• 의학교육논단
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• 제23권3호
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• pp.160-167
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• 2021

Rapid developments in technology as part of the Fourth Industrial Revolution have created a demand for educational technology (EdTech) and a gradual transition from traditional teaching and learning to EdTech-assisted learning in medical education. EdTech is a portmanteau (blended word) combining the concepts of education and technology, and it refers to various attempts to solve education-related problems through information and communication technology. The aim of this study was to explore the use of key EdTech applications in medical education programs. A scoping review was conducted by searching three databases (PubMed, CINAHL, and Educational Sources) for articles published from 2000 to June 2021. Twenty-one studies were found that presented relevant descriptions of the effectiveness of EdTech in medical education programs. Studies on the application and effectiveness of EdTech were categorized as follows: (1) artificial intelligence with learner-adaptive evaluation and feedback, (2) augmented/virtual reality for improving learning participation and academic achievement through immersive learning, and (3) social media/social networking services with learner-directed knowledge generation, sharing, and dissemination in medical communities. Although this review reports the effectiveness of EdTech in various medical education programs, the number of studies and the validity of the identified research designs are insufficient to confirm the educational effects of EdTech. Future studies should utilize suitable research designs and examine the instructional objectives achievable by EdTech-based applications to strengthen the evidence base supporting the application of EdTech by medical educators and institutions.

• 예술인문사회 융합 멀티미디어 논문지
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• 제9권4호
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• pp.1-10
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• 2019

이 연구는 수업모델로서 메이커 교육을 대학원수업 사례에 두고 탐색하는데 있다. 학습자중심으로 교육 패러다임이 변화되면서 대학원교육에서도 수업혁신을 위한 한 방법으로 모델중심 수업에 대한 관심이 증가하고 있다. 메이커 교육은 학습자를 적극적인 아이디어 생산자이면서 창조자이자 발명가로서의 개인 및 동료들 간의 자발적 공유와 나눔 활동에 주목하여 메이커 활동이 지닌 교육적 가치를 탐색하고 있다. 메이커운동이 가지는 개인적 가치(자기주도성, 창의력, 자신감, 즐거움 등)와 환경적 가치(IT 활용, 민주적 접근성, 소통, 공유, 공감 등)가 복합적으로 확인됨에 따라 이러한 메이커 운동이 가지는 교육적 의미와 가치를 반영한 교수학습 방법이 요구된다. 이러한 맥락에서 본 연구는 대학원 학생들이 개인 연구역량 향상을 위해 수행한 메이커 교육에 대한 과정의 경험을 융합연구 과정의 글쓰기에 초점을 두고 개별 프로젝트를 수행하였으며, 이를 통해 연구역량과 개인적 경험을 내용 분석하였다. 메이커 교육을 통해 창작자로서 자신의 글쓰기가 변화되는 과정을 성찰하였으며, 동료와의 공유와 비평을 통해 연구역량을 강화할 수 있었다는 점을 긍정적 학습경험으로 평가하고 있다.

• Journal of Acupuncture & Meridian Studies
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• 제11권6호
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• pp.367-374
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• 2018

This study describes the reliability of pragmatic combinations of acupuncture points for lateral epicondylalgia (LE) as prescribed by physiotherapists who were experts in acupuncture. Raters (n = 14; 33-59 years) independently prescribed acupuncture points for 30 simulated human patients with LE who were surveyed via a printed questionnaire. The frequency and cooccurrence of acupuncture points prescribed for patients with lateral epicondylitis were assessed. Absolute agreement and Light's kappa (${\kappa}_{Light}$) with 95% confidence interval (CI) were used to quantify the interrater agreement. Raters prescribed 103 unique acupuncture points in different combinations with a median (min-max) of 5 (0-11) acupuncture points. The most prescribed acupuncture point was LI-11 (297 of 420; 71%), and the most common cooccurring acupuncture points were LI-11 and LI-4 (160 of 420; 38%). The absolute agreement for prescribing the acupuncture points ranged from 70% (point GB-20) to 0% (points LI-10, SP-6, LI-11, GB-34, LI-12, and LI-4). Point LR-3 showed the highest interrater reliability for prescribing the acupuncture points [${\kappa}_{Light}=0.112$, 95% CI = (0.055-0.194)], whereas point LI-4 showed the lowest reliability [${\kappa}_{Light}=-0.003$, 95% CI = (-0.024 to 0.024)]. These findings suggest that pragmatic prescriptions of acupuncture points for LE are unreliable among physiotherapists who are experts in acupuncture. Explicit, high-level evidence-based rules for prescribing and teaching combinations of acupuncture points for LE are warranted.

• 대한약침학회지
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• 제24권2호
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• pp.84-90
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• 2021

Objectives: Our study aimed to determine the attitudes of second- and final-year medical students and doctors (teaching faculty) of modern medicine towards complementary and alternative medicine (CAM) using the Complementary, Alternative, and Integrative Medicine Attitude Questionnaire (CAIMAQ). Methods: We invited 248 second-year medical students, 245 final-year medical students, and 48 faculty members to participate in the study. The CAIMAQ consists of 30 items, divided into five categories assessing various aspects of CAM, and scored using a 7-point Likert scale. The median scores obtained were compared between groups; a p-value < 0.05 was considered statistically significant. Results: A total of 138 medical students and faculty responded and participated in the study, of which, 24 (17.4%) were faculty, 40 (29%) were final-year medical students and 74 (53.6%) were second-year medical students. The overall attitude towards the various CAM concepts and therapies was positive. In general, the faculty were significantly less likely to consider referring patients for CAIM treatments, integrating them with conventional medicine, referring patients to alternative healthcare providers, considering the use of subtle energy fields as an ethical form of treatment, or considering CAIM treatments to be less invasive and harmful compared with conventional medicine. There was no significant difference in the attitudes of second- and final-year students. Conclusion: The attitude of medical students and doctors towards CAM is positive, and although the medical faculty have reservations in recommending specific types of CAM therapies or integrating them with conventional care, building evidence for supporting CAM therapies in specific diseases is likely to increase its uptake among health care professionals.

• 한국의료질향상학회지
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• 제26권2호
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• pp.56-65
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• 2020

Purpose:This study aims to understand and explore the subjective experiences of patient safety education among health care professionals in developing a patient safety curriculum in South Korea. Methods: A qualitative descriptive study was conducted through two focus group interviews in the period October-December 2018. Eleven participants who underwent patient safety education participated in each session. All interviews were recorded and transcribed as spoken, and qualitative content analysis was used to identify categories of discussion depicting participants' subjective experience with patient safety education. Results: A total of three categories and seven themes were identified out of 77 units of analysis. Topics were identified in the dimensions of a patient safety curriculum, as follows: (1) activities for patient safety; (2) principle of patient safety (five rights, ethics, patient participation) and patient participation; (3) leadership, teamwork, and communication; and (4) reporting and learning system for patient safety events. In the dimension of methods, (5) case and evidence-based education and (6) multidisciplinary and small group teaching were identified. Finally, in the dimension of the system, (7) policies for patient safety education were identified. Conclusion: Our findings indicate that patient safety education is a significant area for health care professionals. Health care professionals suggested that a systematic patient safety curriculum would improve their knowledge and attitude toward patient safety. Moreover, it enables them to better construct a safety environment in a hospital.

• 동의생리병리학회지
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• 제36권4호
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• pp.105-112
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• 2022

Dongje school (同濟學校), alternately Dongje medical school, is generally recognized as the first modern school for Korean medicine. However, there is very limited information concerning its establishment, duration period, governance, location, and contents for teaching. We found several points which are different from popular opinions through investigating news articles of those days and maps. Dongje school has established on June 1, 1906 and the time of its discontinuance is not clear. The school was founded with the cooperation of three former government officials of the Korean Empire, Eungse Lee (李應世), Piljoo Kang (姜弼周), and Dongho Cho (趙東浩) and many people donated fund for supporting Dongje school. However, there is no evidence of national or royal expenditures for operating the school. Dongje school has been established in 76-6, Seohak hill (西學峴), Yeogyeong-bang (餘慶坊), West county (西署), Seoul and moved to Naesum-si (內贍寺) located in Bongsangsi front village (奉常寺前門洞), Indal-bang (仁達坊), West county, at September 1906. The curriculum of the school comprehends several disciplines including literature in Korean and Chinese, mathematics, foreign language, physics, and Western medicine, as well as Korean medicine. Particularly at that time, they thought both of women and men. To elucidate the issue of the governance of Dongje school regarding the national or royal establishment, more information and extensive studies should be needed.

• Journal of Preventive Medicine and Public Health
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• 제35권2호
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• pp.99-106
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• 2002

Objective : Until now, there have been no evidence-based guidelines produced for the mass screening of hyperlipidemia cases in Korea. This study was done to find the most efficient strategy for a hyperlipidemia-screening program among Korean adults, Method : Seven alternative strategies for hyperlipidemia screening were formulated and compared ir terms of cost-effectiveness. Cost and effectiveness were estimated from social perspectives and using a two-stage screening process (initial testing and additional testing for positives from the first test). A computerized database (based on persons who had visited a health promotion center in one teaching hospital for a routine health check-up) was used to determine the cost and the outcome of various strategies. Official data was used in calculating direct and indirect costs. Effectiveness was measured according to the number of persons who needed clinical intervention for hyperlipidemia. A stratified analysis, considering age group and sex, was then done. Sensitivity analyses, focusing on several uncertain parameters, were also done. Results : Of the seven test alternatives available, the most cost-effective strategy was a screening program, which consisted of an initial test of total cholesterol, high-density lipoprotein cholesterol and triglyceride. There was some variation in the rank of the cost-effectiveness ratios for the seven alternatives dependent on age group or gender. Conclusions : Current hyperlipidemia screening practice, for National Health Insurance beneficiaries, tests only the total cholesterol level with a cut-off value of 260mg/dl as an initial screening test. It is not the best strategy for cost-effectiveness, and should be modified. Different screening strategies taking age group and sex into account should be developed and used for the efficient mass screening of hyperlipidemia cases among Korean adults.

• 대한약침학회지
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• 제21권3호
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• pp.139-150
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• 2018

Averagely 80% to 90% of breastfeeding women experience the nipple pain and fissures. The important factor for successful breastfeeding is to treat this problem. This study has done as a review with the aim of analysis of the clinical trials in the field of the prevention and treatment of the nipple fissures and pain due to the importance of breastfeeding. For this purpose, the key words of sore, nipples, fissure, trauma, wound, prevention, treatment, therapeutics, therapy, clinical trial, breastfeeding and their Persian synonyms and all of their possible combinations were searched in the national databases: SID and Iran Medex and Magiran, and in the international databases: PubMed, Scopus, Medline, Science direct by May 2017. The Jadad criterion was used to assess the quality of the articles and the articles with a score of 3 or more were included in this study. Finally, 48 clinical trials were reviewed that 17 of them (sample size 1801) scored 3 or more based on the Jadad criterion. Seven articles were also in the non- drug treatment group (sample size 491) and 2 articles in the drug treatment group (sample size 337) and 8 articles in the herbal treatment group (sample size 973).The results show that menthol and warm water compress as well as teaching the correct breastfeeding methods are effective treatments to prevent and treat the nipple pain and fissures. Moreover, applying the herbal medicine for prevention and treatment of the issues raised from breastfeeding may have beneficial such as Aloe vera, Portulaca olearacea. However, more studies with a great methodology are necessary to obtain more accurate evidence.

• 사상체질의학회지
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• 제33권2호
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• pp.1-13
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• 2021

Introduction The previous study showed that the psychological Sasang Personality Questionnaire (SPQ) and physical Body Mass Index (BMI) were clinically useful for predicting Sasang types diagnosed with certified clinical specialist and QSCCII. The purpose of current study was to examine its clinical usefulness using large sized clinical sample. Methods The age, sex, height, weight, circumference of waist and hip, Sasang Personality Questionnaire (SPQ), and Sasang type of 2,049 participants listed on the Korean Medicine Data Center were acquired. The anthropometrics of BMI, Ponderal Index (PI), Waist-Hip Ratio (WHR), and Basal Metabolic Rate (BMR) were calculated. The discriminant analysis using SPQ subscales, BMI, age and sex were performed to predict Sasang types. And, the ANCOVA with age and sex as covariate was also used to examine differences among diagnosed and predicted Sasang type groups in biopsychological features. Results The discriminant analysis showed 82.0% of percentage correctly predicted. And, the biopsychological characteristics of predicted Sasang type groups were significantly similar to those of diagnosed Sasang type groups. In both predicted and diagnosed Sasang type groups, the anthropometric measures were in increasing order of So-Eum, So-Yang, and Tae-Eum types, and the psychological measures were in increasing order of So-Eum, Tae-Eum, and So-Yang types as shown in previous studies. Discussion and Conclusion The well validated biopsychological variables of SPQ and BMI showed theoretical and clinical usefulness, and were found to be useful for diagnosing Sasang types in clinical setting. The current study might be useful for the East-West integrative medicine and evidence-based teaching.

• 한국학교수학회논문집
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• 제25권3호
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• pp.261-278
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• 2022

최근 코로나19 바이러스의 팬데믹으로 인하여 기존의 사회 및 교육적 체계의 변화가 가속화되고 있으며, 특히 교육 격차로 인한 학습자 맞춤형 교육 체계와 같은 여러 가지 교육적 대응의 필요성이 제기되고 있다. 학습자 맞춤형 교육을 위해서는 학습자의 학습 단계별로 세밀한 진단을 통해 학습 과정에 대한 정보를 기반으로 피드백 및 보정 지원이 필요하다. 본 연구에서는 초등학교 학생들이 수학 학습 과정에서 겪는 어려움 및 오개념을 진단하기 위해 평가 문항을 개발하였다. 개발한 수학 학습 진단 평가 문항은 전국 초등학교 3~6학년 학생 675명에게 적용하였고, 그 결과를 분석하였다. 본고에서는 평가 문항 개발 과정, 평가 문항의 신뢰도 및 타당도 검사 과정, 현장 적용 과정 및 분석 결과를 공유하고, 연구 결과를 통해 도출한 학교 현장에서의 수학 교수·학습 지원 방안에 시사점을 제시하고자 한다. 또한 본 연구는 코로나19 감염증의 장기화 및 뉴노멀 시대의 비대면 학습 환경에서의 수학 학습 어려움 및 오개념 진단 평가 문항의 활용 방안 및 관련한 교육 정책에 제언을 주고 있다.