가천대학교 의과대학 졸업 후 진로지도 프로그램 설계와 운영

박귀화,Kwi Hwa Park 연세대학교 의과대학 2024 의학교육논단 Vol.26 No.1

The ultimate goal of career guidance is to help medical students develop a career plan that matches their personal characteristics, allows them to train in their desired subspecialty, and helps them to adapt well to medical practice after graduation. Gachon Medical School has designed a longitudinal career guidance program called GLORI (Gachon Longitudinal Orientation and Career Development), which is based on the outcome of each phase. The program consists of regular courses and portfolio-based career guidance from a mentor professor. In phase 2 (basic medical science), the "Career Seminar" course was developed. This course focuses on self-understanding through a psychological inventory, exploration of postgraduate career paths, and interviews with professors in specialties of interest. In phase 3 (the integration of basic and clinical science), the "Exploring Nonclinical Career Options" course was introduced. This course presents perspectives from doctors who have followed various pioneering career trajectories, including biomedical engineering, medical journalism, writing, public health, health care administration, the pharmaceutical and medical device industries, and other areas. All teaching methods were designed to encourage student participation. The assessment methods are assignment-based, including self-reflective reports and presentations. In addition, a portfolio-based career guidance program is implemented in phases 3 and 4 (clinical clerkship). It is expected that this case study will serve as a practical example for developing comprehensive career guidance programs for medical schools.

The attitudes of Korean medical students toward patient safety

박귀화,박경혜,강영준,권오영 한국의학교육학회 2019 Korean journal of medical education Vol.31 No.4

Purpose: This study investigated the attitudes of Korean medical students about patient safety to determine which perspectives required increased focus in terms of educational development. Methods: Attitudes were assessed using the Patient Safety Questionnaire, a tool designed to measure attitudes toward patient safety among medical students. Questionnaires were distributed to 580 clinical year students across four medical schools in December 2018. Results: A total of 300 returned questionnaires were used in the final analysis. More than half of all respondents agreed (i.e., gave more than 4 out of 7 points) with most items and thoroughly considered the concept of patient safety. However, many students misperceived several items (e.g., professional incompetence as a cause of errors, disclosure responsibility, the importance of patient safety in the curriculum, and situational awareness). Conclusion: Attitudes toward patient safety are highly important due to their substantial impacts on behavioral decisions in the clinical setting. As such, patient safety education should be designed to place greater emphasis on proper attitude. This study’s findings should be useful for medical instructors who wish to determine the appropriate areas of curricular focus.

한국 의과대학생들의 의학교육환경에 대한 인식

박귀화,박주현,김선,이정애,김종훈,안영준,한재진,서덕준 한국의학교육학회 2015 Korean journal of medical education Vol.27 No.2

Purpose: The purpose of this study was to examine students' perception of the educational environment of medical schools in Korea. Methods: A total of 9,096 of 12,035 students (75.6%) responded to our questionnaire. This study was conducted at the end of the 2013 academic year using the Dundee Ready Education Environment Measure (DREEM) at 40 medical schools in Korea. DREEM comprises five domains: students' perceptions of learning (SPL); students' perceptions of teachers (SPT); students' academic self-perceptions; students' perceptions of atmosphere; and students’ social self-perception. The data were analyzed using descriptive statistics, independent t-test, and one-way analysis of variance. Results: The overall mean DREEM score was 113.97 (of 200), and the scores for the 40 medical schools ranged from 100.24 to 134.32. The overall mean and domains scores of the DREEM differed significantly between educational systems, grades, genders, and academic achievement levels. Graduate-level medical students had higher scores for the DREEM and its five domains than undergraduate medical students. The scores were lowest in second-year students (mean, 111.80). Male students' perceptions were significantly higher than those of female students except for SPL and SPT. High academic achievers' perceptions were also greater versus low academic achievers. Conclusion: Students' perceptions of their educational environment are positive in Korea. The learning environment should be evaluated by curriculum planners and administrators of medical schools to improve its quality.

팀바탕학습을 접목한 문제바탕학습 운영 경험

박귀화,박철현,정욱진,유찬종 한국의학교육학회 2010 Korean journal of medical education Vol.22 No.3

Purpose: The purpose of this study was to evaluate the implementation of problem-based learning (PBL), in combination with team-based learning (TBL), in an integrated curriculum at Gachon University School of Medicine. Methods: The study methods included in-depth interviews and an open questionnaire. The subjects of the study comprised 5 faculty members and 38 second-year graduate students. Results: PBL, combined with TBL, was not helpful in enhancing student ability with regard to reasoning and self-directed learning. This program also had negative effects, increasing student tension and interfering with the dynamics of discussions due to frequent tutor intervention. Conclusion: Overall, PBL that is combined with TBL was a less useful method than PBL only. We recommended understanding the characteristics of each program and attempting to develop better programs that mix the positive aspects of TBL and PBL.

한국 의과대학·의학전문대학원의 전문직 간 교육 현황과 요구 분석

박귀화,유지혜,윤보영,이동현,이승희,최재정,박경혜,Park, Kwi Hwa,Yu, Ji Hye,Yoon, Bo Young,Lee, Dong Hyeon,Lee, Seung Hee,Choi, Jai-jeong,Park, Kyung Hye 연세대학교 의과대학 2022 의학교육논단 Vol.24 No.2

The purpose of this study was to investigate the current status of interprofessional education (IPE) and the efforts required to promote, popularize, and implement it in Korea. The IPE status of 40 medical colleges was investigated using a survey with questions regarding the details of IPE, the future plans and necessary support required, and the reasons for not implementing IPE. Thirty-two medical colleges responded, of which 10 are implementing or have implemented IPE. Most of these colleges started IPE in 2018, and the duration of IPE was less than 9 hours. All medical colleges held classes with nursing students. As for the type of IPE, there were independent courses for IPE, one-time special lectures, or partial sessions in one course. Lectures, discussions and presentations, role playing, and high-fidelity simulations were mainly used as educational methods. The support and interest of the dean was the most important facilitating factor. No medical colleges were currently preparing to implement IPE, four colleges had planned IPE but failed to implement it, and 16 had no plans for IPE at all. All medical colleges cited scheduling or cooperation with other majors as the most significant barrier. All the colleges listed their requirements for educational materials, cases, guidelines, and teaching and learning methods for IPE from external institutions. To activate IPE, it is necessary to create an appropriate atmosphere and conditions for developing IPE competencies and a model suitable for the domestic situation. External medical education support organizations should distribute IPE development guidelines and educational materials, form a network between medical colleges with IPE experience, and make efforts to promote the importance of IPE.

일개 의과대학생들의 임상수행평가(Clinical Performance Examination)에 영향을 미치는 변인들 간의 관계

박귀화,정욱진,이운기,신익균,홍두호 한국의학교육학회 2009 Korean journal of medical education Vol.21 No.3

Purpose: The purpose of this study was to identify the causal relationship between the following variables: basic science score, written examination score (Internal medicine and Pediatrics), clinical clerkship score (Internal medicine and Pediatrics), and affective factors (self-efficacy, anxiety, and perception of preparedness). Methods: Forty-two medical students took the clinical performance examination (CPX) at the end of the first semester. One day before the CPX, the students completed a brief survey, which included 11 items that sampled their self-efficacy, preparedness and anxiety with regard to the CPX. The responses from the 38 identifiable surveys (90%), out of 42, were analyzed for this study. Structural equation modeling techniques were used to test the relationships between the variables. The students' basic science scores, clinical clerkship scores, and written examination scores were considered for this study. Results: We found that self-efficacy influenced students' CPX scores indirectly through their preparedness and anxiety. Preparedness influenced students' CPX scores indirectly through their anxiety. Anxiety was predicated on self-efficacy directly or indirectly and it predicted CPX scores. The clinical clerkship scores affected the students' CPX scores indirectly. The written examination scores and basic science scores, however, did not impact the students' CPX scores directly or indirectly. The basic science scores, clinical clerkship scores, and written examination scores were not associated with self-efficacy. Conclusion: Our findings highlight the importance of clinical clerkship education and reasonable medical teaching methods in improving the student self-efficacy for the CPX.

토픽 모델링을 활용한 상담 성과 연구동향 분석 - 「상담학연구」학술지를 중심으로

박귀화,이은영,윤소정 한국디지털정책학회 2021 디지털융복합연구 Vol.19 No.11

의과대학생들의 학업성취도와 학교생활 만족도 수준에 따른 학업 특성

박귀화,문이은,윤민지,정현수,조영제,윤소정 인하대학교 교육연구소 2019 교육문화연구 Vol.25 No.6

The purpose of this study was to investigate the academic characteristics of students according to their academic achievement and school life satisfaction level. The students who participated in the questionnaires were 792 students in the first and second grades of five medical schools in Busan, Gyeongsang, Gyeonggi and Jeolla provinces. Among the respondents, those who did not sign the consent form or responded unfairly were excluded from the analysis. The final 465 responses were analyzed. The results of 70 students who showed their willingness to participate in the research but did not answer the academic achievement level were used only to verify the differences in academic characteristics according to school life satisfaction. The test instruments used in this study were achievement goal orientation, academic emotion, learning approach, and resilience test to examine the academic characteristics of medical students. MANOVA and Tamhane’s T2 post - test were conducted for the analysis of the questionnaire. As a result of the study, there were significant differences in mastery approach(F=11.14, p<.001), in - depth approach(F=4.65, p<.05), and enjoyment(F=6.78, p<.01) according to academic achievement level. All of these results showed that the group with high academic achievement score was higher than the group with low academic achievement. And the group with low school life satisfaction showed higher score in positive(F=13.92, p<.001) and sociality(F=6.81, p<.01) than the group with high school life satisfaction. The results of this study helped to identify the factors affecting students' academic achievement and school life satisfaction. These results can be used to develop strategies for enhancing students' learning attitudes and motivation, and they are expected to be applied to student-centered instructional design. 본 연구는 의과대학생의 학업 성취와 학교생활 만족도에 따라 학업적 특성, 즉 성취목표지향성, 학습접근, 성취정서, 회복탄력성에는 어떠한 차이가 있는지를 알아보고자 한다. 2018년 7-9월에 걸쳐 부산, 경상도, 경기도, 전라도에 있는5개 의과대학 의학과 1학년과 2학년 총 학생 792명을 대상으로 하여 연구 참여 동의를 구한 후 성취목표지향성, 학습접근, 회복탄력성, 학업정서 검사를 시행하였다. 그 중 연구 참여 동의서에 서명하지 않았거나 불성실하게 답한응답을 제외한 465명(58.7%)의 결과를 분석에 활용하였으며, 연구에 참여 의사를 밝혔으나 자신의 학업성취도 수준에답하지 않은 학생 70명의 설문 결과는 학교생활 만족도 차이 검증에만 활용하였다. 학업성취와 학교생활 만족도수준, 그리고 학업특성을 알아보는 제요인간의 관계를 알아보기 위하여 상관분석을 실시하였으며, 학업성취와 학교생활만족도 수준에 따른 학업특성의 차이를 알아보기 위하여 다변량분석(MANOVA)을 실시하였다. 그 결과 학업성취수준과학교생활 만족도 간에는 의미 있는 상관관계가 나타나지 않았다. 그리고 학업성취 수준에 따라 숙달접근(F=11.14, p<.001), 심층접근책략(F=4.65, p<.05), 즐거움(F=6.78, p<.01)에는 유의한 차이가 나타났으며, 이는 모두 상집단이 중또는 하집단에 비해 높았다. 학교생활 만족도 수준에 따른 차이에서는 학교생활 만족도에 만족한 집단이 성취목표지향성의 숙달접근이 다른 집단에 비해 더 높았으며(F=3.51, p<.05), 회복탄력성의 긍정성(F=13.92, p<.001)과 사회성(F=6.81, p<.01)은 불만족한 집단이 높은 것으로 나타났다.

통합건강증진사업 전문인력의 감정노동, 직무스트레스, 조직지원인식과 직무만족도의 구조적 관계 분석

박귀화,임준,Park, Kwi Hwa,Yim, Jun 한국디지털정책학회 2021 디지털융복합연구 Vol.19 No.8

본 연구의 목적은 통합건강증진사업을 담당하는 전문인력의 감정노동, 직무스트레스, 조직지원인식과 직무만족도 간의 구조적 관계를 분석하는 것이다. 연구대상은 인천시 보건소에 근무하는 통합건강증진사업 전문인력 126명이었다. 자료 분석은 SPSS 26.0과 AMOS 23.0 프로그램을 사용하여, t-test, ANOVA, 상관관계, 구조방정식모형 분석을 실시하였다. 감정노동은 연령과 결혼 유무에 따라(p<.05), 직무스트레스는 종교 유무에 따라(p<.01), 직무만족도는 경력, 종교와 결혼 유무에 따라(p<.01) 차이가 있었다. 감정노동이 직무만족도에 미치는 간접효과는 -0.315였고, 직접효과는 나타나지 않았다. 직무스트레스가 직무만족도에 미치는 간접효과는 -0.288, 직접효과는 -0.228이었다. 조직지원 인식이 직무만족도에 미치는 직접 효과는 -0.507이었다. 본 연구는 통합건강증진사업 전문인력의 직무만족도 증진을 위한 대안과 중재 프로그램을 개발하는데 기초자료로 활용될 수 있을 것이다. The purpose of this study is to analyze the structural relationship between emotional labor, job stress, perceived organizational support and job satisfaction for the health promotion program personnel. The subjects were 126 in charge of the health promotion program. Data were analyzed using SPSS 26.0 and AMOS 23.0 for the independent t-test, ANOVA, Pearson correlation coefficients and structural equation modeling. There were significant differences in emotional labor by age and marital status (p<.05), job stress by religion (p<.01) and job satisfaction by career, religion and marital status (p<.01). The indirect effect of emotional labor on job satisfaction was -0.315, and no direct effect was found. The indirect effect of job stress on job satisfaction was -0.288, and the direct effect was -0.228. The direct effect of perceived organizational support on job satisfaction was -0.507. These results can be used as baseline data to develop alternatives and intervention programs to enhance job satisfaction.

국내 의학교육 교수개발 프로그램 현황과 과제

박귀화,박경혜 연세대학교 의과대학 2023 의학교육논단 Vol.25 No.1

This study aimed to investigate the current status of faculty development (FD) programs operated by medical colleges and institutions in Korea, and to suggest future-oriented directions for FD. A survey was conducted targeting medical colleges and medical education institutions that operate FD programs. We investigated the reasons for selecting topics, program themes, program operation methods, longitudinal program status, program improvement and quality control methods, the evaluation of the program effects, the outcomes and problems of the programs, and opinions on the latest trends. Twenty-nine out of 40 medical colleges and three out of six institutions responded. Topics were selected based on an analysis of medical education trends and the educational environment in both groups. The most common program themes were assessments in medical colleges, and teaching/learning and curriculum themes in institutions. FD was perceived to induce professors’ and administrators’ interest in medical education and improve the quality of medical education. The most common program method was workshops. Three medical colleges and one institution had longitudinal programs. Participant surveys constituted the most common method of evaluating programs’ effects. Difficulties in publicizing programs and inducing voluntary participation were the most common problems in both groups. New attempts for FD were perceived as the role of external institutions. Based on the results, it is necessary to develop a framework and quality improvement indications for FD programs in the future, and FD programs are expected to be developed through new initiatives, such as longitudinal programs and those focusing on the community of practice.