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의학전문대학원생의 임상추론 능력 파악을 위한 수정간이구조화관찰법의 효과
황영은 ( Young Eun Hwang ),윤인애 ( In Ae Yoon ),서지현 ( Ji-hyun Seo ),박정제 ( Jung Je Park ),우향옥 ( Hyang-ok Woo ),윤희상 ( Hee-shang Youn ),강기련 ( Kee Ryeon Kang ),배화옥 ( Hwa-ok Bae ) 대한의료커뮤니케이션학회 2016 의료커뮤니케이션 Vol.11 No.1
Purpose: The brief-structured observation (BSO) is the teaching method during clerkship. To assess the usefulness of BSO in clerkship, the survey of faculties for reflecting medical students’ reasoning process was assessed. Methods: The modified BSO was introduced to clinical curriculum at Department of Pediatrics, Gyeongsang National University Medical School since 2011. A total of 71 third-year students were divided into 8 groups and conducted for 5 weeks each for a total of 40 weeks (64 BSOs in a year). The questionnaire was admitted to all faculties to assess their view on, satisfaction, and self-conception comparing with other educational methods. And the correlation of scores of BSO, bedside oral test, clinical performance examination and final exams were analyzed. Results: In all, 4 faculties agreed that the modified BSO is more helpful to assess the students’ clinical reasoning compared to other bed-side teaching, 5 faculties agreed that it is useful to evaluate the communication skills, and 6 faculties agreed that it is useful tool for feedback to peers. The question about comparing with the real patient, 5 faculties agreed that it was not bad using student as a standardized patient. There were present mild to moderate correlation between BSO score and Bed side oral test (R=0.268, P=0.02), BSO and clinical performance examination (R=0.525, P<0.001). All faculties thought that BSO is feedback method despite it has several disadvantages. Conclusion: The modified BSO might be a useful tool to assess the students’ clinical communication skills and clinical reasoning and helpful feedback tool for peers.
교통사고 환자 증례를 통한 척유약침과 Brainspotting의 임상적 접근
이도은 ( Do-eun Lee ),하지수 ( Ji-su Ha ),박현미 ( Hyun-mee Park ),윤인애 ( In-ae Youn ),서주희 ( Joo-hee Seo ) 대한한방신경정신과학회 2021 동의신경정신과학회지 Vol.32 No.3
The purpose of this study was to introduce effects of Chukyu pharmacopuncture and Brainspotting on knee pain, headaches, and acute stress disorder of a patient with a traffic accident. We treated a patient with Chukyu pharmacopuncture and Brainspotting. Numerical rating scale (NRS), Range of Motion (ROM), Hyperextension Position (HEP), Effusion (Eff), Patella Compression Test (PCT), Frontal Flexion Position (FFP), McMurray (MCM), Lateral Joint Line Tenderness (LJLT), Medial Joint Line Tenderness (MJLT), Anterior Drawer Test (ADT), Lachman Test, Varus/Valgus stress, Beck Anxiety Inventory (BAI), Patient Health Questionnaire-9 (PHQ-9), Pittsburgh Sleep Quality Index (PSQI), Core Seven Emotions Inventory Short Form (CSEI-S), Subjective units of disturbance scale (SUDs), and Heart rate variability (HRV) were used to evaluate the patient. After the patient was treated by Chukyu pharmacopuncture and Brainspotting, the patient showed improvement in NRS, physical examination, and psychological symptom assessment. These results indicate that Chukyu pharmacopuncture and Brainspotting are effective on knee pain, headache, and acute stress disorder after a traffic accident.
박한송 ( Han-song Park ),이도은 ( Do-eun Lee ),윤인애 ( In-ae Youn ),서효원 ( Hyo-weon Suh ),서주희 ( Joo-hee Seo ) 대한한방부인과학회 2021 大韓韓方婦人科學會誌 Vol.34 No.1
Objective: The purpose of this paper is to help the development of qualitative research in the field of Korean medicine and policy support for postpartum depression. Methods: Qualitative studies related to postpartum depression retrieved from Pubmed, CENTRAL, EMBASE, NEJM, and CINHAL were evaluated independently by two researchers using the integrated criterion, COREQ. In addition, each subject of study was qualitatively synthesized. Results: A total of 1,374 papers were searched and 13 papers were finally selected. The results of the study using COREQ lacked information about the researchers. The results of the study were integrated into three themes: “Feeling Failure”, “Struggling for self-identity and role of mother” and “Seeing Help and Recovery”. Conclusion: Postpartum depression can be accessed through various methods such as Korean medicine counseling, acupuncture and herbal medicine, and further research and manual preparation is required.