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Differences in fear of failure and college adjustment by type of medical school entrance extrinsic motivation using a latent profile analysis 利用潜特征分析法分析医学院入学外在动机类型对失败恐惧和大学适应性的差异
Pub Date : 2024-06-01 DOI: 10.3946/kjme.2024.296
S. Yune, Ie Byung Park, Hyo Hyun Yoo, K. Park
Purpose: The decision to enroll in medical school is largely influenced by extrinsic motivation factors. It is necessary to explore the factors that affect pre-med students’ motivation to enter medical school and their college adjustment, and to develop measures to help them adjust.Methods: A total of 407 pre-med students were surveyed regarding their motivation to enter medical school, fear of failure, and college adjustment. We analyzed the latent profiles of extrinsic motivation factors using latent profile analysis. One-way analysis of variance was conducted to examine the differences in fear of failure and adaptation to university life according to the latent groups.Results: After analyzing the latent profiles of entrance motivation, three latent profiles were selected. They were divided into high, medium, and low extrinsic motivation groups. Three profiles scored the highest on job security, followed by good grades and social status. Sophomores were more likely to be high extrinsic motivators than freshmen were. Fear of failure was high in the group with high extrinsic motivation, and adaptation to college life was highest in the group with low extrinsic motivation.Conclusion: Job security was the most important extrinsic motivator for entering medical school, and extrinsic entrance motivation influenced fear of failure and college adjustment. Given the high level of extrinsic motivation among medical students, it is meaningful to analyze the extrinsic motivation profile of entering medical students and how it affects failure motivation and college adjustment.
目的:就读医学院的决定在很大程度上受到外在动机因素的影响。有必要探讨影响医学预科生入学动机和大学适应的因素,并制定措施帮助他们适应:我们对 407 名医学预科生进行了调查,内容涉及他们进入医学院的动机、对失败的恐惧以及大学适应情况。我们采用潜在特征分析法分析了外在动机因素的潜在轮廓。我们进行了单因素方差分析,以研究不同潜变量组在害怕失败和适应大学生活方面的差异:结果:在对入学动机的潜特征进行分析后,选出了三个潜特征。他们被分为高、中和低外在动机组。三组人在工作保障方面得分最高,其次是好成绩和社会地位。大二学生比大一学生更有可能成为高外在动机组。高外在动机组的学生对失败的恐惧程度较高,而低外在动机组的学生对大学生活的适应程度最高:结论:工作保障是进入医学院最重要的外在动机,而外在入学动机会影响对失败的恐惧和大学适应。鉴于医学生的外在动机水平较高,分析医学生入学的外在动机特征及其如何影响失败动机和大学适应是有意义的。
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引用次数: 0
Teaching clinical reasoning: principles from the literature to help improve instruction from the classroom to the bedside 临床推理教学:文献中有助于改进从课堂到床边教学的原则
Pub Date : 2024-06-01 DOI: 10.3946/kjme.2024.292
S. Durning, Eulho Jung, Do-Hwan Kim, Young-Mee Lee
Clinical reasoning has been characterized as being an essential aspect of being a physician. Despite this, clinical reasoning has a variety of definitions and medical error, which is often attributed to clinical reasoning, has been reported to be a leading cause of death in the United States and abroad. Further, instructors struggle with teaching this essential ability which often does not play a significant role in the curriculum. In this article, we begin with defining clinical reasoning and then discuss four principles from the literature as well as a variety of techniques for teaching these principles to help ground an instructors’ understanding in clinical reasoning. We also tackle contemporary challenges in teaching clinical reasoning such as the integration of artificial intelligence and strategies to help with transitions in instruction (e.g., from the classroom to the clinic or from medical school to residency/registrar training) and suggest next steps for research and innovation in clinical reasoning.
临床推理被认为是医生的一个重要方面。尽管如此,临床推理仍有各种不同的定义,而医疗失误往往归咎于临床推理,据报道,在美国和国外,临床推理是导致死亡的主要原因。此外,教师在教授这一基本能力时也很费力,因为它在课程中往往没有发挥重要作用。在本文中,我们首先定义了临床推理,然后讨论了文献中的四项原则以及教授这些原则的各种技巧,以帮助教师理解临床推理。我们还探讨了临床推理教学中的当代挑战,如人工智能的整合和帮助教学过渡的策略(如从课堂到临床或从医学院到住院医师/注册医师培训),并提出了临床推理研究和创新的下一步计划。
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引用次数: 0
Past, present, and future of the Korean Journal of Medical Education 韩国医学教育杂志》的过去、现在和未来
Pub Date : 2024-06-01 DOI: 10.3946/kjme.2024.289
S. Chae
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引用次数: 0
Needs and gaps of faculty development for medical schools 医学院教师发展的需求和差距
Pub Date : 2024-06-01 DOI: 10.3946/kjme.2024.295
Ji Hyun Im, Wha-Sun Kang, Seung Hee Lee, Dae-Chul Jeong, Daehyun Kim, M. Lim, Miran Kim, Ji-Hyun Seo, Dong Hyeon Lee
Purpose: Current faculty development (FD) programs are mostly limited to medical education and often lack a comprehensive and systematic structure. Therefore, the present study aimed to explore the current status and needs of FD programs in medical schools to provide a basis for establishing FD strategies.Methods: We conducted an online survey of medical school FD staff and professors regarding FD. Frequency, regression, and qualitative content analyses were conducted. FD programs were categorized into the classification frameworks.Results: A total of 17 FD staff and 256 professors at 37 medical schools participated. There are gaps between the internal and external FD programs offered by medical schools and their needs, and there are gaps between the programs the professors participated in and their needs. Recent internal and external FD programs in medical schools have focused on educational methods, student assessment, and education in general. Medical schools have a high need for leadership and self-development, and student assessment. Furthermore, professors have a high need for leadership and self-development, and research. The number of participants, topics, and needs of FD programs varied depending on the characteristics of individual professors.Conclusion: Medical schools should expand their FD programs to meet the needs of individuals and the changing demands of modern medical education. The focus should be on comprehensive and responsive programs that cover various topics, levels, and methods. Tailored programs that consider professors’ professional roles, career stages, and personal interests are essential for effective FD.
目的:目前的教师发展(FD)项目大多局限于医学教育,往往缺乏全面系统的结构。因此,本研究旨在探讨医学院校教师发展项目的现状和需求,为制定教师发展战略提供依据:方法:我们对医学院校的口腔外科医生和教授进行了一项关于口腔外科医生的在线调查。我们进行了频率分析、回归分析和定性内容分析。结果:共有 17 名医务人员和教授参与了调查:共有来自 37 所医学院的 17 名 FD 工作人员和 256 名教授参与了调查。医学院校提供的校内外FD项目与其需求之间存在差距,教授参与的项目与其需求之间也存在差距。近期医学院的内外部 FD 项目主要集中在教育方法、学生评估和总体教育方面。医学院对领导力、自我发展和学生评估的需求很高。此外,教授对领导力、自我发展和研究的需求也很高。FD项目的参与人数、主题和需求因教授个人的特点而异:结论:医学院校应扩展其FD项目,以满足个人需求和现代医学教育不断变化的需求。重点应放在涵盖不同主题、层次和方法的综合性和响应性课程上。考虑到教授的职业角色、职业阶段和个人兴趣的量身定制的课程对于有效的FD至关重要。
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引用次数: 0
Professional identity formation of clinical medical students during and beyond the pandemic: exploring the implementation gap through personal reflection 大流行期间和之后临床医学生专业身份的形成:通过个人反思探索实施差距
Pub Date : 2024-06-01 DOI: 10.3946/kjme.2024.298
Bayu Prasetya Alfandy
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引用次数: 0
Exploring the responses of preclinical medical students and professors to flipped learning for the development of clinical reasoning 探索临床前医科学生和教授对翻转学习促进临床推理发展的反应
Pub Date : 2024-06-01 DOI: 10.3946/kjme.2024.297
Jihyun Si
Purpose: This study developed and implemented case-based flipped learning using illness script worksheets and investigated the responses of preclinical students and professors to the intervention in terms of its effectiveness, design, and implementation.Methods: The study was conducted at a medical school in Korea, where the “clinical reasoning method” course, originally a lecture-oriented course, was redesigned into a flipped learning. In total, 42 second-year medical students and 15 professors participated in this course. After the class, online surveys were conducted, and a focus group interview was held with seven students to explore the students’ experiences in more detail.Results: In total, 37 students and seven professors participated in the survey. The mean score for all items is 3.12/4 for the student survey and 3.43/4 for the professor survey. The focus group interview results were categorized as the beneficial aspects and challenges for the development of clinical reasoning.Conclusion: The findings indicated that their responses to the intervention were generally positive, and it is thought to be an effective instructional method for fostering clinical reasoning skills in preclinical medical students.
目的:本研究利用疾病脚本工作表开发并实施了基于病例的翻转学习,并从有效性、设计和实施等方面调查了临床前学生和教授对干预措施的反应:该研究在韩国一所医学院进行,将原本以讲授为主的 "临床推理方法 "课程重新设计为翻转学习。共有 42 名二年级医学生和 15 名教授参与了该课程。课后进行了在线调查,并对 7 名学生进行了焦点小组访谈,以更详细地了解学生的体验:共有 37 名学生和 7 名教授参与了调查。学生调查中所有项目的平均得分为 3.12/4,教授调查中所有项目的平均得分为 3.43/4。焦点小组访谈结果分为临床推理发展的有利方面和挑战:研究结果表明,他们对干预措施的反应普遍积极,认为这是培养临床前医学生临床推理能力的有效教学方法。
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引用次数: 0
Evaluation and refinement of Self-Directed Learning Readiness Scale for medical students 评估和改进医学生自主学习准备量表
Pub Date : 2024-06-01 DOI: 10.3946/kjme.2024.294
youngtaek lim, Joanne M. Willey
Purpose: This study evaluated the underlying subdomain structure of the Self-Directed Learning Readiness Scale (SDLRS) for medical students and refined the instrument to measure the subdomains to provide evidence for construct validity. Developing self-directed learners is a well-recognized goal amongst medical educators. The SDLRS has been frequently used, however, lack of construct validity makes it difficult to interpret results.Methods: To identify the valid subdomains of the SDLRS, items were calibrated with the graded response model (GRM) and results were used to construct a 30-item short form. Short-form validity was evaluated by examining the correspondence between the total scores from the short form and the original instrument for individual students.Results: A five-subdomain model explained the SDLRS item response data reasonably well. These included: (1) initiative and independence in learning, (2) self-concept as an effective learner, (3) openness to learning opportunity, (4) love of learning, and (5) acceptance for one’s own learning. The unidimensional GRM for each subdomain fits the data better than multi-dimensional models. The total scores from the refined short form and the original form were correlated at 0.98 and the mean difference was 1.33, providing evidence for validation. Nearly 91% of 179 respondents were accurately classified within the low, average, and high readiness groups.Conclusion: Sufficient evidence was obtained for the validity and reliability of the refined 30-item short-form targeting five subdomains to measure medical students’ readiness to engage in self-directed learning.
目的:本研究评估了医学生自我导向学习准备量表(SDLRS)的基本子域结构,并改进了测量子域的工具,以提供建构效度的证据。培养自主学习者是医学教育者公认的目标。SDLRS已被频繁使用,但由于缺乏建构效度,很难解释其结果:为了确定SDLRS的有效子域,使用分级反应模型(GRM)对项目进行了校准,并根据校准结果构建了30个项目的简表。简表的有效性通过检查学生个人的简表总分与原始工具之间的对应关系进行评估:结果:五子域模型很好地解释了 SDLRS 的项目反应数据。这些子领域包括(1) 学习的主动性和独立性,(2) 作为有效学习者的自我概念,(3) 对学习机会的开放性,(4) 热爱学习,(5) 接受自己的学习。与多维模型相比,每个子域的单维 GRM 更符合数据。改进后的简表和原始表格的总分相关系数为 0.98,平均差为 1.33,为验证提供了证据。在 179 名受访者中,有近 91% 的人被准确地划分为低准备度、一般准备度和高准备度三个组别:结论:改进后的 30 个项目短表针对五个子域来测量医学生的自主学习准备度,其有效性和可靠性已得到充分证明。
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引用次数: 0
Analyzing research trends after the international journal transition of the Korean Journal of Medical Education: using topic modeling techniques 分析《韩国医学教育杂志》国际期刊转型后的研究趋势:使用主题建模技术
Pub Date : 2024-06-01 DOI: 10.3946/kjme.2024.291
S. Yune, K. Park
Purpose: This study aimed to analyze the research trends of the Korean Journal of Medical Education (KJME) since it became an English-language journal.Methods: A total of 274 articles published in KJME from 2016 to 2023 were analyzed. All article types were included in the analysis. NetMiner ver. 4.0 (Cyram Inc., Korea) was used for the main keyword and topic modeling analysis.Results: Of the 274 articles, 170 (62%) and 104 (38%) were by domestic and international authors, respectively. The main keywords with high frequency were “students,” “learning,” “experience,” “pandemic,” and “perception.” Three topics were derived using topic matching analysis: “residents’ perception and attitude of the pandemic,” “assessment of learning and achievement,” and “learning experiences in the pandemic.”Conclusion: Since the shift to English-language journals, medical education research has witnessed an increase in the number of articles published by international authors. Research on postgraduate education has increased. Research topics are relevant to situations such as the coronavirus disease 2019 pandemic. These findings can help researchers select research topics and encourage them to submit their research to the journal.
目的:本研究旨在分析《韩国医学教育杂志》(KJME)成为英文期刊以来的研究趋势:方法:分析了 2016 年至 2023 年期间发表在《韩国医学教育杂志》上的 274 篇文章。所有文章类型均纳入分析。NetMiner ver.4.0 (Cyram Inc., Korea) 用于主要关键词和主题建模分析:在 274 篇文章中,国内和国际作者分别占 170 篇(62%)和 104 篇(38%)。出现频率较高的主要关键词是 "学生"、"学习"、"经验"、"流行病 "和 "认知"。通过主题匹配分析得出了三个主题:"结论:自从转向英文期刊以来,医学教育研究中国际作者发表的文章数量有所增加。有关研究生教育的研究也有所增加。研究课题与 2019 年冠状病毒疾病大流行等情况相关。这些发现可以帮助研究人员选择研究课题,鼓励他们向期刊投稿。
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引用次数: 0
Exploring 40 years of Korean medical education conference themes 探索韩国医学教育 40 年的会议主题
Pub Date : 2024-06-01 DOI: 10.3946/kjme.2024.290
Do-Hwan Kim, Sangmi T Lee, Young-Mee Lee, Sanghee Yeo
Purpose: The Korean Society of Medical Education (KSME) was founded in 1983 and celebrated its 40th anniversary in 2023. This study examines the evolution of topics discussed at KSME conferences from 1971 through 2023, highlighting shifts in the focus of medical education.Methods: We analyzed 90 KSME conferences over 5 decades (1970s, 1980s, 1990s, 2000s, and 2010s), categorizing the topics into three eras based on emerging themes and continuity.Results: Consequently, 37 topics covered at the conference were categorized. Ten topics continuously appeared from the 1970s to the 2010s, including future directions of medical education, teaching methods, faculty development, and curriculum. The topics from the 1970s to the 1990s included 14 areas, such as medical education evaluation, non-undergraduate curriculum, community-related, and research. Thirteen new topics emerged after the 2000s, such as social accountability, student support, professionalism, and quality improvements. The most common topics under innovations in medical education, a case of curriculum innovation at universities that began after 2000, were clinical clerkship, curriculum development, and medical humanities.Conclusion: KSME’s selection of conference topics has been strategically aligned with societal needs and the evolving landscape of medical education. Future topics should continue to address relevant societal and educational challenges.
目的:韩国医学教育学会(Korean Society of Medical Education,KSME)成立于1983年,并于2023年庆祝其成立40周年。本研究探讨了从 1971 年到 2023 年 KSME 会议讨论主题的演变,突出了医学教育重点的转移:我们分析了 KSME 五十年间(1970 年代、1980 年代、1990 年代、2000 年代和 2010 年代)的 90 次会议,根据新出现的主题和连续性将会议主题分为三个时代:结果:共对 37 个会议主题进行了分类。从 20 世纪 70 年代到 2010 年代,连续出现了 10 个主题,包括医学教育的未来发展方向、教学方法、师资队伍建设和课程设置。20 世纪 70 年代至 90 年代的议题包括 14 个领域,如医学教育评估、非本科课程、社区相关和研究。2000 年代后出现了 13 个新课题,如社会责任、学生支持、专业精神和质量改进。医学教育创新(2000 年后开始的大学课程创新)下最常见的主题是临床实习、课程开发和医学人文:KSME对会议主题的选择在战略上与社会需求和不断发展的医学教育相一致。未来的主题应继续应对相关的社会和教育挑战。
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引用次数: 0
The application of augmented reality for improving clinical skills: a scoping review 应用增强现实技术提高临床技能:范围界定综述
Pub Date : 2024-03-01 DOI: 10.3946/kjme.2024.285
Mahmud Mahmud, D. C. R. Sari, Djayanti Sar, N. Arfian, M. A. Zucha
Augmented reality technology had developed rapidly in recent years and had been applied in many fields, including medical education. Augmented reality had potential to improve students’ knowledge and skills in medical education. This scoping review primarily aims to further elaborate the current studies on the implementation of augmented reality in advancing clinical skills. This study was conducted by utilizing electronic databases such as PubMed, Embase, and Web of Science in June 2022 for articles focusing on the use of augmented reality for improving clinical skills. The Rayyan website was used to screen the articles that met the inclusion criteria, which was the application of augmented reality as a learning method in medical education. Total of 37 articles met the inclusion criteria. These publications suggested that using augmented reality could improve clinical skills. The most researched topics explored were laparoscopic surgery skills and ophthalmology were the most studied topic. The research methods applied in the articles fall into two main categories: randomized control trial (RCT) (29.3%) and non-RCT (70.3%). Augmented reality has the potential to be integrated in medical education, particularly to boost clinical studies. Due to limited databases, however, any further studies on the implementation of augmented reality as a method to enhance skills in medical education need to be conducted.
近年来,增强现实技术发展迅速,并已应用于包括医学教育在内的许多领域。在医学教育中,增强现实技术具有提高学生知识和技能的潜力。本范围综述的主要目的是进一步阐述目前关于实施增强现实技术以提高临床技能的研究。本研究于2022年6月利用PubMed、Embase和Web of Science等电子数据库,查找有关使用增强现实技术提高临床技能的文章。Rayyan 网站用于筛选符合纳入标准的文章,即在医学教育中应用增强现实技术作为学习方法的文章。共有 37 篇文章符合纳入标准。这些文章表明,使用增强现实技术可以提高临床技能。研究最多的主题是腹腔镜手术技能,研究最多的主题是眼科。文章采用的研究方法主要分为两类:随机对照试验(RCT)(29.3%)和非随机对照试验(70.3%)。增强现实技术有潜力融入医学教育,特别是促进临床研究。然而,由于数据库有限,还需要进一步研究如何将增强现实技术作为提高医学教育技能的一种方法。
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引用次数: 0
期刊
Korean journal of medical education
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