• Archives of Plastic Surgery
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• 제40권4호
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• pp.312-319
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• 2013

Over the past decade, driven by advances in educational theory and pressures for efficiency in the clinical environment, there has been a shift in surgical education and training towards enhanced simulation training. Microsurgery is a technical skill with a steep competency learning curve on which the clinical outcome greatly depends. This paper investigates the evidence for educational and training interventions of traditional microsurgical skills courses in order to establish the best evidence practice in education and training and curriculum design. A systematic review of MEDLINE, EMBASE, and PubMed databases was performed to identify randomized control trials looking at educational and training interventions that objectively improved microsurgical skill acquisition, and these were critically appraised using the BestBETs group methodology. The databases search yielded 1,148, 1,460, and 2,277 citations respectively. These were then further limited to randomized controlled trials from which abstract reviews reduced the number to 5 relevant randomised controlled clinical trials. The best evidence supported a laboratory based low fidelity model microsurgical skills curriculum. There was strong evidence that technical skills acquired on low fidelity models transfers to improved performance on higher fidelity human cadaver models and that self directed practice leads to improved technical performance. Although there is significant paucity in the literature to support current microsurgical education and training practices, simulated training on low fidelity models in microsurgery is an effective intervention that leads to acquisition of transferable skills and improved technical performance. Further research to identify educational interventions associated with accelerated skill acquisition is required.

• Korean Journal of Acupuncture
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• 제41권1호
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• pp.27-32
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• 2024

Objectives : This study developed an AI-based patient chatbot and examined the usability and educational effectiveness of the chatbot in the context of Korean medicine education. Methods : The patient chatbot was developed using the AI chatbot builder 'Danbee', and a total of five experts were surveyed and interviewed to determine the usability, effectiveness, advantages, disadvantages, and improvement points of the chatbot. Results : The patient chatbot was found to have high usability and educational effectiveness. The advantages of the patient chatbot were 1) it provided students with practical experience in performing clinical skills, 2) it provided instructors with assessment materials while reducing their teaching burden, and 3) it could be effectively used for horizontal and vertical integration education. The disadvantages and improvements of the patient chatbot were 1) improving the accuracy of intention inference, 2) providing students with specific instructions for problem-solving activities, and 3) providing assessment results and feedback about students' activities. Conclusions : This study is significant in that it proposes a new training method to overcome the limitations of the existing doctor-patient simulation. It is hoped that this study will stimulate further research on the improvement of students' clinical skills using artificial intelligence.

• 대한간호학회지
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• 제49권4호
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• pp.495-504
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• 2019

Purpose: Nursing students experience a high degree of perceived stress during skills training. The resulting academic sentiment is worthy of research. This study examined the learning motivation as a mediator in the association between perceived stress and positive deactivating academic emotions in nursing students undergoing skills training. Methods: A survey was conducted on 386 third-year undergraduate nursing students at a university in Changchun, China, in 2017. The survey included the items on perceived stress, learning motivation during nursing skill training, and general academic emotion. There were 381 valid responses (response rate=98.7%). Based on the results of partial correlation and stepwise multiple regression equations, the study examined the mediation model between perceived stress, learning motivation and positive-deactivating academic emotions using process 2.16 (a plug-in specifically used to test mediation or moderation effect in SPSS). Results: There was a significant negative correlation between students' perceived stress and learning motivation during nursing skills training and positive-deactivating academic emotions. Nervousness, loss of control, and interest in developing reputation had significant predictive effects on positive-deactivating academic emotions. The mediating model was well supported. Conclusion: Learning motivation during nursing skills training lessened the damage of perceived stress on positive-deactivating academic emotions. Improving students' motivation to learn could reduce their perceived stress and build more positive emotions. Positive emotions during learning played an important role in helping nursing students improve skills and enhance their nursing competence.

• Child Health Nursing Research
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• 제21권3호
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• pp.204-215
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• 2015

Purpose: This descriptive research was conducted to identify educational needs in pediatric nursing handoff training to improve students' handoff skills. Methods: Data were collected using a survey with 188 senior nursing students and 48 pediatric nursing professors and clinical nurses. The survey included items on general information as well as experiences in handoff training, necessity, training content, and items for a handoff training program in pediatric nursing. Results: Of the nursing students, 30.5% reported receiving handoff training during their clinical hours. After their handoff training, the students' confidence index was only 3.78 out of 10. Significantly, 98.3% of the respondents said that pediatric handoff training is necessary. In addition, participants reported that simulation practice (26.5%) is an appropriate educational method, and the time required for handoff training should be 8.16 hrs. Admission process was placed first as the most critical circumstance for handoff (56.8%). High demands were observed for the necessity of training content for patients with respiratory problems. Conclusion: The results of this study show the various educational needs for developing a patient safety pediatric handoff training program to promote nursing students' skills in handoff.

• 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.

• 한국치위생학회지
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• 제22권5호
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• pp.375-382
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• 2022

Objectives: This study analyzes factors related to English communication skills in the dental health services of clinical dental hygienists who provide dental medical services to foreigners. Methods: Surveys were conducted to measure students' English communication skills. Participants comprised 195 clinical dental hygienists working at dental English study cafes or who provided dental medical services to foreigners. After analyzing the differences in English communication skills, hierarchical multiple regression analysis was performed on the factors related to English communication skills. Results: English communication skill of dental hygienists was 1.96 points out of 5 points. The factors related to the English communication skill of the clinical dental hygienists were foreign patient care, language training experience, overseas living experience, and certified English proficiency. The adjusted explanatory power of this model was 53.0%. Conclusions: Dental hygienists in charge of foreign patients have experience in language training and overseas residence, have a language qualification certificate, and have higher English communication skills. It is necessary to develop English language learning programs based on metaverse to develop the English communication skills of dental hygienists who provide dental health services to foreign patients and to operate a creative educational environment to increase interest in learning English.

• 한국임상약학회지
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• 제26권4호
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• pp.283-290
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• 2016

Experiential education is a core curriculum of 6-year pharmacy education. Practicing pharmacists lie at the heart of experiential education serving as preceptors for undergraduate pharmacy students during experiential education. Preceptors are, however, confronted with a challenge of caring for patients and teaching students at the same time in a time-constrained environment. To improve the effectiveness and outcomes of experiential education, practicing pharmacists are required to demonstrate educational competence. Even small teaching moments can provide students with valuable learning opportunities that they could not have from on their own. Thus, it is vital to provide education and training for preceptors to advance their teaching skills. This article will describe practical and effective teaching skills that preceptors could adopt in the experiential education for pharmacy students. It is important that preceptors should use different teaching skills for different learners, according to their level of experience and knowledge, learning styles and needs, as well as the type of the practice. Therefore, possessing diverse teaching skills provides flexibility to adapt teaching to each student's learning levels and needs, and to the charateristics of the practice environment. Preceptors' level of confidence and comfort in using teaching skills can be enhanced through continuous practice and training, which consequently leads to the improved effectiveness of experiential education and student's satisfaction with the education.

• 한국치위생학회지
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• 제13권5호
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• pp.777-786
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• 2013

Objectives : The purpose of the is to investigate the teaching effectiveness of clinical practice instructors and the satisfaction level of dental hygiene majoring students in clinical practice training. Methods : Subjects were second and third grade 480 dental hygiene majoring students in Seoul and Gangwondo. Except 48 incomplete answers, 438 data were analyzed. Questionnaire consisted of general characteristics, teaching of clinical practice instructors, educational content, organization al skills, leadership, learning environment, evaluation skills and clinical practice satisfaction level. Results : 1. A strong positive correlation (r = 0.832) was found between teaching effectiveness and clinical practice satisfaction. A positive correlation more than 0.50 was found between the clinical practice satisfaction, encouragement and support for teaching effectiveness, educational contents, and leadership. 2. There were significant correlations between the encouragement and support (B = 0.209), educational content (B = 0.199), leadership ability (B = 0.257) and ability to create an environment (B = 0.084), evaluation ability (B = 0.083). Conclusions : Teaching effectiveness of the clinical practice instructors had influences on the clinical practice satisfaction. It is necessary to connect clinical practice instructions with satisfaction towards clinical practice to the students.

• Journal of Preventive Medicine and Public Health
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• 제19권2호
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• pp.193-202
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• 1986

공중보건 일반의사들의 업무수행 정도와 진료, 예방 및 보건증진 사업 수행에 필요한 기본적인 수기의 수행능력을 평가하고 그들의 업무 수행능력을 향상시키기 위한 교육 개선 방안을 마련하기 위하여 1982년과 1983년에 배치된 공중보건 일반의사들 가운데 남부 4개도(경북, 경남, 전북, 전남)에서 출신학교별로 비슷한 비율로 120명을 무작위로 뽑아 1984년 1월 9일에서 2월 10일 사이에 설문지를 이용한 집단면담을 하였다. 면담에 응한 97명 가운데 본 조사에 필요한 자료를 제시할 수 있었는 86명으로 부터 얻은 자료를 분석하였다. 보건지소의 진료실적은 2종 보험실시 지역이 1일 평균 $30{\sim}40$명으로 환자가 많으나 그외 지역은 $3{\sim}4$명으로 매우 저조하였다. 또한 예방 및 보건증진사업을 적극적으로 추진한다고 답한 사람은 조사대상자의 2%에 불과했다. 63가지 기본적인 임상수기 가운데서 자신있게 할 수 있다고 한 사람이 50%이상인 것은 근육주사, 정맥주사, 외상치료와 같이 간단한 것으로 12가지에 불과했고 임산부관리, 응급환자처치, 예방 및 보건증진 사업등에 필요한 수기에 자신이 있는 사람은 10%도 못 되었다. 국립보건원에서 실시하고 있는 공중보건 일반의사들의 실무교육이 현지 사정과 맞지 않는것이 많아 실무에 큰 도움이 안 된다고 했으며, 도립병원이나 지방 종합병원에서 받은 임상수련이 실무에 많은 도움이 된다고 한 사람은 38.8%였으며, 별도움이 안된 이유 가운데 전문의가 없거나 있어도 무관심하여 수련지도가 부족한 탓이라고 한 사람이 48.4%로 가장 많았다. 공중보건일반의 실무교육은 교육내용을 실무종사자들의 의견을 수렴하여 현지 사정에 맞도록 개선해야할 것이며, 실무종사자들 가운데 유능한 사람을 강사로 활용하고, 국립보건원에 모아 교육시키는 것보다 전국을 몇개의 지역으로 나누어 지방에서 교육을 시키는것이 효과적일 것이다. 임상실습은 4개월이 적당할 것으로 생각되며, 수련기간 동안에 필수적으로 익혀야 할 수기를 수첩으로 만들어 실습사실을 지도전문의에게 확인 받게하며, 보건사회부에서는 수련지도에 관한 지침을 마련하여 수련병원에 배부하고 수련상황을 평가하도록 한다. 최소한 기본 4과에 전문의를 갖춘 병원을 수련병원으로 선정하여야 할 것이다. 공중보건 일반의사들이 현지에서 당면하는 문제해결을 도우고 사업추진을 위한 동기를 유발하기 위해 보수교육이 필요하며 이를 위해 보건사회부는 재정 및 행정적 지원을 하는 것이 좋겠다. 도를 몇개지역으로 나누어 지역마다 지도위원회를 구성하여 공중보건 일반의사들을 순회지도 하고 자문에 응하도록 하는 것이 좋을 것으로 생각된다.

• Archives of Plastic Surgery
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• 제49권1호
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• pp.3-4
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• 2022