• Title/Summary/Keyword: Medical professionalism

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Student Satisfaction Study and Interrater Comparative Study on Patient-Physician Interaction Score of Clinical Performance Examination in Korean Medical Education (한의학 교육에서 진료수행평가에 대한 학생 만족도 및 환자 - 의사관계 점수의 채점자간 비교 연구)

  • Cho, Chung Sik
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.29 no.2
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    • pp.152-159
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    • 2015
  • As for medical education, not only acquirement of knowledge but also practical clinical competence is important because it is needed on primary medicine. Under this trend, Clinical Performance Examination(CPX) is already being practiced in medical college. But in spite of its importance, CPX is not yet practiced in Korean medical college. So, by contemplating necessity and outcome of CPX, We try to offer basic data for future imposition and improvement of CPX in Korean medical education. 49 students of grade 3 in a Daejeon Korean Medical College were targets of investigation. After educated about CPX in advance, They treated simulated patient and answered questionnaire about CPX. Then, their treatment was scored by Professor and simulated patients. Total 49 members responded to the survey and the results of the analysis were as follows. The answer that CPX is useful(Mean=4.12) and essential for acquiring professionalism of treatment(Mean=4.02) was got high scores. But many respondents replied about necessity of better CPX environment and felt difficulty about PPI(45%). Meanwhile, Professor group(Mean=9.24) tended to give more high score than Simulated patient group(Mean=7.94). This study can be very useful for composing basic data of CPX in Korean medical College and improving practical clinical competence of students. But this study has also some limits like area, respondent selection, group module etc. So, more detailed and comprehensive survey is needed. This work was supported by the Daejeon University Research Grant.

Evaluation for Satisfaction of Doctor Coaching Program (의사코칭 프로그램의 만족도 평가)

  • Na, Hyun Sook;Kwon, Young Dae;Noh, Jin-Won
    • The Journal of the Korea Contents Association
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    • v.14 no.12
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    • pp.895-903
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    • 2014
  • Medical communication has the effect of increasing the patient's medical treatment satisfaction and medical facility revisit rate through better understanding of the patient, and decreasing the medical law suit rate. One of the methods to enhance medical communication is through doctor coaching. Doctor coaching is a series of coaching procedure that helps the doctors have a better understanding with the patients by enhancing the communication skills of the doctors. The current study analyzed the effect 'coach and coatee's relationship', 'coaching per se', and 'coaching activity' have on coaching satisfaction. As the result, 'coaching activity' related to the coaching program showed the most influence on the coaching satisfaction On the other hand, 'coach and coatee's relationship' and 'coaching per se' did not show any significant influence while 'coach and coatees relationship' even showed negative correlations. Such result gained agreement amongst the doctors about the medical communication enhancement and necessity of doctor coaching and it also implies that intensifying the coaching qualifications and professionalism is necessary for the doctor coaching model. The coach should not only have knowledge regarding the doctor(medical??) communication, but also should endeavor to obtain understanding and knowledge about coaching strategies.

Influencing factors on perception of patient medical information protection in dental hygiene students (치위생(학)과 학생의 환자 의료정보보호 인지 관련요인)

  • Kim, Young-In;Kim, Sook-Hyang;Jang, Jong-Hwa
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.4
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    • pp.743-750
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    • 2015
  • Objectives: The purpose of the study is to examine the correlation and influencing factors among ethics position, self-esteem, and perception of patient medical information protection in the dental hygiene students. Methods: This is a cross sectional study using the structured questionnaire. A self-reported questionnaire was completed by 202 dental hygiene students using the stratified sampling method from September 1 to November 1, 2013. The questionnaire was modified and complemented from Ethics Position Questionnaire (EPQ). The questionnaire included EPQ, self-esteem, and perception of patient medical information protection. Data were analyzed by independent t-test, one way ANOVA, Duncan's multiple comparison analysis, Pearson's correlation analysis, and stepwise multiple regression analysis using IBM SPSS Statistics 21.0 program. Results: There was a positive correlation among all the variable including idealism position, self-esteem, and perception of patient medical information protection, The factors influencing on the perception of patient medical information protection were idealism position (${\beta}=0.271$, p<0.001) and self-esteem (${\beta}=0.248$, p<0.001). The corrected explanation power of the model was 15.1%. Conclusions: As the idealism position and self-esteem become higher, the perception of patient medical information protection gets higher. Therefore, this study suggests that it is needed to develop and vitalize implement the appropriate programs enhancing ethics consciousness, proper position, and self-esteem in the dental hygiene students receiving the education for their professionalism in the dental hygiene curricula.

Hand Surgery Fellowship Selection Criteria: A National Fellowship Director Survey

  • Egro, Francesco M.;Vangala, Sai K.;Nguyen, Vu T.;Spiess, Alexander M.
    • Archives of Plastic Surgery
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    • v.44 no.5
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    • pp.428-433
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    • 2017
  • Background Candidate characteristics for hand surgery fellowship training remains unknown, as very little data is available in the literature. This study aims to provide information on the criteria that are employed to select candidates for the hand surgery fellowship match. Methods A 38-question survey was sent in April 2015 to all Accreditation Council for Graduate Medical Education recognized hand surgery fellowship program directors (n=81) involved in the U.S. match. The survey investigated factors used for the selection of applicants, including medical school, residency training, research experience, fellowship interview, and candidate characteristics. A 5-point Likert scale was used to grade 33 factors from "not at all important" (1) to "essential in making my decision" (5); or for five controversial factors from "very negative impact" (1) to "very positive impact in making my decision" (5). Results A total of 52% (42 out of 81) of responses were received from hand surgery fellowship program directors. The most important influential factors were interactions with faculty during interview and visit ($4.6{\pm}0.6$), interpersonal skills ($4.6{\pm}0.5$), overall interview performance in the selection process ($4.6{\pm}0.6$), professionalism and ethics ($4.6{\pm}0.7$), and letters of recommendation from hand surgeons ($4.5{\pm}0.7$). Factors that have a negative impact on the selection process include visa requirement ($2.1{\pm}1.2$), graduate of non-plastic surgery residency program ($2.4{\pm}1.3$), and graduate of a foreign medical school ($2.4{\pm}1.1$). Conclusions This study provides data on hand surgery fellowship directors' perception on the criteria important for fellowship applicant selection, and showed that interview-related criteria and letters of recommendation are the important factors.

Images toward emergency medical technician perceived by secondary school teachers (중등교사의 응급구조사에 대한 이미지)

  • Choi, Eun-Young;Lee, Kyoung-Youl
    • The Korean Journal of Emergency Medical Services
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    • v.18 no.1
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    • pp.29-41
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    • 2014
  • Purpose : The purpose of the study is investigate the images towards emergency medical technician(EMT) perceived by secondary school teachers. Methods : The data was collected from July 30 to 31, 2012. The subjects were 337 secondary school teachers. SPSS Statistics 18.0 was used for internal consistency reliability, descriptive statistical analysis and factor analysis. Results : Those who contacted with EMT consisted of 57.6% which was higher than those who had not(42.4%). Before contact, the gender and teaching subject showed a significant difference of p =.027 and p =.002, respectively. The average on the image towards EMT showed a positive points of $5.68({\pm}0.73)$ out of 7 and the most positive image was 'practical-theoretical' of $6.33({\pm}1.12)$. Factor analysis of EMT image was analyzed based on 3 factors including sincerity($5.89{\pm}0.89$), professionalism($6.02{\pm}0.89$) and familiarity($4.51{\pm}1.42$)(p <.000). The degree of familiarity showed significant differences in gender(p =.005), majoring(teaching subjects)(p =.049) and prior contact(p =.020). Conclusion : In conclusion, previous contact and recognition towards EMT could make good image making in secondary school teachers by getting well-organized promotions and professional services. This contact will make a good future counseling to the students who want to be EMTs.

Factors Influencing the Health Status and Life Satisfaction of Elders in Free and Charged Welfare Facilities (무료 및 유료 노인복지시설 노인의 건강상태와 생활 만족도에 영향을 미치는 요인)

  • Kim, Yoen-Kyoung;Park, Kyung-Min;Kim, Chung-Nam
    • Research in Community and Public Health Nursing
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    • v.19 no.2
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    • pp.317-325
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    • 2008
  • Objectives: The purpose of this study was to investigate factors influencing the health status and life satisfaction of elders in welfare facilities. Methods: The subjects of this study were selected randomly among those without cognitive impairment from free (140 persons) and charged (140 persons) welfare facilities in the Yeongnam area. Data was analyzed using t-test and stepwise multiple regression. Results: Health status and life satisfaction were 2.52 and 1.98, respectively, in the elders from free welfare facilities, and 2.67 and 2.08 respectively, in the elders from charged welfare facilities. In those from free facilities, life satisfaction and motivation for getting into the welfare facility were the influencing factors of health status. In those from charged facilities, life satisfaction, gender, motivation for getting into the welfare facility, limited service such as physiotherapy, age, and lack of staff and professionalism were the influence factors of health status. In those from free facilities, health status, relationship conflict with fellow elders, lack of staff and professionalism, insufficient facilities and inadequate environment, and indifference of sons and daughters were the influence factors of life satisfaction. In those from charged facilities, health status, education and age were the influence factors of life satisfaction. Conclusions: It was found that both health status and life satisfaction of elders in charged welfare facilities were higher than those in free welfare facilities.

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The Education System for Cytotechnologists and Efforts to Improve Professionalism in the United States of America (미국 세포병리사 양성 교육제도와 전문성 향상을 위한 노력)

  • Eun-Suk PARK
    • Korean Journal of Clinical Laboratory Science
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    • v.55 no.3
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    • pp.227-233
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    • 2023
  • The path to becoming a cytotechnologist (also known as a cytologist) in the United States of America (USA) requires a minimum of a bachelor's degree and the completion of a training program certified by the Commission on Accreditation of Allied Health Education Programs. Aspirants are recognized as cytologists after passing a test administered by the American Society for Clinical Pathology Board of Certification on completion of a recognized cytotechnology training program. Cytotechnology training programs are currently provided by 18 universities and hospitals. Six of them provide master's level education, unifying existing programs to the master's level, which is necessitated due to a shortage of pathologists and the rapid development of the health care system. The improvement and unification of the curriculum, qualification renewal system, and the effort to change the title of qualified personnel from cytotechnologist to cytologist are seen as measures that would strengthen the capabilities of cytotechnologists as well as assist in keeping pace with the rapidly changing medical system. Knowledge about the educational courses available for cytotechnologists and the efforts to strengthen their expertise in the USA would be helpful to professors who guide students preparing for overseas employment and seeking professional improvement in Korea.

Professional Project and the Evolution of Non-Dominant Medicines;The Case of Osteopathy and Chiropractic

  • Kwon, Oh-Min;Ahn, Sang-Woo
    • Korean Journal of Oriental Medicine
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    • v.13 no.3
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    • pp.165-178
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    • 2007
  • This article explores how non-dominant medical practitioners shape their own self-images and the identity of relevant medicine and in what ways fashioning of self-images and accompanying modalities of medical practice informs the social evolution of the medicines at specific times and over specific places, by means of the historical configuration of osteopathy and chiropractic in the UK and the US. Attention is directed onto motivations and pursuits for professional recognition and actual strategies and activities of non-dominant medicines and its practitioners by turning to historical instances such as osteopathy and chiropractic in the UK and the US, not least drawing focus on professional desires with regard to circumstances it faces within and without. Some non-dominant medicines as a way with which to acquire and protect the exclusive monopoly of its knowledge and practical skills, adopted various forms of professionalism project, as dominant biomedical groups pressed up non-dominant medicines by virtue of marginalizing tactics. Meanwhile, non-dominant medicines took somewhat distinctive professionalisation strategies from each other. Strategies they took were diversified depending on medical philosophy, healing modality, the degree of occupational solidarity embodied as forms of medical organisation, and especially vocational aspiration and prospect. Change of socio-medical culture and the state's policy seems to have wielded critical influenceon the determination of the ups and downs of non-dominant medicines. From the perspective of long-term time span, dominant biomedicine eventually did not have much influence on the ups and downs of marginalized medicines in so far as in the case of osteopathy and chiropractic in Englandand the U. S.

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A Teleological Interpretation of a Doctor's "Guidance" for Physical Therapist (물리치료사에 대한 의사의 "지도"의 목적론적 해석)

  • Lee, Ju-Il
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.2
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    • pp.147-156
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    • 2018
  • PURPOSE: The law pertaining to medical service technologists does not discuss the scope and limits of doctors' guidelines. My paper aims to discuss these topics. METHODS: This study was based on a review of literature and an analysis of judicial precedents. RESULTS: Physical therapists have often noted the need for independent practitioners in their articles on health care. Their continued discussions on professional and educational differences have centered round this issue, but their ideas have not been accepted. Practitioners have continued to interpret doctors' guidelines in hospitals without discussing their scope. However, the Supreme Court presented a meaningful decision outlining the conceptual limits and the scope of medical practice. The court suggested, basing its interpretation in the goal of clarifying the concept of medical activities smoothly, was to follow a specific judgment on the levels of education, testing, and professionalism. CONCLUSION: The role of physical therapists is expanding in this country, in order to meet the needs of the ultra-aged society. Education is already responding to rising training needs. By dividing the doctors' guidelines into indirect and direct types, if there's no medical risk near or around the health center or hospital, it is a good idea to allow the management of physical therapy partially, while understanding the scope and limitations of these guidelines clearly. A teleological interpretation of the law is especially relevant, and can be implemented immediately by the authoritative interpretation on part of the health authorities without any legal amendments.

Effects of Academic Relationships on Academic Burnout in Health Professions Students (보건의료계 학생에서 학업적 대인관계가 학업소진에 미치는 영향)

  • Jang, Junhwan;Bae, Seonhwan;Kim, Gyungjae;Kim, Doyoung;Park, Junseong;Lee, Seunghyeon;Park, Mira;Kim, Do-Hwan
    • Korean Medical Education Review
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    • v.21 no.2
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    • pp.100-111
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    • 2019
  • There are several dimensions of academic burnout experienced by medical and health science college students. The purpose of this study was to examine the effects of academic relationships on academic burnout. Data was collected from 476 Eulji University students using an online survey over 4 days in April of 2018. Of the 264 respondents, 111 studied medicine (42.0%), 105 studied nursing (39.8%), and 48 studied clinical pathology (18.1%). The questionnaire was composed of the following sections: demographics (four questions), general life characteristics (seven questions), academic enthusiasm (eight questions), academic relationships (15 questions), and academic burnout sub-dimensions (partially revised Maslach Burnout Inventory-Student Survey Scale) (11 questions). T-tests and one-way analysis of variance were performed to illustrate the differences among the three departments. The effects of academic relationships and academic enthusiasm on academic burnout were analyzed using linear regression. Comparing the three departments, academic burnout was not found to be statistically significant (p=0.296). However, medical students' academic enthusiasm was significantly lower (p<0.001) and academic relationships were significantly higher (p<0.001) than nursing and clinical pathology students. The difference in academic burnout among the three departments was not significant. However, medical students have stronger academic relationships, while nursing and clinical pathology students were more focused on academics. Relationships and academic enthusiasm contribute to reducing academic burnout. Therefore, strategies need to be developed to deal with academic burnout considering relationship factors.