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- 저자 : 한재진(Jae Jin Han) (검색결과 82 건)
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우리나라 의사양성체제의 관점에서 본 의과대학 교육의 문제점과 개선방향
한재진,Han, Jae Jin 연세대학교 의과대학 2018 의학교육논단 Vol.20 No.2
Observation of the current Korean medical education and training system shows that certain negative traits of unchangeable solidification engraft themselves so deeply into the overarching system that they are now hampering the state of the national health welfare. Focusing only on undergraduate medical education, we can point out some glaring side-effects that should be of concern to any stakeholder. For instance, a graduate can legally begin his career as an independent practitioner immediately after passing the licensing exam and return to the old stuck school-year system of 2-year-premedical and 4-year-medical programs where outcome-based and integrated curricula are incomplete and unsatisfactory. In terms of learning opportunities, the balance between patient care and public health, as well as that between in-hospital highly specialized practice and community-based general practice, has worsened. Every stakeholder should be aware of these considerations in order to obtain the insight to forge a new direction. Moreover, our medical schools must prepare our students to take on the global roles of patient care within the Fourth Industrial Revolution, health advocacy for the imminent super-aged society, and education and research in the bio-health industry, by building and applying the concept of academic medicine. We will need to invest more resources, including educational specialists, into the current undergraduate medical education system in order to produce proper outcomes, smart curriculum, innovative methods of teaching and learning, and valid and reliable monitoring and evaluation. The improved quality of undergraduate medical education is the starting point for the success of the national system for public health and medical care as a whole, and therefore its urgency and significance should be emphasized to the public. The medical society should go beyond fixing what is broken and usher in a new era of cooperation and collaboration that invites other health professionals, governmental partners, law-makers, opinion leaders, and the general public in its steps toward the future.
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한재진,Han, Jae-Jin 연세대학교 의과대학 2013 의학교육논단 Vol.15 No.1
In medicine, rapid changes in information, technology, socio-economic interests, and globalization affect the medical education focused on the competencies of doctors, and the number of medical schools that are adopting an outcome-based curriculum (OBC) is increasing worldwide. This paper introduces the OBC model of 5 trailblazing medical schools from the UK, US, and Australia, comparing their unique features, followed by brief comment about Canada and the EU as well. On developing an OBC, the process of establishing the top outcomes for graduates is similar and the outcomes comprise knowledge, skills, and attitudes about science, patients, colleagues, society, and themselves. Implementing the outcomes down into the sub-levels of the curriculum is much more complicated and time-consuming. Assessing the achievement of every outcome is essential and requires the use of many tools in addition to the traditional written examination. From the perspective of adult learning theory, self-directed learning, team-learning, and individual and flexible achievement are tested and executed in an OBC. The gradual expansion and further innovation of an OBC is expected so that tomorrow's doctors will be able to meet the challenges of the future.
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아급성 심내막염을 동반한 대동맥륜 하부 대동맥류의 수술치험 -1례 보고-
한재진,이원용,채헌,Han, Jae-Jin,Yi, Won-Yong,Chae, Hurn 대한흉부심장혈관외과학회 1989 The Korean Journal of Thoracic and Cardiovascular Vol.22 No.6
Subannular aortic aneurysm is a word-wide rare disease entity occurring predominantly in young black men. In Korea, there has been no report. We report one patient, 46 years old man, who had been operated urgently because of acute aortic insufficiency and aortic valvular vegetation after antibiotics treatment of Subacute bacterial endocarditis for 6wks. At the operative field, We found the bulging aneurysmal mass between the aorta and superior vena cava above the right pulmonary artery, which has subannular communicating opening into the left ventricular cavity, beneath the anterior commissure of the bicuspid aortic valve. Pathologic findings are consistent with "portion of vascular wall with features of aneurysm.* The patients survived aortic valve replacement and patch closure of subannular aneurysm, with no symptoms at one-year postoperative follow-up.w-up.
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Multi-detector Computed Tomography에서 환자의 자세 변화에 따른 Esophageal Cancer 진단의 유용성
한재진(Jae Jin Han),김현석(Hyun Seok Kim),김영덕(Yong Deok Kim),이종호(Jong Ho Lee),최남길(Nam Kil Choi) 대한CT영상기술학회 2010 대한CT영상기술학회지 Vol.12 No.1
Purpose The purpose of this study was to assess die utility of multi-detector computed tomography with a patient position change for die diagnosis of esophageal cancer. Material and methods Sixty nine patients with esophageal cancer underwent computed tomography(CT) in supine and prone positions. CT scans were performed in supine position at first, and in prone position followed. CT images were evaluated for perception esophageal cancer, findings of paraesophageal infiltration and presence of paraesophageal lymphadenopathy. The detectabilities of esophageal cancer, paraesophageal infiltration and paraesophageal lymphadenopathy were evaluated on prone position CT and compared with those of supine position CT, by scoring systems(1-3). In addition, findings on were correlated with those on endoscopy and post operatetive findings. Results The mean score for detectability of esophageal carcinoma on prone position CT (2.58±0.7367) was higher than on supine position CT(2.42±0.829). The mean score for detectability of paraesophageal infiltration was higher on prone position CT(2.91±0.29) than on supine position CT(2.65±0.48). The mean score for detectabiliry of paraesophageal infiltration in patient with esophagectomy was higher on prone position CT(2.39±0.85) than on supine position CT(2.06±0.73). Conclusion Multi-detector CT with prone position has advantages for evaluation of esophageal cancer by improving deteaability of mass lesion and paraesophageal infiltration.
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