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Validating the Korean shorter Diagnostic Thinking Inventory in medical education: a pilot study 在医学教育中验证韩国简易诊断思维量表:一项试点研究
Pub Date : 2024-03-01 DOI: 10.3946/kjme.2024.281
Jihyun Si
Purpose: Developing clinical reasoning across the medical curriculum requires valid, reliable, and feasible assessment tools. However, few validated tools are available for the convenient and efficient quantification of clinical reasoning. Thus, this study aimed to create a shorter version of the Diagnostic Thinking Inventory (DTI) and validate it in the Korean medical education context (DTI-SK).Methods: The DTI-SK was constructed using content validity and a translation and back-translation process. It comprises two subcategories and 14 items. Its validity and reliability were explored using exploratory and confirmatory factor analyses, mean comparisons of four medical student groups (med 1 to med 4), and internal consistency using Cronbach’s α. Two hundred medical students were invited to participate through email, and the survey was administered for 2 weeks.Results: Data from 136 students were analyzed. Exploratory factor analysis revealed two factors with eigenvalues greater than 1.0 and they together explained 54.65% of the variance. Confirmatory factor analysis demonstrated that the model had acceptable level of fit and convergent validity. Discriminant validity was confirmed using heterotrait-monotrait criterion. Group comparisons demonstrated that the med 4 students showed significantly higher scores than the med 1 and 2 students. The inventory exhibited strong internal consistency for all items (Cronbach’s α=0.906).Conclusion: The findings indicated that the DTI-SK is a reliable and valid tool for measuring medical students’ clinical reasoning in the context of Korean medical education.
目的:在整个医学课程中培养临床推理能力需要有效、可靠和可行的评估工具。然而,目前很少有经过验证的工具可以方便、有效地量化临床推理能力。因此,本研究旨在创建一个较短版本的诊断思维量表(DTI),并在韩国医学教育背景下对其进行验证(DTI-SK):方法:DTI-SK 是通过内容效度、翻译和回译过程构建的。它包括两个子类别和 14 个项目。通过探索性和确认性因素分析、四个医学生组(中位 1 到中位 4)的均值比较以及使用 Cronbach's α 进行内部一致性分析,探讨了其有效性和可靠性:对来自 136 名学生的数据进行了分析。探索性因子分析显示,有两个因子的特征值大于 1.0,它们共同解释了 54.65% 的方差。确认性因素分析表明,该模型具有可接受的拟合度和收敛效度。用异质-单质标准确认了区分效度。分组比较显示,中四学生的得分明显高于中一和中二学生。所有项目的内部一致性都很好(Cronbach's α=0.906):研究结果表明,在韩国医学教育中,DTI-SK 是衡量医学生临床推理能力的可靠有效的工具。
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引用次数: 0
Analysis of the perceptions, competencies, and educational needs for global health among Korean medical students 韩国医科学生对全球健康的认识、能力和教育需求分析
Pub Date : 2024-03-01 DOI: 10.3946/kjme.2024.280
Songrim Kim, Sun Young Kyung, Ie Byung Park, S. Yune, K. Park
Purpose: The purpose of this study was to examine perceptions of global health education (GHE) among medical students and their involvement in global health activities and identify priorities of educational needs for developing GHE programs.Methods: This study was cross-sectional and conducted through an online survey for medical students. The participants were students attending medical schools nationwide, and the final analysis target was 678. The survey developed questionnaires necessary for research purposes regarding global health-related experiences and perceptions, level of awareness of global health competencies (GHC), and needs assessments. The data were analyzed using the frequency analysis, chi-square test, independent t-test, Borich Needs Assessment Model, and the Locus for Focus Model.Results: In total, 60.6% (411/678) agreed on the need for GHE, whereas 12.1% (82/678) agreed on the appropriateness of GHE in the current medical school curriculum, indicating a perception gap between the necessity and the status. At the current level of awareness of global health and GHC, we identified statistically significant differences according to gender, participation in global health activities, and GHE. In the analysis of the educational needs of GHC, all items of GHC had statistically significant differences between the importance level and the current level, and priorities were derived. The competency with the highest priority was domain A (Global Burden of Disease).Conclusion: We expect the findings of this study to be used in Korean medical education as fundamental data to prepare a hereafter research foundation for GHE and discuss systematic GHE based on GHC.
目的:本研究旨在考察医学生对全球健康教育(GHE)的看法以及他们参与全球健康活动的情况,并确定发展全球健康教育项目的优先教育需求:本研究为横断面研究,通过对医科学生的在线调查进行。参与者为全国医学院校的学生,最终分析对象为 678 人。调查就全球健康相关经验和看法、对全球健康能力(GHC)的认识水平以及需求评估等方面编制了必要的研究问卷。数据分析采用了频率分析、卡方检验、独立 t 检验、Borich 需求评估模型和 Locus for Focus 模型:总计有 60.6%(411/678)的受访者认同全球健康教育的必要性,而有 12.1%(82/678)的受访者认同全球健康教育在当前医学院课程中的适当性,这表明在必要性和现状之间存在认知差距。在目前对全球健康和全球卫生中心的认识水平上,我们发现性别、全球健康活动参与情况和全球健康教育在统计上存在显著差异。在对全球卫生保健教育需求的分析中,全球卫生保健的所有项目在重要性水平和当前水平之间都有显著的统计学差异,并得出了优先级。优先级最高的能力是领域 A(全球疾病负担):我们希望本研究的结果能作为韩国医学教育的基础数据,为今后的全球健康教育奠定研究基础,并讨论基于全球疾病负担的系统化全球健康教育。
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引用次数: 0
Analyzing the characteristics of mission statements in Korean medical schools based on the Korean Doctor’s Role framework 基于韩国医生角色框架分析韩国医学院校使命宣言的特点
Pub Date : 2024-03-01 DOI: 10.3946/kjme.2024.287
Y. Kang, Soomin Lee, Hyo jeong Lee, Do-Hwan Kim
Purpose: This study assessed the alignment between Korean medical schools’ mission statements (MSs) and Korean Doctor’s Role (KDR) domains, considering school characteristics.Methods: We analyzed the South Korean medical school’s MS characteristics using a mixed-methods approach. Quantitative analysis preprocessed MS text data to identify concept words, while qualitative content analysis categorized information into predefined KDR domains and extracted themes from other parts.Results: At the KDR domain level, “social accountability” was the most frequent, followed by “education and research” and “patient care,” while “professionalism” had the least frequency. At the competency level, the most frequent domains were “involvement in public and global health initiatives,” while “self-regulation based on professional leadership” and “professionalism and self-management” were not present.Conclusion: The study found that the majority of MSs had a homogeneous pattern and included traditional themes. Medical schools should evaluate and incorporate missing elements in their MSs to reflect the institution’s own purpose and current societal needs.
目的:本研究评估了韩国医学院的使命宣言(MS)与韩国医生角色(KDR)领域之间的一致性,同时考虑了学校的特点:我们采用混合方法分析了韩国医学院的使命宣言特点。定量分析对 MS 文本数据进行预处理,以识别概念词,而定性内容分析则将信息归类到预定义的 KDR 领域,并从其他部分提取主题:在 KDR 领域层面,"社会责任 "出现频率最高,其次是 "教育与研究 "和 "患者护理",而 "专业精神 "出现频率最低。在能力层面,出现频率最高的领域是 "参与公共和全球卫生行动",而 "基于专业领导的自律 "和 "专业精神和自我管理 "则不存在:研究发现,大多数硕士课程的模式较为单一,且包含传统主题。医学院校应评估并在其硕士课程中纳入缺失的元素,以反映学校自身的宗旨和当前的社会需求。
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引用次数: 0
Job stress and burnout affecting the mental health of Korean medical faculty members: constructing causality among latent variables 影响韩国医学教职人员心理健康的工作压力和职业倦怠:构建潜在变量之间的因果关系
Pub Date : 2024-03-01 DOI: 10.3946/kjme.2024.282
Ji-Hyun Seo, Hwa-ok Bae
Purpose: This study aims to examine whether perceived levels of job stress, burnout, and mental health are different according to demographic characteristics and working conditions and to investigate the direct and indirect effects of job stress and burnout on the mental health of medical faculty members.Methods: The study sample consists of 855 faculty members in 40 medical schools nationwide in the 2020 Burnout of Faculty Members of Medical Schools in Korea data with a grant from the Korean Association of Medical Colleges. This study employed structural equation modeling to construct causality among latent variables in addition to t-test, analysis of variance, and correlation coefficients for bivariate analyses.Results: Perceived job stress, burnout, and mental health levels of medical faculty members showed significant group differences by demographic characteristics and working conditions. Job stress directly affected mental health (β=0.215, p<0.01) and indirectly affected mental health via burnout (β=0.493, p<0.001). Thus burnout significantly mediated the relationship between job stress and the mental health of medical faculty members.Conclusion: This study found that job stress has direct and indirect effects on the mental health of medical faculty members, and burnout partially mediated this relationship. Further studies need to intervene in job stress and burnout to prevent the adverse mental health of medical faculty members and to introduce proper measures to improve working conditions affecting job stress and burnout.
目的:本研究旨在探讨工作压力、职业倦怠和心理健康的感知水平是否因人口统计学特征和工作条件的不同而不同,并调查工作压力和职业倦怠对医学教职员工心理健康的直接和间接影响:研究样本由韩国医学院校协会资助的 "2020 年韩国医学院校教职员工职业倦怠 "数据中全国 40 所医学院校的 855 名教职员工组成。本研究采用结构方程模型来构建潜变量之间的因果关系,此外还采用t检验、方差分析和相关系数进行双变量分析:结果:医学教职员工感知到的工作压力、职业倦怠和心理健康水平因人口统计学特征和工作条件的不同而存在显著的群体差异。工作压力直接影响心理健康(β=0.215,p<0.01),并通过职业倦怠间接影响心理健康(β=0.493,p<0.001)。因此,职业倦怠在工作压力与医学教职员工心理健康之间起着重要的中介作用:本研究发现,工作压力对医学教职员工的心理健康有直接和间接的影响,而职业倦怠在一定程度上调解了这种关系。进一步的研究需要对工作压力和职业倦怠进行干预,以防止对医学教职员工的心理健康造成不利影响,并采取适当措施改善影响工作压力和职业倦怠的工作条件。
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引用次数: 0
Scoping review: exploring residents’ views of supervisor entrustment and its effect on learning and professional development 范围界定审查:探讨住院医师对导师委托的看法及其对学习和专业发展的影响
Pub Date : 2024-03-01 DOI: 10.3946/kjme.2024.286
Sunhee Shim, Hansea Kim, Young-Mee Lee
This scoping review aimed to systematically explore the complex and nuanced perceptions of residents entrusted with significant responsibilities by their supervisors in the clinical context. We conducted a comprehensive search strategy targeting six major electronic databases. Data were extracted using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) checklist and a scoping review protocol. Resident perceptions regarding entrustment and its impact on learning and professional development were categorized. This review elucidated the role of supervisor entrustment in shaping residents’ clinical performance, notably influencing autonomy, self-confidence, responsibility for patients, learning needs and goals, uncertainty management, and professional identity formation. Residents identified factors that promote and hinder performance and entrustment development resulting from supervisor entrustment and distinguished between appropriate supervision and over- or under-supervision. Our review suggests that residents’ perceptions of supervisor entrustment, as bestowed by supervisors, serves as a catalyst for enhancing autonomy, thereby exerting a significant influence on clinical performance, and fostering the development of a professional identity. However, residents’ views on appropriate supervision differ in some ways from supervisors’ perspectives. Further research is needed to bridge the gap between residents’ expectations of autonomy and what they are given, and to explore the intricate relationship between autonomy and entrustment.
本范围界定综述旨在系统地探讨住院医师在临床环境中对其导师委以重任的复杂而微妙的看法。我们针对六个主要电子数据库采取了全面的检索策略。数据提取采用了 PRISMA-ScR(系统性综述和荟萃分析首选报告项目扩展范围综述)核对表和范围综述协议。对住院医师对委托及其对学习和专业发展的影响的看法进行了分类。该综述阐明了主管委托在塑造住院医师临床表现方面的作用,尤其是对自主性、自信心、对患者的责任感、学习需求和目标、不确定性管理以及专业身份形成的影响。住院医师指出了因导师委托而导致的促进和阻碍绩效和委托发展的因素,并区分了适当的监督和过度或不足的监督。我们的研究结果表明,住院医师对督导所给予的督导委托的看法是提高自主性的催化剂,从而对临床表现产生重要影响,并促进专业身份的形成。然而,住院医师对适当督导的看法在某些方面与督导的观点有所不同。我们需要开展进一步的研究,以缩小住院医师对自主性的期望与他们所获得的之间的差距,并探索自主性与委托之间错综复杂的关系。
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引用次数: 0
Examination of medical students’ opinions on multimedia learning materials according to social cues: focusing on sound principles 根据社会线索考察医学生对多媒体学习材料的看法:注重合理原则
Pub Date : 2024-03-01 DOI: 10.3946/kjme.2024.288
Wonseok Chang, Y. Kim, Hye Jin Park
Purpose: Although interest in various forms of learning media is increasing due to the coronavirus disease 2019 (COVID-19) pandemic there is relatively little research on influencing student motivation by intervening in cognitive processing. The purpose of this study was to present the optimal form of learning materials provided to medical students.Methods: This study provided learning materials in class at a level according to social cues (script, video [artificial intelligence (AI) voice], video [professor voice]) based on the principle of voices among the principles of personalization, voices, image, and embodiment of social cues in multimedia learning, and surveyed students’ opinions.Results: There was no statistically significant difference according to social clues in satisfaction and learning help, but both appeared in the order of silent videos containing the professor’s voice, followed by videos containing the AI voice.Conclusion: This study is significant in that there is no research on the impact of student motivation on the provision of learning materials for medical school education in Korea, and we hope that it will help provide learning materials for self-directed learning of medical students in the post-COVID-19.
目的:尽管由于2019年冠状病毒病(COVID-19)的流行,人们对各种形式的学习媒体的兴趣与日俱增,但通过干预认知加工来影响学生学习动机的研究却相对较少。本研究的目的是介绍向医学生提供学习材料的最佳形式:本研究根据多媒体学习中社会线索的个性化、声音、形象和体现中的声音原则,按照社会线索(脚本、视频[人工智能(AI)声音]、视频[教授声音])的不同层次在课堂上提供学习材料,并调查学生的意见:结果:在满意度和学习帮助方面,根据社会线索的不同没有统计学意义上的显著差异,但都出现了包含教授声音的无声视频,其次是包含人工智能声音的视频的顺序:这项研究的意义在于,在韩国还没有关于学生学习动机对提供医学院教育学习材料的影响的研究,我们希望这项研究将有助于为COVID-19之后的医学生自主学习提供学习材料。
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引用次数: 0
Correction of Table: Educational implications of assessing learning outcomes with multiple choice questions and short essay questions. 更正表格:用选择题和短文题评估学习成果的教育意义。
Pub Date : 2024-03-01 Epub Date: 2023-12-21 DOI: 10.3946/kjme.2023.279
Hyo-Jin Kwon, Su Jin Chae, Joo Hyun Park
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引用次数: 0
Identifying teaching competencies for medical residents using a modified Delphi method 使用改良德尔菲法确定住院医师的教学能力
Pub Date : 2024-03-01 DOI: 10.3946/kjme.2024.284
Tadayuki Hashimoto, Makoto Kikukawa
Purpose: This study aimed to identify the teaching competencies of medical residents.Methods: A modified Delphi study was conducted from January to March 2017. Twenty-four panelists (six medical educators, program directors, chief residents, and residents each) from various facilities in Japan participated in the study. The consensus criterion for this study was that more than 80% of the panelists gave a rating of 6 or higher on the 7-point Likert scale (“not at all important” to “extremely important”) without any comments. The modified Delphi approach resulted in a list of 27 resident teaching competencies after three rounds. These competencies were categorized based on Harden and Crosby’s 12 roles of medical teachers.Results: Our study revealed that, of the 12 roles, residents were primarily viewed as “clinical or practical teachers,” “teaching role models,” “on-the-job role models,” “learning facilitators,” and “student assessors.”Conclusion: The 27 resident teaching competencies indicate the importance of educational proximity for residents as teachers. It is expected that this finding will contribute to competency-based resident-as-teacher education.
目的:本研究旨在确定医学住院医师的教学能力:2017年1月至3月进行了一项改良的德尔菲研究。来自日本不同机构的 24 名专家组成员(医学教育者、项目主任、住院总医师和住院医师各 6 名)参与了研究。本研究的共识标准是,超过 80% 的专家组成员在 7 点李克特量表(从 "完全不重要 "到 "极其重要")上给出 6 分或更高的评分,且不作任何评论。改良德尔菲法经过三轮筛选后,得出了一份包含 27 项住院医师教学能力的清单。这些能力根据哈登和克罗斯比提出的医学教师的 12 种角色进行了分类:我们的研究显示,在这 12 种角色中,住院医师主要被视为 "临床或实践教师"、"教学榜样"、"在职榜样"、"学习促进者 "和 "学生评估者":27 项住院医师教学能力表明了住院医师作为教师进行近距离教育的重要性。预计这一发现将有助于以能力为基础的住院医师即教师教育。
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引用次数: 0
Beyond the surface: unraveling global health curriculum insights through interviews of learners and educators using the CIPP model 超越表象:利用 CIPP 模式,通过对学习者和教育者的访谈,揭示全球健康课程的深刻内涵
Pub Date : 2024-03-01 DOI: 10.3946/kjme.2024.283
Yoonjung Lee, Jayoung Park, Woong-Han Kim, Jwa-Seop Shin, H. Yoon
Purpose: Our study aimed to delve beyond a surface-level understanding and explore the various dimensions of the global health curriculum from the perspective of both learners and educators using the Context, Input, Process, and Product (CIPP) model.Methods: From 2020 to 2021, interviews were conducted with a total of 10 individuals, including five students who had taken at least one elective course and at least one elective research course, three teaching assistants (TA), and two faculty members who had taken more than four global health courses in multiple phases in the global health curriculum. Semi-structured interview questions based on the CIPP model were used and qualitative data were analyzed through content analysis.Results: The study identified 12 sub-themes. Students held idealized views of global health careers and sought to bridge the gap through global health classes. They desired early exposure to global health courses, emphasizing both pre-medical and clinical phases. Challenges in adjusting course difficulty and recruiting faculty were identified, along with a preference for interactive teaching methods and offline discussions. The curriculum promoted reflection on medicine’s essence, expanded career perspectives, and emphasized competencies like altruism, communication skills, and crisis management in the evolving global health landscape.Conclusion: This study showed that a comprehensive approach is possible from the perspective of learners and educators by identifying strengths, weaknesses, and the value of the curriculum’s goals, plans, implementations, and results through the CIPP model. For optimal curriculum design, a sequential approach from basic to advanced courses is essential, promoting hands-on global health experiences for students.
目的:我们的研究旨在超越表层理解,采用情境、输入、过程和产品(CIPP)模型,从学习者和教育者的角度探索全球健康课程的各个层面:从 2020 年到 2021 年,共对 10 人进行了访谈,其中包括 5 名至少选修过一门选修课和至少选修过一门研究课的学生、3 名助教(TA)和 2 名在全球健康课程的多个阶段选修过 4 门以上全球健康课程的教师。研究采用了基于 CIPP 模型的半结构化访谈问题,并通过内容分析对定性数据进行了分析:研究确定了 12 个子主题。学生们对全球卫生事业抱有理想化的看法,并寻求通过全球卫生课程来缩小差距。他们希望尽早接触全球健康课程,强调医学预科和临床阶段。他们发现了调整课程难度和招聘教师方面的挑战,以及对互动式教学方法和线下讨论的偏好。课程促进了对医学本质的反思,拓展了职业视野,并强调了在不断变化的全球卫生环境中利他主义、沟通技巧和危机管理等能力:本研究表明,从学习者和教育者的角度出发,通过 CIPP 模型确定课程目标、计划、实施和结果的优势、劣势和价值,是可行的综合方法。为了优化课程设计,必须采用从基础课程到高级课程的顺序方法,促进学生亲身体验全球健康。
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引用次数: 0
Graduate medical education: variation of program and training duration 医学研究生教育:课程和培训时间的变化
Pub Date : 2023-12-01 DOI: 10.3946/kjme.2023.278
Kusal K. Das
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引用次数: 0
期刊
Korean journal of medical education
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