2012. 12. 03 - skkumed.ac.kr
TRANSCRIPT
Vol.49 2012. 12. 03
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elective program , elective
program
,
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.
.
Massachusetts General
, USMLE
Step1 , TOEFL
Exchange Clerkship Program
.
Infectious disease, Neurology 15
Renal and Electrolyte Disorder (Consult)
.
MGH ,
Primary Medicine Team ,
.
Gastroenterology Gastroenterology ,
Cardiology Cardiology
, MGH Team 1 Gastroenterology, Cardiology
.
Renal Consult Team attending physician
, fellow ,
,
.
,
attending physician
attending physician . Attending physician
primary team
.
fellow
, primary team
, kidney-oriented history taking
attending physician .
.
, pathology conference
<Renal Consult Team, Massachusetts General Hospital>
2 http://www.skkumed.ac.kr
/ 4
,
3~5 ,
.
.
, , . M5
“ ”
, ,
. Lasix 20mg IV, Bumex 2mg IV
. ,
. Clerkship Program
attending professor
3 6~8
.
fellow assess
. attending physician
Dr. Ravi Thadhani Dr. Kevin Tucker topic
, attending
.
.
.
,
,
.
. ,
.
.
,
.
,
.
, .
Elective program 1 ,
, .
.
, .
MEGR, ? 2012 11 19, MEGR “ ?”
.
KBS 4
,
2011 3 11
. “
? ?” “
” .
,
‘ ’ ,
. , ‘ ’ ( ,
) .
.
.
,
( ··,
, ·, ) 56
.
(International Bone and Mineral Society)
‘ , (Prediction of survival,
second fracture, and functional recovery following the first hip fracture surgery in elderly
patients)’ (: ) .
2009 .
(··) 2005 4, 1
1 2009~2010
.
4 http://www.skkumed.ac.kr
,
2012 (Roth)
.
2005
. UCLA S (Shapley)
,
.
“
,
”
.
.
,
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“ ” “
”
.
2 2004 2 25
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, 1
.
4, 3
2, 1, 2, 3
, 5, 3,
1, 2, 2.
2012 1, 6,
14, 2, 15
.2
.
(2003 )
(50), (30)
[: ]
(, ) 4 4
(, )
( ) 62 ‘“
(, ) ‘ ’ ‘ ’
(, ) 98
(, ) 2015 3
6 http://www.skkumed.ac.kr
SNAPPS:
?
6 (clinical reasoning)
SNAPPS . 10
Summarize briefly the history and findings .
, , , , 3 .
.
Analyze the differential by comparing and contrasting the possibilities / . ,
.
.
Plan management for the patient's medical issues
. ,
.
.
Narrow the differential to two or three relevant possibilities 2-3 .
.
.
Probe the preceptor by asking questions about uncertainties, difficulties, or alternative approaches . , , .
.
Select a case-related issue for self-directed learning . , , , , 3 .
.
, .
SNAPPS (02-2148-9922) .
P
P
A
N
S
S
116~18 :
131 : e-PBL
111 :
Vol.49 2012. 12. 03 7
12
. , (9 )
. .
,
? .
1
‘ ’
.
2 .
‘’ - .
4 1
.
.
.
,
.
.
,
.
,
.
.
, ,
. ,
.
2
.
‘’
.
2 2,3 ,
,
.
.
8 http://www.skkumed.ac.kr
. A4 1/2 (www.skkumed.ac.kr)
. | 031)299-6025
| 2012 12 03 | | / 2066
(M4 )
http://www.skkumed.ac.kr , , , .
(: ) Post
2 ‘’ .
8 30
1114 17 4 .
, ,
, .
, , ,
, , 6 20
97 .
, 2013 1 .
, ,
, ,
.
5 2013 ‘ 2(, )’
1,469 293.8:1 . 5
‘1( ) 99 19.8:1.
1 (70) (30)
,
, / 1 , 3
.
2 () (, (),
, ( 2 ) 3 ) 3
(50) (50)
3 ‘ ’
2013
20 .
MEET
20% 1(80)+(20)
10 , 1(60)+
(20)+MEET(20) 10 .
[ ] , , , , , , , , ,
, , , , , , , , ,
, , 20.
.
elective program , elective
program
,
. ,
.
.
Massachusetts General
, USMLE
Step1 , TOEFL
Exchange Clerkship Program
.
Infectious disease, Neurology 15
Renal and Electrolyte Disorder (Consult)
.
MGH ,
Primary Medicine Team ,
.
Gastroenterology Gastroenterology ,
Cardiology Cardiology
, MGH Team 1 Gastroenterology, Cardiology
.
Renal Consult Team attending physician
, fellow ,
,
.
,
attending physician
attending physician . Attending physician
primary team
.
fellow
, primary team
, kidney-oriented history taking
attending physician .
.
, pathology conference
<Renal Consult Team, Massachusetts General Hospital>
2 http://www.skkumed.ac.kr
/ 4
,
3~5 ,
.
.
, , . M5
“ ”
, ,
. Lasix 20mg IV, Bumex 2mg IV
. ,
. Clerkship Program
attending professor
3 6~8
.
fellow assess
. attending physician
Dr. Ravi Thadhani Dr. Kevin Tucker topic
, attending
.
.
.
,
,
.
. ,
.
.
,
.
,
.
, .
Elective program 1 ,
, .
.
, .
MEGR, ? 2012 11 19, MEGR “ ?”
.
KBS 4
,
2011 3 11
. “
? ?” “
” .
,
‘ ’ ,
. , ‘ ’ ( ,
) .
.
.
,
( ··,
, ·, ) 56
.
(International Bone and Mineral Society)
‘ , (Prediction of survival,
second fracture, and functional recovery following the first hip fracture surgery in elderly
patients)’ (: ) .
2009 .
(··) 2005 4, 1
1 2009~2010
.
4 http://www.skkumed.ac.kr
,
2012 (Roth)
.
2005
. UCLA S (Shapley)
,
.
“
,
”
.
.
,
.
“ ” “
”
.
2 2004 2 25
2 38( 30, 8)
33 , 4
, 1
.
4, 3
2, 1, 2, 3
, 5, 3,
1, 2, 2.
2012 1, 6,
14, 2, 15
.2
.
(2003 )
(50), (30)
[: ]
(, ) 4 4
(, )
( ) 62 ‘“
(, ) ‘ ’ ‘ ’
(, ) 98
(, ) 2015 3
6 http://www.skkumed.ac.kr
SNAPPS:
?
6 (clinical reasoning)
SNAPPS . 10
Summarize briefly the history and findings .
, , , , 3 .
.
Analyze the differential by comparing and contrasting the possibilities / . ,
.
.
Plan management for the patient's medical issues
. ,
.
.
Narrow the differential to two or three relevant possibilities 2-3 .
.
.
Probe the preceptor by asking questions about uncertainties, difficulties, or alternative approaches . , , .
.
Select a case-related issue for self-directed learning . , , , , 3 .
.
, .
SNAPPS (02-2148-9922) .
P
P
A
N
S
S
116~18 :
131 : e-PBL
111 :
Vol.49 2012. 12. 03 7
12
. , (9 )
. .
,
? .
1
‘ ’
.
2 .
‘’ - .
4 1
.
.
.
,
.
.
,
.
,
.
.
, ,
. ,
.
2
.
‘’
.
2 2,3 ,
,
.
.
8 http://www.skkumed.ac.kr
. A4 1/2 (www.skkumed.ac.kr)
. | 031)299-6025
| 2012 12 03 | | / 2066
(M4 )