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박완범,장은영,서미성,표세라,강석훈,명선정,김남중,오명돈,신희영,신좌섭 한국의학교육학회 2011 Korean journal of medical education Vol.23 No.1
Purpose: The aim of this study was to describe our experience of a class, using a film that deals with the social issues of human immunodeficiency virus (HIV), and the results of surveys before and after the class. Methods: One hundred fifty-six second-year medical students were surveyed with self-questionnaires (9-point Likert scale) before,immediately after, and 2 years after a class that viewed a film ('Philadelphia', 1993). The same survey, comprising 4 items, was administered to 81 non-medical students in the same university. Results: In 156 medical students, 153 (98%) answered the questionnaires. Before the class, there was no significant difference between medical and non-medical students with regard to the cognition of social isolation of HIV-infected persons (4.13 vs. 4.43,p=0.307). immediately after the class, medical student' cognition changed significantly in the positive direction on all items,irrespective of age, sex, and course grade. Two years after the class, this positive effect remained significant on 2 items: 'social isolation of HIV-infected persons' and 'casual contact with an HIV-infected person.'Conclusion: A film can be used to reinforce medical education in the affective domain.
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‘환자·의사·사회' 교육과정 도입 전후 학생들의 인식 조사
박완범,김아름,신좌섭,이윤성,서미성 한국의학교육학회 2008 Korean journal of medical education Vol.20 No.4
Purpose: The purpose of this study is to evaluate cognitive changes in medical students before and after introduction of a ‘Patient-Doctor-Society’ course into the curriculum of a medical school. Methods: Self-questionnaires that evalutated medical student congnition in the areas of medical humanities and sociology were answered by graduates-to-be who had experienced a new or previously implemented curriculum. The questionnaires included 28 questions using seven Likert scales. Student t-test was used to compare the scores between students who were educated using the new or old curriculum. Results: In 405 medical students, 349(86%) answered the questionnaires. For nine(32%) questions, students who partook of the new curriculum had higher scores than those in the older curriculum, and in 19(68%) questions, there was no statistically significant difference. The questions that revealed differences between the groups were related to professionalism, care, personal and social communication, and ethics. Conclusion: Introduction of the ‘Patient-Doctor-Society’ course into the curriculum of a medical school was associated with cognitives change in medical students with regard to medical humanities and sociology.
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박완범 ( Wan Beom Park ),허민 ( Min Hur ),김아름 ( Ah Reum Kim ),서미성 ( Mi Sung Seo ),김주성 ( Joo Sung Kim ),권성택 ( Sung Tack Kwon ),이윤성 ( Yoon Seong Lee ),신좌섭 ( Jwa Seop Shin ) 대한내과학회 2009 대한내과학회지 Vol.76 No.4
목적: 의과대학 학생들이 내과임상실습에서 실제 환자를 대상으로 얼마나 기본 술기를 시행하고 있는지, 그 성공률은 어떤지 살펴보고자 하였으며, 그와 더불어 내과 실습 중 임상 술기센터의 술기 교육에 대한 학생들의 반응을 확인하였다. 방법: 169명의 3학년 의과대학 학생들을 대상으로 내과 실습을 마친 시점에서 설문 조사를 시행하였다. 실습 중에 실제 환자를 대상으로 정맥혈채취나 말초정맥카테터삽입술을 시행한 적이 있는지, 실제 환자를 대상으로 처음 시도한 술기가 성공했었는지, 술기교육에 있어 임상술기센터에서의 교육이 유용했는지 등을 질문하였다. 결과: 3학년 첫 실습으로 내과실습을 한 39명 중 2명(5%) 은 8주의 내과실습기간 동안 환자를 대상으로 혈액을 채취해 본적이 없다고 하였으며, 22명(56%)은 말초정맥카테터 삽입술을 해 보지 못했다고 하였다. 다른 3학년 임상실습을 마치고 마지막으로 내과실습을 한 35명 중 2명(56%)은 32주의 3학년 실습 전체 기간 동안 정맥혈채취를 해보지 못 했고 8명(23%)은 말초정맥카테터삽입술을 해보지 못했다고 응답하였다. 부분적인 성공을 성공으로 간주하였을 때 첫 환자 대상의 술기성공률은 정맥혈채취의 경우 93%, 말초정맥카테터삽입술의 경우 79%이었다. 결론: 의과대학 학생들의 환자 대상 기본술기성공률은 비교적 높은 편이었으나, 상당수의 학생들이 임상실습 중에 환자를 대상으로 기본 술기를 시행해보지 못하고 있었다. 실습 학생들이 실제 환자를 대상으로 기본 술기를 시행할 수 있는 실습체계가 필요하다. Background/Aims: This study evaluated medical students` experience performing basic clinical skills with real patients in a tertiary hospital and their response to clinical skill training in the Skills Center during their clerkship in internal medicine. Methods: We surveyed 169 third-year students at the end of the internal medicine clerkship. The questionnaire included questions on their experience sampling blood and inserting intravenous (IV) catheters with real patients, success with their first patient, and the usefulness of the Skills Center during the clinical clerkship. Results: Of the 169 students, 145 (86%) answered the questionnaire. Two (5%) of 39 students had not sampled blood and 22 (56%) had not inserted an IV catheter during the 8 weeks of the internal medicine clerkship. Two (6%) of 35 students had not sampled blood and 8 (23%) had not inserted an IV catheter during 32 weeks of the 3rd-year clinical clerkships. The partial or complete success rate for performing the skills with real patients was 93% for blood sampling and 79% for IV catheter insertion. Ninety (62%) students stated that skill training in the Skills Center during the clinical clerkship improved their basic clinical skills and 62 (43%) agreed that it increased their confidence to perform those skills on real patients. Conclusions: A significant number of medical students do not experience basic clinical skills with real patients during the clinical clerkship in a university hospital, although they had relatively high success rates performing those skills. (Korean J Med 76:451-458, 2009)
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