예비간호사를 위한 사례기반학습 및 코티칭 임상실습 교육모형 개발

형희경,김현우,김세령,김현정 한국기독교교육학회 2022 기독교교육논총 Vol.- No.72

The purpose of this study is to develop a nursing clinical practice education model that applies case-based learning and co-teaching to nursing students, and to secure the validity of the developed model. To verify the validity of the nursing clinical practice education model, it was applied to the subject of 'Health Response and Nursing VI (Perception/ Cognition) Practice' in the 2nd semester of 2021 at J University in Jeonju, and the instructor's response to the model was evaluated. Surveys and focus group interviews were conducted on confidence in clinical practice and teaching and learning models. After deriving the case-based learning stage and co-teaching elements through a review of precedent literature and case studies, an initial model was devised after expert review, and the devised model was reviewed for internal validity by nursing education experts, and then modified and supplemented. As a result of the learner response evaluation conducted after applying the model to the clinical practice subject for external validation verification, the confidence in clinical performance was 4.22 points and the satisfaction with the teaching-learning model was 4.68 points. Summarizing the results of the focus group interview, the importance of prior learning and the learning of selected cases based on actual cases, learning terminology and professional knowledge, eliminated fear of the practice field, felt familiar, and learned various cases. He said that he was able to think critically through the time to organize the knowledge learned in the practice field. In addition, through co-teaching, it was found that field leaders and advisors taught the theoretical and practical aspects at the same time through examples, thereby experiencing practical education closer to practice. It is expected that the nursing clinical practice education model developed through this study, applying case-based learning and co-teaching, will be an effective teaching and learning model that can reduce the gap between theory and practice and improve the clinical performance of nursing students.

리걸클리닉 교육(Clinical Legal Education)의 의의, 현황 및 과제

윤남근 ( Nam Geun Yoon ) 고려대학교 법학연구원 2010 고려법학 Vol.0 No.57

Korea has adopted a law school system modeled on the American one and 25 universities simultaneously established law schools, phasing out undergraduate law courses, across the nation in 2009 for the first time in its history. Until now, the legal academia took on the cognitive components of legal education, such as legal information, legal analysis, legal doctrines, etc, primarily through lectures while the Judicial Research and Training Institute has provided practice-oriented training in lawyering skills and professional responsibilities. From now on, law schools should educate students in both legal theories and practice skills, assuming the role of the colleges and the Institute at the same time. This essay is aiming at introducing clinical legal education in order to promote Korea`s legal education system, because clinical methodology in law teaching is not so familiar in the legal academia and profession, and legal clinics are on a fledgling stage, and different people have different definitions of it across the country. This essay starts with the birth of the modern law school, Dean Langdell`s case-Socratic teaching method, dissatisfactions with the method, the beginning of clinical legal education movement, controversies over skills training in law schools and their reluctance to operate legal clinics in the first half of the 20th century. It goes on to describe the drastic expansion of clinical legal education, financial contributions of the Ford Foundation and the U.S. government, academic accomplishments of clinicians and its present situation in America and East Asian Countries, China and Japan. This essay elaborates on the goals of clinical legal education and how to implement clinical methodology, including selection of clinical programs, preparing students for fieldwork, supervision of students, supplementations of fieldwork, and ways to deal with academic interruptions. It concludes that clinical legal education is an unavoidable choice for Korea`s law schools, the Attorney-at-Law Act should be revised so that clinical professors and law school students can practice law only for educational purposes, and that government financial support is urgently needed to develop clinical programs.

iCBLS: An interactive case-based learning system for medical education

Ali, Maqbool,Han, Soyeon Caren,Bilal, Hafiz Syed Muhammad,Lee, Sungyoung,Kang, Matthew Jee Yun,Kang, Byeong Ho,Razzaq, Muhammad Asif,Amin, Muhammad Bilal Elsevier 2018 International journal of medical informatics Vol.109 No.-

<P><B>Abstract</B></P> <P>Medical students should be able to actively apply clinical reasoning skills to further their interpretative, diagnostic, and treatment skills in a non-obtrusive and scalable way. <I>Case-Based Learning</I> (CBL) approach has been receiving attention in medical education as it is a student-centered teaching methodology that exposes students to real-world scenarios that need to be solved using their reasoning skills and existing theoretical knowledge. In this paper, we propose an interactive CBL System, called iCBLS, which supports the development of collaborative clinical reasoning skills for medical students in an online environment. The iCBLS consists of three modules: (i) <I>system administration</I> (SA), (ii) <I>clinical case creation</I> (CCC) with an innovative semi-automatic approach, and (iii) <I>case formulation</I> (CF) through intervention of medical students’ and teachers’ knowledge. Two evaluations under the umbrella of the context/input/process/product (CIPP) model have been performed with a <I>Glycemia</I> study. The first focused on the system satisfaction, evaluated by 54 students. The latter aimed to evaluate the system effectiveness, simulated by 155 students. The results show a high success rate of 70% for students’ interaction, 76.4% for group learning, 72.8% for solo learning, and 74.6% for improved clinical skills.</P> <P><B>Highlights</B></P> <P> <UL> <LI> This study describes how to foster medical trainees’ collaborative learning skills with the support of online advanced learning technologies and real-world clinical cases. </LI> <LI> Designed and developed an <I>interactive Case-Based Learning System</I> (iCBLS) for practising clinical cases before and outside the class. </LI> <LI> The iCBLS supports an innovative method to create real-world clinical cases using a semi-automatic approach. </LI> <LI> Two types of evaluations under the umbrella of the CIPP model have been performed in heterogeneous environments with a <I>Glycemia</I> study. </LI> <LI> The iCBLS achieves a success rate of more than 70% for students’ interaction, group learning, solo learning, and improving clinical skills. </LI> </UL> </P>

Medical students’ thought process while solving problems in 3 different types of clinical assessments in Korea: clinical performance examination, multimedia case-based assessment, and modified essay question

김세진,최익선,윤보영,권민정,최석진,김상현,이종태,이병두 한국보건의료인국가시험원 2019 보건의료교육평가 Vol.16 No.-

Purpose This study aimed to explore students’ cognitive patterns while solving clinical problems in 3 different types of assessments—clinical performance examination (CPX), multimedia case-based assessment (CBA), and modified essay question (MEQ)—and thereby to understand how different types of assessments stimulate different patterns of thinking. Methods A total of 6 test-performance cases from 2 fourth-year medical students were used in this cross-case study. Data were collected through one-on-one interviews using a stimulated recall protocol where students were shown videos of themselves taking each assessment and asked to elaborate on what they were thinking. The unit of analysis was the smallest phrases or sentences in the participants’ narratives that represented a meaningful cognitive occurrence. The narrative data were reorganized chronologically and then analyzed according to the hypothetico-deductive reasoning framework for clinical reasoning. Results Both participants demonstrated similar proportional frequencies of clinical reasoning patterns on the same clinical assessments. The results also revealed that the three different assessment types may stimulate different patterns of clinical reasoning. For example, the CPX strongly promoted the participants’ reasoning related to inquiry strategy, while the MEQ strongly promoted hypothesis generation. Similarly, data analysis and synthesis by the participants were more strongly stimulated by the CBA than by the other assessment types. Conclusion This study found that different assessment designs stimulated different patterns of thinking during problem-solving. This finding can contribute to the search for ways to improve current clinical assessments. Importantly, the research method used in this study can be utilized as an alternative way to examine the validity of clinical assessments.

리걸클리닉 교육(Clinical Legal Education)의 의의, 현황 및 과제

윤남근 고려대학교 법학연구원 2010 고려법학 Vol.0 No.57

Korea has adopted a law school system modeled on the American one and 25 universities simultaneously established law schools, phasing out undergraduate law courses, across the nation in 2009 for the first time in its history. Until now, the legal academia took on the cognitive components of legal education, such as legal information, legal analysis, legal doctrines,etc, primarily through lectures while the Judicial Research and Training Institute has provided practice-oriented training in lawyering skills and professional responsibilities. From now on, law schools should educate students in both legal theories and practice skills, assuming the role of the colleges and the Institute at the same time. This essay is aiming at introducing clinical legal education in order to promote Korea's legal education system, because clinical methodology in law teaching is not so familiar in the legal academia and profession, and legal clinics are on a fledgling stage, and different people have different definitions of it across the country. This essay starts with the birth of the modern law school, Dean Langdell's case-Socratic teaching method, dissatisfactions with the method,the beginning of clinical legal education movement, controversies over skills training in law schools and their reluctance to operate legal clinics in the first half of the 20th century. It goes on to describe the drastic expansion of clinical legal education, financial contributions of the Ford Foundation and the U.S. government, academic accomplishments of clinicians and its present situation in America and East Asian Countries, China and Japan. This essay elaborates on the goals of clinical legal education and how to implement clinical methodology, including selection of clinical programs,preparing students for fieldwork, supervision of students, supplementations of fieldwork, and ways to deal with academic interruptions. It concludes that clinical legal education is an unavoidable choice for Korea's law schools,the Attorney-at-Law Act should be revised so that clinical professors and law school students can practice law only for educational purposes, and that government financial support is urgently needed to develop clinical programs.

사례기반 실습교육 프로그램이 간호대학생의 임상수행능력과 간호전문직관에 미치는 효과

양진주(Yang Jin Ju),김효경(Kim Hyo Kung) 사단법인 안전문화포럼 2021 안전문화연구 Vol.- No.14

본 연구의 목적은 일개 대학병원에서 임상실습을 경험하는 간호학과 3학년을 대상으로 임상수행능력과 간호전문직관을 파악하고 사례기반 실습교육 프로그램이 임상수행능력과 간호전문직관에 미치는 효과를 확인하여 임상실습교육의 질적 향상과 다양한 임상 실습교육 프로그램을 개발하기 위한 기초자료를 제공하고자 시도된 단일군 전 · 후 설계의 유사실험 연구이다. 연구대상은 G시 소재의 일개 대학교 간호학과 3학년 학생 27명을 대상으로 2021년 10월 29일부터 2021년 11월 19일까지 자기보고식 설문지를 통해 온라인 조사를 실시하여 자료를 수집하였다. 본 연구에서 사례기반 실습교육 프로그램은 2주간 2회기로 구성되었고, 교육프로그램 시작 전 오리엔테이션, 연구대상자의 특성, 자가 보고식 임상수행능력과 간호전문직관에 관한 사전조사, 2회기 사례기반 실습교육 적용, 연구대상자의 임상수행능력과 간호전문직관에 대한 사후조사 단계로 진행되었다. 수집된 자료는 SPSS 19.0 program을 이용하여 연구대상자의 특성은 빈도를 구하였고, 교육 전과 후의 연구대상자의 임상수행능력과 간호전문직관의 차이는 paired t-test로 분석하였다. 본 연구결과, 사례기반 실습교육 프로그램 적용 후 연구대상자의 임상수행능력(t=-3.33, p=.003)과 간호전문직관(t=-2.23, p=.035)은 교육 전보다 통계적으로 유의하게 상승하였다. 특히 연구대상자의 임상수행능력의 하위 영역 중 간호과정, 주요간호중재, 사회심리적 간호, 대상자교육, 관찰과 신체사정의 영역이 교육 전보다 교육 후에 유의하게 상승하였고, 기본간호도 상승하였으나 통계적으로 유의하지는 않았다. 연구대상자의 간호전문직관 하위영역 중 사회적 인식과 간호실무역할이 교육 전보다 교육 후에 유의하게 상승하였고, 전문직 자아개념, 간호의 독자성, 간호의 전문성 등은 교육 전보다 교육 후에 상승하였으나 통계적으로 유의하게 상승하지 않았다. 결론적으로 본 연구의 사례기반 실습교육 프로그램은 간호대학생의 임상수행능력과 간호전문직관을 향상시킬 수 있는 효과적인 교육프로그램임을 확인할 수 있었고, 본 연구는 임상 실습교육의 질적 향상을 위한 다양한 사례기반 실습교육을 개발하여 적용 하는 것이 필요함을 시사하였다. 따라서 본 연구의 결과를 토대로 사례기반 실습교육 프로그램의 적용 효과를 검증할 수 있는 비동등성 대조군 전후 설계 연구를 수행하기를 제언한다. The purpose of this study was to examine clinical competency and nursing professionalism, to identify the effects of case-based practice education program on clinical competency and nursing professionalism, and to provide basic data for the improvement on clinical competency and nursing professionalism of nursing college students experiencing clinical practice. The data were collected from October 29th to November 19th, 2021 and 27 Junior students were recruited from one university located in G city. The case-based practice education program consisted of orientation, a pre-survey, a two-section program, and a post-survey. A one-group pretest-posttest design was used to collect the data and frequency and paired t-test were analyzed by SPSS 19.0 program. Compared with before the program, clinical competency and nursing professionalism were significantly improved after completion of the case-based practice education program (t=-3.33, p=.003; t=-2.23, p=.035). Especially compared with before the program, nursing process(t=-3.93, p=.001), major nursing interventions(t=-3.67, p=.001), psycho-social nursing(t=-2.81, p=.009), education for clients(t=-2.17, p=.039), observation and physical examination domains(t=-2.79, p=.010) of clinical competency and social awareness(t=-3.64, p=.001), roles of nursing service(t=-2.60, p=.015) of nursing professionalism were significantly increased. In conclusion, the case-based practice education program can be used as an effective education program to improve clinical competency and nursing professionalism of nursing college students. This study also suggests that development of various cased-based education programs is required to enhance clinical competency and nursing professionalism of nursing college students experiencing clinical practice.

Vibrio vulnificus 감염증으로 확진된 92예의 임상적 고찰

유종선,문범,지미선,최성규,백강우,김기태,박창환,윤종만 대한감염학회 1995 감염 Vol.27 No.4

목적: V. vulnificus 감염증은 전남지방에서 매년 발생하고 있고 지속적인 계몽과 집중적인 치료에도 불구하고 아직도 높은 치사율을 나타내고 있어 1983년부터 1994년까지의 전남지방의 V. vulnificus 감염증의 임상상과 역학적인 특성을 분석 검토해보았다. 방법:1983년부터 1994년 9월 까지 전남대학병원에 내원한 환자중 균 배양검사로 V. vulnificus 감염증으로 확진된 92예를 대상으로 세균학적 검사소견, 역학적 특성, 임상소견을 분석 검토하였다. 혈액배양은 BACTEC blood culture system(Bekton Dickinson)을 이용하였고, 피부병변 조직배양은 혈액한천배지, MacConkey agar, Thioglycolate broth에 접종 배양한 후 배양된 세균을 ATB 32GN(biome-rieux. France)과 API 20E(biomerieux. France)로 동정하였다. 항생제 감수성은 Kirby-Bauer 디스크(BBL Sensi disc)확산법으로 검사하였다. 결과: 1) V. vulnificus는 혈액배양에서 20예(22%), 조직배양에서 43예(47%), 혈액과 조직에서 27예(29%), 혈액과 복수에서 1예(1%), 혈액과 뇌척수액에서 1예(1%)가 배양되었다. 원판 확산법에 의한 균 감수성검사에서는 tetracycline, chloramphenicol, ampicillin, gentamicin, piperacillin, cefoperazone, cefotaxime, ciprofloxacin등은 100%의 감수성을 나타냈고 amikacin, kanamycin, carbenicillin등은 약 85%, cephalothin은 77%의 감수성을 나타냈으며 colistin은 전 균주에서 내성을 나타냈다. 2) 연도별 발생빈도는 85년에 21예로 가장 많았고, 94년 12예, 89년 10예, 87년 9예, 91년 8예, 93년 8예의 순이었다. 월별로는 5월에서 10월 사이에 발생하였으며 특히 7월에서 9월 사이에 78예(85%)로 집중적으로 발생하였다. 지역별로는 해안지방과 인접 내륙지방에 주로 발생하는 경향을 보였다. 3) 간질환이나 중등도 이상의 음주력이 있는 40-50대의 남자에서 어패류를 생식 또는 불충분하게 조리하여 섭취했을때 많이 발생하였다. 환자 발생시기의 남서해안 근해 평균수온은 16.3℃-28.7℃였으며 특히 22.0℃-23.9℃시기의 발생이 전체의 54%를 차지하였고 해수온도가 상승함에 따라 발생빈도가 증가하는 경향을 보였다(r=0.43 p=0.006). 4) 대부분이 원발성 패혈증 증세를 보였고 하지의 부종과 수포등 피부병변만 나타나고 패혈증 증세가 없었던 창상감염증 1예와 뇌막염 증세를 동반한 패혈증이 1예 관찰되었다. 임상증상으로는 주로 피부병변(96%), 사지통(56%), 저혈압(52%), 발열(47%), 오한(43%), 설사(33%), 복통(26%), 구토(25%)등이 나타났고, 심한 경우에는 핍뇨(9%), 호흡곤란(7%), 혈변(2%)도 나타났다. 피부병변으로는 수포(56%), 부종(52%), 홍반(51%), 괴사(18%), 자반(11%), 구진(7%), 농포(2%), 등이 관찰되었고 주로 하지(73%)에 많이 발생하였다. 5) 사망률은 전체적으로는 57.6%이였고, 점차 감소화 하는 추세를 보였다. 사망군과 생존군간에는 생명징후, 잠복기에 따른 차이는 없었으나 백혈구수와 혈소판수가 감소할수록, AST가 높을수록 사망률이 높았다 결론:V. vulnificus 감염증은 일단 패혈증이 발생하면 병의 진행이 빠르고 감수성 있는 항생제로 집중적인 치료를 해주어도 사망률이 높기때문에 발병후 치료보다 예방이 훨씬 중요하리라 사료된다. Background:V. vulnificus infection is a highly fatal disease prevailing in Chonnam area. To increase understanding of V. vulnificus infection, we investigated clinical and epidemiological characteristics of V. vulnificus infection in Chonnam area. Methods:We retrospectively reviewed the clinical recores of 92 cases with V. vulnificus infection which admitted to Chonnam University Hospital from 1983 to 1994 and bacteriologically were confirmed. Results: 1) V. vulnificus was isolated from blood in 22%, tissue in 47%, blood and tissue in 29%, blood and peritoneal fluid in 1%, and blood and cerebrospinal fluid in 1% of the cases. All the isolates were susceptible to tetracycline, chloramphenicol, ampicillin, gentamicin, piperacillin, cefoperazone and cefotaxime. About eighty-five pervent of the isolates were susceptible to amikacin, kanamycin and carbenicillin and seventy-seven percent to cephalothin. All the isolates were resistant to colistin. 2) The yearly distribution was 21 cases in 1985, followed by 12 in 1994, 10 in 1989, 9 in 1987 in decreasing. The monthly distribution was each 27 cases in July and August, followed by 24 in September, 8 in June, 5 in October, 1 in May. The majority of cases occurred in coastal areas and nearly inlands of Chonnam province. 3) All of V. vulnificus infections occurred in association with ingestion of raw seafoods. The age and sex distribution ranged from the thirties to the eighties and occurred mainly in adult males in the fifties(48%) and the forties(24%). Of ninety-two cases, 73 cases had underlying liver diseases and 67 cases were heavy alcohol consumers. 4) Almost all cases showed primary septicemia except one which had wound infection without septicemia. One case showed septicemia with meningeal symptoms. Clinical manifestations included skin lesion(96%), pain in the extremities or myalgia (56%), hypotension(52%), fever(47%), chills(43%), diarrhea(33%), abdominal pain(26%), oliguria(9%), dyspnea(7%) and melena(2%). Skin lesions included vesicles or bullae(56%), edema(52%), erythema(51%), necrosis(18%), purpura(11%), macules(7%) and pustules(2%). Most of the skin lesions developed in the lower extremities. 5) The average sea water temperature ranged from 16.3℃ to 28.7℃ which was provided by National Fisheries Research & Developement Agency from 1983 to 1994, when V. vulnificus infection occurred. As sea water temperature rose, the incidence of V. vulnificus infection tended to be increased(r=0.43 p=0.006) 6) The overall case fatality rate was 57.6%. There were no significant differences between survivors and non-survivors in vital signs, incubation period, arrival time, and liver function test except aspartate aminotransferase. However, leukocyte and platelet counts were significanty lower in non-survivors (p<0.05). Conclusion:In spite of the susceptible antibiotics therapy and intensive care, V. vulnificus infection was highly fatal. Therefore, we stress that prevention is more important rather than treatment of the disease.

자궁벽내임신에 대한 임상적 분석

이동헌 ( Lee Dong Heon ),조준식 ( Jo Jun Sig ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.5

목적 : 자궁벽내임신은 조기 진단이 어려우며 치료가 지연되는 경우 자궁적출술을 시행해야 하는 등 합병증이 큰 질환이나 현재까지 이 질환에 관한 전반적인 고찰은 찾아보기 어려운 실정이다. 이에 문헌 고찰을 통하여 이 질환의 임상적 특성을 분석하고자 하였다. 연구 방법 : 인터넷을 이용하여 MEDLINE과 EMBASE 데이터베이스 및 대한산부인과학회에서 제공하는 논문 검색 엔진으로 문헌 검색을 시행하였다. 총 40예의 중례 보고를 검색하였으며 이 중 임상 자료가 부족한 4예는 연구 대상에서 제외하고 36예를 대상으로 분석을 시도하였다. 결과 : 자궁벽내임신 36예의 발생 평균 연령은 31.2세였으며 평균 진단 주수는 10.8주였다. 36예 중 17예의 환자가 자궁소파술 기왕력이 있어 가장 중요한 위험인자로 나타났다. 36예 중 27예를 개복술을 통해 자궁벽내임신을 확진하였으며 치료 방법은 자궁적출술이 가장 많이 시행되었다. 결론 : 자궁벽내임신은 위험 인자를 숙지하고 최근 발달된 영상 진단 기기를 적절히 이용하면 상당수에서 조기 진단과 내과적 치료가 가능하여 임신력을 보전할 수 있을 것으로 판단된다. Objective : The goal of this article is to analyze the clinical characteristics of intramural pregnancy through the review of currently available 36 case reports. Methods : A comprehensive computer literature search was performed in MEDLINE and EMBASE database from 1966 to 2003. And domestic literature search was preformed in KSOG database. After data collection, we reviewed and analyzed meaningful clinical variables of each case report. Results : 36 articles were included. The age at diagnosis ranged from 20 to 41 years old, and the mean age was 31.2 years (S.D∴5.6). The gestational period at diagnosis ranged from 6^th to 30^th weeks, more than half of the cases occurred from 6^th to 10^th week (58.3%). Significant risk factors were history of dilatation and curettage (47.2%) and history of cesarean section (25.0%). Common clinical symptoms and signs were vague abdominal pain (58.3%) and vaginal bleeding (54.2%) in unruptured case, and sudden onset of severe abdominal pain (100%) and muscle guarding (75.0%) in ruptured case. The preoperative diagnostic accuracy was 0% before introduction of ultrasonography into the clinical practice, 48.2% after ultrasonography was available. Of 36 patients, 27 patients (75.0%) were treated with laparotomy, and 5 patients (13.8%) were treated with methotrexate. Survival outcome of fetus was very poor. Only in 1 case, the pregnancy persisted beyond the 30^th week, and the fetus survived after cesarean hysterectomy. Conclusion : With the advanced diagnostic tools and close monitoring of patients, we can improve the diagnostic accuracy and clinical outcome of intramural pregnancy.

임상증례 지식의 공유를 위한 빅데이터 기술 융합 플랫폼의 개발

김종호 국제차세대융합기술학회 2021 차세대융합기술학회논문지 Vol.5 No.1

증례 콘텐츠는 의학교육을 위한 문제기반 학습, 증례 기반 학습에서도 필수적으로 활용되고 있으나 증례 집 등 지면으로 표현되어 있어 활용에 제약이 많다. 증례를 인덱싱하는 방법도 키워드를 사용하는 수준에 그치고 있어 연구와 교육을 위해 의료인들이 적합한 환자를 찾는데도 많은 애로점을 지니고 있다. 본 연구는 의료인들이 임상에서 획득한 데이터를 활용하여 디지털 증례를 손쉽게 저작할 수 있는 저작 도구와 디지털 증례가 유통 및 활용될 수 있는 플랫폼을 구축하기 위한 요구사항 분석, 전략 수립, 시스템의 기능 설계 방안을 제시하고 핵심적 인 기능에 대하여 프로토타입을 개발하였다. 본 기술의 적용은 종이 매체에 의존하던 기존 임상 증례의 제작, 유 통 방식을 혁신함으로써 급성장이 예상되는 스마트 증례 콘텐츠 시장의 선점과 고용 창출, 의료산업의 혁신을 도 모함으로써 경제의 성장과 고용 창출을 촉진할 수 있다. Clinical case contents are essentially used in problem-based learning and case-based learning for medical education. Still, their use is limited because they are expressed on paper, such as case books. The method of indexing cases is also limited to using keywords, so medical professionals have many difficulties finding suitable patients for research and education. The purpose of this study is to present a requirement analysis, strategy establishment, and prototype development. Medical professionals can author clinical cases easily using data acquired in clinical practice. The platform promotes effective dissemination of clinical case knowledge. This technology's application supports economic growth and job creation by preoccupying the rapidly growing smart case contents market by innovating the production and distribution method of clinical case knowledge that currently depends on paper media.

체질처방 결정요인 확인을 위한 연구설계

진희정,김상혁,백영화,장은수,유종향,이시우,Jin, Hee-Jeong,Kim, Sang-Hyuk,Baek, Young-Hwa,Jang, Eun-Su,Ryu, Jong-Hyang,Lee, Si-Woo 사상체질의학회 2015 사상체질의학회지 Vol.27 No.2

Objectives The purpose of this study is to design a research to find clinical factors involved in the decision-making process for determining the constitutional prescription based on prospective clinical data. Methods We have created a draft of the case report form. Therefore, seven constitutional experts was interviewed for additional items to be important used to determine the constitutional prescription in clinic. Interviews were done from December 2012 to March 2014, experts per person 2-3 times, took time of about 120 minutes per interview. Since then, we developed the final case report form through the expert meeting. At the same time, the developing the electronic case report form (eCRF) and the protocol to collect constitutional treatment cases was also discussed. Results & Conclusions The items of the case report form were subject general, lifestyle, health measurement, record of expert, prescription and evaluation after medication. The part of the clinical symptoms of the record of expert allowed to be recorded in the 5-point scale for the collection of quantitative data as much as possible. Assuming a re-visit of the patient, if necessary, twice the recording were to be possible. At the same time, the eCRF and the protocol to collect constitutional treatment cases were also developed. In this study, it will be able to more objectively standardize the medical decision making process that the experts of constitutional prescription decision. As a result, it will be possible to provide the standardized constitutional medical services.