웹기반과 고충실도 시뮬레이션에서 의과대학생들의 팀 역할 수행과 임상수행능력 비교

방재범(Jae Beum Bang),윤유상(Yoo Sang Yoon),이영환(Young Hwan Lee),이삼범(Sam Beom Lee) 한국의학교육학회 2014 Korean journal of medical education Vol.26 No.4

Purpose: The importance of team dynamics with regard to clinical performance is being emphasized to improve patient safety and the quality of health care. The aim of this study was to examine the correlation and differences in team dynamics and team clinical performance in a web-based simulation (WS) and high-fidelity simulation (HS) in the medical students. Methods: The simulations were held for 15 teams of fourth year medical students (n=52). They were given two clinical cases, dyspnea (case 1) and chest pain (case 2) by WS and then HS. The scores on the team dynamics and the team’s clinical performance were analyzed by paired t-test and multiple regression using SPSS version 21.0 (IBM Corp.). Results: The teamwork scores on case 2 (22.67±6.58) were higher than for case 1 in the HS (20.47±7.22). Team clinical performance scores were the same the WS and HS. Team clinical performances were significantly associated with team dynamics in both cases by HS. Teamwork scores of team dynamics were each explanation on case 1 (74.9%), case 2 (63.4%) in the HS. Conclusion: The team dynamics and clinical performance can improve if undergraduate medical students have more opportunities. They should be trained in these endeavors to become future doctors for which scenario-based simulations could be valuable.

장애인치과학 수업 전후의 치의학 전문대학원 학생들의 장애인에 대한 인식 변화 연구

이효주(Hyo Joo Lee),방재범(Jae-Beum Bang),이은영(Eun Young Lee),김광철(Kwang Chul Kim) Asia association of Disability and Oral health 2014 International Journal of Disability and Oral Healt Vol.10 No.1

Patients with disabilities are a significant segment of Korea population. However, they encounter more challenges when seeking dental care. So, dentists and students who are future dental providers should have a responsibility to provide oral care services for them. In this study, we hypothesize that the education of special care dentistry may influence positive attitudes of the disabled. The attitudes are influenced by demographic variables such as gender, religion, experience of volunteer activities and marital status. Therefore, the objective of this study was to explore the change of attitudes of students towards people with disabilities between before and after class of special care dentistry. 72 students enrolled at the Kyung Hee University were surveyed. All participants attended class of Special Care dentistry in the third grade. The survey was conducted two times, just before class and after class. The attitudes of students were assessed using the well-documented ATDP (Attitude Toward Disabled Person)-O(Original) scale and MAS (Multidimensional Attitudes Scales Toward Persons with Disabilities) scale through the methodology of questionnaires. The results indicated that gender, experience of volunteer activities and marital status did not affect their ATDP and MAS score. In religious affiliation, only, there were statistically significant difference in student attitudes between before and after class of Special care dentistry. It means that habitual religious activity may offer stronger effects on student’s attitude than short-term education. Therefore, long-term and specific educational experiences are needed to promote positive attitudes for people with disability.

의과대학생들을 대상으로 한 웹기반 시뮬레이션 평가 적용을 위한 연구

이삼범(Sam Beom Lee),이영환(Young Hwan Lee),윤유상(Yoo Sang Yoon),방재범(Jae-Beum Bang) 한국의료시뮬레이션학회 2013 한국의료시뮬레이션학회지 Vol.2 No.1

국내 의과대학 의학교육학교실 운영 실태

강복수(Pock Soo Kang),김동석(Dong Suk Kim),이광윤(Kwang Youn Lee),황태윤(Tae Yoon Hwang),방재범(Jae Beum Bang) 한국의학교육학회 2006 Korean journal of medical education Vol.18 No.1

Purpose: The purpose of this study was to estimate the operating status of existing medical education management units in medical colleges and to define the roles of these units to provide basic information to medical schoolsc ontemplating to establish similar management units. Methods: A structured questionnaire survey was conducted via mail. The survey 41 medical colleges across the nation and was done during September 2003 and March 2005. The assessment instrument included six items assessing the organizational structure, composition, major activities, self-satisfaction with performance, administration and financial aspects and the need for further development in the medical education unit for medical colleges with a medical education management unit. There were only two items assessing demand for establishment of a medical education management unit, prerequisite conditions for establishment, the expected role of such a system for medical colleges without a medical education management unit. Results: Of 41 medical colleges, 18 had a medical education management unit as of September 2003 and 32 as of March 2005. The major activities of these 18 management units included curriculum development (26.7%), faculty development (26.7%), support for PBL (16.0%) and OSCE (12.0%). Recently, these units have become involved in enhancing clinical clerkship as well as improving teaching skills. To have a medical education-related unit run smoothly, at least two tenured faculty members majoring in education and medical education were needed. And a compensation systems was required for those professors working in the unit as a second post but without pay. Conclusion: This study underscored the importance of professional faculty members, and administrative and financial supports in having a medical education management unit meet its objectives. The role of the dean of medical college seems crucial in deciding how the unit is operated.

2년간의 의과대학 학생의 해외임상실습 경험

이삼범,방재범,이영환 영남대학교 의과대학 2009 Yeungnam University Journal of Medicine Vol.26 No.1

결과적으로 영남대학교 의과대학에서는 3학년 학생을 대상으로 2008년도에 처음으로 해외임상실습을 시행하게 되어 2년간 새로운 경험을 하게 되었으며 외국의 병원까지도 교류의 기회를 넓히게 되었다. 향후에는 좀 더 영역을 넓히고 전 학생이 참가할 수 있는 프로그램을 개발하여 글로벌 의사양성이라는 교육목표를 완수하려는 지속적인 관심과 노력이 필요할 것으로 생각한다. Background : The aims of medical education have recently been changing in Korea, which has been accompanied by efforts to modify the rotating clerkship courses, improve the quality of clinical education, and make global doctors. We report the experiences of medical students going through an international elective clerkship for during past two years. Materials and Methods : Third year medical students could apply to the international elective clerkship course during a 4 week period after their third-year rotating clerkship at a university hospital. This was done twice - in 2008 and in 2009. Applicant students were allowed to select hospitals anywhere in the world. We analyzed their choices including data on nation, state or city, hospital or institute, contacted hospitals by medical college, differences of two years, etc. Results : Twelve students (10.9%) of a total of 75 third-year students applied to 3 nations and 4 hospitals in 2008. Nine students applied to the Tampa General Hospital at the University of South Florida (USF) in the USA, which was arranged by their medical college. In 2009, a total of five (4.2%) of 77 students applied to 2 nations and 3 hospitals, including three at the University of South Florida, one in another city in the USA, and one in another nation because of the increased financial burden due to a higher exchange rate. Conclusion : Medical students started their first international elective clerkship courses during the past two years. Experiences were interesting and meaningful to the students and the medical college. Greater effort and support to developing a new paradigm and to enlarge the scope of the program for making global doctors are required in the future.