• Title/Summary/Keyword: Clinical Learning Environment

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Adaptive Recommendation System for Health Screening based on Machine Learning

  • Kim, Namyun;Kim, Sung-Dong
    • International journal of advanced smart convergence
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    • v.9 no.2
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    • pp.1-7
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    • 2020
  • As the demand for health screening increases, there is a need for efficient design of screening items. We build machine learning models for health screening and recommend screening items to provide personalized health care service. When offline, a synthetic data set is generated based on guidelines and clinical results from institutions, and a machine learning model for each screening item is generated. When online, the recommendation server provides a recommendation list of screening items in real time using the customer's health condition and machine learning models. As a result of the performance analysis, the accuracy of the learning model was close to 100%, and server response time was less than 1 second to serve 1,000 users simultaneously. This paper provides an adaptive and automatic recommendation in response to changes in the new screening environment.

Specification and Application of Learning Outcomes in Basic Medical Education (기본의학교육 학습성과 개발과 활용)

  • Rhee, Byoung Doo
    • Korean Medical Education Review
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    • v.18 no.3
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    • pp.119-124
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    • 2016
  • The Korea Association of Medical Colleges (KAMC) has been developing learning outcomes for basic medical education (BME) since 2012. This initiative is designed to help medical schools implement competency-based medical education. KAMC divided the BME competencies into three domains (clinical practice, scientific concepts and principles, and human beings and society) with learning outcomes for each domain. KAMC plans to revise the learning outcomes to reflect feedback from medical schools, changes in social health needs, and changes in the healthcare environment and healthcare system in the near future. KAMC also plans to specify learning outcomes that integrate the three domains.

The Effectiveness of Standardized Patient Managed Instruction for a Fundamental Nursing Course (기본간호학 실습교육에 있어 표준화 환자를 이용한 학습방법의 효과)

  • Yoo, Moon-Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.7 no.1
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    • pp.94-112
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    • 2001
  • The main purpose of this study was to investigate the effectiveness of a standardized patients managed instruction program for a fundamentals of nursing. The standardized patients managed instruction was evaluated by using a quasi-experimental, nonequivalent control group posttest design with two separate classes of sophomore students attending fundamentals of nursing classes at one baccaleureate nursing school in Korea. Control group was taught by traditional lecture/model instruction and experimental group was taught by standardized patient managed instruction. Data were collected from December, 1999 to July, 2000 using checklist developed by researcher on following areas; clinical nursing performance, communication skills, and learning motivation. There were 36 students in the experimental group and 40 students in the control group. Data analysis was done using SPSS WINDOW. The results were summarized as follows ; 1. Clinical nursing performances were evaluated by change position, back care and hot bag apply. The total score was statistically significant higher in the experimental group than the control group(t=3.325, p=.000). Thus hypothesis 1 was supported. 2. Communication skill was evaluated by professional attitude and ability to explain to patients. There was a statistically significant difference between the experimental group and the control group (t=4.232, p=.000). Thus hypothesis 2 was supported. 3. Learning motivation was evaluated by self-reported questionnaires. There was statistically a significant difference between the experimental group and the control group(t=3.024, p=.004). Thus hypothesis 3 was supported. In conclusion, this study suggests that standardized patients managed instruction is an effective learning method to nursing students. By utilizing a standardized patient managed instruction, learning can proceed in a more relaxed environment and reduce the risks to patients because student inexperience are avoided. It is recommended to develop more standardized patients cases for wider areas of nursing educational and evaluate the program with more students using logitudinal method.

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The Educational Effects of the Experience of Nursing Students' Patients Role in the Simulation Practice Education for the Women's Health Nursing (여성건강간호학의 시뮬레이션 실습교육에서 간호대학생의 환자역할경험의 교육적 효과)

  • Lee, Bo Gyeong;Kim, Sun-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.25 no.4
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    • pp.436-447
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    • 2019
  • Purpose: The purpose of this study is to identify the educational effect among nursing students who performed the patient role in women's health nursing simulations. Methods: In this exploratory qualitative study, a sample of 31 third- and fourth-grade nursing students who participated in scenario-based patient roles in clinical performance examination of the women's health nursing simulation practice training. Data were collected through focus group interviews. Qualitative data were analyzed using qualitative content analysis. Results: Three themes emerged from the data analysis. Participants experienced an enhancement of patient-centered nursing competence, deep learning immersion and display of self-regulated learning. The difficulty of performing the patient role contributed additional effects such as the difficulty to perform the patient role in the psychological training environment. Conclusion: It is recommended to utilize nursing students as patients in simulation practice training. On the other hand, the psychological training environment can cause difficulties in performing patient roles, a burden on the role of the patient, and involves the interruption of the role.

Development of Open Clinical Training Program to Improve Radiology-Major Students' Clinical Competency (방사선(학)과 재학생의 임상적응 향상을 위한 개방형 임상실습 프로그램의 제안)

  • Kim, Seon-Chil
    • Journal of radiological science and technology
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    • v.33 no.3
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    • pp.193-201
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    • 2010
  • This study aimed to develop an open clinical training program to improve radiology graduates' clinical competency in the hospital setting to raise quality of patient-centered medical service. Development of the training program is similar to that of an instructional system design model. The program was developed according to the ADDIE model. Elements of each phase were collected. Draft of the program was constructed from literature review and clinical demands. Preliminary training program was implemented to sample students with the draft. After consultation with related professionals, the program was modified and completed. Professional groups assessed content validity of the program. Five continuous phases of the program - analysis, design, development, implementation, and evaluation - accommodate changes in clinical environment and demands. They also provide adequate learning needs. Effectiveness of the program and appropriateness of contents in each phase achieved a satisfactory level of significance. This program reflected demands from medical fields and effective learning programs. The purpose of the open clinical training program is to train radiological technologists in clinical setting to actively engage in patient-centered medical service and to help utilize their professional knowledge.

The Study about Nursing Students' Experience on Emergency Room Environment Observation (간호 대학생의 응급실 관찰 경험)

  • Kim, Hae-Ok;Seo, Bong-Hwa;Nam, Mun-Hee;Park, Euna
    • Journal of Digital Convergence
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    • v.11 no.12
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    • pp.589-598
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    • 2013
  • The research about nursing students' experience on the clinical environment observation is essential to developed effective strategy for clinical education and to improve quality for clinical practice of nursing education. This study is aimed to above goal by the report about nursing students' experience on emergency room environmental observation. The number of participants is 30 nursing students who are senior in the practicing at emergence room. Data analysis was centered on scrutinizing the contents of the participants' replies in order to deduce any relevant meaning. Also, data were analyzed by the meaning of learning based on self-examination through the practical learning. The positive and negative topics stated. Nursing students' experience on emergency room observation will supply the thinking about their own self-portrait in near future, and will give self reflection about correct nursing interventions to nursing students.

Deep Learning Algorithm and Prediction Model Associated with Data Transmission of User-Participating Wearable Devices (사용자 참여형 웨어러블 디바이스 데이터 전송 연계 및 딥러닝 대사증후군 예측 모델)

  • Lee, Hyunsik;Lee, Woongjae;Jeong, Taikyeong
    • Journal of Korea Society of Industrial Information Systems
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    • v.25 no.6
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    • pp.33-45
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    • 2020
  • This paper aims to look at the perspective that the latest cutting-edge technologies are predicting individual diseases in the actual medical environment in a situation where various types of wearable devices are rapidly increasing and used in the healthcare domain. Through the process of collecting, processing, and transmitting data by merging clinical data, genetic data, and life log data through a user-participating wearable device, it presents the process of connecting the learning model and the feedback model in the environment of the Deep Neural Network. In the case of the actual field that has undergone clinical trial procedures of medical IT occurring in such a high-tech medical field, the effect of a specific gene caused by metabolic syndrome on the disease is measured, and clinical information and life log data are merged to process different heterogeneous data. That is, it proves the objective suitability and certainty of the deep neural network of heterogeneous data, and through this, the performance evaluation according to the noise in the actual deep learning environment is performed. In the case of the automatic encoder, we proved that the accuracy and predicted value varying per 1,000 EPOCH are linearly changed several times with the increasing value of the variable.

Curriculum and Standardization of Preventive Medicine Education in Traditional Korean Medicine (한의과대학의 예방(사회)의학 관련 교과목의 교육과정 및 표준화방안)

  • Ko, Seong-Gyu;Shin, Yong-Cheol
    • Journal of Society of Preventive Korean Medicine
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    • v.12 no.2
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    • pp.73-83
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    • 2008
  • The rapid change of the health and medical environment and the globalization of medicine has driven doctors to converge and analyse of new and up-to-date medical information and decide to what to make decision for diagnosis and treatments in clinical practice. Medical environment goes with the changes with social environment such as rapid increase of aging population, changes of disease pattern, formation of new area of experts except doctors, government intervention for the medical system, medical insurance of the charges of medical treatment, a increased desire for human rights. These trends should be adopted rapidly to the education system for the students of medical school. The learning objectives of the preventive medicine was developed in 1995 and underwent necessary revision of the contents to create the first revision in 2006. However, the required educational contents of health promotion and disease prevention have been changed by the new trends of medical education such as PBL and integrated curriculum and the 2006 revision does not satisfy these needs. We formed a task force which surveyed all the Western and Traditional Korean medical colleges to describe the state of preventive medicine education in Korea, analyzed the changing education demand according to the change of health environment and quantitatively measured the validity and usefulness of each learning objective in the previous curriculum. With these results, for the good education for preventive medicine, each Traditional Korean medicine schools need more preventive medicine faculties and teaching assistants and opening of some required subjects such as Yangsaeng and Qigong. And future studies of the learning process and ongoing development of teaching materials according to the new learning objectives should be undertaken with persistence in order to ensure the progress of preventive medicine education.

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The Future Roles of Korean Doctors: Cultivating Well-Rounded Doctors (한국의 의사상: 좋은 의사양성)

  • Ahn, Ducksun
    • Korean Medical Education Review
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    • v.16 no.3
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    • pp.119-125
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    • 2014
  • Much of the behavior of doctors reflects the influences from the social, cultural, historical, and economic environment of the time. Therefore, it is very important for future doctors to understand the practice environment in an ever changing world. Traditionally, doctors' competence has been based on the doctor-patient relationship. However, the social practice of medicine in the contemporary era asks future doctors to have social competencies, which often are defined as non-clinical competencies. As a global project, the World Federation for Medical Education has urged every country to define the future role of doctors to encompass global roles based on the duty toward and value of clinical as well as non-clinical competencies. In the past four years, Korean medical professional societies have coordinated to set forth the global role of Korean doctors. Five domains of clinical competence, professionalism, social accountability, communication and collaboration, and education and research have been chosen. The current version of the "global role of Korean doctors" can be used not only for the common objectives of medical education, but also for translating into the competencies of doctors that can be achieved through life-long learning. If we all want to improve medical education in order to produce more qualified and competent doctors as the public desires, then it may be the most urgent task to produce doctors who are equipped with social competencies to persuade, negotiate, and engage in constructive dialogues with society for better health care for a better society.

A qualitative study on dental clinical assistance work performed in dental clinics - Focusing on nursing assistant - (치과진료실에서 수행되는 치과진료 협조업무에 대한 질적연구 - 간호조무사를 중심으로 -)

  • Sun-Hwa Hong;Sang-Eun Moon;Ga-Hye Seo
    • Journal of Korean society of Dental Hygiene
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    • v.22 no.6
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    • pp.563-572
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    • 2022
  • Objectives: The purpose of this study is to provide basic data for elucidating the clinical experiences of nursing assistants working at dental clinics and for establishing the bases necessary for building a safe working environment for the staff at dental clinics. Methods: From March 28 to August 20, 2022, the study conducted in-depth interviews with nursing assistants working with dental hygienists in dental clinics. The collected data were analyzed using the phenomenological method. Results: The study analyzed the meanings associated with the dental clinical assistance work experiences of nursing assistants in dental clinics. A total of 98 semantic words and 9 sub-categories were extracted, which were ultimately categorized into 4 central meanings: 'imperfect reality', 'work without boundaries', 'putting oneself in someone else's shoes', and 'symbiosis'. Conclusions: The nursing assistants were exposed to an environment where they needed to perform delegated treatment procedures even when they lacked dental work competency. They recognized their gaps in learning and the necessity for designated roles as clinical assistants. Thus, it is necessary to review the allocation and expansion of the work roles of dental practitioners based on the practical and rational realities in dental practice.