• 의학교육논단
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• 제11권1호
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• pp.11-20
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• 2009

The purpose of this study was to introduce the concepts of experiential learning and the Kolb's model, and to review some applications of experiential learning theory in graduate medical education. The published literature on GME and education for general practitioners applying the experiential theory and the Kolb's model was reviewed. Experience learning defined the cyclical learning process which emphasizes the learners' reflective thinking of the learners' concrete experiences and their active participation in continuous learning actives. Kolb includes this 'cycle of learning' as a central principle in his experiential learning theory. This is typically expressed as a four-stage cycle of learning. Kolb's cycle moves through concrete experience(CE), reflective observation(RO), abstract conceptualization(AC) and active experimentation(AE). Components of continuing education of the adult learner were based on autonomy, context of learning, and competence and performance as educational objectives. Some strategies for graduate medical education were reflective thinking, self-directed learning, morning reporting and feedback with peer review, etc. Opportunities for learning from experience in practical life can be made to enhance reflective thinking and performance of practitioners. Strategies to develop reflective practice among physicians should be explored by further research.

• 대한치과교정학회지
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• 제44권1호
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• pp.5-12
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• 2014

The committee of admitted doctors developed a questionnaire regarding medical dispute and distributed it to 1,600 members of Korean Academy of Orthodontics. The questionnaire consisted of three categories and 56 items covering basic information about the doctors and patients who had experienced medical disputes, the cause and workaround of medical accidents, and methods for taking precautions. The present survey showed a similar proportion of responders who had experienced a medical accident compared to the study in 1997. The primary reason for medical disputes was dissatisfaction with appearance. Many doctors felt that they would likely experience a medical dispute at some point. Most disputes were settled by doctors themselves, usually for an amount of less than 5 million Korean won. For some doctors, medical accidents lead to ongoing psychological problems. Responders felt that continuing education for medical dispute is very necessary. These results reveal a need for the association of orthodontists to lead advancements in education and countermeasures for preventing and managing medical accidents and disputes.

• 한국화재소방학회논문지
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• 제17권1호
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• pp.46-61
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• 2003

응급구조사는 매년 그들이 가지고 있는 지식과 기술을 유지하고 신장시키기 위해 일정시간 보수교육을 받도록 되어 있다. 보수교육과정은 급변하는 의료환경에 대응할 수 있도록 편성ㆍ운영되어야 한다. 그러나 우리나라에는 합리적인 교육과목 및 교과내용을 포함하는 표준교과과정이 없다. 따라서 본 연구는 표준교과과정을 개발하기 위해 선진국의 다양한 보수교육과정들을 분석하고 교육욕구에 대한 설문을 실시하였다. 개선방안은 다음과 같다 : (a) 교과목의 수를 늘리고 내용을 세분화시켜야 한다. (b) 과목별 합리적인 수업시간이 배정되어야 한다. (c) 현장실무에 적용가능한 교과과정이 편성되어야 한다. (d) 보수교육의 회수를 늘려서 교육기회를 확대하여야 한다. (e) 교육여건을 개선하고 교육결과에 대한 평가와 환류가 이루어져야 한다 이러한 개선방안들을 토대로 하여, 본 연구에서는 보수교육의 표준교과과정(안)을 제시하였다.

• 한국콘텐츠학회논문지
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• 제21권7호
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• pp.629-636
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• 2021

본 연구는 부산지역에 근무하는 방사선사 면허소지자 225명을 대상으로 2020년 진행된 비대면 보수교육에 대한 요구도, 만족도와 인식간의 관계를 분석하고 이를 통해 보수교육의 긍정적인 인식에 영향을 미치는 요인을 파악하고자 실시되었다. T-test와 One way ANOVA를 이용하였고 다중회귀분석(stepwise multiple regression analysis)을 실시하였으며 그 결과 모바일 홍보, 전문방사선사 연자, 기관장의 교육비지원, 비대면 보수교육에 대한 요구도가 높았으며 남자방사선사, 연령 50대 이상, 이직경험이 있을수록 긍정적인 인식을 가지고 있었다. 변수들 간의 상관관계에서 교육제도와 교육필요성에 대한 인식이 정적 상관관계를 보이며 교육제도에 대한 만족도가 높을수록 교육 필요성에 대한 인식이 높았다. 보수교육의 긍정적 인식에 가장 영향력있는 변수는 교육에 대한 내용만족으로 53%의 설명력을 보였다. 따라서 보수교육에 대한 인식을 높이기 위해서는 먼저 교육제도에 대한 정책변화가 절실하다고 생각되며 보수교육 참가자의 요구도, 업무영역의 전문성과 활성화, 실무적용 가능성 등을 고려한 다양한 대면·비대면 교육 컨텐츠의 활용과 교육내용 개발에 대한 모색이 무엇보다도 필요하다고 사료된다.

• 구강회복응용과학지
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• 제31권4호
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• pp.329-339
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• 2015

목적: 몽골 치과의사들의 접착성 치과수복재료에 대한 정보습득과 선택 기준 및 방법을 알아보고 현재 이루어지고 있는 평생교육과 연관 지어 향후 변화되어야 할 방향을 제시하고자 했다. 연구 재료 및 방법: 몽골 치과의사 100명을 대상으로 7개의 일반적 사항, 수복재료의 정보습득과 선택에 대한 8개의 항목, 평생교육에 대한 10개의 항목에 대해 설문지를 작성하고 대면 조사하였다. 결과: 객관적이며 신뢰성 높은 치과수복재료에 대한 정보를 충분히 얻고 있지 못하며 합리적인 재료선택을 하고 있지 못했고 평생교육의 양이 많지 않으며 교육에 대한 정보를 충분히 얻고 있지 못하였으며 온라인 보수교육에 대해 긍정적인 반응을 보였다. 결론: 몽골 치과계에서 접착수복재료에 대한 정보를 적절히 전달하고 합리적으로 판단할 수 있는 체계를 구축하며 재료를 적절히 사용할 수 있도록 교육하는 것을 다각적인 방법으로 만들어 갈 필요성이 높다.

• 의학교육논단
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• 제20권3호
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• pp.135-140
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• 2018

In clinical clerkships, residents function as trainees, workers, and teachers for other medical students. Although residents care for patients in harsh environments and encounter precarious patient-safety situations, they are working towards becoming competent specialists. Residency education programs are very important in cultivating specialists able to adapt to the rapidly-changing medical environment, and are also necessary to improve the quality of specialist training. Competent specialists not only need clinical competency, but also a wide range of abilities including professionalism, leadership, effective communication, cooperation, and attention to continuous professional development/continuing medical education activities. Each Korean association of specialties has its own educational goals and standardized education programs to help residents learn specific techniques and competencies related to medical care for patients, though the training environment of each residency is different within each trainee hospital. Although it is also important to evaluate residency education programs, currently there is only an examination of knowledge and assessment of skills based on mini-clinical evaluation exercises or direct observation of procedural skills. In order to develop an objective and estimable evaluation tool that can assess the overall achievement level within each training course, it is necessary to evaluate the knowledge, skills, and attitudes of residents. Residency education programs need further attention and reform.

• 농촌의학ㆍ지역보건
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• 제45권4호
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• pp.194-207
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• 2020

본 연구는 평생교육 차원에서 우리나라 의사를 대상으로 한 초기 연구이고, 지식뿐만 아니라 술기, 태도를 포함하여 의사평생교육(CME)에서 나아가 전문직업성 개발(CPD)로서 역량바탕교육을 지향했다는 점에서 의의가 있다고 본다. 본 연구에서는 평생교육으로서 공공보건의료 의사역량개발 교육에서 어느 정도 교육만족도와 교육효과가 있는 것으로 나타났지만, 교육대상이 소수에 국한되어 있고 객관적인 평가방법을 사용하지 않았다는 한계를 가지고 있다. 향후 교육효과를 검증하기 위해서는 평가가 이루어지기 힘든 평생교육에서도 자기평가가 아닌 객관적 평가(예: 간단한 테스트 등)를 실시함으로써 수행(performance)이 아닌 역량바탕교육(competency based education)을 지향해야 할 것이다.

• Journal of Preventive Medicine and Public Health
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• 제53권6호
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• pp.387-396
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• 2020

Objectives: The lack of advance planning in a public health emergency can lead to wasted resources and inadvertent loss of lives. This study is aimed at forecasting the needs for healthcare resources following the expansion of the coronavirus disease 2019 (COVID-19) outbreak in the Republic of Kazakhstan, focusing on hospital beds, equipment, and the professional workforce in light of the developing epidemiological situation and the data on resources currently available. Methods: We constructed a forecast model of the epidemiological scenario via the classic susceptible-exposed-infected-removed (SEIR) approach. The World Health Organization's COVID-19 Essential Supplies Forecasting Tool was used to evaluate the healthcare resources needed for the next 12 weeks. Results: Over the forecast period, there will be 104 713.7 hospital admissions due to severe disease and 34 904.5 hospital admissions due to critical disease. This will require 47 247.7 beds for severe disease and 1929.9 beds for critical disease at the peak of the COVID-19 outbreak. There will also be high needs for all categories of healthcare workers and for both diagnostic and treatment equipment. Thus, Republic of Kazakhstan faces the need for a rapid increase in available healthcare resources and/or for finding ways to redistribute resources effectively. Conclusions: Republic of Kazakhstan will be able to reduce the rates of infections and deaths among its population by developing and following a consistent strategy targeting COVID-19 in a number of inter-related directions.

• 약학회지
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• 제47권4호
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• pp.252-259
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• 2003

Self-medication is a representative phenomenon in the domain of popular care, originated from perspective of medical pluralism and the pharmacy profession is said to be in the most appropriate position of health care professions to activate self-medication. As any healthcare reform impacts in a country, 2000 institutional separation between medicine and pharmacy implemented in Korea brought a lot of changes in behavior of drug use not only to physicians and pharmacists but also to consumers (patients). In this paper, the reality of self-medication since the institutional separation between medicine and pharmacy was analyzed, based on the empirical data which were collected by the Korea Institute for Health and Social Affairs in 2002. The major finding is that the domain of popular care including self-medication was significantly shrunk, while that of professional care was proportionally expanded. As a result, the following four points were strongly recommended for the purpose of promoting self-medication: i) upgrading the pharmacy education system from 4 year to 6 year level, ii) improvement of continuing education and introduction of GPP (Good Pharmacy Practice), iii) activating 'pharmacal encounter' (i.e., pharmacist-consumer relationship) and iv) promotion of socio-economic research activities and proactive participation in the international self-medication movement of pharmacists in Korea.

• Psychiatry investigation
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• 제15권12호
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• pp.1100-1114
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• 2018

Objective Personality traits can be the basis for individual differences in the biological response of stress. To date, many psychobiological studies have been conducted to clarify the relationship between personality and biological reactivity to stress. This review summarizes the most important findings in this area of research. Results Key findings related to the relationship between personality factors and stress-sensitive biological systems in four research models have been summarized; model of psychosocial characteristics, model based on Rumination and Emotional Inhibition, Eysenck's biopsychological model, and Five-Factor Approach of Personality. Conclusion According to the results of this review, it can be concluded that personality typology of individuals influenced their biological reactivity to stressful events. Understanding the biological basis of personality can help to better understand vulnerability to stress. Future research can be continuing based on framework of the four models.