• Title/Summary/Keyword: clinical questions

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The Efficiency of a Patient & Doctor Role-play as a Participatory Clinical Clerkship in Korean Dermatology Department

  • Chang, You-Jin;Hong, Seung-Ug
    • The Journal of Korean Medicine
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    • v.34 no.4
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    • pp.21-31
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    • 2013
  • Objectives: The purpose of this study was to evaluate the efficiency of patient and doctor role-play on participatory clinical clerkship by surveying student's satisfaction and assessing the improvement of skill and consultation ability after conducting a role-play in a Korean dermatology department. Methods: In 2013, 79 seniors participated in the clinical clerkship of the dermatology department at the college of Korean medicine. Two students were randomly selected and paired up. After a brief instruction, one student played the role of doctor and the other took the role of patient. After finishing the $1^{st}$ role-play, they swapped roles and conducted a $2^{nd}$ role-play, using another clinical case. When the two role-plays were completed, the students filled in a questionnaire about their satisfaction with the role-play as clinical clerkship. Also, we compared the scores of the $1^{st}$ role-play with those of the $2^{nd}$ role-play measured by a medical resident to assess improvements of students' skill and interview ability. Results: It appears that students' satisfaction with the role-play was quite high, considering that the overall mean score of the questionnaire was 4.30. According to the result of a t-test on 15 assessment questions, the $2^{nd}$ role-play had a higher mean score than the $1^{st}$ role-play in 12 questions, though this difference was not statistically significant. Conclusions: These results demonstrate that role-play is helpful to improve students' satisfaction and clinical performance ability in clinical clerkship. Further research and continuous development are necessary for better clinical clerkship.

Satisfaction of Clinical Practice in Physical Therapy Students (물리치료학과 학생들의 임상실습 만족도)

  • Kim, Kwang-nyeon;Kang, Seung-ri;Kim, Young-wook;Nam, Goong-min;Park, So-young;Yoo, Tae-gwan;Jang, Jung-gyu;Kang, Soon-hee
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.05a
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    • pp.402-405
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    • 2022
  • The purpose of this study was to investigate the satisfaction of clinical practice for university students in the physical therapy department. 163 students participated in the study. The subjects completed an online survey that consisted of 36 clinical practice satisfaction questions and 5 questions of general characteristics. The collected data was analyzed by using frequency analysis, independent t-test, one-way ANOVA and Scheffe post hoc analyses with a significant level of 0.05. The students' satisfaction of clinical practice was 3.84 in average on a scale of 5. The students' satisfaction was the highest for the item 'Satisfaction after clinical practice', and the lowest for the item 'Internal conflict in clinical practice' and 'Evaluation of clinical practice'. The students' satisfaction of clinical practice showed significant differences according to the satisfaction of the major (p<.001), however, no significant difference according to gender, grade, training period and practice institution.

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Current Status of Stem cell Research and its Connection with Biomedical Engineering Technologies (줄기세포 연구의 현황과 의공학 기술과의 접목)

  • Park, Yong-Doo
    • Journal of Biomedical Engineering Research
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    • v.31 no.2
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    • pp.87-93
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    • 2010
  • Researches for stem cells have been focused on scientists in biomedical sciences as well as clinical application for its great therapeutic potentials. Stem cells have two distinct characteristics: self-renewal and differentiation. In this short review, the links between stem cell research and biomedical engineering is discussed based on the basic characteristics of stem cells. This concept can be extended to the fundamental questions of biological sciences for cells such as proliferation, apoptosis, differentiation, and migration. For understanding proliferation and apoptosis of stem cells, techniques from biomedical engineering such as surface patterning, MEMS, nanotechnologies have been used. The advanced technologies such as microfluidic technologies, three dimensional scaffold fabrication, and mechanical/electrical stimulation have also been used in cell differentiation and migration. Basic and unsolved questions in the stem cell research field have limitations by studying conventional technologies. Therefore, the strategic fusion between stem cell biology and novel biomedical engineering field will break the barriers for understanding fundamental questions of stem cells, which can open the window for the clinical applications of stem cell based therapeutics as well as regeneration of damaged tissues.

Philosophical Counseling in the Clinical Field of Korean Medicine: Applicaition and Case Analysis (한의학 임상현장에서의 철학 상담의 적용: 제언과 사례분석)

  • Kim, Jong-Woo;Kwak, Hui-Yong;Chung, Sun-Yong
    • Journal of Oriental Neuropsychiatry
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    • v.30 no.3
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    • pp.119-128
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    • 2019
  • Objectives: This study suggests the application of philosophical counseling in the clinical field of Korean medicine and analyze the specific case. Methods: Through the analysis of coexisting factors of Korean medicine and philosophical counseling, we establish the area of philosophical counseling that Korean medicine practitioner can apply in the medical field. We described effects of philosophical counseling on the patient's symptom and the progress after discharge through a counseling approach based on philosophical questions. Results: During philosophical counseling, the Korean medical doctor asks questions about the nature of suffering and encourages patients to gain insight into their problems. In answering the vital philosophical questions, the patient leads to a creative interpretation of future life directions. We described the method of specific approaches through the description of the two cases. Conclusions: The philosophical counseling is compatible with the concept of Korean medicine, therefore, a Korean medicine practitioner can induce the recovery of mind and body through the creative interpretation of the patient by asking the patient the appropriate question which causes reflective thinking.

Developmental procedures for the clinical practice guidelines for conscious sedation in dentistry for the Korean Academy of Dental Sciences

  • An, So-Youn;Seo, Kwang-Suk;Kim, Seungoh;Kim, Jongbin;Lee, Deok-Won;Hwang, Kyung-Gyun;Kim, Hyun Jeong
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.16 no.4
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    • pp.253-261
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    • 2016
  • Background: Evidence-based clinical practice guidelines (CPGs) are defined as "statements that are scientifically reviewed about evidence and systematically developed to assist in the doctors' and patients' decision making in certain clinical situations." This recommendation aims to promote good clinical practice for the provision of safe and effective practices of conscious sedation in dentistry. Method: The development of this clinical practice guideline was conducted by performing a systematic search of the literature for evidence-based CPGs. Existing guidelines, relevant systematic reviews, policy documents, legislation, or other recommendations were reviewed and appraised. To supplement this information, key questions were formulated by the Guideline Development Group and used as the basis for designing systematic literature search strategies to identify literature that may address these questions. Guideline documents were evaluated through a review of domestic and international databases for the development of a renewing of existing conscious sedation guidelines for dentistry. Clinical practice guidelines were critically appraised for their methodologies using Appraisal of guidelines for research and evaluation (AGREE) II. Results: A total of 12 existing CPGs were included and 13 recommendations were made in a range of general, adult, and pediatric areas. Conclusion: The clinical practice guidelines for conscious sedation will be reviewed in 5 years' time for further updates to reflect significant changes in the field.

Nursing Students' Experiences on Pediatric Nursing Simulation Practice (간호대학생의 아동간호시뮬레이션 실습경험)

  • Shin, Hyun-Sook;Shim, Ka-Ka
    • Journal of East-West Nursing Research
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    • v.16 no.2
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    • pp.147-155
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    • 2010
  • Purpose: The purpose of this study is to identify the simulation experiences of nursing baccalaureate students in their pediatric rotation. Methods: Fifty-three students responded to open-ended questions after three sessions of pediatric simulation experiences. The practice reflection notes of the students were also analyzed to identify educational outcomes coming from nursing simulation experiences. Results: The open-ended questions and practice reflection notes showed that simulated pediatric practice provided a virtual experience within safe environment. It also increased learning motivation, clinical decision making, and overall self-confidence of the nursing students. Conclusion: The findings of this study suggest that simulation can enhance the quality of nursing education through positive clinical experiences.

Clinical Guidelines for Hwabyung I. (Overview) (화병 임상진료지침 I. (개요))

  • Kim, Jong-Woo;Kim, Sang Young
    • Journal of Oriental Neuropsychiatry
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    • v.24 no.spc1
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    • pp.3-14
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    • 2013
  • Objectives : Hwabyung Research Center of The Korean Society Of Oriental Neuropsychiatry has attempted to develop 'Clinical Guidelines for the Treatment of Hwabyung' based on the clinical study on the theory of oriental medicine and phenomenological approach. The purpose of this guideline is to establish the basic clinical principles and improve the clinical convenience. Methods : Hwabyung Research Center constructed a committee of experts and advisory group. We extracted the core questions, collected the existing data and evaluated them. Simultaneously, we conducted studies on the major topics. Results : We selected and made suitable tools for the assessment and evaluation. We discovered evidences from clinical studies and developed the standard clinical principles. Conclusions : 'Clinical Guidelines for the Treatment of Hwabyung' is expected to be useful at the primary medical clinics of oriental medicine.

Correlations of self-esteem, major satisfaction and career identity in dental hygiene students (일부지역 치위생과 학생들의 자아존중감, 전공만족도 및 진로정체감과의 관련성)

  • Park, Kyung-Hwa;Choi, Hye-Jung
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.2
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    • pp.279-286
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    • 2015
  • Objectives: The purpose of the study is to investigate the factors influencing on self-esteem, major satisfaction, and career identity. Methods: A self-reported questionnaire was filled out by 389 dental hygiene students in three colleges located in Metropolitan area. The questionnaire consisted of 5 questions of general characteristics, 10 questions of self-efficacy, 18 questions of major satisfaction, and 13 questions of career identity by Likert 5 scale. Cronbach's alpha was 0.92 in self-efficacy, 0.90 in major satisfaction, and 0.88 in career identity in the previous studies. Cronbach's alpha in this study was 0.911 in major satisfaction, 0.840 in self-efficacy, and 0.8090 in career identity. The data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, and stepwise multiple regressions. Results: The score was 3.47 in self-esteem, 3.79 in major satisfaction, and 3.03 in career identity. There were significant differences in self-esteem and major satisfaction based on grade, motivation for entering college, and clinical practice satisfaction. In case of career identity, there were significant differences based on characteristics, motivation for college choice, and clinical practice satisfaction. There was a positive correlation between negative self-esteem, positive self-esteem, general satisfaction, awareness satisfaction, curricula satisfaction, interpersonal relation satisfaction, and career identity. The influencing factors on career identity were aptitude, interest, self-esteem, and major satisfaction in order(p<0.001). Conclusions: The career identity is closely related to self-esteem and major satisfaction. It is desirable to open a variety of education courses and to develop systematic and practical programs to the students in order to improve the career identity.

Analysis of Conversation in Philosophical Counseling Cases Reported in Korean Journals (국내 학술지에 보고된 철학상담 사례의 대화 분석)

  • Suh, Hyo-Weon;Kwon, Chan-Young;Kim, Jong Woo
    • Journal of Oriental Neuropsychiatry
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    • v.30 no.3
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    • pp.141-152
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    • 2019
  • Objectives: We analyzed the reports of philosophical counseling and derived the characteristics of the questions that were administered in philosophical counseling. We also wanted to discuss if philosophical questions are necessary and applicable in Oriental medicine counseling. Methods: A systematic search of three Korean databases were performed. Case reports or case series that apply philosophical counseling to clients were included in this study (through June 27, 2019). We extracted questions and answers from the dialogue of each case. Extracted conversations between counselor and client were analyzed qualitatively. Results: Seven published articles with 17 cases were included and were analyzed for philosophical counseling. Philosophical questions have the following characteristics to help clients: (1) To clarify the phenomenon, (2) To identify subject and object, (3) To consider other people's perspective, (4) To review the premise, (5) To review the association relationship (6) To allow opportunities to think differently, and (7) To think of identity and values. Philosophical counseling and Korean medical counseling have commonalities in improving patients' resilience through logical conversation. The use of philosophical counseling in Korean medical counseling will maximize clients' philosophical resilience and the reparative power of nature. Thus, it is desirable to apply philosophical counseling to the practice of Korean medicine (KM). Conclusions: Through the qualitative analysis, we analyzed and categorized major characteristics of philosophical counseling. In the future, the possibility of using philosophical counseling should be explored in the KM practice.

Study on the Perception and Application of AI in Korean Medicine through Practice and Questionnaire of Korean Medicine Using a Diagnostic Expert System (진단전문가시스템을 이용한 한의 실습의 설문 조사를 통한 AI에 대한 인식 및 활용방안 고찰)

  • Yang, Ji-Hyuk;Woo, Jeong-A;Shin, Dong-Ha;Park, Suho;Kwon, Young-Kyu
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.35 no.1
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    • pp.22-27
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    • 2021
  • This study conducted a questionnaire for students of Pusan National University Graduate School of Korean Medicine who practiced using the Oriental Medicine Diagnosis System (ODS). From the questionnaire, this study investigated current state of application and perception of AI in Korean Medicine and explored the direction of ODS improvement and utilization. The survey questions consisted of six questions examining the satisfaction of the diagnostic expert system, five questions evaluating the availability of the diagnostic expert system, and six questions to predict the impact of AI on the Korean medicine community. The survey analysis showed high satisfaction with practice using ODS. On the other hand, the possibility of using ODS, especially in clinical use, was evaluated as relatively low compared to the satisfaction of the practice. Therefore, the overall impact of AI on the Korean medical community is not expected to be large. Although there are difficulties in standardization of clinical data due to the academic characteristics of Korean medicine, it is necessary to continue attempts to apply AI. By actively introducing educational tools using the latest AI techniques to the diagnosis experience and doctor-patient role in a practice, students will be able to increase their satisfaction with their practice and respond appropriately to the state-of-the-art medical environment.