Cardiology ; education ; standards ; Echocardiography ; Humans ; Inservice Training

OBJECTIVE: To survey the cause of the cardiacs' low participation rate and poor compliance in cardiac rehabilitation. METHOD: Among those who admitted in the department of cardiology and chest surgery for acute care and then discharged, group 1 included 104 patients who never participated in cardiac rehabilitation, and group 2 included 47 patients who once joined in but discontinued before 7 sessions, and group 3 included 25 patients who continued it more than 18 sessions with good compliance. Questions related to the low participation rate and discontinuity and personality, psychological status, education level were asked. By SPSS, basic discriptive data were calculated. To compare the data among groups, independent t-test and Chi-square test were done. RESULTS: In group 1, the main causes of low participation rate was lack of recognition about it (78 patients, 75%), doubt on effect (48 patients, 46.2%), poor physical condition (38 patients, 36.5%). In group 2, the main cause of discontinuity was lack of time (12 patients, 25.5%), thought of being able to perform at home (11 patients, 23.4%), poor physical condition (7 patients, 14.9%). CONCLUSION: To raise the participation rate and compliance in cardiac rehabilitation, it is very important to make a pitch for cardiac rehabilitation and improve program service for patient's convinience.
Cardiology ; Compliance ; Education ; Humans ; Rehabilitation* ; Thorax

OBJECTIVES: Few disciplines in medicine encompasses such wide diagnostic and treatment modalities as cardiology. A traditional text and education system is limited in its efficacy to convey such variety. In order to address this problem, a comprehensive computer-aided education system that compiles and links the current knowledge of cardiovascular diseases is proposed. An availability of such system through CD-ROM and world wide web will contribute undoubtedly to the promotion and betterment of current understandings of cardiology all over the world. METHODS AND RESULTS:1) The information about the cardiovascular diseases has been complied and organized. Multimedia medical information includes text, audio features that allow the users to study actual sounds, and visual aids (slides, real-time demonstration, and schematic illustrations).2) Cardiology education system can be approached according to "Disease module" or "Laboratory test module". One can readily look up the disease of interest and see the results of different tests. Or one can choose the laboratory test or physical examination and study the differences among the diseases. "Self test module" is also available to help user's self assessment of his/her understanding of cardiovascular diseases.3) This cardiology education program is conveniently stored in CD-ROM and can also be accessible through the world wide web (http://med.chungbuk.ac.kr/~mccho/ web-cardiology/alogo.html). CONCLUSION: A multimedia approach for the study of cardiovascular diseases has been developed and is now avaliable in CD-ROM. The same information can be obtained from our home page through the world wide web.
Audiovisual Aids ; Cardiology* ; Cardiovascular Diseases ; CD-ROM ; Education* ; Internet* ; Multimedia ; Physical Examination ; Self-Assessment

BACKGROUND: The purpose of this study was to examine illness perception, knowledge about the disease and health promoting behaviors, and to identify factors influencing health promoting behaviors among Peripheral Arterial Disease (PAD) patients. METHODS: The participants were 128 PAD patients who had been treated as an outpatient or an inpatient at the department of cardiology in a tertiary hospital in Seoul, Korea. Data were collected from October to December 2014, regarding general characteristics, disease related characteristics, illness perception and knowledge on PAD, health promoting behaviors by using a structured questionnaire. RESULTS: The number of subjects who had an awareness of PAD diagnosis was 70 (54.7%) among 128. In this study, knowledge on PAD was significantly correlated with health promoting behaviors (r=0.205, P=0.020). Especially, knowledge on PAD had a significant correlation with health responsibility (r=0.353, P<0.001) and exercise (r=0.230, P=0.009). In the regression analysis, knowledge on PAD was a factor that influences the health promoting behavior in this study subjects (R2=0.212, P=0.032). CONCLUSIONS: We could determine the degree of perception, knowledge, and health promoting behaviors among participants and the influence of PAD-related knowledge on health promoting behaviors. Conclusively, the results of this study support the development of education intervention to ameliorate disease perception and PAD related knowledge in order to improve health promoting behaviors among PAD patients.
Cardiology ; Diagnosis ; Education ; Health Behavior ; Humans ; Inpatients ; Korea ; Outpatients ; Peripheral Arterial Disease* ; Seoul ; Tertiary Care Centers

OBJECTIVES: This study was conducted to develop a smartphone application (app) as an educational learning instrument for coronary artery disease (CAD) patients and to assess the users' level of satisfaction. METHODS: This methodological research involves elicited learning content for CAD patients to develop a learning instrument using the smartphone app. The app was developed according to the steps of Assessment, Design, Development, Implementation, and Evaluation, which is a systematic instructional design model. The levels of satisfaction with the developed smartphone app among 30 outpatients with CAD were assessed via a questionnaire during their visits to a cardiology outpatient department. RESULTS: A smartphone app 'Strong Heart' was developed through reviewing the literature associated with education for CAD patients under professional supervision and searching for medical smartphone apps that are already available. The learning contents include six main sections containing essential learning issues in managing CAD and additional information to attract the user's attention, such as patient cases and quizzes. After modification with feedback from experts, the app was finally developed and evaluated by patients who reported that they were satisfied with the usefulness of the app. CONCLUSIONS: The developed smartphone app is available on both the iPhone App Store and the Android Play Store. Patients with CAD may utilize the app for supporting educational material without limitations of time and space.
Cardiology ; Coronary Artery Disease* ; Education ; Educational Technology ; Humans ; Learning ; Mobile Applications ; Organization and Administration ; Outpatients ; Patient Education as Topic ; Surveys and Questionnaires

Biomedical Research ; history ; trends ; Cardiology ; education ; history ; trends ; Cardiology Service, Hospital ; history ; Coronary Care Units ; history ; Coronary Disease ; diagnosis ; therapy ; Education, Medical, Graduate ; history ; trends ; Forecasting ; History, 20th Century ; History, 21st Century ; Humans ; Singapore

To revise the medical terms, the Korean medical association(KMA) organized the committee for medical terms(CMT). CMT has worked for translation of medical terms into Korean, more easy to understand, more meaningful, and good to pronounce. Medical terms appearing in the 3rd and 2nd editions of termonology books were evaluated by board members of the committee, who have special interest in medical terms and are expert terminologists. Modern medical terms in foreign language are not easy to understand not only by doctors but also by medical students. Thus regular translation of foreign language terms into Korean terms in necessary. The medical terms, especially in the field of internal medicine, are built up on the backbone of basic sience and basic medical terms. Fortunately, the Association of Korean Anatomy published a terminology book of anatomy in Korean language. It prompted other medical societies to translate medical terms into Korean language. The field of internal medicine has been recently divided into several subspecialilies in Korea such as gastro-intestinology, cardiology, pulmonology, nephrology, endocrinology, hemato-oncology, reheumatogy, allergy, and infectious disease. Some subspecial societies have there own terminology books. This raised some problems, because the translation yielded somewhat different meanings even in the same terms in the terminology books. Therefore, CMT organized and conducted concensus meeting to discuss the different points of the same terms. The topics of education by CMT included the way to translate foreign terms, the criteria of beautiful language, and the root of medical terms.
Cardiology ; Communicable Diseases ; Education ; Endocrinology ; Humans ; Hypersensitivity ; Internal Medicine ; Korea ; Nephrology ; Pulmonary Medicine ; Societies, Medical ; Students, Medical

It has pointed out that there are problems in the traditional medical education in Korea. First of all, basic science and clinical education were not integrated so that students can not develop abilit ies to incorporate scientific concepts and principles into solving clinical problems. In order to improve medical education, new educational program was developed in College of Medicine, University of Ulsan, which started medical education in 1990. Among the many types of new medical educational system, the program from the University of Calgary, which was thought to be more applicable to educational environment in Korea, was adopted. The new program comprises principles of (1) integrated teaching, (2) patient-oriented, (3) problem-oriented, (4) student-oriented, (5) adoption of core and elective course and (6) self learning. During the first two year period, integrated curriculum of eleven system courses(musculoskeletal, hematology oncology, immunology and infection, gastroenterology, endocrinology, reproductive, nephrology, cardiology, pulmonology and neuroscience), introductory course, continuity course, elective course, clinical skills, independent study and integrative course were proceeded. Students have spent the last two years in clinical clerkships, including 4 months of elective course. Students evaluated the integrated curriculum as being satisfactory for clinical education, but not enough for basic science education.
Allergy and Immunology ; Cardiology ; Clinical Clerkship ; Clinical Competence ; Curriculum* ; Education ; Education, Medical ; Endocrinology ; Gastroenterology ; Hematology ; Humans ; Korea ; Learning ; Nephrology ; Pulmonary Medicine ; Ulsan*

INTRODUCTIONThis study aimed to assess the effectiveness of the use of a cardiopulmonary patient simulator in the teaching of second-year medical students. Effectiveness was measured in terms of the extent of knowledge retention and students' ability to apply the skills learned in subsequent real-life patient contact.

METHODSIn this study, ten third-year medical students who had previously undergone simulator training as part of their second-year curriculum underwent an objective structured clinical examination (OSCE) and a multiple-choice question (MCQ) test to assess their ability to apply the knowledge gained during the simulator training when dealing with real patients. The performance of this group of students was compared with that of a group of ten fourth-year medical students who did not undergo simulation training.

RESULTSAlthough the third-year medical students performed well in the OSCE, they were outperformed by the group of fourth-year medical students, who had an extra year of clinical exposure. The MCQ scores of the two groups of students were similar. Post-simulation training survey revealed that students were generally in favour of incorporating cardiopulmonary simulator training in the preclinical curriculum.

CONCLUSIONCardiopulmonary simulator training is a useful tool for the education of preclinical medical students. It aids the translation of preclinical knowledge into real-life clinical skills.

Cardiology ; education ; Clinical Clerkship ; Computer Simulation ; Curriculum ; Education, Medical ; organization & administration ; Educational Measurement ; Female ; Humans ; Learning ; Male ; Singapore ; Students, Medical ; Surveys and Questionnaires ; Universities

BACKGROUND: Fresh frozen plasmas (FFPs) do not seem to be effectively managed compared to red blood cells and prophylactic transfusions of FFPs still occur in many cases. We evaluated appropriateness of FFP transfusion and analyzed the conditions of FFP usage in a regional hospital. METHODS: The conditions of FFP usage were investigated over one year from January 2012 to December 2012 using computerized medical records and archived documents. Results of coagulation tests before transfusion, appropriateness of FFP usage, and the reason for discarding FFP were investigated, and the assessment of the appropriateness of FFP transfusion was based on the transfusion guidelines published by the Korea Centers for Disease Control and Prevention. RESULTS: During the study period, 2,675 units of FFP were transfused to 364 patients over 752 episodes. FFP transfusions were inappropriate in 33.1% of episodes, and empirically used FFPs without performing pre-transfusion coagulation tests or when the test results were in the reference range occupied 25.7% of inappropriate FFP transfusions. Improper use of FFPs was most common in the Department of Emergency Medicine. During the three-year period, discarding rate of FFPs was 1.3% and the most common cause was the death or worsening condition of patients. Discarding FFPs was greatest in the Department of Thoracic Surgery and Cardiology. CONCLUSION: Many FFPs were inappropriately transfused. This was due to a general lack of understanding of the transfusion guidelines among physicians. Continuous training and education as well as ongoing monitoring of FFP usage are necessary.
Cardiology ; Centers for Disease Control and Prevention (U.S.) ; Education ; Emergency Medicine ; Erythrocytes ; Humans ; Korea ; Medical Records Systems, Computerized ; Plasma* ; Reference Values ; Thoracic Surgery