SCI 발표 논문 수를 통해본 의과대학 연구 생산성

양은배,Yang, Eunbae 연세대학교 의과대학 2007 의학교육논단 Vol.9 No.2

Purpose : The aim of this study is to analyse the research productivity of SCI publications at medical schools in Korea. Methods: We collected the 5,386 SCI publications from 10 medical schools that were published in 2002 and 2003. Most of the materials treated herein are derived from the database of the Institute of Scientific Information from April 13, to May 25, 2005. Values are analyzed by medical school, major and IF index and presented as frequency and percentages. Results : There were 2,350 publications in 2002 and 3,036 publications in 2003. The average publication rate per faculty was .71 in 2002 and it was increased to .90 in 2003. Of the total 5,386 manuscripts, 1.248(23.2%) papers were from work conducted at basic science department and 3,224(76.8%) were from work performed at clinical science department. The major such as pathology, microbiology, pharmacology, internal medicine, diagnostic radiology and dermatology published a lot of SCI papers. A large percentage of papers (41.74%) were in journals with reported l<=IF<3. Conclusions : There was wide variability in the research productivity among the medical schools or majors. This variability reflects the importance of the institutional characteristics of each medical school in predicting the research productivity. Some of these institutional characteristics include the size of the faculty. available research funding, research vision of medical school, visible system of measurement and any associated reward system.

인턴제도 폐지 논의 이후의 의학교육 변화

양은배,김병수,신좌섭,Yang, Eunbae B.,Kim, Byung Soo,Shin, Jwa-Seop 연세대학교 의과대학 2015 의학교육논단 Vol.17 No.1

In light of changes in today's medical environment, whether to dismantle the 50-year-old internship training system in the Republic of Korea is under debate. Although the question remains open, discussions on such issues have drawn attention to the quality of the clinical clerkship and student career advisory programs in medical colleges. The purpose of this study is to analyze the experiential clerkship and career exploration issues. Ensuring excellence of the clerkship and career advisory sessions is an essential responsibility of educational institutions regardless of whether the intern training system is dismantled. Important objectives of the experimental clerkship include reinforcing prerequisites established by law, introducing a student practice license, developing a standardized clinical assessment and student portfolio requirement, and publishing a guidebook for clinical directors. For career exploration, it is necessary to broaden participants' experiences of specialties and to manage the variety of student career guidance programs. It is imperative for the Korean Association of Medical Colleges, in collaboration with medical colleges, to play a leading role in focusing more attention and effort on such issues.

의학교육 수월성 제고를 위한 교육과정 재설계

양은배,Yang, Eunbae B. 연세대학교 의과대학 2014 의학교육논단 Vol.16 No.3

The purpose of this study is to analyze the medical education system of Korea and to propose a method of curriculum redesign. Although there have been many attempts by medical educators to improve the quality of medical education, the results have not been fruitful. First, there exists a limitation to the dualistic curriculum design based on Flexnerianism, and thus, this model does not provide an integrated experience to medical students. Therefore, we propose a unidimensional model for curriculum redesign. Second, it is impossible to promote excellence in medical education without solving the structural problems of teaching and learning, such as the teaching competency of the faculty, large-scale lectures, and team teaching systems. A curricular strategy that emphasizes mutual interaction and teaching accountability is necessary to promote meaningful learning. Third, the current clinical training system, the circulation model, provides incomplete training as well as a lack of sequence and articulation experiences. This system needs to be redesigned in a way that allows only those students who have mastered both the knowledge and the application of medical education to advance to the next step. Fourth, norm-referenced assessments of a medical college distort the learning process and create unconstructive system energy. A criterion-referenced assessment that values cooperation, independent study, and intrinsic motivation is more important for the reliability and validity of the assessment. Medical students should not focus on formative and informative learning. Medical colleges should investigate the multifaceted potential of the students and provide transformative learning to grow students into change agents. For this to take place, curriculum redesign-not new methods of medical education-is required.

"한국의 의사상, 2014"의 역량 규정에 대한 의과대학의 교육현실과 기대수준 분석

양은배,신혜경,서덕준,한재진,Yang, Eunbae B.,Shin, Hyekyung,Suh, Dukjoon,Han, Jae Jin 연세대학교 의과대학 2018 의학교육논단 Vol.20 No.3

The aim of this study is to determine whether the 65 competencies, defined in "the role of Korean doctor, 2014", are suitable for basic medical education phase in Korea. It seeks to analyze the gap among the educational reality and expectation, assessment situation of the competencies above. We also try to define issues of the development, application and assessment phases of competency-based medical education (CBME) at individual medical schools. We designed survey tools based on the Miller's assessment pyramid (knowledge, explanation, demonstration, and performance) for each of the 65 competencies. The survey distributed to 41 medical schools in April 2015 and 38 replies were received (92.7%). Competencies that matched both the educational reality and expectation were numbers 1 (patient care), 33 (social accountability), and 49 (professionalism). However, all the other competencies ranked lower in current status than that of desirable level. 54 out of 65 competencies (83.07%) remained at the knowledge and explanation level when each competence were assessed. In the development, application, and assessment phases of CBME, common issues that medical schools commonly noted were difficulty linking competencies to curriculum preparation and student assessment, the lack of faculty's understanding, difficulty to reach consensus among faculties, and absence of teaching and learning methods and assessment tools that fits CBME. For the successful settle down of CBME, there is a need for efforts to develop the model of graduate outcomes, to share information and experience, and to operate faculty development program by the medical education communities.

임상적 비판적 사고능력 검사도구 개발 및 평가

신수진,양은배,공병혜,정덕유,Shin, Su-Jin,Yang, Eunbae,Kong, Byunghea,Jung, Dukyoo 연세대학교 의과대학 2012 의학교육논단 Vol.14 No.2

This study developed a test entitled Clinical Critical Thinking Skills (CCTS) by using item response theory (IRT) and examined its validity. In the development stage, data obtained from a convenience sample of 627 undergraduate nursing students were analyzed using a discrimination and difficulty index with the TestAn 1.0 program. In the evaluation stage, data from a convenience sample of 284 nursing and non-nursing students were analyzed using a discrimination and difficulty index with the BILOG-MG program. Criterion validity was verified by the group comparison method. Five items received low discrimination index scores according to the IRT results. In terms of the criterion validity, CCTS scores differed according to major (t=2.21, p=0.028), location of high school (F=4.35, p=0.014), clinical experience (t=5.66, p=0.004), and grade point average (F=7.17, p< 0.001). The CCTS can be used to measure critical thinking skills in the clinical setting.

간호학 임상실습교육의 현황과 발전방안

신수진,양은배,황은희,김건희,김윤주,정덕유,Shin, Sujin,Yang, Eunbae B.,Hwang, Eunhee,Kim, Konhee,Kim, Yunju,Jung, Dukyoo 연세대학교 의과대학 2017 의학교육논단 Vol.19 No.2

The quantitative expansion of nursing schools has necessitated the qualitative improvement of nursing education, which requires the development of nursing education for clinical practice. To identify strategies for strengthening the educational capacity of clinical fields and nursing schools, this study first examined the current status of nursing education for clinical practice, and then proposed several prospective directions for education. Nursing clinical practice-related studies from several Korean and international electronic databases were reviewed. Insufficient training hospitals and lack of qualified clinical training instructors were the main problems found within nursing educational resources for clinical practice, while the simple practice contents based on observation and inadequate evaluations were the main problems found in nursing educational management for clinical practice. This study suggests better standards and educational accountability for training hospitals and programs to nurture human resources for clinical practice, as well as a variety of training methods to integrate practical training courses and the expansion of formation evaluation. Based on these results, it is necessary to establish governance for nursing education for clinical practice and clarify the role and standards of each practitioner, strengthen the educational role of the hospital, and improve the system. In addition, introducing various types of education methods and strengthening evaluation standards are needed in order to enhance nursing education for clinical practice.

성과중심교육과정 개발절차에 대한 고찰

안재희,양은배,Ahn, Jae Hee,Yang, Eunbae B. 연세대학교 의과대학 2013 의학교육논단 Vol.15 No.1

An outcome-based curriculum is perceived to be one alternative educational approach in medical education. Nonetheless, it is difficult for curriculum developers to convert from traditional curriculum to an outcome-based curriculum because research documenting its development process is rare. Therefore, this study aims to introduce the development process and method of outcome-based curriculum. For the purpose of this study, we used diverse data analyses, such as an existing literature search, development model analysis, and case analysis. We identified five phases from the analysis. First, the curriculum developers analyze the physician's job or a high performer in a medical situation. Second, curriculum developers extract outcomes and competencies through developing a curriculum, affinity diagraming, and critical incident interviews. Third, curriculum developers determine the proficiency levels of each outcome and competency evaluation methods. Fourth, curriculum developers conduct curriculum mapping with outcomes and competencies. Fifth, curriculum developers develop an educational system. Also, it is important to develop an assessment system for the curriculum implementation in the process of developing the outcome-based curriculum. An outcome-based curriculum influences all the people concerned with education in a medical school including the professors, students, and administrative staff members. Therefore, curriculum developers should consider not only performance assessment tools for the students but also assessment indicators for checking curriculum implementation and managing curriculum quality.

의예과 교육의 역사적 발전과 교육과정 편성 방향 고찰

정한나,양은배,Jung, Hanna,Yang, Eunbae B. 연세대학교 의과대학 2017 의학교육논단 Vol.19 No.3

Despite the importance of how the premedical education curriculum is organized, the basic direction of the curriculum has not been evaluated at a fundamental level. In order to explore the basic directions of the premedical education curriculum, this study examined medical education as a university education, the historical basis of premedical education, and the direction of the premedical education curriculum. Historically, as medical education was incorporated into the university education system, premedical education developed based on basic science and liberal arts education. Accordingly, the direction of the premedical education curriculum began to split into two approaches: one believing in a basic science-based education intended to serve as the foundation of medical training, and the other believing in a liberal arts-based education intended to cultivate the qualities of a doctor. In recent years, however, the binary division in the direction of premedical education has ceased to exist, and the paradigm has now shifted to an agreement that premedical education must cultivate the basic scientific competence required for learning medical knowledge as well as the social qualities that a doctor should have, which are cultivated through the liberal arts. Furthermore, it has been asserted that the direction of premedical education should move toward the qualities that will be required in the future. With the fourth industrial revolution underway, the role of doctors is now being re-examined. This means that today's medical education must change in a future-oriented way, and the direction of the premedical education curriculum must be on the same page.

연세대학교 의과대학 편입학 학생들의 GPA 분석

이승희,양은배,전우택,Lee, Seunghee,Yang, Eunbae,Jean, Woo-Tack 연세대학교 의과대학 2007 의학교육논단 Vol.9 No.2

Yonsei University College of Medicine is about to adopt a new admission system in 2009 for postgraduate medical school. in which 4-year college graduates apply to it, instead of applying of high school graduates to undergraduate medical school. For preparing the new system, now, an admission policy is being intensively investigated. In the present admission system in Yonsei College of Medicine, college or university graduates with diverse majors such as pharmacy, biochemistry, engineering, social science and so on other than a medical major can be transferred into the undergraduate medical course when vacancy for enrollment is available. This study was performed to analyze the academic achievement of the transferred students for establishing a new admission system. In this study, the GPAs of 94 medical students transferred for 1998 to 2006 years were analyzed regarding academic and personal background, and compared with those of untrans- ferred medical students. The results showed some features. Particularly, the GPAs of transferred students with t he majors of art and social sciences were not lower than those with the major of natural sciences while transferred students with majors of pharmacy. veterinary science, nursing science, and biotechnology had their high academic achievements during the undergraduate medical courses.

학습성과의 개념과 작성에 대한 탐구

이동엽,양은배,Lee, Dong Yub,Yang, Eunbae B. 연세대학교 의과대학 2016 의학교육논단 Vol.18 No.3

Recent changes in educational paradigms that emphasize the performance or outcomes of education are redefining how learning objectives are being described as 'learning outcomes' in various academic disciplines. Medical education is not an exception to this trend. However, it has come to our attention that the key concepts and appropriate descriptions of learning outcomes have not been well understood among educators and that this lack of understanding has hindered our efforts to implement the practice in the field. This study aims to provide a direction to establish and describe learning outcomes by examining previous studies that have focused on setting learning objectives as well as learning outcomes. Setting and describing learning outcomes starts from reflection on the approach of behavioral learning objectives, which overemphasizes learner's acquired knowledge, skills, and attitude in each classroom rather than actual performance. On the other hand, the learning outcome approach focuses on what the learner is able to do as a result of a learning experience. This approach is more learner-friendly and encourages students to lead and be responsible for their learning process. Learning outcomes can best be described when the relevance of actual contexts and the hierarchy of learning objectives are considered. In addition, they should be in the form of context, task, performance, and level, as well as be planned with proper assessment and feedback procedures. When these conditions are met, the learning outcome approach is beneficial to students as it presents a curriculum that is more open to learners. Despite these advantages of the learning outcome approach, there is a possible concern that setting the learning outcomes and describing them can restrict evaluation to lower cognitive skills if the concept of learning outcome is narrowly interpreted or is set too low. To avoid such narrow applications, it is important for educators to understand the comprehensiveness of the learning outcome setting and to consider long-term outcomes embedded in an organizational vision rather than only short-term behavioral outcomes.