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이혜범,양은배 한국의학교육학회 2013 Korean journal of medical education Vol.25 No.1
Purpose: This study analyzed the characteristics of excellent lecturers, as perceived by medical students, and identified the teaching competency that lecturers should possess to enhance the quality of medical education in medical school. Methods: To examine the characteristics of excellent lecturers and teaching competency, we administered open-ended questionnaires to a sample of 128 Year 2 medical students in May 2011. Results: The students placed high value on the ability to organize and summarize the lecture as the most significant competence of lecturers, due to the massive amounts of information that is disseminated in medical college. Further, they chose lecturers who communicated to students actively and used real clinical cases properly with regard to how medical knowledge applied. They also considered generating an interest in learning by linking knowledge and its application as an important priority of excellent lecturers. Conclusion: We conclude that there are differences in the characteristics and competencies of excellent lecturers, as perceived by medical students and others. To increase the quality of teaching, it might be necessary to offer the opportunity to observe excellent lecturers, develop faculty development programs, and create educational culture.
신진학자 연구논문 : 유방암 환자들의 치료과정에서 환자-의사 관계의 관계적 체험과 의미 탐색: 감정 체험과 인지적 관점을 바탕으로
이혜범 ( Hae Bum Lee ) 한국교육인류학회 2013 교육인류학연구 Vol.16 No.1
본 연구는 유방암 완치 판정을 받은 환자들의 이야기를 통해 그들의 치료과정에서 나타난 환자-의사 관계의 소중한 의미를 탐색하기 위함이다. 질병의 주체인 환자들의 관점에서 경험한 환자-의사 관계는 그 동안 의사 중심의 교육을 받고 의사의 관점으로만 진료를 경험했던 의사들에게 관점의 변화를 일으키고 현상에 대한 새로운 의미를 찾게 할 수 있으리라 본다. 연구는 다섯 명의 유방암 생존자들과의 심층 인터뷰, 투병기, 환자의 이야기를 담은 영화 등을 분석하는 현상학적 연구방법으로 진행되었다. 환자들이 질병을 경험하는 가운데 맺는 환자-의사의 관계는 단순히 겉으로 드러나는 표면적인 ``관계 맺음``을 넘어 환자가 질병을 어떻게 받아들이고 극복할지를 좌우하는 매우 중요한 부분이었다. 의사의 사소한 언행 하나에도 환자들은 큰 영향을 받았으며 특히 유방암 환자들의 경우는 유방 절제술로 인해 여성으로서의 자존감 저하와 대인기피, 우울증 등 다른 암 환자에 비해 정신적인 스트레스가 큰 만큼 의사의 따뜻한 말 한 마디와 공감 및 지지가 질병을 극복하는 데 실질적인 힘이 되었다. 연구자는 본 연구를 통해 유방암 환자들이 치료과정에서 경험하는 환자-의사 관계는 암 진단 초기에는 환자가 질병을 받아들이는 자세를 결정하고 힘든 치료과정 속에서는 긍정적인 마음으로 치료 의지를 갖고 질병을 극복할 수 있도록 도움을 준다는 것을 알 수 있었다. 또한 정신적인 스트레스가 큰 유방암 환자들에게는 치료 과정은 물론 특별히 치료 후까지도 의사와의 지속적인 긍정적 관계 형성이 저하된 자존감을 회복하고 건강한 삶으로 복귀하는 데 도움이 된다는 것을 알 수 있었다. The purpose of this study is to search for the true meaning of doctor-patient relationship as it appeared in the course of treatment of breast cancer patients. The Patients` view about "Doctor-patient relationship" could make doctors look at a different sides and find new meanings for doctor-patient relationship. We used the phenomenological method of looking through and analyzing the five breast cancer patients` in depth interviews, illness experience and films that include the patient`s story. In conclusion, doctor-patient relationship formed during patient`s disease experience must be not a cursory ``relationship`` but a very meaningful ``relationship`` that determines how the patient accepts and overcomes the disease. Patients were affected greatly by even doctor`s slight words and gestures and they often especially have experienced more mental stress than other cancer patients because of mastectomy, for example, loss of self-esteem as a woman or avoidance of sexual activity, social phobia, depression, etc. The doctor`s comforting words, empathy and support has helped them greatly in overcoming the disease. The doctor-patient relationship with breast cancer patients experienced during the treatment was an important determining factor that decides their attitude in accepting the disease and helping them have a positive attitude and overcome the disease during the hard course of disease treatment. Also, the continuous positive doctor-patient relationship after treatment helped them recover their degraded self-respect and return to a healthy life.
국내 의학과, 의학전문대학원, 의예과 학생들의 인지․정서․사회적 특성 고찰
류숙희,이혜범 한국의학교육학회 2012 Korean journal of medical education Vol.24 No.2
Purpose: Medical schools and graduate medical schools should understand the personality and psychological qualities of graduate medical students, medical students, and premedical students and link them with the curriculum. Methods: In this study, through June 2010 we analyzed medical papers that were published in Korea. The search terms were psychological terminology, including emotion, cognition, intelligence, social ability, stress, motivation, judgment, and learning style. Results: In the cognitive and learning aspects, preliminary doctors were under the influence of prior knowledge; cumulative learning; self-efficacy; and visual, logical, non-self-led learning types and had external learning motivation. In the emotional adaptive aspects, they appeared to be the ISTJ (introversion, sensing, thinking, judging) personality type with regard to the Myers-Briggs indicators and perfectionists, suffering from severe academic stress. Their motivation on matriculation was associated with their interests and aptitudes, and through community service, they adapted to the learning and living environment of medicine. In the social and moral aspects, they did not have high moral judgment, felt devaluated about their job than before, and tended to have an open and flexible doctor-patient relationship. Conclusion: Medical graduate students, medical students, and premedical students have greater likelihood to cultivate their character and capacity for adaptation.
류숙희,이혜범,전우택,Ryue, Sookhee,Lee, Haebum,Jeon, Woo Taek 연세대학교 의과대학 2013 의학교육논단 Vol.15 No.1
The purpose of this study was to analyze the relationship among medical students' learning motivation, characteristics of multiple intelligence, and academic achievement. The participants were 144 medical students. The data were collected by administering learning motivation tests (self-confidence, self-efficacy, level of task, emotion of learning, learning behavior, failure tolerance, task difficulty, and academic self-efficacy), a multiple intelligence test (linguistic intelligence, logical-mathematical intelligence, musical intelligence, bodily-kinesthetic intelligence, spatial intelligence, interpersonal intelligence, intrapersonal intelligence, and naturalistic intelligence), and two semesters of grades. There is a correlation between multiple intelligences and learning motivation. Among academic self-efficacy of academic motivation, the self-control efficacy (0.28) and behavior (0.18) subscales are significantly positively correlated with academic achievement. However, the emotion subscale (-0.18) was significantly negatively correlated. Learning motivation was correlated with two of the eight multiple intelligence profiles: the intrapersonal intelligence (0.18) and bodily-kinesthetic intelligence (-0.19). The structural equation modeling analysis showed that the behavior and self-control efficacy subscales of intrapersonal intelligence had an impact on academic achievement. An analysis according to the academic achievement group showed significant differences in self-control efficacy and emotion subscales with intrapersonal intelligence. A positive relationship can be observed between learning motivation and some characteristics of multiple intelligence of medical school students. In light of the findings, it is worth examining whether we can control medical students' learning motivation through educational programs targeting self-control efficacy and intrapersonal intelligence.