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        의학교육의 변화 관리

        전우택,Jeon, Woo Taek 연세대학교 의과대학 2011 의학교육논단 Vol.13 No.1

        Every medical school aims to provide better education, and it sometimes requires changing the current education system. However, an attempt for a change may not always be successful. In many cases, it is so not because an intended change was not properly directed but because conflicts in the process of adopting the change were not properly handled. This paper suggests seven points for how to successfully bring a change in medical education. First, the medical education should not simply focus on the pass rate of the national medical examination but also on the cultivation of creative leaders. Second, the faculty of medical school should be creative, self-motivated, and passionate. Third, people in charge of an intended change should have a good understanding of complicated dynamics between the dean's office, medical education experts, professors, and students. Fourth, people who are leading the change should also grasp the possibility that a well-intended change might not be well-received by professors, students, and dean due to their tendency to be complacent with the current system. Fifth, a successful introduction of a change requires good teamwork of a thinker, an actor, and a coordinator. Sixth, a change takes time as it takes place through a step-by-step process. Seventh, an attempt for a change accompanies a negotiation with professors with different thoughts and views regarding education, and people who want a change need to be flexible in that negotiation. In addition to these seven points, people who are responsible for a change should be consistent and consider the renown of the school.

      • 암의 발생과 진행에 있어서 심리적 요인

        전우택,Jeon, Woo-Taek 한국정신신체의학회 1994 정신신체의학 Vol.2 No.1

        The author reviewed the effect of psychological factors on the development and course of cancer. Cancer is a bilogical disease, but it also has a large number of psychological aspects. There have been no reports that specific personality types had tendency to cause cancer. In some studies, however, type A personality was reported to have relevance to a higher incidence of cancer and a better prognosis. And in other studies, type C personality was reported to have relevance to a higher incidence of cancer. It was reported that people who had strong tendency to control their anger and regarded the rationality and antiemotionality in their behavior as important things were susceptable to cancer. In the course of cancer, the patients who had more positive and aggressive attitude and 'fighting spirit' to their disease tended to have a better prognosis than those who accepted their disease as fate. Some studies showed that feeling of helplessness and loss of control had a negative offset on cancer. It was reported that, in the early stage of cancer, the psychological factors had great influence on the prognosis, but in the middle and late stage, the influence decreased. For the future studies, cancer should not be regarded as a single disease and a single condition. The kinds and stages of cancer should be difined for studies. The scales for psychological evaluation for cancer patients should be sensitive and selected carefully, considering the complexity of the cancer patients mind. The need for prospective studies is emphasized. Finally, as the cured cancer patients have great difficulties in returning to their work and daily life, rehabilitation of cancer patients is also emphasized.

      • KCI등재

        한국의 환자중심 의사 역량 연구

        전우택,정한나,김영전,김찬웅,윤소정,이건호,임선주,이선우,Jeon, Woo-Taek,Jung, Hanna,Kim, Young-Jon,Kim, Chanwoong,Yune, Sojung,Lee, Geon Ho,Im, Sunju,Lee, Sun-Woo 연세대학교 의과대학 2022 의학교육논단 Vol.24 No.2

        With increasing demands for medical care by society, the medical system, and general citizens and rapid changes in doctor's awareness, the competencies required of doctors are also changing. The goal of this study was to develop a doctor's competency framework from the patient's perspective, and to make it the basis for the development of milestones and entrustable professional activities for each period of medical student education and resident training. To this end, a big data analysis using topic modeling was performed on domestic and international research papers (2011-2020), domestic newspaper articles (2016-2020), and domestic social networking service data (2016-2020) related to doctor's competencies. Delphi surveys were conducted twice with 28 medical education experts. In addition, a survey was conducted on doctor's competencies among 1,000 citizens, 407 nurses, 237 medical students, 361 majors, and 200 specialists. Through the above process, six core competencies, 16 sub-competencies, and 47 competencies were derived as subject-oriented doctor's competencies. The core competencies were: (1) competency related to disease and health as an expert; (2) competency related to patients as a communicator; (3) competency related to colleagues as a collaborator; (4) competency related to society as a health care leader (5) competency related to oneself as a professional, and (6) competency related to academics as a scholar who contributes to the development of medicine.

      • 집단기억 현상을 통하여 본 북한 사회 이해

        전우택(Woo Taek Jeon) 대한사회정신의학회 2000 사회정신의학 Vol.5 No.2

        전통적으로 인간의 기억이란 개인적이고 상황과 무관한 독립적인 신경생리적 현상으로 생각되어 왔다. 그러나 최근 들어 기억의 사회적, 집단적 성격이 집중적으로 부각되게 되었다. 그것은 개인의 인식이 사회적 영향을 받으며, 기억을 타인에게 이야기하는 과정에서 사회화되며, 이야기된 기억은 집단의 기억으로 바뀌기 때문이었다. 특히 북한에 대한 이해에 있어 공산주의 국가들에서 공통적으로 나타난 의식의 집단화가 집단기억과 연결되며, 북한에서는 그 지도부가 통치 수단으로서 집단기억을 이용하였으며, 북한 사람들의 의식 구조와 행동 양식의 이해를 위하여 집단기억에 대한 연구가 필요로 되었다. 이에 따라 본 연구에서는 그 동안 연구된 집단기억 현상에 대한 비판적 고찰을 하고 특히 각 내용에 있어 북한적 현상과 연결시킬 수 있는 내용들을 분석하였다. 집단기억은 정치와 종교, 사회에 일반적으로 나타나는 현상이며, 이것은 사회 질서를 정당화하고, 집단 구성원의 정체성을 형성하며, 집단의 유지와 재생산 기능을 담당하는 것으로 나타났다. 그리고 그 형상 과정은 개인의 기억 형성과정에서 나타나는 기전과 유사한 것으로 나타난다. 즉 단순화와 압축, 강조와 동화, 정교히 수정됨과 관습화 등이 그것이다. 또한 집단기억은 집단의 필요에 따라 왜곡되는 현상도 있으며 그러한 왜곡 기전은 기억의 재구성, 기존 인지 틀을 새로 짜는 것, 기억 회상에 대한 회피와 감정적 마비 등의 인지적 불일치를 처리하는 것과 선택적 생략, 조작, 과장과 미화, 연결과 분리, 적에 대한 비난, 환경을 비난하는 것, 상황적 틀을 조정하는 것 등이 있는 것으로 나타났다. 이러한 집단기억의 현상은 북한에 있어서는 그 지도부가 하나의 생존전략으로 이용하여 왔으며, 전 국민을 하나로 결집시키는데 효과적인 도구로 이용하여 왔음이 그들의 역사 해석, 대중 선동, 교육 부분 등에서 뚜렷이 나타난 것으로 보였다. 그리고 그것이 북한 주민들에게는 자존심을 높이는 일로 받아들여져 상승 작용을 한 것으로 보였다. 이러한 집단기억은 북한 국민들의 의식에 많은 영향을 끼치고 있는 것으로 보여, 향후 북한과 북한 사람들의 의식 구조와 행동 방식의 연구에 대한 주요 연구 주제가 될 필요성을 나타내 보인다 하겠다. Until the late 1970s, memory was viewed as an essentially biological and individual process which is context-free, and isolated psychological phenomenon. A significant turning point in this way of thinking was advanced that memory, as it occurs in everyday life, was powerfully influenced by social factors. Indeed, social process have now been demonstrated to affect encoding, retrieval, and the maintenance of memories. Memory, then, may be considered a social rather than an individual phenomenon. The social or collective aspects of memory can be thought as follows. First, memory has a social aspect in the perception level. Second, memory is“socialized” by the process of telling the story to the others. Third,“individual memory” becomes the group’s“collective memory” because when a group listens the story about one group member’s experience, the group makes the content of the story a part of their own in the form of religion, politics, art, and social activity. Examples of collective memory can be seen in Flash Bulb Memory phenomenon, Commemorative ceremonies, and Religion. Collective memory has these social functions. First, it justifies current social order. Second, it makes the identity of one group. Third, collective memory helps to maintain and reproduce the group. Since collective memory has a tangible role in a society or group, it has a close relationship with real situations and needs of the group. Collective memory includes not only the objective historical facts, but also“presumed” memory which the group wants to have for the group’s positive self-image. Mechanisms for the formation of collective memory are as follows. Leveling-Simplification and Condensation, Accentuation and assimilation, Elaboration, Convention-alization And the Mechanism of distortion of collective memory such as Selective omission, Fabrication, Exaggeration and Embellishment, Linking and Detaching, Blaming the enemy, Blaming Circumstances, Contextual Framing was discussed. In the understanding of North Korea, the collective memory phenomenon seems to be important for several reasons. First, all communist countries tried to make their people have way of collective thinking for their economical principle, and this collective memory have a close relationship with way of collective thinking. Second, leadership of North Korea involving Kim Il-Sung and Kim Jung-Il have used this collective memory as a main tool of their ruling North Korean people in various ways. Third, to understanding North Korea people’s way of thinking and behavior pattern, collective memory phenomenon in North Korea gives a lot of cues. So in this study North Korea’s national annual of 1993-1996 was analyzed critically and searched the example of collective memory in North Korea.

      • KCI등재
      • KCI등재후보
      • KCI등재

        일개 의과대학 피어튜터링 프로그램 소개 및 효과분석

        이수현,전우택,양은배,Lee, Su Hyun,Jeon, Woo Taek,Yang, Eun Bae 연세대학교 의과대학 2012 의학교육논단 Vol.14 No.2

        This study was conducted to analyze the effects of peer tutoring programs and to introduce the peer tutoring program in medical College. Forty medical students participated in the study and data were collected through surveys and interviews. Through the interviews, we investigated the peer tutoring experiences of tutors and tutees, and what they perceived that they accomplished. Correlation analysis was conducted to investigate the tutoring process variables that affect the academic achievement of tutees. It was found that tutors and tutees reported achievements in the schoolwork, relationships, and emotional aspects.

      • KCI등재

        의대생들의 성적과 학업동기 및 다중지능의 관계분석

        류숙희,이혜범,전우택,Ryue, Sookhee,Lee, Haebum,Jeon, Woo Taek 연세대학교 의과대학 2013 의학교육논단 Vol.15 No.1

        The purpose of this study was to analyze the relationship among medical students' learning motivation, characteristics of multiple intelligence, and academic achievement. The participants were 144 medical students. The data were collected by administering learning motivation tests (self-confidence, self-efficacy, level of task, emotion of learning, learning behavior, failure tolerance, task difficulty, and academic self-efficacy), a multiple intelligence test (linguistic intelligence, logical-mathematical intelligence, musical intelligence, bodily-kinesthetic intelligence, spatial intelligence, interpersonal intelligence, intrapersonal intelligence, and naturalistic intelligence), and two semesters of grades. There is a correlation between multiple intelligences and learning motivation. Among academic self-efficacy of academic motivation, the self-control efficacy (0.28) and behavior (0.18) subscales are significantly positively correlated with academic achievement. However, the emotion subscale (-0.18) was significantly negatively correlated. Learning motivation was correlated with two of the eight multiple intelligence profiles: the intrapersonal intelligence (0.18) and bodily-kinesthetic intelligence (-0.19). The structural equation modeling analysis showed that the behavior and self-control efficacy subscales of intrapersonal intelligence had an impact on academic achievement. An analysis according to the academic achievement group showed significant differences in self-control efficacy and emotion subscales with intrapersonal intelligence. A positive relationship can be observed between learning motivation and some characteristics of multiple intelligence of medical school students. In light of the findings, it is worth examining whether we can control medical students' learning motivation through educational programs targeting self-control efficacy and intrapersonal intelligence.

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