• 대한임상검사과학회지
• /
• 제49권2호
• /
• pp.161-170
• /
• 2017

본 연구는 대학 교육제도와 국가면허시험 제도에 대한 교수와 병원실무자들의 의견을 조사하여 분석함으로써 우수한 임상병리사 양성을 위한 정책방향을 결정하는데 목표로 하고 있다. 2016년 8월에 온라인 설문지가 255명의 대학교수들과 4,000명의 병원실무자들에게 배포되었다. 회수율은 교수들은 59명(23%), 병원실무자들은 1,099명(27.7%)이 응답하였다. 결과는 기술통계분석과 비교분석을 통해 처리하였다. 대학 교육제도에서는 교수들과 병원실무자들 모두 대학 및 임상실습 교육의 질적 향상과 교육의 표준화가 필요하다고 조사되었다. 국가면허시험제도에서는 교수들과 병원실무자들 모두 특히 실기시험의 개편이 필요하다고 조사되었고, 면허시험제도도 개선이 필요하다고 조사되었다. 위의 결과들은 교수들과 병원실무자들은 우수한 임상병리사 양성을 위해서는 대학 및 임상교육의 질적 향상과 국가면허시험제도의 개선이 필요하다고 생각하고 있음을 보여준다.

• 사상체질의학회지
• /
• 제27권1호
• /
• pp.110-124
• /
• 2015

Objectives This study was purposed to develop the clinical practice guideline for examination of Sasangin disease and diagnosis for Sasang Constitution. Methods "Donguisusebowon" and many articles were reviewed and examined for developing clinical practice guidelines. And "Guideline for Educating Public Health Korean Medical Doctors on Diagnosis of Sasang Constitution" was basically used to develop clinical guidelines. Results & Conclusions By researching and discussing the examination of Sasangin disease and diagnosis for Sasang Constitution, we make the principle of the clinical practice guideline, including methods using body shape, facial shape, vocal characteristic and personality etc.

• Journal of Preventive Medicine and Public Health
• /
• 제46권5호
• /
• pp.237-248
• /
• 2013

Objectives: The purpose of this study is to examine and explain the extent of income-related inequity in health care utilization and expenditures to compare the extent in 2005 and 2010 in Korea. Methods: We employed the concentration indices and the horizontal inequity index proposed by Wagstaff and van Doorslaer based on one- and two-part models. This study was conducted using data from the 2005 and 2010 Korean National Health and Nutrition Examination Survey. We examined health care utilization and expenditures for different types of health care providers, including health centers, physician clinics, hospitals, general hospitals, dental care, and licensed traditional medical practitioners. Results: The results show the equitable distribution of overall health care utilization with pro-poor tendencies and modest pro-rich inequity in the amount of medical expenditures in 2010. For the decomposition analysis, non-need variables such as income, education, private insurance, and occupational status have contributed considerably to pro-rich inequality in health care over the period between 2005 and 2010. Conclusions: We found that health care utilization in Korea in 2010 was fairly equitable, but the poor still have some barriers to accessing primary care and continuing to receive medical care.

• 한국임상수의학회지
• /
• 제21권2호
• /
• pp.209-213
• /
• 2004

A 8 kg, 3-year-old male West Highland white terrier dog with a 1.5-year history of chronic, severely pruritic, seborrheic skin disorder was referred to the Veterinary Medical Teaching Hospital of the Tokyo University of Agriculture and Technology. On physical examination, lesions were observed on entire cutaneous surface, except for face, dorsum of body, and footpads. Skin lesions were characterized by diffuse erythema, erythematous papules, severe alopecia, hyperpigmentation, and lichenification. Tape strip tests of skin lesions revealed cocci and Malassezia infections. The intradermal allergy tests revealed positive reactions to Japanese cedar pollen, but the non-seasonal clinical signs were not compatible with atopic dermatitis caused by this pollen. Results of hematological examination, serum chemistry and thyroid gland profile were normal. Examination of skin biopsy exhibited hyperplastic superficial perivascular dermatosis with severe acanthosis, excessive keratinocyte mitoses, patchy or diffuse mild spongiosis, and lymphocytic exocytosis in epidermis. Perivascular to interstitial mononuclear cells infiltration was seen in the superficial dermis. Based on the results of examination described above, epidermal dysplasia was diagnosed. Treatments with administration of antibiotics, etretinate, and prednisolone orally combined with topical ketoconazole cream and antiseborreic shampoos had no good results. Following treatment with long-term oral itraconazole at 10 mg/kg daily and chlorhexidine shampoos was successful. However, when itraconazole therapy was stopped, the condition worsened twice within 2 or 3 months. Readministration of itraconazole produced improvement within 4 weeks. This dog has now been controlled periodical itraconazole therapy.

• 의학교육논단
• /
• 제17권1호
• /
• pp.33-38
• /
• 2015

During the education reform in 2009, the Catholic University of Korea College of Medicine (CUMC) adopted body systems as the basis for structuring basic medical education. After running the new program for 5 years, we need to evaluate the program by comparing it with nationwide standards. This study was designed to evaluate the coverage of our basic medical education program by comparing it with the assessment items of the medical licensing examination for physicians in the Republic of Korea. We built a relational database populated with 3,017 learning outcomes from all the courses on basic medical education. We tagged each learning outcome according to 2 criteria: 206 physician encounters and 9 outcome domains. A majority of the learning outcomes were in the domains of 'knowledge' and 'critical thinking'. In addition, we repeated the categorization process with 584 assessment items of the medical licensing examination in the Republic of Korea and compared them with the categorization results of the learning outcomes. Among the 206 physician encounters, we found that outcomes on family violence and sexual violence were missing in the learning outcomes of CUMC. Eighty-two physician encounters were associated with more than one outcome domain, and 96 physician encounters were covered in more than one course. Twenty-one physician encounters were repeated in 5 or more courses and 34 physician encounters had outcomes categorized into 3 or more domains. Thus, we showed that the 2-way categorization could be applied to the comparison and evaluation of two different education formats.

• 대한방사선기술학회지:방사선기술과학
• /
• 제44권5호
• /
• pp.513-523
• /
• 2021

The purpose of this study was to discuss the required items and feasibility of medical records of radiological examinations performed by radiological technologists at medical institutions. An online survey was conducted to a total of 10,000 radiation-related workers, of which 1,026 (10.3%) responded. As a research method, self-made questionnaires were used. The online survey was conducted from September 10 to September 20, 2021 for the survey period. For response data, a Chi-square test was performed according to demographic characteristics using SPSS 27.0 version (IBM Inc., Chicago, Ill, USA), and it was judged to be significant when the P value was less than 0.05. The reliability of the questionnaire response was found to be Chronbach α=0.933. More than 90% of the medical records related to radiological examinations are necessary, and they answered that a curriculum, remuneration curriculum, and legal system for medical records should be prepared. More than 90% of the respondents agreed with the proposal of the Radiological Technologist Independent Act for legal preparation, and most of the information required for medical records is currently recorded in DICOM images. According to the demographic characteristics, the medical record requirement for radiological examination, curriculum, continuing education, and legislation were found to be higher with higher education and higher with longer working experience. In addition, most of the radiology departments showed a high demand for medical records, so most of them responded positively to the medical records requirements for radiological examinations. This study analyzed the medical record requirements for radiological examinations, and as shown in the results, medical record requirements for radiological examinations was found that most radiological technologists felt need for the new law and supported it. In addition, if the information recorded in the DICOM image is used, it is considered that medical records could be easily prepared without additional work by the radiological technologists.

• 한국산학기술학회논문지
• /
• 제11권7호
• /
• pp.2497-2507
• /
• 2010

본 연구의 목적은 일 지역 여성의 결혼 전 건강검진에 대한 인지, 의도, 이행정도를 파악하고, 미혼여성의 검진의도 및 기혼여성의 검진이행을 예측하는 요인을 규명하기 위한 연구로 총 257명의 연구대상자를 대상으로 하였다. 자료는 결혼 전 건강검진에 대한 인지(인식, 태도, 주관적 규범, 행동통제인식), 의도, 이행정도를 묻는 질문지를 이용하여 조사하였고, 분석은 SPSSWIN 12.0 프로그램을 활용하여 평균, 표준편차, $x^2$-test, t-test, 다중회귀분석(multiple Logistic regression)을 이용하였다. 결혼 전 건강검진을 수행한 정도를 살펴본 결과 28.4%의 기혼여성이 수행한 것으로 나타났고, 35%의 미혼여성과 71.6%의 기혼 여성이 결혼전 건강검진에 대해 들어본 적이 있는 것으로 나타났다. 결혼 전 건강검진에 대한 태도는 미혼과 기혼여성에게서 각각 23.04점, 22.55점(t=1.39, p=.16), 주관적 규범은 각각 14.49점과 14.46점 (t=.13, p=.90)으로 미혼여성이 기혼여성에 비해 긍정적이었으나 통계적으로 유의한 차이가 없었다. 하지만, 행동통제인식에서는 미혼여성이 15.46점, 기혼여성이 16.79점(t=5.32, p<.001)로 두 군간 유의한 차이가 있었다. 미혼여성의 검진의도에 영향을 미치는 요인은 검진의 필요성(OR=14.186, t=.001)이었고, 기혼여성의 검진 이행에 영향을 미치는 요인은 검진에 대해 들은 경험(OR=7.765, p=.012)과 행동통제인식(OR=1.423, p=.025)이었다. 이 결과는 여성의 결혼 전 건강검진의 의도 및 실천을 증진시키기 위해서는 검진의 필요성에 대한 인지강화, 행동통제인식의 강화가 필요하며 이를 위한 프로그램의 개발이 지역사회를 중심으로 이루어져야 함을 제시해준다.

• 대한예방한의학회지
• /
• 제18권3호
• /
• pp.1-10
• /
• 2014

Objective : The purpose of this study is to assess the communication and medical interview level of the students in the college of korean traditional medicine using Standardized Patients(SP). Method : 35 students of 5th grade in the college who are doing their clinical practice class participated and conducted medical interview on standardized infertile female patient. SP and professor who observed the interview evaluated the students' communication skill and medical interview level using the assessment sheet composed of 23 questions. Results : 1. Satisfaction of SP was 1.66 of 3. In the communication section, students conducted well in appropriate voice and no inappropriate interruption but they didn't show good practice in considerate physical examination, understandable explanation relatively. 2. The scores that were acquired by students in informing the time required, obtaining agreement at initiating and closing, family history taking, checking mental status and physical examination 2 were low in the medical interview section. 3. There were some differences in the communication and medical interview scores by the students' sex (p<.01), age(p<.05) and medical camp experience(p<.05). But we couldn't find any evidence about the relation between character type and the communication and medical interview scores(p>.62). Conclusion : On the whole, students who participated this study had difficulties in building relationship with patient and conducting medical interview. They need to improve their ability in those fields by appropriate education before their graduation.

• 재활치료과학
• /
• 제13권1호
• /
• pp.65-74
• /
• 2024

목적 : 본 연구는 대규모 언어 모델에 기반한 인공지능인 ChatGPT가 한국작업치료사면허시험에 통과할 수 있는지 알아보고자 하였다. 연구방법 : 한국보건의료인국가시험원에서 제공하는 2018년부터 2022년도까지의 한국작업치료사면허시험 문항 중 공개되지 않은 작업치료실기 문항을 제외하고 작업치료학기초, 의료관계법규, 작업치료학 문항을 활용하였다. 시험문항과 함께 가장 적절한 정답을 제시하도록 프롬프트를 영어로 구성하였고 이를 입력한 후 ChatGPT가 제시하는 답을 채점하였다. 2명의 연구자가 독립적으로 전체 과정을 진행하였으며, 2명의 연구자 채점한 정확도를 평균으로 5개년도의 시험에 대한 합격 여부를 확인하였고 연구자 간 ChatGPT 답에 대한 일치도를 확인하였다. 결과 : ChatGPT는 2020년에서만 합격하였고 나머지 4개년도 시험은 탈락권 점수를 보였다. 구체적으로 의료관계법규 문항의 정확도는 25~57% 범위를 보였고 다른 문항의 정확도는 모두 60% 이상을 기록하였다. 또한 의료관계법규 문항을 제외한 연구자 간 ChatGPT는 높은 일치도를 보였으며, 이는 정확도와 유의미한 상관관계를 보였다. 결론 : 언어나 문화권에 영향을 받는 문항의 경우 아직 ChatGPT를 적용하는 데 제한이 있음을 확인하였다. 추후 프롬프트의 최적화 작업과 함께 지속적인 데이터의 학습에 따라 작업치료학을 전공하는 학생들의 학습 도구로서 활용될 수 있는지에 대한 지속적인 연구가 필요하다.

• 대한디지털의료영상학회논문지
• /
• 제14권1호
• /
• pp.21-29
• /
• 2012

The purpose of this study is to evaluate the mutual relations by measuring SNR from T2 weighted image and ADC values on the basis of the stiffness values from liver tissues. This study was conducted that total 37 people(23 of males and 11 of females) were taken the liver MRI examination and average age was $54.5{\pm}12.7$ years old. The equipment was MAGNETOM Skyra 3.0T (SIEMENS, Erlangen, Germany) and 32 channel body-array coil. The examination were conducted with HASTE T2 weighted image by axial plane, Spin-echo EPI (echo planner image) DWI (b-value = 800) and Magnetic resonance elastography. The ROIs (region of interest: 200-300 $mm^2$) were established on the basis of the first axial stiffness image corresponded 95% confidence interval from axial stiffness image and then were measured values. After drawing the grid lines, signals were measured SNR from T2 weighted image and ADC values on the same locations that were analysed other 3 planes respectively. The results were showed correlation (0.057) that were increased to SNR from T2 weighted image by increasing stiffness value that no significant difference statistically p = 0.003. Other results were showed correlations (-0.301) that were decreased to ADC values by increasing stiffness values that no significant difference statistically p = 0.088. In the 3.0T equipment, the results may be error in much the same fashion as the 1.5T from ADC values by evaluation of fibrosis stage. However, Magnetic resonance elastography would be useful method that is used to diagnose exactly liver fibrosis stages in the 3.0T.