• Title/Summary/Keyword: 치과전문의제도

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세월따라 살펴보는 치과계 풍속도

  • An, Jeong-Mi
    • The Journal of the Korean dental association
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    • v.36 no.11 s.354
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    • pp.760-765
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    • 1998
  • 일본인에 의해 경성치과전문대학이 세워진 후 몇십년이 지난 지금 11개의 치과대학이 생겨났고, 과거에는 많은 무의촌 지역이 존재했지만 이제 전국민의료보험이 실시되는 한편, 의사는 과잉배출되는 시대에까지 이르렀다. 그리고 몇십년동안 갑을논박해왔던 치과의사전문의제도 또한 실시를 눈앞에 두고 있따. 앞으로 21세기르르 목전에 두고 있는 상황에서 치과계에서는 또 어떤역사를 남기게 될까. 이 시점에서 과거 50년대부터 현재에 이르기까지 치과계의 산증인을 통해 전반적인 변화된 모습을 살펴본다.

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치과의사 전공의 연차별 수련 교과과정

  • The Korean Dental Association
    • The Journal of the Korean dental association
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    • v.41 no.5 s.408
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    • pp.327-345
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    • 2003
  • 치협은 치과의사전문의제도 시행을 앞두고 인턴 및 레지던트들이 수련병원에서 최소 필요충분하게 교육받아야 하는 과정을 도출해냈다. 이를 위해 치협은 치의전문의제를 실시하는 10개 분과학회의 대표를 중심으로 치과의사 전공의 수련병원(기관) 수련교육 표준화 작업 연구위원회를 구성하고 몇 차례의 논의 끝에 '치과의사 전공의 연차별 수련 교과과정'보고서를 완성했다. 보고서는 10개 분과학회별로 각 학회에서 논의를 거친 내용으로서 향후 치의전문의제를 실시하는데 있어서 전공의들의 연차별 수련 교과과정을 제시해 준다. 회원들의 이해를 돕기 위해 보고서의 전문을 게재한다.

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A Study on the Changes of Dental Health System's Expertise and Spatial Composition according to Dental Specialist System Enforcement in Korea (한국 치과 전문의 제도 시행에 따른 치과 의료체계의 전문성과 공간구성의 변화에 관한 연구)

  • Jeong, Tae-Jong
    • Journal of the Architectural Institute of Korea Planning & Design
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    • v.36 no.5
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    • pp.33-40
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    • 2020
  • The purpose of this research is to provide the basic information for the development of dental healthcare system's expertise and spatial composition in diverse dental spaces in Korea according to dental specialist system enforcement. Literature review of dental expertise especially dental specialist system and investigation on current status of spatial composition of dental spaces have been conducted. After the review, the spatial composition with field survey and architectural drawings of selected dental spaces have been analyzed. The result of this study is arranged with three points. First of all, the main clinical dental spaces are the dental school's dental hospital, dental department in medical center/hospital and private dental clinic in Korea. The second one is that dental school's dental hospital had differentiated to 10-11 departments in 1970-1980's and dental department in medical center/hospital has been changing to dental hospital with 5-7 departments in 2010's, and dental clinic is changing to specific dental clinic according to dental specialist system in 2018. The third one is that spatial composition is related with dental expertise at diverse levels. Spatial composition in dental school's dental hospital had been highly differentiated with dental expertise, dental department in medical center/hospital is partially subdivided with dental specialist system, but that of dental clinic is not changed according to dental specialist system. In addition to current spatial composition according to dental expertise, it is necessary to analyze the change of spatial composition with diachronic methods to develop the dental healthcare system.

The Analysis of Patients in Oral Medicine and the Evaluation of Oral Medicine as a Special Field (내원경로 분석을 통한 전문과목으로서의 구강내과의 역할)

  • Chung, Tae-Yong;Ryu, Ji-Won;Kang, Jin-Kyu;Ahn, Hyung-Joon;Choi, Jong-Hoon
    • Journal of Oral Medicine and Pain
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    • v.30 no.4
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    • pp.391-400
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    • 2005
  • Special Practitioner exists based on the need for special fields that are required to manage difficult patients with specialized skills distinguished from General practitioner. The purpose of dental specialist system is to manage patients who are not treatable by general practitioner by training doctors specializing in one specific field, thereby, enhancing health of the public. Oral Medicine deals with orofacial pain, oral soft tissue disease, forensic dentistry, oral diagnosis. In these days, living environments of city life bring about increase in stress which ultimately lead to increase in prevalence of temporomandibular disorder, oral soft tissue disease, neuropathies such as trigeminal neuralgia, and hence, the number of patients seeking help of those symptoms tend to increase. The purpose of this study was to analyze the rate of referrals and the routes of patients seeking help by investigating 3,707 patients who visited Department of Oral Medicine, College of Dentistry, Yonsei University, from August, 2004 to April, 2005. The results were as follows: 1. The types of disease referred to the Department of Oral Medicine were orofacial pain, oral soft tissue disease, forensic dentistry, oral diagnosis. 2. The rate of referrals was 58.51% which implies that more than half of the patients visiting the Department of Oral Medicine were referred. 3. The types of institution which made referrals were analyzed, and as a result, dental clinics made most of the referrals with the rate of 83.23%, while that from medical or oriental medical institutions was 16.78%. 4. Among the patients who visited the Department of Oral Medicine on their own, 30.52% gained the information about the Department of Oral Medicine from internet and mass media, and from neighbors. From the above results, most of the patients visiting the Department of Oral Medicine were found to be referred not only from the field of dentistry but also from the field of medicine. These suggest that Oral Medicine manages patients who are not treatable by general dental practitioners, and medical specialists tend to cooperate with the Department of Oral Medicine to manage diseases associated with Oral Medicine. Therefore, the role of Oral Medicine can be considered to be important as a special field, and the results of this study should be considered when working out a policy of Dental specialist system on demand and supply of residents in the future.

Importance and Influence in Factors of Selecting Dental Clinics in Some Regions (일부지역의 치과병·의원 선택요인의 중요도와 영향)

  • Chun, Ae-Jong;Lee, Ka-Yean
    • Journal of dental hygiene science
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    • v.10 no.1
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    • pp.45-54
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    • 2010
  • The purpose of this study was to offer the importance on factors of selecting dental institution according to general characteristics targeting general dental patients, and the information of having important influence upon choosing dental clinic and dental hospital. The survey was carried out from August 2009 to September. As a result of analyzing SAS(ver 9.1), the following conclusions were obtained. In the importance on factors of selecting dental institution according to general characteristics, it was thought to be important in convenience of movement or mobility such as distance, transportation, and parking convenience according to age level. According to final academic background, the importance in a factor of rumor in dental clinic was high(p < 0.05). According to job, the significant difference was shown in rumor of dentistry and parking convenience(p < 0.05). According to income, the factor in the appearance of training a medical specialist was indicated to be statistically higher in the group with over 5 million won than the group with under 2 million won(p < 0.05). Given seeing the distribution of opinion about dental hospitals (comparison with dental clinics), the excellence in the medical staff's ability was indicated to be the highest in all of the factor of influencing the use satisfaction(${\beta}=0.18$), the factor of influencing the recommendation level(${\beta}=0.21$), and the factor of influencing the re-use intention(OR=2.09).

Treatment Pattern of Patients with Neuropathic Pain in Korea (한국인 신경병성 동통 환자의 치료 양태 연구)

  • Han, Sung-Hee;Lee, Ki-Ho;Kim, Mee-Eun;Kim, Ki-Suk
    • Journal of Oral Medicine and Pain
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    • v.34 no.2
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    • pp.197-205
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    • 2009
  • The purpose of this study was to investigate the treatment pattern of patients with neuropathic pain (NeP) in Korea through computerized database of Health Insurance Review and Assessment Service (HIRAS) over three years' period from 2003 to 2005. The results showed that the numbers of treatment visits were the highest for diabetic neuropathy (DN), followed by postherpetic neuralgia (PHN) and trigeminal neuralgia (TN) in order. Top 3 specialties for treatment visits due to NeP conditions were neurology, neurosurgery and anesthesiology. While cost of a treatment visit was higher in anesthesiology and emergency clinics compared to other clinics, there was a tendency to increase costs for visits to clinics of rehabilitation medicine and family medicine over the three years. Cost of dental visits was relatively high for TN, atypical facial pain (AFP) and atypical odontalgia (AO). Surgeries frequently applied to patients with NeP were sympathetic plexus or ganglion block, block of peripheral branch of spinal nerve and cranial nerve or its peripheral branch block. Most common prescribed medication were anticonvulsants, anti-inflammatory analgesics and anti-psychotic drugs while anti-inflammatory analgesics were overwhelmingly frequently prescribed for AO and glossodynia. Based on the results of this study, NeP disorders more relevant to dentists were AO, TN and AFP, TN of which seems to be the most important in terms of patients' number and cost for treatment visits. This indicates that dentists, especially oral medicine specialists should actively participate in management of TN, AO and AFP and share relevant information with patients and community.