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Assessment of Acupuncture and Moxibustion Medicine Clinical Practice Using the Objective Structured Clinical Examination

  • Cho, Eunbyul;Lee, Ju-Hyun;Kwon, O Sang;Hong, Jiseong;Cho, Nam Geun
    • Journal of Acupuncture Research
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    • v.38 no.3
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    • pp.219-226
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    • 2021
  • Background: The objective structured clinical examination (OSCE) is a widely used method to assess the clinical performance of students in clinical practice. Although OSCE has been used for undergraduate students of Korean medicine, this has not been widely reported. Methods: In 2020, the practical course for acupuncture and moxibustion medicine (acupuncture, electroacupuncture, pharmacopuncture, auricular acupuncture, and burning acupuncture) was taught using flipped learning, according to clinical practice guidelines, and assessed by the OSCE. The appropriateness of this model of education and its evaluation using OSCE were evaluated using a 5-point Likert scale, and the results were analyzed. Results: Of the respondents, 67% reported that the OSCE accurately reflected their competency, and 82% reported that online video lectures helped them to improve their clinical skills. The average adequacy score of the model was > 3.7/5, and the average adequacy score of the checklist used in the OSCE was > 4.1/5 for all 5 clinical application skills. The difference in the mean self-efficacy score between students who had taken the OSCE and those students who had not taken the OSCE, was highest in the burning acupuncture group (0.923). Conclusion: This study showed that students' satisfaction with the OSCE was high and flipped learning was an effective education model. In the future, models representing the human body or simulated patients should be used to evaluate students' skills and attitude.

A Study on the Perception of International Healthcare Development Cooperation of Korean Medicine Students for Competency-based Clinical Herbology Education (역량 중심 임상 본초학 교육을 위한 한의과대학생의 보건의료분야 국제개발협력 인식도 조사)

  • Kim, Hyun-Seok;Yang, Un-ho;Na, Chang-su
    • The Korea Journal of Herbology
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    • v.33 no.5
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    • pp.39-46
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    • 2018
  • Objectives : This study was aimed to assess the current educational environment of herbology and the possibility of collaborative learning of herbology with another discipline. This study will present information that can be used to find the direction of further researches and can be applied to the education of herbology. Methods : An online questionnaire was developed with and sent through SurveyMonkey to 242 korean medicine college students in Korea. The questionnaire comprised questions pertaining to herbology education in Korean Medicine universities and international healthcare cooperation education. The validity and reliability of the questionnaire were evaluated, and Spearman's correlation coefficients for two types of questions were evaluated. Results : Among the questions about herbology education, those regarding the necessity of learning clinical cases using herbal medicines for preventing infectious diseases were scored the highest. Students were mostly interested in the effects and indications of herbal drugs. Even students answered they did not learn about official development assistance, 79.85% students answered that they were interested in careers related with the international cooperation or willing to participate in the international cooperation. Three types of correlations showed a statistically significant correlation. Conclusions : This study suggests that herbology education about its effects and indications needs further improvement for competency-based education. Furthermore, herbology can play a critical role in competency-based education for Korean medicine students if a well-designed career program is developed for them.

Academic Stress and Its Influencing Factors among Medical and Non-Medical Students (의대생과 비의대생의 학업 스트레스와 영향요인에 관한 연구)

  • Seong, Anna;Heo, Suyeon;Yoon, Jeonggyo;Lee, Ji Yeon;Choi, Min Gi;Jeon, Jong ha;Kim, Jae Hoon;Park, Kwi Hwa;Im, Jeong-Soo;Ko, Kwang-Pil;Jung, Jaehun;Choi, Yoon-Hyeong
    • Korean Medical Education Review
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    • v.23 no.2
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    • pp.128-138
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    • 2021
  • This study examined the relationships among personality traits, coping efficacy, and academic stress in medical and non-medical students in South Korea, and investigated the mediating effect of coping efficacy in the relationship between personality traits and academic stress. The study group comprised 210 medical students and 175 non-medical students. They were asked to rate their personality traits, coping efficacy, and academic stress. The data were analyzed using IBM SPSS ver. 26.0 (IBM Corp., Armonk, NY, USA) and AMOS ver. 26.0 (IBM Corp.). Medical students scored higher for examination stress and lower for extroversion than non-medical students. In both groups, extroversion and conscientiousness positively affected coping efficacy, while neuroticism influenced it negatively. Neuroticism directly influenced all types of academic stress in both groups, while extroversion and conscientiousness only had direct effects on examination stress among medical students. Coping efficacy mediated the associations between personality traits and academic stress, except for the relationship between neuroticism and grade stress among medical students. The study indicates that coping efficacy had a significant effect on relieving academic stress among students with higher scores for extroversion and conscientiousness. Efforts should be made to decrease neuroticism to lower academic stress, as the relationship between neuroticism and academic stress is not directly influenced by coping efficacy. The implications of these results are discussed regarding a consultation system for students, especially those in medical school.

Factors Associated with Perceived Peer Smoking Prevalence among Adolescents (청소년들의 또래 흡연율 추정에 대한 관련 요인)

  • Park, Soon-Woo;Kim, Jong-Yeon;Park, Jung-Han;Lee, Sang-Won
    • Journal of Preventive Medicine and Public Health
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    • v.39 no.3
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    • pp.249-254
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    • 2006
  • Objectives: This study was conducted to examine the factors related to the perceived peer smoking prevalence for adolescents. Methods: A self-administrated questionnaire was administered to 352 students in a technical high school in Kangwon Province in May, 2002. The questions included in the questionnaire were concerned with the estimated number of smokers among ten students of the same grade in their school, the sociodemographic characteristics, the smoking-related behaviors and attitudes, and the smoking-related environments. All the students had their expiratory carbon monoxide level measured with EC50 Micro-Smokerlyzer? to verify their smoking status. Multiple regression analysis was applied for data analysis using Windows SPSS 11.5. Results: The former and current smokers overestimated the peer smoking prevalence. Multiple regression analysis for estimating the peer smoking prevalence for the male showed that the perceived smoking prevalence was higher in the female students than in the male students, higher in those students whose mothers had a higher educational level, who had smoked more frequently, who had more best friends smoking, and who had a higher actual smoking rate of the class. For estimating the peer smoking prevalence for the female, the perceived smoking prevalence was higher in the female students than in the male students, higher in those who smoked more frequently, whose five best friends smoked, who had higher actual smoking rate of the class, and who had smoking siblings. Conclusions: This study showed that a higher perceived peer smoking rate is related with their own smoking history and smoking frequency, the smoking related environment, and gender. Smoking prevention and smoking cessation programs need to focus on correcting the falsely perceived smoking prevalence.

Related Factors for the Initiation of Smoking in High School Students Based on the Transtheoretical Model (범이론적 모형에 근거한 고등학생의 흡연시작 관련요인)

  • Hong, Jee-Young;Na, Baeg-Ju;Kim, Keon-Yeop;Lee, Moo-Sik
    • Journal of Preventive Medicine and Public Health
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    • v.39 no.1
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    • pp.67-73
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    • 2006
  • Objective: This study was conducted to investigate the relationship between the intention of smoking and its related factors in high school students. Methods: Our study subjects were 1,203 high school students who resided in one city and in one county region. We conducted a self-administered questionnaire survey from June 7 to June 19, 2004. Both the decisional balance and temptation inventory showed high reliability estimates. We provided good fit for the 12-item decisional balance inventory and the 10-item temptation inventory by using a confirmatory factor analysis. We also used multiple logistic regression analysis to identify the major contributing factors for the intention to start smoking. Results: On the univariate analysis, the subjects who were female, the 2nd and 3rd grade students, the students in vocational high school, the ex-drinkers or current drinkers, and ex-smokers were found to be significantly more distributed in the groups with intention to start smoking. Except for the concept of the cons, the group with intention to start smoking showed significantly higher standardized T scores for the 7 concepts of decisional balance and temptations. On the multiple logistic regression analysis, the females, the 2nd and 3rd grade students, the students in vocational high school, the experience of cigarette smoking and low T score of the cons were significantly related to the intention to start smoking. Conclusions: The intention to start smoking in high school students was affected by various factors such as gender, the school grade and the experience of smoking. Therefore, further research should be conducted for providing the essential data for developing a brief instrument for selecting the groups with intention of starting smoking among adolescents.

A Survey on Students' Satisfaction of Korean Medicine Doctor's Student Health and Wellness Program (한의 교의 사업에 대한 학생 만족도 연구)

  • Park, Jeong-Su;Shin, Seon Mi;Go, Ho-Yeon;Ko, Jae-Un;Sung, Hyun Kyung
    • The Journal of Pediatrics of Korean Medicine
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    • v.32 no.1
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    • pp.75-82
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    • 2018
  • Objectives It is important to maintain health for students. The School Health Law is enacted in Korea to carry out the school health project like Korean Medicine Doctor's student Health and Wellness program. The purpose of this study was to examine the student's satisfaction of the program. Methods The school project was conducted in 19 schools in Seongnam city from May 2016 to December 2016. This school program was consisted of health counseling, necessary treatment, health related lectures, and vocational education about Korean medicine. A satisfaction questionnaire was conducted to gather information about overall satisfaction of the program and the program details such as health counseling, treatment, and health lectures. Results A total of 1,713 students and faculty members participated and 164 of those students completed the satisfaction survey. The overall mean score for the teaching activities was $8.54{\pm}1.76$, satisfaction of health counseling was $8.57{\pm}1.74$, treatment satisfaction was $8.39{\pm}1.83$, satisfaction with the health lectures was $8.23{\pm}1.96$ (range 3~10), and the need for continuity of the program was $8.43{\pm}1.91$ (range 1~10). One of the main benefit from the program was that students were able to get necessary treatment as soon as possible (51.2%). Conclusions We found that Korean medicine is suitable for the program. However, the large-scale prospective study will be needed for validation of the findings.

A Cross-Sectional Study of Dietary Habits and Eating Behavior amongst Elementary, Middle and High School Students in Wonju City (강원도 원주지역 초,중,고등학생의 식습관 및 섭식행동에 관한 단면연구)

  • Hur, Hae-Kung;Park, So-Mi;Kim, Gi-Yon;Kim, Chun-Bae;Ahn, Joung-Sook;Song, Hee-Young;Kim, Ki-Kyong
    • Korean Journal of Health Education and Promotion
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    • v.20 no.1
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    • pp.159-172
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    • 2003
  • Purpose : The purpose of this study was to investigated the dietary habits of students in order to identify risk groups according to their Body Mass Index (BMI), and to compare the eating behavior of students in the normal range (19${\le}$24) and those in risk groups (BMI${\le}$19, 24${\le}$27, BMI>27). Method : 1176 elementary school students, 850 middle school students and 672 high school students in Wonju City, were the participants The instrument for this study was a structured questionnaire that included demographic data as well as dietary habits, and the eating behavior instrument developed by Stunkard & Messick(1985) and revised by Kim & Kim (1997). Result : 1) As students moved up ingrade level their dietary habits became more irregular and the degree that students chewed food was reduced 2) As students moved up in grade level, a greater number of the student did not eat breakfast. The reasons given were that there were not enough time before classes started(40.4%) and a lack of appetite in the morning(10.6%) in high school students. 3) As for supper, from 67.8 to 81.9% of subjects reported having regular supper. However the rest of the subjects did not eat supper because of anorexia and fear of weight gain. 4) The results identified risk groups according to their BMI showed that for elementary school students, 55.9% were in the low weight group, 5.5% in the overweight group, and 0.9% in the obese group. For middle and high school students, 40.6% and 35.5% respectively were in the low weight group, 7.4% and 6.3% in the overweight group, and 4.1% and 2.5% the obese group. 5) Comparisons of the eating behavior of students in the normal weight group with that of those in the three risk groups showed that there significant differences in 'hunger' and cognitive restraint of eating' in elementary school students, and significant differences in 'cognitive restraint of eating' in middle and high school students. Conclusion : The results of this study show that management of diet in school health should be addressed from both the aspect of lack of nutrition and that of excess nutrition. In other words, good diet is as important for students in the low weight group as it is for those in the overweight and obese groups. The establishment of good dietary habits and eating behavior in students, by nurses and dieticians should be done by providing repeated diet education and involvement in diet counseling.

Application of 3-Dimensional MOIRE Topography to the School Screening Program for Adolescent Scoliosis (모아레 체형측정법이 청소년기 척추측만증의 조기집단검진 활용 가능성에 대한 평가)

  • Han, Myeng-Gum;Shin, Byung-Cheul
    • The Journal of Korea CHUNA Manual Medicine
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    • v.4 no.1
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    • pp.1-16
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    • 2003
  • Objectives : The purpose of this study is researching for possibility that Moire topography be applied in group school screening for scoliosis known school health problem, and find acceptable method of early detection and early treatment for scoliosis Methods : The authors practiced Moire topography for primary & middle school 1,895 students[male 976, female 919] in Jeonju, korea in 2001. After we distinguished students who had abnormal finding in Moire topography and then re-examined spinal X-ray analysis. The data was analysed and evaluated statistically Results : According to this research, the abnormal finding in Moire topography was 53.7% (1,018 students), and students needed X-ray re-examination were 11.2% (213 students). Students diagnosed scoliosis by X-ray re-examination were 1.8%. According to statistical analysis, interval between vertical base line of pelvis and vertical base line of neck, gap between left distance and right distance to the vertical base line of pelvis and difference of contour lines have strong correlations with deformity degree of the body surface examined by Moire. Conclusions : Following this research, throughout early detection for scoliosis by Moire topography could reduce exposure from scoliosis radiographs, and could detect trunk asymmetry that couldn't be found existing X-ray examination, so it made selecting students under observation who have bad posture possible.

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Attitude and Recognition of Medical School Students on Korean Traditional Medicine Diagnosis and Treatment (의대생들의 한의학 진단 및 치료에 대한 인식 조사)

  • Huh, Nam-Woo;Jeong, Seung-A;Kim, Sun-Jae;Mok, Na-Rae;Park, Hae-Won;Shin, Hyeun-Kyoo
    • Journal of Society of Preventive Korean Medicine
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    • v.17 no.1
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    • pp.107-116
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    • 2013
  • Objectives : This study was aimed to facilitate mutual comprehension between Western and Traditional Korean Medicine (TKM) by analyzing recognition of medical school students on traditional medical prescription and treatment such as herbal medicines and acupuncture. Methods : We conducted a survey targeting medical school students of four medical schools from April through May 2009, and analyzed 208 cases responded. Results : Survey results revealed that medical school students took knowledge of traditional medicine from TV programs and on the Web in general. They thought they had considerable traditional medical knowledge but did not almost understand for professional contents. Regardless of some positive recognition for traditional herbal medicine, negative perspectives were more common and its safety and efficacy on the drug reference were considered as a major reason. On the other hand, recognition on acupuncture was comparatively positive. Scientific data for both herbal medicine and acupuncture are lacking in reality but the attitude only for acupuncture was different. Of the survey respondents, 57.8% had negative attitude against diagnostic methods of TKM and 59.1% opposed to the usage of modern medical equipments by TKM doctors. With regard to the future position of TKM, they tacitly approved that TKM would be absorbed into the complementary and alternative medicine (CAM) and importance of TKM objectification, followed by Government's support. Conclusions : Medical school students neither affirm nor deny TKM as a whole but the state of awareness for each item was similar to the physician. In terms of TKM its internal and external innovation would be required to continuously establish objectification of TKM prescription and scientific research on treatment technology.

The effect of a healthy school tuck shop program on the access of students to healthy foods

  • Kim, Ki-Rang;Hong, Seo-Ah;Yun, Sung-Ha;Ryou, Hyun-Joo;Lee, Sang-Sun;Kim, Mi-Kyung
    • Nutrition Research and Practice
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    • v.6 no.2
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    • pp.138-145
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    • 2012
  • The objective of this study was to evaluate the effect of a healthy school tuck shop program, developed as a way of creating a healthy and nutritional school environment, on students' access to healthy foods. Five middle schools and four high schools (775 students) participated in the healthy school tuck shop program, and nine schools (1,282 students) were selected as the control group. The intervention program included restriction of unhealthy foods sold in tuck shops, provision of various fruits, and indirect nutritional education with promotion of healthy food products. The program evaluation involved the examination of students' purchase and intake patterns of healthy foods, satisfaction with the available foodstuffs, and utilization of and satisfaction with nutritional educational resources. Our results indicated that among of the students who utilized the tuck shop, about 40% purchased fruit products, showing that availability of healthy foods in the tuck shop increased the accessibility of healthy foods for students. Overall food purchase and intake patterns did not significantly change during the intervention period. However, students from the intervention schools reported higher satisfaction with the healthy food products sold in the tuck shop than did those from the control schools (all $P$ < 0.001), and they were highly satisfied with the educational resources provided to them. In conclusion, the healthy school tuck shop program had a positive effect on the accessibility of healthy food. The findings suggest that a healthy school tuck shop may be an effective environmental strategy for promoting students' access to healthy foods.