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      • KCI등재후보

        Does work time limit for resident physician affect short-term treatment outcome and hospital length of stay in patients with spontaneous intracerebral hemorrhage?: a two-year experience at a single training hospital in South Korea

        Rojin Heo,Cheol Wan Park,Chan Jong You,Dae Han Choi,Kwangwoo Park,Young Bo Kim,김우경,Gi Taek Yee,Myeong Jin Kim,Jin-Hwan Oh 대한뇌혈관외과학회 2020 Journal of Cerebrovascular and Endovascular Neuros Vol.22 No.4

        Objective: To compare short-term treatment outcomes at hospital discharge and hospital length of stay (LOS) in patients with spontaneous intracerebral hemorrhage (sICH) before and after introduction of resident physician work time limit (WTL). Methods: We retrospectively reviewed consecutive patients treated for sICH at our institution between 2016 and 2019. Then we dichotomized these patients into two groups, pre-WTL and post-WTL. We analyzed demographic elements and clinical features, and hospital length of stay (LOS). We evaluated short-term outcome using modified Rankin scale score at hospital discharge and then divided it into “good” and “poor” outcome groups. We subsequently, compared short-term treatment outcome and hospital LOS between the pre-WTL and post-WTL groups. Results: Out of 779 patients, 420 patients (53.9%) were included in the pre-WTL group, and 359 (46.1%) in post-WTL. The mortality rate in sICH patients was higher in the post-WTL group (pre-WTL; 13.6% vs. post-WTL; 17.3%), but there was no statistically significant difference in short-term outcome including mortality (p=0.332) between the groups. The LOS also, was not significantly different between the two groups (pre-WTL; 19.0 days vs. post-WTL; 20.2 days) (p=0.341). The initial Glasgow Coma Scale score, personal stroke history, and mean age were the only independent outcome predicting factors for patients with sICH. Conclusions: Some neurosurgeons may expect poorer outcome for sICH after implementation of the WTL of the K-MHW for resident physician however, enforcement of the WTL did not significantly influence the short-term outcome and hospital LOS for sICH in our hospital. Further well-designed multi-institutional prospective studies on the effects of WTL in sICH patient outcome, are anticipated.

      • KCI등재

        의학전문대학원생의 진로설계 프로그램 모형에 따른 의학세부전공 선택 동기와 진로의식성숙도의 차이

        허로진(Rojin Heo),박귀화(KwiHwa Park) 인문사회과학기술융합학회 2018 예술인문사회융합멀티미디어논문지 Vol.8 No.4

        의과대학생이 의학 전문분야를 선택하는 것은 대학의 전공을 선택하는 것만큼이나 중요한 진로의 사결정과정의 하나이다. 그러나 의대생을 대상으로 진로설계 프로그램을 개발하고 그 결과를 분석한 연구는 저조한 실정이다. 본 연구는 의전원 2학년 74명을 대상으로 진로설계 프로그램을 개발하고 그 효과를 분석하였다. 연구대상은 세 그룹이다. A그룹은 소그룹 토론식 프로그램을 수강한 그룹이며, B 그룹은 대그룹 강의식 프로그램을 수강한 그룹이며, C그룹은 프로그램을 수강하지 않은 그룹이었다. 프로그램 사전과 사후에 의학세부전공 선택 동기와 진로의식성숙 설문을 실시하였다. 사전 검사에서 세 집단의 동질성이 확보되었다(p〉0.05). 집단별 사전-사후 검사 결과, A그룹은 내적 동기 요인 (t=-2.600, p〈0.05)과 진로의식성숙의 하위요인 중 결정성(t=-2.575, p〈0.05)과 독립성(t=-2.244, p〈0.05) 이 유의미하게 높아졌다. B그룹은 진로의식성숙의 하위요인 중 독립성(t=2.202, p〈0.05)이 유의미하게 낮아졌다. 결론적으로 소규모 토론식 진로설계 프로그램이 내적동기와 진로의식성숙의 결정성과 독립성 향상에 효과가 있었다. The choice of a medical specialty by medical students is as important as the choice of a college major. However, there is a lack of research on the development of a career planning program for medical students. The purpose of this study was to develop a career design program and analyze the effects of this program in 74 second medical students. The subjects are classified into three groups : Group A was small group, Group B was large group, Group C did not take the program. In order to analyze the program effect, we conducted career motivation and career maturity questionnaire. Pre-test ensured homogeneity among the three groups (p〉 0.05). A group had a significantly higher internal motivation(t=-2.600, p〈0.05), and the decisiveness(t=-2.575, p〈0.05) and independence(t=-2.244, p〈0.05) of career maturity. B group had significantly lower independence. In conclusion, a small group based career planning program was effective in improving internal motivation for career choice, decisiveness and independence of career maturity.

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