쉐도잉 연습: KCU CSR Patient Encounter Abdominal Pain in the ED - 영상으로 영어 말하기 배우기
레슨 만드는 중...
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Come in.
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Hi, Ms. Layman?
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Yes.
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Hi, my name is Alexis.
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I'm a medical student working with the physicians here in the ED.
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Is it okay if I come in and ask you a few questions before you see them?
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Yeah, that's fine.
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It's nice to meet you.
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Nice to meet you.
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So I hear you're having some abdominal pain.
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Yeah, it's pretty bad.
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Okay, I'm sorry.
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When did this start for you?
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It just started last night.
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Last night?
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Mm-hmm.
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And kind of show me, point to it with your finger.
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Well, it started like right here, like right at my belly button and now it's kind of over here.
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More on the lower right side now?
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Yeah.
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Okay.
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And is this intermittent pain or is it kind of constant?
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It's kind of constant now.
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Okay.
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And then how would you describe the pain?
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Well, last night it was kind of, I don't know, achy or something.
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Yeah, and then, but today it's kind of got sharp, like almost like a stabbing pain.
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Oh my, that's hurt.
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Okay, I'm sorry.
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What would you say your pain is on a scale of zero to ten?
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Zero being no pain at all, ten being so bad you would pass out.
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It's probably about a seven right now.
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Okay.
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Well, we will be sure to get you some pain medicine very shortly.
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Have you noticed that there's anything that makes that pain worse?
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It really hurt whenever we were coming over here
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and there would be bumps in the road or speed bumps and that would really hurt.
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That made it worse.
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Okay.
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Anything that you've tried that's made it better?
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Not really.
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I tried taking ibuprofen last night, but that didn't seem to help at all.
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How much ibuprofen did you take?
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I think it was just like 400 milligrams.
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400, okay.
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And then have you noticed any other symptoms like fever?
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Yeah, I feel like I have a fever.
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Okay, did you take your temperature?
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No, I didn't.
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Okay, just felt like feverish, okay.
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How about nausea, vomiting?
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Yes, I feel very nauseous.
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I haven't actually vomited though.
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Okay.
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And then, do you use any tobacco products?
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No. Okay.
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Any illicit drugs?
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No. Do you drink alcohol?
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Occasionally on the weekends.
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Okay.
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Are you a student or do you work?
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I'm an undergraduate student right now.
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Okay.
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And then do you have a partner?
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I'm engaged, yes.
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Okay, alright.
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And how many, I know this is kind of hard to talk about, but I'm just trying to get a better idea of everything that's going on so that we can rule out some things.
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How many sexual partners have you had?
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Just two.
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Two?
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Have you ever had an STD such as chlamydia, gonorrhea, trichomonas, syphilis, HIV, hepatitis, anything like that?
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No. Okay.
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And when was your last menstrual period?
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Just a week ago.
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Okay, great.
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And then do you have any medical history, anything that you've ever been diagnosed for, even as a child, anything you've seen a doctor for?
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I had some eczema, but that's really it.
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I've been pretty healthy.
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Okay.
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Any allergies?
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No. Okay.
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Not allergic to any medications?
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None that I know of.
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Okay.
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Have you ever had a surgery before?
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No. No. Have you ever been in the hospital before?
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Mm-mm.
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And then what is your, the health of your parents like?
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My dad has some high blood pressure and then my mom has I guess a hypothyroid.
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Oh okay.
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Yeah.
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Okay and then are you taking any medications right now?
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No. Yes I get my birth control.
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Okay and you take that that's a pill?
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Yes.
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Okay.
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Okay is there anything about what's going on that I forgot to ask?
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I think I got most of the information from on you?
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I can't think of anything okay well real quick I know you're hurting
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but I am gonna just do a brief exam okay first I'll listen to your heart
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just gonna slide this under your gown a little bit
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So yeah, your heart is beating just a little bit fast, I would say.
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Now I'm going to listen to your lungs.
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I just want you to take a deep breath in and out through your mouth.
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Good.
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Last one.
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Good.
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Your lungs sound great.
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I'm going to get a towel to cover you.
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So I'm just going to have you lean back.
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Okay.
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This for you.
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I'm going to lift this up so I can see your abdomen.
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And now point to me where you're feeling the pain right now.
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It hurts a lot right here.
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Down there.
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Okay.
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I'm just going to listen first.
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Now I'm just going to tap.
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When I push down on this side, does that hurt anywhere?
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It kind of hurts a little bit over here.
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Okay.
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No tenderness over here.
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Mm-mm. And then, how's that? That hurts. That hurts.
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Yeah.
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And I just want you to take a deep breath in and out.
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Good.
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I'm going to have you bend this.
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Have you bend your right knee.
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And I just want you to try and push your knee up against me.
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Mmm, that hurts.
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That hurts a little bit.
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Okay, I'm going to take your leg now.
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Oh, yeah.
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That's a little tender too.
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Mmm-hmm.
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And then, would you say, does it hurt more when I push in or when I let go?
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When you let go.
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When I let go?
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Yeah.
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Okay, and how's about this?
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Oh, that one kind of hurts too.
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That was tender too?
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Yeah.
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I'm going to help you up.
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There you go.
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So I think what's going on is, what it sounds like at least, is appendicitis, which just means your appendix,
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this little organ kind of down here in the right side of your abdomen, is infected.
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I think the best thing for us to do would be referred to general surgery
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and get a surgeon to come see you and talk to you.
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they might want to do antibiotics they might want to do
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some IV fluids you know they might end up taking you to the operating room
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but in the meantime I think what we need to do is get a CAT scan
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so that we can image that appendix and actually see how big it is
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and make sure it's not ruptured
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but it definitely what you're describing sounds an awful lot like appendicitis that's kind of scary it is
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but you know we're going to take really good care of you here we can answer all your questions
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and then is there anyone
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that you would like for me to bring back to sit with you
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while you're waiting my fiance is out in the waiting room yeah would you like the nurses
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or myself to go get him sure okay is
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that do you have I know there's a lot going on
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but do you have any other questions right now no I'm gonna go talk to the doctors is it okay
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if I come back with them to sure yeah okay it was really nice to meet you thank you
왜 이 비디오로 말하기 연습을 해야 할까요?
의료 상황에서 발생하는 실질적인 회화를 통해 비상실에서의 응급 환자 상담 과정을 살펴보는 것은 영어 회화 연습에 매우 유익합니다. 이 비디오에서는 의료 전공 학생과 환자 간의 대화가 진행되며, 본 내용은 여러분이 실제 상황에서 필요한 의사소통 능력을 키우는데 도움을 줄 것입니다. 또한, 이런 대화를 연습함으로써 shadowspeak 기법을 활용하여 발음과 억양을 자연스럽게 익힐 수 있습니다. 비상 의료 환경에 대해 배우면서 영어 실력을 동시에 향상시키는 기회를 제공받을 수 있습니다.
문법 & 표현 분석
- “Is it okay if I…?”: 이 표현은 상대에게 허락을 요청할 때 유용하게 사용됩니다. 예: “Is it okay if I come in and ask you a few questions?”
- “How would you describe the pain?”: 통증의 성격을 묻는 표현으로, 의료진이 환자의 증상을 이해하는 데 도움이 됩니다.
- “It started like right here…”: 특정 위치를 설명할 때 사용하는 구문입니다. 몸의 특정 부위를 지칭할 때 유용합니다.
- “On a scale of zero to ten…”: 통증의 정도를 평가할 때 사용되며, 대화를 통해 환자의 상태를 정량적으로 이해할 수 있습니다.
- “Have you noticed any other symptoms?”: 추가 증상을 확인하기 위한 질문으로, 환자와의 소통을 깊이 있게 만들어 줍니다.
일반적인 발음 함정
비디오에서 나온 몇 가지 단어는 영어 학습자에게 발음이 어려울 수 있습니다. 특히 “abdominal” (복부), “intermittent” (간헐적인), “pain” (통증) 같은 단어는 발음이 복잡하므로 주의가 필요합니다. 또한, 의료 용어에서는 특정 억양이 요구될 수 있어 정확한 발음을 익히는 것이 중요합니다. 유튜브 영어 공부를 통해 반복적으로 이 단어들을 듣고 따라 하면서 shadow speech를 연습해 보세요. 발음의 뉘앙스를 이해하고 자연스러운 대화가 가능해질 것입니다.
이런 방식으로 해석하고 연습함으로써 여러분의 말을 더 자연스럽고 유창하게 만들 수 있습니다. 영어 회화 연습에 있어 실전 같은 경험을 통해 효과적으로 배우고 성장하세요.
쉐도잉이란? 영어 실력을 빠르게 키우는 과학적 방법
쉐도잉(Shadowing)은 원래 전문 통역사 훈련을 위해 개발된 언어 학습 기법으로, 다언어 학자인 Dr. Alexander Arguelles에 의해 대중화된 방법입니다. 핵심 원리는 간단하지만 매우 강력합니다: 원어민의 영어를 들으면서 1~2초의 짧은 지연으로 즉시 소리 내어 따라 말하는 것——마치 '그림자(shadow)'처럼 화자를 따라가는 것입니다. 문법 공부나 수동적인 청취와 달리, 쉐도잉은 뇌와 입 근육이 동시에 실시간으로 영어를 처리하고 재현하도록 훈련합니다. 연구에 따르면 이 방법은 발음 정확도, 억양, 리듬, 연음, 청취력, 말하기 유창성을 크게 향상시킵니다. IELTS 스피킹 준비와 자연스러운 영어 소통을 원하는 분들에게 특히 효과적입니다.