건양대학교 의과대학 신입생을 위한 동기유발 교육과정 개발과 시행 경험

나백주,이금호,김건일,송다운,허예라 한국의학교육학회 2012 Korean journal of medical education Vol.24 No.2

Purpose: This study aimed to develop a new course for Konyang University College of Medicine freshmen to motivate them with regard to their vision and medical professionalism and experience various learning methods of medical education. Methods: The course was developed by 4 faculty members through several intensive meetings throughout the winter of 2010. A 4-credit course was designed for 61 freshmen of Konyang University College of Medicine to provide structured guidance and an introduction to their medical education and increase their motivation with regard to their studies and school life. The course lasted for 4 weeks (February 28 to March 25), and every session of the program was evaluated by the students. Results: The 'motivation induction course' consisted of the following sessions: university-wide: 'leadership camp' and 'special lectures for future vision;' college-wide: 'major immersion session,' 'Enneagram workshop,' 'STRONG workshop,' 'medical professionalism,' and 'team-based learning.' The group results were presented in a poster and by oral presentation and were awarded prizes for the best performance. Special features included: group discussion session on medical ethics, which used scenarios that were developed by a medical humanity course committee and visiting all departments and mentors of the medical college to fulfill their curiosity of their future major or workplace. Overall, the course was evaluated as satisfactory (M=4.22, SD=0.81). Conclusion: Although there was some dissatisfaction, the overall experience of the “motivation induction course” was a success. The course will continue to be valuable for freshmen in adapting to medical school and its culture and in defining one’s view of a good doctor.

농촌지역 주민의 심혈관 질환 위험요인 평가

나백주,박경수,임정수,선병환,남해성,손석준,Na, Baek-Ju,Park, Kyung-Soo,Lim, Jung-Su,Sun, Byeong-Hwan,Nam, He-Sung,Sohn, Seok-Joon 한국농촌의학지역보건학회 1998 농촌의학·지역보건 Vol.23 No.2

Cardiovascular diseases are the leading cause of death and disability in Korea. Their risk factors can be classified as either modifiable or nonmodifiable and among modifiable factors are high bood pressure, elevated blood cholesterol, obesity and cigarette smoking. The purpose of this study was to evaluate the risk factors for the cardiovascular diseases in a rural community and to get basic data for the development of a community-based rick reduction intervention program. Evaluation involved population-based, cross-sectional samples of adult residents in a rurual community. We measured blood pressure, body fat percent by bioelectric impedance fatness analyzer and serum cholesterol and interviewed adult residents over 20-year-old age. Blood pressure was checked twice and hypertension was classified by the sixth report of the Joint National Committee on Detection. Evaluation, and Treatment of High Blood Pressure. The Cutpoints for high blood cholesterol was used National Cholesterol Treatment Guidelines and those for obesity was 25% in male. 30% in female. The results were as follows: 1. Prevalence of definitive hypertension was 59.7% in males and 54.4% in female. 2. Prevalence of hypercholesterolemia was 14.3% in male and 18.2% in female. 3. Prevalence of obese was 10.7% in male and 41.1% in female. 4. Among definitive hypertension, hypercholesterolemia, and obesity 52.1% possessed one risk factor, 12.6% two risk factors and 2.5% three risk factors in males. In females 41.4% possessed one risk factor and 27.6%. 5.7% respectively. 5. The smoking rate was 65.8% in males and 5.2% in females. Our results are used effectively for the community-based intervention towards cardiovascukr diseases risk reduction. However, because of limitations in our study design, further datas are needed including other risk factors and in-person clinical datas.

지방에 공공병원을 정말 확충하려면

나백주 서울시공공보건의료재단 2021 SEOUL HEALTH ON AIR 건강정책동향 Vol.1 No.19

코로나19를 경험하는 가운데 다시 공공병원 확충이 중요한 화두가 되었다. 그러나 제2차 공공보건의료 기본계획은 이러한 확충에 대한 내용을 충실히 담지 못하고 있다. 향후 일차 의료 기능의 강화를 통해 지역사회의 의료수요에 대응해야 할 것이며, 이를 위해 보건소와 공공병원이 중요한 역할을 담당해야 할 것이다. 공공병원에 대한 투자를 우선순위로 이끌어내기 쉽지 않은 환경에서 호주의 공공병원기금 등 해외제도를 참고해 볼 필요가 있으며, 아울러 고질적인 공공병원 적자에 대한 문제에 대한 합리적인 접근이 필요하다.

광역-기초 정부간 보건행정 거버넌스의 새로운 혁신 제언

나백주 한국보건행정학회 2022 한국보건행정학회 학술대회 논문집 Vol.2022 No.2

중동호흡기증후군 사태 이후 지방의료원과 보건소중심 신종감염병 대응체계 선진화 방안

나백주,김동현 대한의사협회 2015 대한의사협회지 Vol.58 No.8

Healthcare system in Korea was found to be very vulnerable to public health emergency preparedness and response as demonstrated in the recent outbreak of Middle East Respiratory Syndrome Coronavirus. We need to redefine the function of and improve the capability of local district public hospital and local health center to cope with potential threats by newly emerging infectious disease in the nearer future. While central government may be responsible for early detection of newly emerging infectious disease transmitted from outside of the country, local government and its district-level public healthcare agencies need to primarily control over spread of the disease among the local residents. Governance setting for rapid response required in public health crisis situation appears to be possible based on strong local public health infrastructure for health promotion and disease prevention at si-gun-gu district level. Proper and sustainable investment is also needed for local public hospital with high standard facilities and skilled healthcare manpower since there seems little economic incentives to maintain such facilities in private hospitals. In conclusion, it would be urgent task to improve prevention activities for infectious disease of local health centers and clinical activities of local public hospital. Especially, role and competencies of public health physicians working at the public health center need to be specified as an essential component of public health infrastructure.

제5기 지역보건의료계획 방향과 지침 소개

나백주 한국농촌의학 지역보건학회 2010 농촌의학·지역보건 Vol.35 No.2

An Early Stage Evaluation of the Supporting Program for Obstetric Care Underserved Areas in Korea

나백주,김현주,이진용 대한의학회 2014 Journal of Korean medical science Vol.29 No.6

“The Supporting Program for Obstetric Care Underserved Areas (SPOU)” provides financialaids to rural community (or district) hospitals to reopen prenatal care and delivery servicesfor regions without obstetrics and gynecology clinics or hospitals. The purpose of this studywas to evaluate the early stage effect of the SPOU program. The proportion of the numberof birth through SPOU was calculated by each region. Also survey was conducted toinvestigate the extent of overall satisfaction, elements of dissatisfaction, and suggestionsfor improvement of the program; 209 subjects participated from 7 to 12 December, 2012. Overall, 20% of pregnant women in Youngdong (71 cases) and Gangjin (106 cases) usedtheir community (or district) hospitals through the SPOU whereas Yecheon (23 cases) was8%; their satisfaction rates were high. Short distance and easy accessibility was the mainreason among women choosing community (or district) hospital whereas the reasons ofnot selecting the community (or district) hospital were favor of the outside hospital’sfacility, system, and trust in the medical staffs. The SPOU seems to be currently effectiveat an early stage. However, to successfully implement this program, the governmentshould make continuous efforts to recruit highly qualified medical staffs and improvemedical facility and equipment.

감염병 시대 서울시 공공의료체계의 변화 방향

나백주 서울시공공보건의료재단 2020 SEOUL HEALTH ON AIR 건강정책동향 Vol.1 No.11

신종 감염병인 코로나19 팬데믹 시대에 서울시 공공의료 체계 강화 방향에 대해 정리한 본고는, 그동안 한국 공공의료가 처해왔던 체계의 빈약성에서 서울시도 예외는 아니라는 점을 지적한다. 향후 감염병 중환자 진료와 시립병원의 기능 강화, 역학조사 체계 강화 등 공공의료 기능을 획기적으로 강화할 필요가 있음을 주장하고 있다.

의과대학 신입생의 동기향상을 위한 의료봉사활동 프로그램 시행 경험

나백주,허예라,윤정민,강재구,한승연,황원민,이금호,이정민 한국의학교육학회 2013 Korean journal of medical education Vol.25 No.3

Purpose: A task force identified 4 core properties of motivation-related improvement and developed a medical volunteer program for 63 medical freshmen in 2012. Three overarching topics were examined: What were the contents of the program? Did students' motivation improve? Were the students satisfied with the course? Pretest and posttest motivation levels and program evaluation forms were analyzed. Methods: We organized a series of committee meetings and identified 4 core factors of motivation. The program was conducted for 63 medical freshmen in March 2012. The program evaluation form was analyzed using SPSS 17.0. Results: The core factors of motivation were interest in medical studies, volunteer-mindedness, medical humanities, and self-management. The program was composed of lectures, medical volunteer hours, and program evaluation and feedback sessions. Students’ motivation differed significantly with regard to interest in medical studies (t=-2.40, p=0.020) and volunteer-mindedness (t=-3.45, p=0.001). Ninety percent of students were satisfied with the program, 67.8% of students were satisfied with the medical volunteer activity, and the feedback session of the program was meaningful (66.1%). Conclusion: The medical volunteer program, held in the first month of the medical education year, was meaningful, but the reasons for dissatisfaction with the program should be examined. We should also develop a system that has lasting beneficial effects on academic achievement and career selection.

의료기관의 사회적 책임(CSR) : 일차의료의 사회적 책임

나백주 한국보건행정학회 2013 한국보건행정학회 학술대회 논문집 Vol.2013 No.1