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- 저자 : 천병철(Byung Cheol Chun) (검색결과 2 건)
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최윤선(Youn Seon Choi),김대균(Dae Gyeun Kim),안덕선(Duck Sun Ahn),이영미(Young Mee Lee),김창덕(Chang Duck Kim),천병철(Byung Cheol Chun),김명곤(Meyoung-Kon Kim),김옥주(Ock-Joo Kim) 한국의학교육학회 2006 Korean journal of medical education Vol.18 No.1
Purpose: This paper reports on the development a program to foster good doctors who care for their patients with humanism and self-directed learning ability. Methods: In order to develop the program, Korea University College of Medicine established educational committees. In collaboration, these committees discussed the direction for curriculum reorganization, performed a needs analysis of specified programs, and built realistic strategies for program management. Based upon the needs analyses, through literature review and survey studies, committee discussions and benchmarking of other medical schools, three programs were developed for rearing humanism and self-directed learning ability in medical students were developed: Service learning by experiential learning; Doctoring by small group activities; and Communication skills program by various small group activities. Results: The evaluation by the pre-medical students who participated in the service learning program for one week reveals that through service learning, pre-medical students had an opportunity to obtain the attitudes that encompass the sanctity and dignity of human life and an understanding of cultural, social and religious customs and beliefs that differ from his or her own. In addition, the pre-medical students came to realize that patients most difficult problems might be caused by non-medical factors as well as medical factors. Conclusion: It is needed to grope for the way that leads the active participation of students in the continuous linkage of substantial post-work evaluation and next learning of volunteering in order to make the program of educating the public spirit more than self-learning of experience.
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오동호 ( Dong Ho Oh ),김태환 ( Tae Hwan Kim ),지종대 ( Jong Dae Ji ),엄완식 ( Wan Sik Uhm ),전재범 ( Jae Bum Jun ),배상철 ( Sang Cheol Bae ),유대현 ( Dae Hyun Yoo ),천병철 ( Byung Chul Chun ),김채기 ( Chae Gi Kim ),송용호 ( Yong H 대한류마티스학회 2000 대한류마티스학회지 Vol.7 No.3
Objective: Depression is common in the patients with rheumatoid arthritis (RA). Estimates of the prevalence of depression in the patients with RA have ranged from 14 to 46%, depending on the criteria used and the patient subgroups studied. Our objectives were to show how frequently depression occur among patients with RA, to compare depression in RA and osteoarthritis (OA) patients, and to identify the disease and sociodemographic variables with which depression are associated. Methods: Subjects included in this study were 119 RA patients, and 140 OA patients. The Korean version of the Center for Epidemiological Studies-Depression Scale (CES-D) was used to assess depression. The Korean health assessment questionnaire (KHAQ) was used to assess physical function in patients with RA. The associations of sociodemographic variables, disability, severity and other variables with CES-D score were evaluated by multiple regression analysis. Results: When CES-D cut-off score of 25 was used, 54 (50.9%) of 106 RA patients, and 32(23.5%) of 122 OA patients had scores suggestive of depression, and the difference was still significant after adjusting age, sex, disease duration, pain scale and fatigue scale (p<0.05). RA patients had higher mean scores on CES-D than OA patients after adjusting above variables, too (p<0.05). The bivariate analysis showed that age, sex, education level, fatigue scale, pain scale, KHAQ-disability score, WBC, ESR were significantly associated with CESD scores in RA patients; and the duration of disease, pain scale and fatigue scale were associated with those in OA patients (p<0.05). By stepwise selection in multiple logistic regression model, the age, pain scale and KHAQ-disability score were selected as significant independent variables in RA patients. In OA patients, the duration of disease and pain scale were selected as significant independent variables. Conclusion: RA patients are significantly more depressed than OA patients, and the associated factors with depression are patient`s age, pain scale and KHAQ disability score in RA.
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