general conflict resolution procedures rather than to once-for-all decisions under legal suits. To address the increasing medical disputes with greater professionalism and efficiency, the Medical Disputes Mediation Act was enacted and a medical dispute mediation system put in place, while drawbacks have been blamed to both. The current mediation procedures require the respondent's agreement as a disclosure requirement. A reasonable improvement to this would be to amend the regulation of agreement supposition, or to enforce procedural participation only to public health facilities managed by the national or regional government. Furthermore, small claims cases of 20 million KRW or less in claim may be considered for conciliation-prepositive principle. The concentration on small claim medical disputes is a phenomenon that can be addressed by carrying out maximum authentication commissions or similar measures, one of the solutions by enhancing the public trust in the Korea Medical Dispute Mediation and Arbitration Agency. The proper management of medical authentication teams is one way to address the existing problems in the authentication system. For this, the number of team members shall be increased under more flexible authentication procedures. All indemnity resources for medical accidents of force majeure must be borne by the Government, for it is the body principally responsible for social compensation. Placing this cost on the establisher of the subject medical facility holds the possibility of violating fundamental rights. While the costs for subrogation payment system for damages may be borne by the healthcare facility establisher, a deposit-based system must be created for cases in which the facility shuts down, without holding the responsibility for accident cause. Such change to a deposit-based system will evade the controversies of unconstitutionality, etc.

• International Journal of Advanced Culture Technology
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• v.6 no.4
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• pp.20-28
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• 2018

Background: As a result of the South Korean government's medical tourism strategies, the number of UAE inbound medical tourists have the highest annual increase rate among the Middle Eastern countries. The need for medical interpreters in such cases is inevitable, especially considering the languages spoken in both countries differs. The work of a medical interpreter affects patient satisfaction, quality of care, and the UAE patients' revisit intention. However, there is a lack of literature that focuses on the role of medical interpreters for the Arabic-speaking medical tourists in South Korea. The purpose of this study is to assess the satisfaction and the experience of UAE medical tourists in South Korea who have used medical interpretation services. Method: A descriptive exploratory design, including semi-structured interviews, was used in this study to examine factors influencing the satisfaction of UAE patients seeking medical attention in South Korea, who considered travelling exclusively for medical purposes. Eleven UAE medical tourists were selected for the interview using convenience sampling. Results: Two types of interpreters were revealed by the analysis: interpreters with Arabic as their mother tongue and interpreters with Korean as their mother tongue. Patients emphasized the origin of the interpreters and differentiated between the two types of interpreters' professionalism, abilities, and personal skills. However, due to the huge gap between the two cultures, languages, and religions, the UAE patients mainly preferred the Arabic medical interpreters. Further, each type had certain traits that impacted the medical care process and patients' satisfaction. Conclusion: This study shows that the South Korean government needs to focus on the training and assessment system for Arabic language interpreters. Additionally, cultural differences training for the interpreters may help to increase UEA patients' satisfaction.

• Korean Medical Education Review
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• v.15 no.1
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• pp.25-30
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• 2013

Assessment plays a vital role in outcome-based education (OBE). This article describes the characteristics of assessment and appropriate assessment instruments for measuring learning outcomes in OBE. Assessment in OBE needs to be formative, continuous, and frequent. Miller's pyramid is useful for selecting the appropriate assessment instruments to reflect a specific outcome; different methods can be applied to evaluate one outcome. Outcomes and competency mean that student must 'do'; therefore, performance tests are emphasized. Qualitative methods as well as quantitative methods are used to evaluate the outcomes of areas such as professionalism or ethics. An absolute criterion-based standard is usually applied to decide whether students pass or fail, but the decision should be based on gathering value judgments and reaching consensus. Active participation of faculty members and students in assessment is crucial.

• Korean Medical Education Review
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• v.17 no.1
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• pp.39-48
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• 2015

The purpose of this study was to propose a theoretical model for an integrated medical humanities curriculum based on a STEAM (science, technology, engineering, arts, and mathematics) education framework and to provide a guideline for curriculum integration. Three dimensions of integrated curriculum development are competencies, core contents, and elements of integration. Competencies imply the purpose of the medical humanities of a medical school and the exit outcomes of the curriculum. Core contents imply the goals and objectives of the curriculum. We compared the goals and themes of the medical humanities with core attributes of professionalism. Four elements of integration were proposed: units (cases, problem activities, core contents, disciplines/subjects), types (multidisciplinary, interdisciplinary, transdisciplinary), contexts of integration (life cycle of patients, scope of society), and stages of student development (from student to doctor). It is expected that this theoretical model for an integrated medical humanities curriculum can be used as a guideline for curriculum development and an evaluation criterion for instructional designers and subject matter experts.

• Korean Medical Education Review
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• v.21 no.1
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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.

• Korean Medical Education Review
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• v.24 no.1
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• pp.46-55
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• 2022

This study aimed to analyze the subjects, situations, and reflection levels related to role modeling experienced by medical students during their clinical clerkship and their own reflections. This study intends to suggest ways of improving how residents and clinical faculty should treat and teach medical students. Written interviews were conducted regarding senior medical students' role modeling experiences during their clinical clerkships in 2018 and 2019. Content analysis was conducted for a total of 224 cases from 196 students. Content analysis revealed three types of role modeling content: subjects (faculty, residents, nurses, peer students), situations (clinical competence, personal qualities, teaching skills), and the level of reflection (critical reflection, reflection, thoughtful action, and habitual action) in each case. As role model subjects, faculty were found to be the paramount role model (n=142, 62.83%). Role modeling was the most frequently performed for clinical competence (n=103, 45.98%). Clinical competence was frequently shown in communication and empathic listening during rounds and outpatient relationships between the patient and doctor. Regarding the level of reflection for role modeling, the number of critical reflections was 86 (38.39%) and that of reflections was 80 (35.71%). In particular, negative role modeling showed a high level of critical reflection in relation to faculty (64.44%) and nurses (8.89%). In conclusion, role modeling of medical students participating in clinical clerkships occurs in situations that the role models are not aware of, with positive or negative effects on the formation of professional identity among medical students.

• Journal of Korean Medical classics
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• v.30 no.4
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• pp.123-153
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• 2017

Objective : This paper attempts to analyze the curriculum of the modern Korean Medicine's higher education institutions and study their significance. Rather than conducting an in-depth pedagogical research, the paper attempts to summarize and provide a simple analysis on the subject matter due to the lack of the historical evidence of modern Korean Medicine. Method : General theses and academic papers along with daily publications before the Japanese colonial era, materials owned by Kyunghee University Korean Medicine History Museum, and history databases owned by the National Institute of Korean History and Kyujanggak were investigated Result : Upon studying the curriculum of Korean Medicine's higher education institutions, it could be concluded that the efforts to maintain the independence and professionalism of Korean Medicine in its relationship with the Western Medicine. It could also be discovered that the curriculum was improved through policy measures in order to raise the status of the practitioners and expand the scope of their practices. These higher education institutions has been continuously working to develop the Korean Medicine and raise the quality of curriculum, and their efforts were vital in the establishment of the Korean Medicine Doctor system. Conclusion : Systematic academic researches should be done on the curriculum of Korean Medicine's high education institutions in order to fulfill the objective of normalizing the Korean Medicine education and contributing to the growth of Korean Medicine.

• The Journal of the Korea Contents Association
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• v.12 no.4
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• pp.373-379
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• 2012

This study surveyed the image of hospital emergency medical technicians with 122 emergency medical service providers (doctors and nurses) working at tertiary medical institutions in Daejeon and Chungcheongnam.do in order to provide basic materials for enhancing the status and professional image of hospital emergency medical technicians. According to the results of this study, the overall image was $3.27{\pm}0.34$, and by its sub.area, professional image was highest and role image was lowest. By item, 'Maintain a friendly relations with doctors' was highest, and 'Arrogant and negligent in job performance' was lowest. In order to enhance their image, hospital emergency medical technicians need to assume a sincere attitude toward patients and colleagues consistently, to strengthen their professionalism, and to carry out their duties and roles faithfully. What is more, the association should take proper measures and to establish the sound image of emergency medical technician as a professional through active campaigns and monitoring using mass media.