전남대학교 의과대학 졸업 후 진로지도 프로그램 설계와 운영

한의령,정은경,Eui-Ryoung Han,Eun-Kyung Chung 연세대학교 의과대학 2024 의학교육논단 Vol.26 No.1

Chonnam National University Medical School has designed and implemented two career planning programs: a three-phase curriculum-based program and a longitudinal non-curricular program over the course of 6 academic years. The three phases of the curriculum-based career planning program are self-assessment, career exploration, and field experience. The non-curricular career counseling program operates through a faculty advisor system, with each faculty member guiding a group of students from each academic year, and students in each year forming a mentor-mentee relationship. The non-curricular career exploration program consists of a student research support program, an international practice program in basic and clinical medicine, and a specialty exploration fair. A survey conducted among 38 graduates (54.3%) working as interns at Chonnam National University Hospital revealed that graduates preferred autonomous elective subjects within the curriculum-based program. They also responded positively to the faculty advisor system, through which they maintained close relationships. A focus group interview with three interns indicated that subjects providing direct experience in fields of interest and courses that students could choose freely were helpful in career decisions. Through follow-up research, it is necessary to design and operate a systematic career planning program based on an analysis of the needs of graduates taking part in a residency training program after selecting a medical specialty.

표준화 환자에 대한 학생 평가와 환자의사관계 점수와의 관계

한의령,김선,정은경 연세대학교 의과대학 2019 의학교육논단 Vol.21 No.3

When standardized patients (SPs) are used for educational purposes, the authenticity of role play and the quality of feedback are essential requirements of SPs. This study was conducted to investigate medical students’ assessment of SPs and to identify the components of SPs’ performance that were most strongly correlated with patient–physician interaction score. One hundred and forty-two fourth-year medical students were asked to complete the Maastricht Assessment of Simulated Patients (MaSP) at the end of a clinical performance examination. SPs evaluated the patient–physician interactions using a 4-point Likert scale (1=poor to 4=excellent). Medical students’ assessment of SPs using the MaSP was positively correlated with patient–physician interactions (r=0.325, p<0.01). Items addressing the authenticity of role play (e.g., “SPs appear authentic,” “SPs might be real patients,” and “SPs answer questions in a natural manner”) were closely correlated with patient–physician interactions (p<0.001, p=0.027, and p=0.017, respectively). These results showed that the MaSP appears to be a useful instrument for evaluating SPs’ performance and that the authenticity of SPs’ performance was positively correlated with medical students’ interactions. In order to improve patient–physician interactions, medical students should be given opportunities to practice their skills with SPs who have been trained to portray patients with a specific condition in a realistic way.

The perception of medical residents and faculty members on resident duty hour regulation

한의령,정은경 한국의학교육학회 2020 Korean journal of medical education Vol.32 No.1

Purpose: This study investigated the perceptions of medical residents and faculty members before the implementation of the duty hour regulation in December 2017. Methods: A survey was administered to 263 residents and 358 faculty members in the Chonnam National University Hospital. The subjects were given a self-administered structured questionnaire designed to measure their perspectives on duty hour regulation. They were also asked to answer an open-ended question regarding their expectations or concerns regarding duty hour regulation. The response rates were 50.2% for residents and 24.0% for faculty members. Results: Residents and faculty members regarded the improvement of junior residents’ well-being favorably, but had conflicting views regarding senior residents. Residents expressed difficulty in completing unchanged workloads within the limited time, while faculty members were more concerned about worsening patient safety due to the discontinuity of care and insufficient resident education. Conclusion: Medical residents and faculty members had differing concerns regarding duty hour regulation. Further studies and the development of future policies should be considered to improve resident education and patient safety within the limited duty hour regulation.

Therapeutic Effects of Mycobacterial Secretory Proteins Against Established Asthma in BALB/c Mice

한의령,최인선,Han-Gyu Choi,김화중 대한천식알레르기학회 2012 Allergy, Asthma & Immunology Research Vol.4 No.4

Purpose: Live/killed mycobacteria and culture supernatants can suppress asthmatic reactions. This study investigated whether mycobacterial secretory proteins have therapeutic effects on asthma. Methods: Mycobacterium bovis bacille Calmette-Guérin (BCG; 2×105 CFUs) and mycobacterial secretory proteins (Ag85 complex, 38-kDa protein or MPB70; 4 or 20 μg) were administered intraperitoneally to female BALB/c mice with established airway hyperresponsiveness. One week after treatment, the mice underwent a methacholine challenge test, and then inflammatory cell numbers in bronchoalveolar lavage fluid (BAL) and around bronchi (<500 μm), and cytokine levels in splenocyte supernatants, were assessed. Results:BCG and all of the tested secretory proteins significantly improved airway sensitivity compared to baseline values (P<0.05). The secretory protein Ag85 complex significantly suppressed airway reactivity also (P<0.05), while 38-kDa protein significantly suppressed reactivity and maximal narrowing (P<0.05). The number of eosinophils in BAL and around bronchi, and the goblet cell proportion, were also significantly reduced in mice in both the BCG and secretory protein groups compared to the asthma control group. IFN-γ/IL-5 ratios were significantly higher in mice treated with BCG, 4μg MPB70 or 4 μg 38-kDa protein than in asthma control mice (P<0.05), and were negatively associated with airway hyperresponsiveness, peribronchial eosinophil numbers and goblet cell proportion (all P<0.05). IL-17A was positively correlated with IL-5 (r=0.379, P<0.001), maximal airway narrowing,peribronchial eosinophil numbers and goblet cell proportion (all P<0.05). Conclusions: Secretory proteins from BCG and M. tuberculosis and live BCG were effective against established asthma, their effects being accompanied by increased IFN-γ/IL-5 ratios. Thus, allergic asthma could be effectively treated with mycobacterial secretory proteins.

의과대학·의학전문대학원 학생들의 유급 또는 휴학 경험 정도와 관련 요인

한의령,정은경,오선아,최기오,우영종 한국의학교육학회 2012 Korean journal of medical education Vol.24 No.3

Purpose:A considerable number of medical students drop out due to low academic achievement, and these students have a high probability of repeated failure experiences. This study investigated the personal and academic problems of these students to help develop student support systems. Methods:First-year (n=146) and second-year (n=119) medical students were asked to complete questionnaires. The questionnaires consisted of personality traits and the students’ management of/satisfaction with school life. Results:Students who had already dropped out accounted for 17.4% of the study subjects. The most common reason for dropping out was low academic achievement, and the most difficult part of taking a leave of absence from school was psychological anxiety. The group who dropped out had significantly lower levels of emotional stability, sociability, responsibility, dominance, masculinity,and superiority and more vulnerable mental states compared with those who did not drop out. They also expressed less motivation with regard to medical science and less satisfaction with school life than did the group that did not drop out. Those who dropped out tended not to prepare for exams, and they managed their time ineffectively. They also tried to resolve their difficulties alone and rarely sought help from teachers. Conclusion:More intimate student–teacher relationships should be established, and teachers should be encouraged to meet and interact with their students on a regular basis. Additionally, personality inventories should be used to assist in efforts to understand students, especially to identify hidden social and emotional problems.

문제중심학습 화상토론에서 사회적 실재감과 학습만족도의 연관성

한의령,정은경 연세대학교 의과대학 2022 의학교육논단 Vol.24 No.1

Despite current regulations requiring social distancing due to coronavirus disease 2019, problem-based learning (PBL) requires student interaction to achieve common goals and enhance critical thinking and deep learning abilities. Social presence in the online education environment reduces both perceptions of physical distance and psychological distance in interactions. This study aimed to compare PBL activities between in-person and videoconferencing classes, and to investigate social presence and learning satisfaction in a videoconferencing PBL environment. The PBL consisted of six modules for both the first and second years of Chonnam National University Medical School. As social distancing was strengthened, the second class of the fifth module in both years was converted to an online format and the fifth module was excluded. The first four PBL modules were conducted as in-person classes, but the last PBL module was administered via videoconferencing. After the final PBL module, 100 (81.3%) first-year medical students and 90 (79.6%) second-year students were asked to complete a self-administered questionnaire on social presence and learning satisfaction. There were no significant differences in the small group activities of tutorial sessions between in-person and videoconferencing classes. In the online videoconferencing class, students who had favorable attitudes toward the tutors’ social role and interactions with peers showed high satisfaction with their learning. In conclusion, online videoconferencing allows students to simultaneously perceive their interactions with others and social presence, even at a distance. Tutors can enhance a sense of online community and collaborative learning as facilitators of online PBL.

포스터 발표 전시 순서 : 알레르기 ; 기관지확장증 동반 의심 증상이 있는 천식환자들의 기관지확장증 원인에 대한 선별검사성적 (초)

한의령,최인선 대한내과학회 2009 대한내과학회지 Vol.77 No.4S

감염 : 기관지확장증 동반 의심 증상이 있는 천식환자들의 기관지확장증 원인에 대한 선별검사성적

한의령,최인선 대한내과학회 2009 대한내과학회 추계학술대회 Vol.2009 No.-

의학전문직업성 올바른 이해

한의령,정은경 연세대학교 의과대학 2020 의학교육논단 Vol.22 No.2

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비점오염 저감목적 침투도랑의 강우시 처리 효울에 관한 연구

한의령 ( Euiryung Han ),박기수 ( Kisoo Park ),강희만 ( Hee Man Knag ),김영철 ( Youngchul Kim ) 한국물환경학회(구 한국수질보전학회) 2016 한국물환경학회·대한상하수도학회 공동 춘계학술발표회 Vol.2016 No.-