의사의 모닝 컨퍼런스(morning conference)대화이동 연속체 구조 분석
A Study on the Structure of Dialog Sequences in the Physicians’ Morning Conferences
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This study aims to define dialog typological concept of the physicians’ morning conferences and to analyze dialog sequences. Toward these ends, a theoretical review is conducted and a dialog analysis methodology was used. Morning conferences consisted of the ‘morning report’ and ‘inpatient briefing’. The morning report is a education dialog which is carried out for educating physicians. Inpatient briefing is a job dialog for performing medical practice. This study focused on an aspect of dialog development of the morning report which was the core type in the morning conferences. The morning report was developed in the manner of physicians’ presenting about the patients’ information and followed by 11 types of professor’s reaction. The predominant type was the ‘instruction - acception’ in which a professor would give medical information to residents or interns. And second type was the ‘educator question - answer’ in which a professor gets residents or interns to generate medical knowledge for themselves. The characteristics of education dialog in the morning conferences were excessive professor-oriented instructions and passive learning attitudes of residents or interns. The results of this study provide better understanding of the physicians’ morning conferences communication and are to be helpful to communicate effectively in the morning conferences.
Abstract
This study aims to define dialog typological concept of the physicians’ morning conferences and to analyze dialog sequences. Toward these ends, a theoretical review is conducted and a dialog analysis methodology was used. Morning conferences consisted of the ‘morning report’ and ‘inpatient briefing’. The morning report is a education dialog which is carried out for educating physicians. Inpatient briefing is a job dialog for performing medical practice. This study focused on an aspect of dialog development of the morning report which was the core type in the morning conferences. The morning report was developed in the manner of physicians’ presenting about the patients’ information and followed by 11 types of professor’s reaction. The predominant type was the ‘instruction - acception’ in which a professor would give medical information to residents or interns. And second type was the ‘educator question - answer’ in which a professor gets residents or interns to generate medical knowledge for themselves. The characteristics of education dialog in the morning conferences were excessive professor-oriented instructions and passive learning attitudes of residents or interns. The results of this study provide better understanding of the physicians’ morning conferences communication and are to be helpful to communicate effectively in the morning conferences.
참고문헌 (29)
- 박용익, "수업대화의 분석과 말하기 교육" (2003), 역락
- 박용익, "대화분석을 바탕으로 하는 의료 커뮤니케이션의 학제적 공동연구 프로그램", 텍스트언어학, 19(19), pp.303~318 (2005), 한국텍스트언어학회
- 박용익, "병명 통보대화 능력의 평가 기준 - 대화분석적 연구 -", 독어학, 17(17), pp.109~141 (2008), 한국독어학회
- 박용익, "대화분석론. 제 4판" (2014), 현문사
- 박용익, "이야기 텍스트의 구조", 언어와언어학, 61(61), pp.53~79 (2013), 언어연구소
- 황윤한, "교수-학습의 패러다임적 전환" (2003), 교육과학사
- Amin, Zubair., "Morning report: focus and methods over the past three decades", Academic Medicine, 75(10), pp.1~5 (2000)
- Apker, Julie., "Communicating professional identity in medical socialization : considering the ideological discourse of morning report", Qualitative Health Research, 14, pp.411~429 (2004)
- Balmer, Dorene F., "An ethnographic study of attending rounds in general paediatrics : understanding the ritual", Medical Education, 44, pp.1105~1116 (2010)
- Brancati, Frederick L., "Morning distort", The Journal of American Medical Association, 266, pp.1627~1627 (1991)
- Cohen, Michael D., "The published literature on handoffs in hospitals: deficiencies identified in an extensive review", Quality and Safety in Health Care, 19(6), pp.493~497 (2010)
- Coles, Colin., "Developing medical education", Postgraduate Medical Journal, 69, pp.57~63 (1993)
- DeGroot, Leslie J., "The morning-report syndrome and medical search", The New England Journal of Medicine, 301, pp.1285~1287 (1979)
- Elliott, Sean P., "A bitter pill : attempting change in a pediatric morning report", Pediatrics, 113(2), pp.243~247 (2004)
- Foley, Richard., "Teacher-student interaction in a medical clerkship", Journal of Medical Education, 54, pp.622~626 (1979)
- Gross, Cary P., "Resident expectations of morning report : a multi-institutional study", Archives of Internal Medicine, 159(16), pp.1910~1914 (1999)
- Harbison, Sean P., "Faculty and resident opinions regarding the ole of morbidity and mortality conference", The American Journal of Surgery, 117(2), pp.136~139 (1999)
- Hindelang, Götz, "요구: 요구의 하위 유형과 언어적 실현 형태" (1978), Kümmerle
- Jaye, Chrystal., "Communities of clinical practice and normalising technologies of self : learning to fit in on the surgical ward", Anthropology and Medicine, 17(1), pp.59~73 (2010)
- Luciano, Gina L., "Residents-as-teachers : implementing a toolkit in morning report to redefine resident roles, teaching and learning in medicine", Teaching and Learning in Medicine, 23(4), pp.316~323 (2011)
- Malone, Michael L., "Educational characteristics of ambulatory morning report", Journal of General Internal Medicine, 8(9), pp.512~514 (1993)
- McGaghie, William. C., "Morning report : a descriptive view from two different academic settings", Research in Medical Education, 24, pp.157~162 (1984)
- Parrino, Thomas A., "The principles and practice of morning report", The Journal of American Medical Association, 256, pp.730~733 (1986)
- Reilly, Brendan., "Evidence-based morning report : a popular new format in a large teaching hospital", The American Journal of Medicine, 103(5), pp.419~426 (1997)
- Sanfey, Hilary., "Morning report : combining education with patient handover", The Surgeon, 6(2), pp.94~100 (2008)
- Stanley, Paula, "Structuring ward rounds for learning", Medical Education, 32, pp.239~243 (1998)
- Symonsa, R. A. Nicholas., "An observational study of teamwork skills in shift handover", International Journal of Surgery, 10, pp.355~359 (2012)
- "Accreditation Council for Graduate Medical Education"[URL]
- "Safe handover: safe patients. Guidance on clinical handover for clinicians and managers"[URL]