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The Concept of Health Systems Science and Educational Needs in the Korean Context 韩国背景下的卫生系统科学概念与教育需求
Pub Date : 2023-10-31 DOI: 10.17496/kmer.23.024
Eunbae B. Yang, Danbi Lee, Jong Tae Lee
Physicians should be able to address health-related issues of patients and populations from a multidimensional perspective. Therefore, medical schools have a social responsibility to develop and implement curricula that enable trainees to acquire the competencies needed to improve all aspects of patient care and healthcare delivery. This study explored the concept of health systems science concept as the third pillar of medical education (the other two are basic science and clinical medicine) in the Korean context, as well as related educational needs. The theoretical foundation of health systems science is the biopsychosocial conceptual model, which emphasizes the biological, psychological, and social factors surrounding patients. We concluded that the three domains (core functional, foundational, linking) and 12 subcategories of health systems science proposed by the Association of American Medical Colleges could be applied to Korean medical education. Health systems science education must be emphasized to solve the various healthcare problems facing Korea today and to train physicians to provide medical services in line with society’s needs. Introducing a health systems science curriculum will be challenging in the Korean medical environment, which has traditionally emphasized basic science and clinical medical education. Health systems science education should begin in the basic medical education phase, where physicians’ professional identity is formed, and continue through graduate medical education. It is essential to understand related educational needs, develop curricular content, conduct faculty development programs, and provide financial resources for the development of an integrated curriculum.
医生应该能够从多维角度处理患者和人群的健康相关问题。因此,医学院有社会责任开发和实施课程,使受训者获得改善病人护理和医疗保健服务各方面所需的能力。本研究探讨了韩国背景下作为医学教育第三支柱的卫生系统科学概念(其他两个支柱是基础科学和临床医学)的概念,以及相关的教育需求。卫生系统科学的理论基础是生物心理社会概念模型,它强调患者周围的生物、心理和社会因素。我们的结论是,美国医学院协会提出的卫生系统科学的三个领域(核心功能、基础、联系)和12个子类可以应用于韩国医学教育。必须强调卫生系统科学教育,以解决韩国今天面临的各种卫生保健问题,并培养医生提供符合社会需求的医疗服务。在传统上强调基础科学和临床医学教育的韩国医疗环境中,引进保健系统科学课程将是一项挑战。卫生系统科学教育应从形成医师职业身份的基础医学教育阶段开始,并通过医学研究生教育继续进行。了解相关的教育需求,开发课程内容,开展教师发展计划,并为综合课程的发展提供财政资源是必不可少的。
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引用次数: 1
Research Trends and Meta-Analysis of Variables Related to Depression in Korean Medical Students 韩国医学生抑郁相关变量的研究趋势及meta分析
Pub Date : 2023-10-31 DOI: 10.17496/kmer.23.016
Hyun-Gyung Yang, Kangmoon Kim, Kyeong Ryong Lee, Sun-Geun Baek
This study aimed to analyze trends in research on depression among medical students in Korea and to conduct a meta-analysis to determine the average correlation coefficients between depression and related variables. In total, 38 quantitative studies (four theses and 34 journal articles) published between January 1995 and February 2023 were analyzed according to publication year, subjects, analysis methods, and measurement tools. Among them, 15 studies that provided numerical information on the relationships between depression and variables such as self-esteem, social support, grade point average (GPA), stress, and academic stress were selected for meta-analysis. The main findings of this study were as follows. First, quantitative research on depression among medical students began in earnest in 2009, and cross-sectional studies targeting first-year and second-year medical students were the most prevalent. Furthermore, the most commonly used analysis method was difference testing, and the Beck Depression Inventory was the most frequently used measurement tool. Second, the mean correlation coefficients between depression and stress, self-esteem, social support, academic stress, and GPA were 0.534, 0.532, 0.465, 0.390, and 0.102, respectively. The results for self-esteem, stress, and academic stress showed substantial heterogeneity, while those for social support and GPA showed little heterogeneity. These findings suggest that educational interventions, such as social support improvement programs, are necessary to prevent depression among medical students.
本研究旨在分析韩国医学生抑郁症研究的趋势,并进行meta分析,以确定抑郁症与相关变量之间的平均相关系数。根据发表年份、研究对象、分析方法和测量工具,对1995年1月至2023年2月期间发表的38项定量研究(4篇论文和34篇期刊文章)进行分析。其中,15项研究提供了抑郁与自尊、社会支持、平均绩点(GPA)、压力和学业压力等变量之间关系的数值信息,并被选中进行meta分析。本研究的主要发现如下:首先,对医学生抑郁的定量研究始于2009年,针对一年级和二年级医学生的横断面研究最为普遍。此外,最常用的分析方法是差异检验,最常用的测量工具是贝克抑郁量表。(2)抑郁与压力、自尊、社会支持、学业压力、GPA的平均相关系数分别为0.534、0.532、0.465、0.390、0.102。自尊、压力和学业压力的结果显示出显著的异质性,而社会支持和GPA的结果几乎没有异质性。这些发现表明,教育干预,如社会支持改善计划,是必要的,以防止抑郁的医学生。
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引用次数: 0
Outsmart Your Brain: Why Learning Is Hard and How You Can Make It Easy 战胜你的大脑:为什么学习很难以及如何让它变得容易
Pub Date : 2023-10-31 DOI: 10.17496/kmer.23.026
Seong Jin Choi
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引用次数: 0
Analysis of the degree of social accountability in accreditation standards for basic medical education 基础医学教育评审标准的社会问责度分析
Pub Date : 2023-10-31 DOI: 10.17496/kmer.23.014
Sangmi T Lee, Eunbae B. Yang
According to the World Health Organization, for medical schools to fulfill their obligation of social accountability, it is necessary for medical education, research, and service areas to ref lect the healthcare system’s relevance, quality, cost-effectiveness, and equity. This study utilized Boelen and Heck’s (1995) social accountability grid model to analyze the degree to which the Accreditation Standards of Korean Institute of Medical Education and Evaluation 2019 (ASK2019) standards apply the World Federation for Medical Education’s (WFME) standards. The social accountability characteristics of the former were compared to those of the WFME, the Liaison Committee on Medical Education, and the Australian Medical Council. Experts with experience and certification in medical education and evaluation classified the ASK2019 standards according to the grid model, evaluated social accountability perspectives, and categorized them according to the process, content, and outcome. Of the 92 standards, 61 (66.30%) were selected as social accountability standards; these encompassed all areas. There was a particular focus on outcome-related areas, such as “mission and outcomes,” “student assessment,” “educational evaluation,” and “continuous improvement.” Education and quality were the most common (33, 54.11%), followed by 18 standards related to education and relevance. However, the standards on cost effectiveness and equity corresponding to education, research, and service were significantly insufficient. As a result of classification using a logic model, many criteria were incorporated into the process, producing results similar to those of international accreditation institutions. Therefore, to fulfill medical schools’ social accountability, it is necessary to develop cost effectiveness and equity standards with reference to grid models and expand them beyond education to include research and service areas. Developing content and outcome standards is also required.
世界卫生组织认为,医学院要履行社会责任,就必须在医学教育、研究和服务领域反映医疗保健系统的相关性、质量、成本效益和公平性。本研究利用Boelen和Heck(1995)的社会责任网格模型来分析2019年韩国医学教育和评估研究所认证标准(ASK2019)标准适用世界医学教育联合会(WFME)标准的程度。将前者的社会责任特征与妇女家庭基金、医学教育联络委员会和澳大利亚医学理事会的社会责任特征进行了比较。具有医学教育和评估经验和认证的专家根据网格模型对ASK2019标准进行分类,对社会责任视角进行评估,并根据过程、内容和结果进行分类。92项标准中,61项(66.30%)被选为社会责任标准;这些包括所有领域。特别关注与结果相关的领域,如“使命和结果”、“学生评估”、“教育评估”和“持续改进”。教育和质量是最常见的(33,54.11%),其次是与教育和相关性相关的18个标准。但是,教育、研究和服务的成本效益和公平标准明显不足。由于使用逻辑模型进行分类,许多标准被纳入该过程,产生的结果与国际认证机构的结果相似。因此,为了履行医学院的社会责任,有必要参照网格模型制定成本效益和公平标准,并将其扩展到教育以外的研究和服务领域。还需要制定内容和结果标准。
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引用次数: 0
Development and Implementation of Health Systems Science Education in the Clinical Learning Environment 临床学习环境下卫生系统科学教育的发展与实施
Pub Date : 2023-10-31 DOI: 10.17496/kmer.23.025
Sang-Hoon Na
Health systems science is a new medical educational field added to the traditional medical education curricula of basic and clinical sciences. Health systems science emphasizes a more comprehensive approach utilizing systems thinking to care for patients, including interactions between multiple healthcare systems. In this review, I explore how health systems science education can be applied when medical instructors teach students in clinical clerkships through representative case studies. This study first looks at examples of health systems science education in clinical clerkship in the United States and suggests how to develop the curriculum of health systems science for clinical learning environments in Korea by combining Kotter’s 8-step change management model and Kern’s 6-step curriculum development model. Finally, based on practical examples from actual clinical practice education situations, suggestions are made regarding how to develop the entire educational program of a medical school from the stage of applying health systems science at the individual level to clinical practice education.
卫生系统科学是在传统医学基础科学和临床科学的基础上增加的一个新的医学教育领域。卫生系统科学强调一种更全面的方法,利用系统思维来照顾病人,包括多个卫生保健系统之间的相互作用。在这篇综述中,我通过代表性的案例研究,探讨了当医学教师教授临床实习学生时,如何应用卫生系统科学教育。本研究首先考察了美国临床实习中卫生系统科学教育的实例,并通过结合Kotter的8步变革管理模型和Kern的6步课程开发模型,提出了如何为韩国临床学习环境开发卫生系统科学课程的建议。最后,结合临床实践教育的实际情况,对如何从个人层面的卫生系统科学应用阶段发展到临床实践教育的整体教育方案提出了建议。
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引用次数: 1
Health Systems Science: How Should Medical Education Respond to the Rapidly Changing Healthcare and Society? 卫生系统科学:医学教育如何应对快速变化的医疗保健和社会?
Pub Date : 2023-10-31 DOI: 10.17496/kmer.23.031
Shinki An
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引用次数: 0
Instructional Design for Systems Thinking Education in Health Systems Science 卫生系统科学系统思维教育的教学设计
Pub Date : 2023-10-31 DOI: 10.17496/kmer.23.023
Sejin Kim, Sangmi T Lee, Danbi Lee, Bo Young Yoon
Systems thinking, a linking domain of health systems science (HSS), is an approach that investigates specific problems from a holistic perspective. It supports improving patients’ health, fulfilling their health needs, and anticipating issues that threaten patient safety within the healthcare system. It also helps solve problems through critical thinking and reflection. This study aimed to develop an curriculum on systems thinking, explore the effectiveness of the course, and investigate the applicability of HSS education at individual universities. In this study, the ADDIE (Analysis, Design, Development, Implementation, and Evaluation) model was utilized to design, develop, implement, and evaluate an elective course on systems thinking. In the design process, learning outcomes and goals were developed, and educational content, teaching-learning methods, and student evaluation methods were linked. In the development process, class materials and evaluation materials were prepared. In the implementation process, the course was implemented, and the evaluation process analyzed the results of learning performance and curriculum assessments. The evaluation found the following results. First, the students in the study realized the importance of systems thinking and experienced the need for systems thinking through non-medical and medical situations. Second, the students were very satisfied with the learning activities in the course (mean=4.84), and the results of the self-competence evaluation, conducted before and after the course, also showed a significant improvement. This study confirmed the effectiveness of the elective course, and its results can serve as a reference for developing an HSS curriculum .
系统思维是卫生系统科学(HSS)的一个关联领域,是一种从整体角度调查具体问题的方法。它支持改善患者的健康,满足他们的健康需求,并预测在医疗保健系统内威胁患者安全的问题。它还有助于通过批判性思维和反思来解决问题。本研究旨在开发一套系统思考课程,探讨课程的有效性,并探讨HSS教育在个别大学的适用性。本研究采用分析、设计、开发、实施与评估(ADDIE)模式,设计、开发、实施与评估一门系统思维选修课程。在设计过程中,制定了学习成果和目标,并将教育内容、教学方法和学生评价方法联系起来。在开发过程中,制备了课堂材料和评价材料。在实施过程中,对课程进行实施,评价过程对学习绩效和课程评价结果进行分析。评估发现了以下结果。首先,研究中的学生意识到系统思维的重要性,并通过非医疗和医疗情境体验到系统思维的必要性。其次,学生对课程中的学习活动非常满意(平均=4.84),并且在课程前后进行的自我能力评价结果也有显著提高。本研究证实了选修课程的有效性,其结果可为HSS课程的开发提供参考。
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引用次数: 1
Introduction to YouTube Channels Useful for Medical Education 对医学教育有用的YouTube频道介绍
Pub Date : 2023-10-31 DOI: 10.17496/kmer.23.027
Byung-Il Yeh
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引用次数: 0
What Are the Current Status and Educational Needs of Global Health Education in Medical Schools? A Nationwide Survey in Korea 医学院校全球健康教育的现状及教育需求?韩国的一项全国性调查
Pub Date : 2023-10-31 DOI: 10.17496/kmer.23.020
Songrim Kim, Sun Young Kyung, Ie Byung Park, Kwi Hwa Park
This study investigated the current status and educational needs of global health education (GHE) at medical schools in Korea. Among the 40 medical schools nationwide, 32 schools that agreed to participate in the study collected data through a survey in 2022, and the results were examined by frequency analysis and content analysis. In total, 87.5% of medical schools included global health-related graduation outcomes. In the curriculum, global health lessons within courses were present at 71.9% of medical schools. Regarding extracurricular activities, 66.7% and 63.0% of medical schools offered overseas clerkships and overseas volunteer work, respectively. Although there were not many medical schools with a global health-related educational environment, 96.9% of schools agreed with the necessity of GHE in medical education. The prevailing opinion was that it was appropriate to continuously cover GHE as lessons within courses throughout all years of the program in medical education. The main opinions regarding the improvement of GHE related to curriculum development, personnel expansion, and awareness improvement at medical schools. These findings are expected to serve as a basis for identifying the current status of GHE at Korean medical schools and specifying future directions of GHE.
本研究调查了韩国医学院全球健康教育(GHE)的现状和教育需求。在全国40所医学院中,同意参与研究的32所医学院于2022年通过调查收集了数据,并通过频率分析和内容分析对结果进行了检验。总共有87.5%的医学院纳入了与全球健康相关的毕业结果。在课程中,71.9%的医学院开设了全球健康课程。在课外活动方面,66.7%和63.0%的医学院分别提供海外见习和海外志愿服务。虽然拥有全球健康教育环境的医学院并不多,但96.9%的学校同意GHE在医学教育中的必要性。普遍的意见是,在医学教育方案的所有年的课程中,将GHE作为课程持续覆盖是适当的。关于提高GHE的主要意见涉及到医学院校的课程开发、人员扩充和意识的提高。预计这些结果将成为确定韩国医学院GHE现状和确定GHE未来发展方向的基础。
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引用次数: 1
Strategies for Structuring Health Systems Science Curriculum in the Korean Medical Education: A Study Based on an Analysis of the Domestic Status of Health Systems Science Education and Case Studies of US Medical Schools 韩国医学教育中卫生系统科学课程的构建策略——基于国内卫生系统科学教育现状分析和美国医学院案例研究
Pub Date : 2023-10-31 DOI: 10.17496/kmer.23.022
Yoo Mi Chae, Young Mee Lee, Sun Hee Shim
Health systems science (HSS) is recognized as the third pillar of medical education. alongside basic and clinical sciences. Today’s physicians must also be systems thinkers who are able to discern how social, economic, environmental, and technological forces influence clinical decision-making. This study aimed to propose strategies for structuring an HSS curriculum that is tailored to the Korean healthcare and medical education context. First, the authors of this study conducted a survey to identify the present curricular contents of HSS related education at Korean medical schools. Second, a needs assessment was performed to determine the necessity of HSS competencies, as well as the prerequisites for the seamless integration of HSS into the existing curriculum. Third, literature reviews on HSS education at 14 US medical schools and expert consultations was conducted. We would like to propose a set of strategic approaches, classified into two levels: comprehensive and partial restructuring of the current medical curriculum to incorporate HSS. The partial restructuring approach entails a gradual, incremental incorporation of HSS content, while maintaining the current curricular structure. In contrast, a complete overhaul of the curriculum may be ideal to build HSS as the third pillar of medical education, but its feasibility remains relatively limited. The partial reorganization approach, however, has the advantage of being highly feasible. Collaborative efforts between professors and students are imperative to collectively devise effective methods for the seamless integration of HSS into the existing curriculum.
卫生系统科学(HSS)被认为是医学教育的第三大支柱。除了基础科学和临床科学。今天的医生还必须是系统思考者,能够辨别社会、经济、环境和技术力量如何影响临床决策。本研究旨在提出构建适合韩国医疗保健和医学教育背景的HSS课程的策略。首先,本研究的作者进行了一项调查,以确定目前国内医学院HSS相关教育的课程内容。其次,进行了需求评估,以确定HSS能力的必要性,以及将HSS无缝整合到现有课程中的先决条件。第三,对美国14所医学院HSS教育进行文献综述和专家咨询。我们想提出一套战略方法,分为两个层次:全面和部分地重组目前的医学课程,以纳入HSS。部分重组方法需要逐步、增量地纳入HSS内容,同时保持当前的课程结构。相比之下,全面改革课程可能是理想的,以建立HSS作为医学教育的第三支柱,但其可行性仍然相对有限。然而,部分重组方法具有高度可行性的优点。教授和学生之间的合作努力是必要的,共同设计有效的方法,将HSS无缝整合到现有课程中。
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引用次数: 1
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Uihak gyoyuk nondan
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