Training future Korean medicine doctors to perform bee venom acupuncture and obtain informed consent using an objective structured clinical examination

Cho, Eunbyul; Jeon, Hyesoo; Kwon, O Sang; Hong, Jiseong; Lee, Jaehoon; Jung, Eunho; Park, Jiwon; Seo, Wookcheol; Lim, Kyu Sang; Cho, Nam Geun

doi:10.13048/jkm.22002

Cited by 6 publications

(5 citation statements)

References 12 publications

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“…This is because the prevention of unexpected immune reactions, such as anaphylaxis, is possible through a skin test prior to treatment [ 83 , 84 , 85 , 86 , 87 , 88 ]. After subcutaneously injecting 0.1 mL of BV into the skin on the inside of the arm, the injection site was marked and observed for approximately 10 to 15 min [ 89 , 90 ]. The severity and frequency of side effects of BVA for neck pain are currently unclear; therefore, a systematic investigation into the safety of BVA is required.…”

Section: Discussionmentioning

confidence: 99%

Bee Venom Acupuncture for Neck Pain: A Review of the Korean Literature

Sung

Lee

Han

et al. 2023

Toxins

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Bee venom is a natural toxin that is effective in treating various types of pain. The purpose of this paper was to review all the features of clinical studies conducted on bee venom acupuncture (BVA) for the treatment of neck pain in Korean publications. Six Korean databases and 16 Korean journals were searched in August 2022 for clinical studies on BVA for neck pain. We identified 24 trials that met our inclusion criteria, of which 316 patients with neck pain were treated with BVA. The most common diagnosis in the patients with neck pain was herniated intervertebral discs (HIVDs) of the cervical spine (C-spine) (29.2%), and the concentration and dosage per session were 0.05–0.5 mg/mL and 0.1–1.5 mL, respectively. The visual analog scale was most often measured for neck pain severity (62.5%), and all clinical research reported improvements in 16 outcome measures. This study shows that BVA could be recommended for the treatment of neck pain, especially HIVD of the C-spine; however, the adverse effects of BVA must be examined in future studies.

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Section: Discussionmentioning

confidence: 99%

Bee Venom Acupuncture for Neck Pain: A Review of the Korean Literature

Sung

Lee

Han

et al. 2023

Toxins

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“…[12] to account for insu cient practice time. Breaking down each part of a skill into smaller units and teaching them sequentially in structured steps [21] has been effective in teaching clinical skills in Korean medicine education [22,23]. In acupuncture training, practice with human subjects is essential because using a model is impractical [24].…”

Section: Data Integrationmentioning

confidence: 99%

Implementation and evaluation of acupuncture training program using a rapid prototyping instructional systems design model: A mixed-methods study for effectiveness evaluation

Cho,

Nam,

Hong

et al. 2024

Preprint

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Background Acupuncture has expanded worldwide, but there are no studies on effective acupuncture training. We implemented and evaluated a new acupuncture training program using a rapid prototyping instructional system design model. Methods A training program was implemented in a college of Korean Medicine in 2022/2023. We used a mixed-methods design to examine student satisfaction, challenges, and solutions to the program through an evaluation survey and in-depth interviews. Communication skills were measured using a pre- and post-course self-efficacy questionnaire, paired t-test, or Wilcoxon signed-rank test. Qualitative data were coded and categorized using thematic analysis. Results Thirty-five students completed the communication questionnaire. The mean total score increased significantly after the course. The 45 responses to the reaction evaluation indicated overall satisfaction as 97.8%, augmented by their reasons. Interviews indicated that competency in locating acupuncture points and performing acupuncture was achieved through repeated hands-on practice. Future improvements include providing more practice time for students and gradually increasing the amount of learning. Conclusion The acupuncture training program improved clean needle technique, point location finding, and communication skills required for clinical practice. Further research is needed to expand the program to other regions and professions using acupuncture to objectively evaluate the program’s external validity.

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“…The two diagnostic criteria for carpal tunnel syndrome used in ultrasound training are as follows: (1) the cutoff value of the vertical distance between the line connecting the top of the scaphoid and the pisiform in the proximal carpal tunnel and the apex of the retinaculum is between 3 and 4 mm [22][23][24] (Figure 2); (2) the cross-sectional area of the median nerve proximal to the tunnel inlet is 10 mm 2 or more [25][26][27] (Figure 3). The preceptor in charge of this lecture has experience in two ultrasound clinical research studies [9,11] and in performing multiple OSCEs [7,8]. The lecture was designed with the advice of two traditional medicine doctors who obtained a certification (Registered in Musculoskeletal Sonography (RMSK)) hosted by the American Registry for Diagnostic Medical Sonography (ARDMS) [28].…”

Section: Course Of Diagnostic Musculoskeletal Ultrasound Focused On V...mentioning

confidence: 99%

“…The time to practice ultrasound in person under the supervision of the preceptor was 1 h per group of 4-5 people. The preceptor in charge of this lecture has experience in two ultrasound clinical research studies [9,11] and in performing multiple OSCEs [7,8]. The lecture was designed with the advice of two traditional medicine doctors who obtained a certification (Registered in Musculoskeletal Sonography (RMSK)) hosted by the American Registry for Diagnostic Medical Sonography (ARDMS) [28].…”

Section: Course Of Diagnostic Musculoskeletal Ultrasound Focused On V...mentioning

confidence: 99%

“…OSCE has also been adopted in traditional medicine. In traditional medicine, the introduction of OSCE is expected to enhance clinical competency and strengthen the authenticity of education [ 6 , 7 , 8 ]. Studies on ultrasound to scan the anatomical structure of acupoints for accurate diagnosis and safe treatment [ 9 , 10 , 11 ], cases utilizing ultrasound for diagnosis and treatment [ 12 , 13 ], and the efficacy of ultrasound-guided intervention [ 14 , 15 ] have been reported by traditional medicine physicians.…”

Section: Introductionmentioning

confidence: 99%

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Implementation of Objective Structured Clinical Examination on Diagnostic Musculoskeletal Ultrasonography Training in Undergraduate Traditional Korean Medicine Education: An Action Research

Cho

Han²,

Kang

et al. 2022

Diagnostics

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This study aimed to report the specific methods and investigate the educational effects of diagnostic musculoskeletal ultrasound training and the Objective Structured Clinical Examination (OSCE) for traditional medicine students. Scanning volar wrist and diagnosing carpal tunnel syndrome were selected for musculoskeletal ultrasound to train students to use the basic functions of the ultrasound device and scan various structures including tendons, nerves, and arteries. The students were divided into two groups: one group had 8 weeks of training with mock OSCE experience and received feedback about their scan images, and the other group had 3 weeks of training with flipped learning. The OSCE was implemented on the last day of the training. The subjective learning outcomes were analyzed as students’ evaluation with a 5-point scale, and the objective learning outcomes were analyzed using OSCE scores evaluated with a pre-validated checklist. Of the 111 students, 60 (54.1%) responded to the questionnaire. Overall satisfaction with this ultrasound training was high (4.5 ± 0.60). The average OSCE score in the 8-week group was significantly higher than that in the 3-week group. The students’ self-assessment showed no significant differences between the two groups. Proficiency in using ultrasound is affected by the practice time and feedback. Ultrasound training should be further expanded as a required curriculum to meet students’ needs and achieve learning objectives in the clinical skills education of Korean medicine colleges. Further studies are needed on ultrasound education, especially guided interventions for traditional medicine students.

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Training future Korean medicine doctors to perform bee venom acupuncture and obtain informed consent using an objective structured clinical examination

Cited by 6 publications

References 12 publications

Bee Venom Acupuncture for Neck Pain: A Review of the Korean Literature

Bee Venom Acupuncture for Neck Pain: A Review of the Korean Literature

Implementation and evaluation of acupuncture training program using a rapid prototyping instructional systems design model: A mixed-methods study for effectiveness evaluation

Implementation of Objective Structured Clinical Examination on Diagnostic Musculoskeletal Ultrasonography Training in Undergraduate Traditional Korean Medicine Education: An Action Research

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