Medical students’ professionalism attributes, knowledge, practices, and attitudes toward COVID-19 and attitudes toward care provision during pandemic amidst the COVID-19 outbreak according to their demographics and mental health

Eun Kyung Choi,Sanghee Yeo 한국의학교육학회 2024 Korean journal of medical education Vol.36 No.2

Purpose: This study examines various aspects related to medical professionalism in medical students during coronavirus disease 2019 (COVID-19) pandemic, focusing on their medical professionalism attributes, KPA (knowledge, practices, and attitudes) toward COVID-19 and attitudes toward provision of care in pandemic. We assessed whether these aspects related to medical professionalism were varied by their demographics and mental health level. Methods: Six questionnaires related to medical professionalism were distributed online to medical students in six grades at a single medical school. A one-way analysis of variance was used to examine differences in scores related to medical professionalism based on their demographics, for examples, gender, grade, residence, religion, as well as their mental health levels. Pearson correlation analysis was used to examine correlations between each variable. Results: Female students scored higher on medical professionalism attributes and attitudes toward duty-to-care than male students. Medical professionalism attribute scores were higher with higher relationship satisfaction and resilience levels but lower with higher anxiety levels. Furthermore, these scores were significantly associated with attitudes toward COVID-19 preparedness. However, COVID-19 knowledge and practice scores were negatively associated with attitudes toward COVID-19 preparedness and careers after graduation. Meanwhile, students who took the leave of absence related to 2020 doctors’ strike had significantly lower scores on attitudes toward COVID-19 preparedness and duty to care than those who did not. Conclusion: Our findings suggest that mental health of medical students is strongly related to their various aspects related to medical professionalism, especially their attitudes toward COVID-19 preparedness. Good mental health was positively linked to medical professionalism attributes and attitudes toward COVID-19 preparedness. However, knowledge and practice of COVID-19 were negatively associated with willingness to participate in the pandemic response. Additionally, the experience of the 2020 leave of absence impacted the attitudes of medical students toward COVID-19 preparedness (p=0.015) and their duty to care (p=0.012) negatively.

한의학에 대한 의사들의 인식과 태도 변화에 관한 체계적 문헌 고찰

김숙경,문소영,김범수,윤영주,Kim, Sukkyung,Moon, Soyoung,Kim, Bumsu,Yun, Youngju 대한예방한의학회 2013 대한예방한의학회지 Vol.17 No.3

Objective : To find a collaboration strategy between western medicine and traditional Korean medicine (KM), this study aims to figure out the changes in the perception and attitude of medical doctors toward KM through systematic review. Method : Systematic literature searches were performed on six Korean databases. Studies were categorized according to the respondents and question items and analyzed by the context of questions, similarity of respondents and measurement scale. And we analyzed the changes of response regarding to medical doctors' and medical students' perspective and attitude to KM. Results : Eighteen survey studies including attitude of medical doctors and medical students toward KM were selected, which were conducted from 1993 to 2011. Although the attitude toward KM did not show any positive change, medical doctors have had more interest in acupuncture than herbal medicine and appreciated KM's treatment effect for musculoskeletal disease. In spite of little KM education experience, they had intentions for acupuncture education at least. Many medical doctors have listed the unscientific aspect as a major reason why they cannot trust KM. Medical doctors working for cooperative practice showed more positive attitude than other medical doctors and medical students had more positive attitude in general than medical doctors Conclusion : Though the growth of KM service and cooperative practice since 1990s, medical doctors' attitude toward KM seems to become more negative. To improve their attitude, making scientific evidences for KM is required as well as giving more education and treatment experience.

의과대학생, 전공의, 수련의의 정신질환에 대한 태도 조사

성수정(Su-Jeong Seong),손지훈(Jee-Hoon Sohn),이해우(Hae-Woo Lee),신서연(Seo-Yeon Shin),조맹제(Maeng-Je Cho) 대한사회정신의학회 2010 사회정신의학 Vol.15 No.1

목 적: 이 연구는 대학 병원에 근무 중인 인턴, 레지던트, 동 대학의 의과대학생, 그리고 해당 대학의 인근 지역사회에 거주하는 일반 인의 정신질환에 대한 태도를 비교하여 그 차이를 알아보는 것을 그 목적으로 한다. 방 법: 서울의 한 대학병원에 근무 중인 레지던트(n=99), 인턴(n=28), 동 의과대학 본과에 재학 중인 의과대학생(n=193), 그리고 해당 병원의 인근에 거주하는 일반인 중 20세에서 40세까지(n=388)를 대상으로 하였다. 인구통계학적인 변인, 정신질환자와의 접촉 경험 등이 포함된 설문지를 사용해 설문 조사를 실시하였고, 정신질환에 대한 태도는 Community Attitudes towards Mental Illness Inventory(CAMI)를 사용해 평가하였다. 결 과: 정신과 실습을 경험한 의대생 군이 정신과 실습을 경험하지 않은 의대생 군이나, 일반인,레지던트와 인턴 군에 비해 정신질환에 대해 가장 부정적인 태도를 보였다. 정신질환자에 대해 더 부정적인 태도를 갖는 상위 20%에 포함될 위험도를 산출해보았을 때, 의대생, 레지던트나 인턴, 미혼, 현재 우울증상이 없을 경우 더 권위주의적인 그룹에 속할 가능성이 높았다. 현재, 혹은 자주 정신질환자와 접촉할 경우, 현재 우울증상이 없을 경우 자비심을 적게 갖는 그룹에 들어갈 가능성이 높았고, 레지던트와 인턴 군, 의대생 군, 자신이나 가족이 정신과 치료력이 있는 경우, 지역보건개념과 거리가 먼 그룹에 들어갈 가능성이 높았다. 레지던트와 인턴, 의대생, 가족의 정신과 치료력이 있는 경우 사회적으로 제한적인 태도를 보일 가능성이 컸다. 결 론: 의대생, 레지던트, 인턴 군이 일반인보다 정신질환에 대해 더 부정적인 태도를 보였다. 정신질환에 대한 지식의 증가가 정신질 환에 대한 편견의 해소로 이어지는 않는 것으로 보인다. Objective:This study is aimed to examine the differences of attitude toward the mentally ill in medical students, residents, interns in a university hospital, and the lay persons in the vicinity of the hospital. Methods:Residents (n=99), interns (n=28) from a university hospital in Seoul, medical students (n=193) from the same university and lay persons of 20 to 40 years old (n=388) in the community nearby the hospital and medical college completed various questionnaires. Attitude toward the mentally ill were assessed with Community Attitudes towards Mental Illness Inventory (CAMI). Results:Medical students who experienced psychiatric clerkship showed the most negative attitude. The associated factors with being the most prejudiced group was calculated. With authoritarianism, the associated factors include being resident & intern, medical student without psychiatric clerkship, medical student with psychiatric clerkship, never being married, and not being depressive at present. With less benevolence, present or frequent contact with the mentally ill, not being depressive at present. With less community mental health ideology, resident & intern, medical student without psychiatric clerkship, medical student with psychiatric, previous psychiatric treatment of self, previous psychiatric treatment of family. With social restrictiveness, resident & intern, medical student without psychiatric clerkship, medical student with psychiatric clerkship, previous psychiatric treatment of family. Conclusion:Medical students, residents and interns were more prejudiced than community population. It seems that more knowledge or more experience with the mentally ill doesn’t warrant more positive attitude.

의과대학생의 의학 전문직업성 수준에 대한 학생과 교수의 인식 차이

허예라 한국의학교육학회 2008 Korean journal of medical education Vol.20 No.3

Purpose: The implementation of medical professionalism education and evaluation is a recent trend in medical education. Although many studies on this subject have been performed, they have focused specifically on the level of medical student professionalism the perception gaps between medical students and professors on this topic are unresolved. This study attempts to determine whether such gaps exist. Methods: Three hundred ninety fourth-year medical students and 250 professors who were randomly selected from 41 medical schools were asked to complete a survey on the level of the professionalism of medical students. Using the 31 core professionalism elements that are required for Korean medical students, students self-assessed their level of professionalism, and the professors evaluated the professionalism level of medical students who were graduating. Results: Of the 31 core elements, significant perception gaps were found in 28 elements. The three domains into which the 31 core elements were divided-professional knowledge, professional skills, and professional attitude-all contained perception gaps, and professors’ ratings generally were higher than those of the students, a noteworthy observation Conclusion: Medical professors need to encourage their students in elevating their professionalism, and what the faculty think they have taught regarding professionalism may not be fully assimilated by students. Further research is necessary to investigate why such gaps exist.

부검에 대한 일반 대학생과 의과 대학생의 인식도

황적준,김정아,한길로 大韓法醫學會 1999 대한법의학회지 Vol.23 No.1

The attitude toward the use of autopsies affects the incidence of performance of th procedure. In foreign countries, many studies on this subjects have been conducted. However, in Korea, no study has been reported. We hypothesized that the general university students may be negative, whereas the medical college students may have positive attitude toward the use of autopsies. In contrary to our hypothesis, there existed only a little difference for the attitude toward conducting an autopsy between the general university students and the medical students. Both groups had positive attitudes toward autopsy. When the medical students become medical doctors, the main reason for not requesting patients to be conducted an autopsy is that their family members may feel offended. These results show that the low incidence of autopsy cases in Korea is caused not by the attitude of the general population, but by the attitude of medical doctors. Thus, we should make every effort to increase the incidence of autopsy by educational programs and discussions about autopsy and death.

간호대학생의 환경의식과 의료폐기물 관련 지식 및 태도

하재현,이현주 한국지역사회간호학회 2019 지역사회간호학회지 Vol.30 No.2

Purpose: The purpose of this study is to find out how much influence nursing students’ environmental consciousness and knowledge of medical waste have on their attitudes toward medical waste. Methods: The subjects were 211 nursing students recruited from 2 universities. Data were collected with a structured self-report questionnaire comprising measures of environmental consciousness, and knowledge of and attitude toward medical waste. Data analysis was conducted with the SPSS/WIN 25.0 program. Results: A total of 211 copies of the questionnaire were used for the final analysis, except for 9 untrusted responses out of 220 that included missing values. Those subjects’ environmental consciousness who received environmental education in middle and high schools was higher (t=3.15, p=.002). The higher their grades, the better their knowledge of medical waste (F=3.40, p=.035). Those subjects’ knowledge of medical waste who received medical waste education was relatively high (t=3.14, p=.002). Those subjects with clinical practice experience had more sensitive attitudes toward medical waste (t=2.06, p=.041). Those subjects’ attitudes toward Medical waste who received medical waste education at the universities were relatively high (t=2.04, p=.043). The subjects’ environmental consciousness was positively correlated with their attitudes toward medical waste (r=.44, p<.001). The most influential factor in their attitudes toward medical waste is their environmental attitudes and medical waste education. Conclusion: The higher the nursing students’ environmental consciousness, the higher their attitudes toward medical waste. It is necessary to provide environment and medical waste education for nursing students in order to strengthen their environmental consciousness and attitude toward medical waste.

환자-의사 관계에 대한 의대생의 태도

박재현 한국의학교육학회 2007 Korean journal of medical education Vol.19 No.3

Purpose: This study investigated the attitudes of medical students toward physicians and the roles which the doctors and patients should play in the health care process. Methods: Attitudes toward the patient-doctor relationship of 436 medical students of the K university in Seoul were measured using the Patient-Practitioner Orientation Scale(PPOS), a validated instruments designed to measure individual preferences toward various aspects of the patient-doctor relationship. The PPOS was composed of Sharing(sharing information, take part in decision making) and Caring(respect one's feelings, interpersonal relationship) subscale. Total PPOS scores can range from patient-centered(egalitarian, whole person oriented) to disease- or doctor-centered(paternalistic, less attuned to psychosocial issues). Socio-demographic data including gender, age, school year, marital status, undergraduate major, student's and her/his family medical background and specialty choice were collected and it was investigated the possible impact of socio-demographic factors on students' attitudes. Results: The PPOS score was 3.82. The Sharing and Caring scores were 3.74 and 3.90, respectively. Female gender and students of graduate entry program were significantly associated with patient-centered attitudes. Age, school year, marital status, academic background, student's and her/his family medical background, and specialty choice did not show significant associations with PPOS scores. Conclusion: Female and graduate students showed more patient-centered attitudes than male and undergraduate students, respectively. Given the emphasis placed on patient-centered care in the current medical environment, our results suggest further research to explore the dynamics in medical education that may foster or inhibit student attitudes toward patient-centered care.

정신과 임상실습 교육 전후의 의과대학생들과 간호대학생들의 정신질환에 대한 인식과 태도 변화

이원우(Won-Woo Lee),장은진(Eun-Jin Chang),정철호(Chul-Ho Jung) 대한사회정신의학회 2001 사회정신의학 Vol.6 No.2

목 적: 정신과 임상실습 교육 전후에 정신질환에 대한 의과대학생들과 간호대학생의 정신질환에 대한 인식 및 태도를 조사함으로써, 정신과 임상실습이 정신과 질환에 대한 인식 및 태도를 변화시키는데 어떤 영향을 줄 수 있는지 알아보고자 하였다. 방 법: 계명대학교 동산병원 정신과 병동에서 2주간 정신과 임상실습을 시행한 의과대학생 68명과 정신간호실습을 한 간호대학생 63명을 대상으로 정신과 임상실습 전후에 정신질환에 대한 인식 및 태도를 묻는 설문조사를 각각 행하였다. 설문지는 정신질환의 원인 및 치료에 대해 원시적 혹은 초자연적 개념(제 1 요인)을 나타내는 9개 문항, 심리적 혹은 환경적 개념(제 2 요인)을 나타내는 15개 문항, 정신질환자에 대한 편견이나 사회복귀에 대한 부정적 태도(제 3 요인)를 나타내는 10개 문항 등 총 34개 문항으로 구성되어있다. 사용된 통계분석은 Independent T-test, Paired T-test, Mann-Whitney Test를 실시하였고, 통계적 유의성은 p<.05수준으로 선정하였다. 결 과: 1) 정신과 임상실습 전, 각 인구학적 변인에 따른 정신질환에 대한 인식과 태도 조사에서, 성별, 가족력 유무에 따른 요인별 반응에는 차이가 없었으며, 소속집단(의과대학 vs 간호대학)에 따른 요인별 비교에서는 제 2 요인에서 통계적으로 유의미한 차이가 있었으며, 종교에 따라서는 제 1 요인에 대해 통계적으로 유의미한 차이가 있었다. 즉, 간호대학생이 의과대학생보다 제 2 요인을 더 많이 고려하고, 개신교 군이 다른 군에 비해 제 1 요인을 적게 지니는 것으로 나타났다. 2) 정신과 임상실습 전후에 정신질환에 대한 인식과 태도에 관한 실습효과는, 각 문항별 비교에서 모두 14문항에 대해 통계학적으로 유의미한 변화가 있었다. 그 중 제 1 요인과 제 3 요인에 해당되는 문항에서의 변화가 크게 나타났다. 실습효과의 차이는 요인별 비교에서 성별과 종교에 따라서는 통계학적으로 유의미한 차이는 없었고, 소속과 정신질환의 가족력에 따라서는 간호대학생과 정신질환의 가족력이 있는 경우에, 제 1 요인이 실습 이후에 더 많이 줄어드는 것으로 나타났다. 결 론: 정신과 임상실습 교육은 정신질환에 대한 올바른 인식 및 태도를 갖도록 하는데 도움이 되나, 소속별, 종교별, 가족력 유무 등에 따라 임상실습의 효과가 조금씩 차이가 있었다. 따라서, 정신질환의 원인 및 치료에 대한 지식적인 측면에서의 교육뿐만 아니라, 다양한 방식의 프로그램들을 개발하여 이들 실습학생들이 직접 정신질환자들과 접촉하고 정신질환에 대한 편견을 해소하고 올바른 태도를 가질 수 있도록 하는 것이 필요하겠다. Objectives:This study was designed to evaluate the effects of psychiatric clerkship on medical students’ and nursing students’ attitudes and concepts toward mental illness. Methods:For this study, 68 medical students and 63 nursing students who took psychiatric clerkship for 2 weeks were selected and were asked to answer a questionnaire about mental illness at the beginning and at the end of 2-weeklong clerkship. Results:1) Before clerkship, the psychological, environmental concepts toward mental illness were significantly high in nursing students than medical students group. And the primitive, supernatural concepts toward mental illness were significantly low in protestant students than non-protestant students group. 2) The effects of psychiatric clerkship toward mental illness were significant changes of concepts and attitudes toward mental illness. The primitive, supernatural concepts and the negative attitudes toward mentally ill were much decreased. Sex and religion did not significantly affected the effects of psychiatric clerkship. The primitive, supernatural concepts towards mental illness were much decreased in nursing students group and group with family history of psychiatric illness. Conclusion:Psychiatric clerkship of medical students and nursing students positively affected on attitudes and concepts toward mental illness. But the effects were different by their environments. Therefore, these findings suggest that diverse programs of clerkship for the purpose of improving the attitudes and concepts toward mental illness of medical and nursing students must be needed.

연명치료 중단 인식과 태도에 대한 의대생과 간호대생의 차이

전재희 한국융합학회 2019 한국융합학회논문지 Vol.10 No.8

This study is a descriptive research to measure the awareness and attitude toward withdrawal of life-sustaining medical treatment (WLSMT) among medical and nursing students. The data collection was conducted between 8 October and 15 November 2018, and the responses of 240 students were analyzed. The analysis results are as follows. More than 95 percent of medical and nursing students said the WLSMT was necessary. The medical students answered that ‘patient's will’ is important and nursing student answered that 'patient and family’s will' is important. The nursing student showed that "family will and decision" was more important than the medical student in deciding to discontinue life care. Based on the results of the study, continuous discussion on the development and application of education programs to form attitudes and awareness of the discontinuation of life-saving treatments based on correct values is needed for prospective medical students and nursing students. 본 연구는 의대생과 간호대생의 연명치료 중단에 대한 인식과 태도를 파악하기 위한 서술적 조사연구이다. 연구대상은 전국 의과대학과 간호대학에 재학 중인 학생으로 2018년 10월 8일부터 11월 15일까지 수집된 자료 240부를 빈도, 백분율, 평균, 표준편차, t-test, Mann Whitney U, ANOVA를 사용해 분석하였다. 연구결과 대상자의 95%이상 연명치료 중단이 필요하다고 답하였다. 연명치료 중단 인식에서 ‘연명치료 중단이 필요한 주된 요인’, ‘필요하지 않은 이유’, ‘중단 설명의 적절한 시기’, ‘지침서 제정 필요성’에 대해서는 의견이 비슷하였으나 ‘연명치료의 바람직한 결정자’에 대해서 의대생은 ‘환자의 의지’가 간호대생은 ‘환자와 가족의 의지’가 중요하다고 답하였다. 연명치료 중단 태도는 통계적 유의한 차이가 없었고, 연명치료 중단 결정에 있어 간호대생은 의대생에 비해 ‘가족의 의지와 결정’이 더 중요하다는 태도를 보였다. 연구의 결과를 토대로 예비 의료인인 의대생과 간호대생을 대상으로 올바른 가치관에 근거한 연명치료 중단에 대한 인식과 태도 형성을 위한 교육 프로그램 개발 및 적용에 대한 지속적인 논의가 필요하다.

한의학 교육이 의대생의 한의학에 대한 태도에 미치는 영향

손경진,조임학,이정현,임정화,윤영주,Sohn, Kyeongjin,Cho, Imhak,Lee, Junghyun,Lim, Junghwa,Yun, Youngju 대한예방한의학회 2015 대한예방한의학회지 Vol.19 No.1

Objective : This study aims to figure out what the medical students' attitudes toward traditional Korean medicine (TKM) are and how TKM education affects them. Method : We performed content analysis on 283 assignments submitted by senior students who took a 'TKM and complementary alternative medicine (CAM)' course in a medical school in 2010 and 2011. The assignment was to write an report after reviewing a research article about 'TKM or CAM' or interviewing a person engaging in a related field. Results : 193(68.2%) students chose a article review and 90(31.8%) students chose an interview. Significantly more students chose TKM topic in interview group than in article review group(p=0.021). Most frequent questions in interview are as follows; 'comparison of TKM and western medicine'(15.7%), 'education in TKM school'(8.8%), and 'TKM and evidence based medicine'(8.8%). Among students who expressed their attitudes toward TKM, 52.4% of them showed positive attitudes before entering medical school, however, 54.6% of them showed negative attitudes in medical school years. Among students who indicated attitude change before and after the TKM course, 35.9% of them changed positively. Conclusion : TKM education might have positive effects on medical students' attitude toward TKM. It is necessary to expand TKM education and introduce effective education stategy in order to alleviate medical students' misunderstanding and prejudice against TKM.