• 제목/요약/키워드: Medical Professionalism

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Integrated Management Plan for Graduate Medical Education and Accreditation Bodies in Korea (우리나라 전공의 교육 및 관련 인증기관에 대한 통합적 관리계획)

  • Lim, Ki-Young
    • Korean Medical Education Review
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    • v.20 no.3
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    • pp.123-127
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    • 2018
  • Graduate medical education is the most important phase among the three stages of medical education. It links basic medical education and continuing professional development. It is also a critical period in acquiring meaningful knowledge, skills and professionalism. The residents should be able to develop the core common competencies on top of their specialozeds field's expertise, in order to function as independent and qualified physicians. Despite the obvious importance of graduate medical education, the system in Korea has been designed and executed to meet the needs of the hospitals in the perspective of manpower management, rather than to educate and empower the residents. As a result, graduate medical education in Korea lacks clear educational objectives and systemic, resident-centered curriculums. Yet, we have no accreditation body to evaluate graduate medical education programs. In order to normalize graduate medical education, an integrated and unified institution that manages the whole process of the graduate medical education is desperately needed. Special attention should be given to the role of medical schools in educating the core common competencies. The Korean Association of Medical Colleges, the Korean Institute for Medical Education and Evaluation, and the Korean Academy of Medical Sciences should cooperate intimately to establish a new organization for the systemic management and development of graduate medical education.

Requirement for Amendment of the Law on the Phrase 'Instruction of Physicians or Dentists' in Medical Service Technologist, etc Act (의료기사 등에 관한 법률에서 '의사 또는 치과의사의 지도' 문구에 대한 법률 개정 요구도)

  • Lim, Woo-Taek;Lim, Cheong-Hwan;Joo, Young-Cheol;Hong, Dong-Hee;Jung, Hong-Ryang;Kim, Eun-Hye;Yoon, Yong-Su;Jung, Young-Jin;Choi, Ji-Won
    • Journal of radiological science and technology
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    • v.44 no.5
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    • pp.503-512
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    • 2021
  • The purpose of this study is to check the extent to which "instruction of physician or dentist" defined in the Medical Service Technologists, etc. Act is applied in relation to radiography examination procedures for radiological technologists. In addition, it is intended to present basic data on the requirement to revise the Medical Service Technologists, etc. Act in the radiological technologist's duty area and scope of work, The subjects of this study were radiological technologists with license, and the response data were collected after sending the questionnaire link written on the online questionnaire form. The final number of respondents were 1,018, and the response rate was 6.8%. Most of the negative responses were "I have never received 'instruction' for radiologic examination by a physician or dentist, including a radiologist in a medical environment." There were a high perception that "the professionalism in radiation examination on radiological technologists are higher than that of a physician or dentist." They answered that the current continuing education has a great impact on maintaining and continuing professionalism and learning new knowledge in the radiology field. In addition, the radiological technologists provide a very high level of education in areas related to radiography procedure ethics such as patient care, patient safety, and patient privacy protection, as well as specialized fields such as radiation-related examination methods, radiography examination dose, and patient exposure dose. Radiological technologists replied that they were receiving it consistently. In conclusion, in the current medical environment, the 'instruction' of a physician or dentist cannot be seen as being realistically performed. The phrase 'instruction' of a physician or dentist as defined in the Medical Service Technologists, etc. Act is considered inappropriate in respect of the fact that the state recognizes the qualifications of the medical service technologist through a license. It is thought that revision to a new term suitable for the current medical environment is necessary.

Medical Practice and the Fundamental Rights: Approaching by Constitutional Interpretation (의료행위와 기본권: 헌법 해석적 접근)

  • Chang, Cheoljoon
    • The Korean Society of Law and Medicine
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    • v.15 no.1
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    • pp.11-34
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    • 2014
  • Promulgation of the medical practice rule without specific definition in Medical Law has brought about many constitutional issues. The major issue is that the law has the government punish unlicensed medical practice without defining what it is. Instead, the law chooses a license-centered structure of criminal punishment for medical malpractice, saying "no one can practice medicine without the government-approved license." This regulation violates the rule of "void for vagueness" based on the principle of "nulla poena nullum crimen sine lege." Judicial interpretation should be required for a citizen to understand the Medical Law provision intuitively. In addition, the law infringes upon the freedom of occupation of the unlicensed and the licensed who wish to extend his or her practice area for "holistic medicine." The central issue of the law is that it was established under no ground of professionalism even though medical practice has been understood professional. The government has centrally controlled the medical field for its needs. Lastly, the current law violates the right of medical selection of the consumers of medicine. Because patients have the right of health and life, they have to hold the latitude of selection for medical treatments. Especially, they should have an opportunity for considering the Complementary and Alternative Medicine if they want. But under the current rules, this medicine is not permitted. To correct those problems, a new provision for the definition of medical practice should be adopted at once.

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Legislative study on the qualification of level 1 emergency medical technicians (1급 응급구조사의 자격에 대한 입법론적 고찰)

  • Hwang, Seong-Ho
    • The Korean Journal of Emergency Medical Services
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    • v.23 no.3
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    • pp.17-27
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    • 2019
  • Purpose: To provide legislative data for the amendment of Article 36 of the Emergency Medical Service Act on the qualifications of emergency medical technicians. Methods: The study was drafted based on the Emergency Medical Service Act; data on the emergency medical technicians (EMT) system and curriculum in Korea, United States. Japan, and Taiwan; and previous studies on the EMT system in Korea. Results: The length of education. work scope. amd role of level 1 EMTs vary significantly depending on the type of qualifications they have as emergency medical professionals, while the supply of level 1 EMTs has already reached a point of saturation. Accordingly, the current regulation on allowing level 2 EMTs with at least three years of experience to take the level 1 EMT test presents serious inequity for students just graduating from their emergency medical services program. It is also a factor that degrades the professionalism of level 1 EMTs. Conclusion: Article 36, paragraph 2. subparagraph 3 of the Emergency Medical Services Act pertaining to regulations on "EMTs who have worked as level 2 EMTs for at least 3 years" needs to be removed.

A Historical Consideration of Dispute Among Physicians, Dentists, and Korean Medicine Doctors (의·치·한의학 간 분쟁에 관한 역사적 고찰)

  • Kim, Junhewk
    • The Journal of the Korean dental association
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    • v.58 no.4
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    • pp.251-262
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    • 2020
  • Until recently, dentistry did not show notable social conflicts with other medical professionals. This means that conflicts did not surface as medical doctors took the dominant position even though areas of intervention have been overlapped. The recent conflict between medical professionals, which began with clashes in the area of oral and maxillofacial surgery, have been embodied in the Supreme Court ruling on the use of Botox by dentists and the court ruling on the use of oral devices in oriental medicine. We look discuss at each case in detail to seek a solution to the problem of interprofessional conflict. We present professional duty of self-development and interprofessional education as a way to resolve disputes between medical professionals, which would be a major problem in the future of dentistry and medicine.

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Study for Effective Factors of Emotional Labor in Radiation Therapist of Radiation Oncology Department (방사선종양학과에 종사하는 치료방사선사의 감정노동에 미치는 요인에 관한 연구)

  • Shim, Jae-Goo;Seo, Jeong-Min;Park, Byoung-Suk;Joo, Sung-Hoon;Song, Ki-Won;Kim, Chan-Hyeong;Rhim, Jae-Dong;Kim, Yong Kyoon;Yang, Oh Nam
    • Journal of the Korea Safety Management & Science
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    • v.15 no.2
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    • pp.121-128
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    • 2013
  • The objectives of this study were to investigate the degrees of emotional labor, the effects to organizational effectiveness and the significant factors influencing organizational effectiveness in radiation therapy professional. The subjects of this study were the radiation therapists working at the hospital in Seoul and Gyungi. The self-reported questionnaires were administered to 205 radiation therapists and the data were analyzed with SPSS 19.0 package. The level of emotional labor of single or female subjects were revealed higher than married or male. The professionalism of job has significant correlation with emotional labor. Significant explanatory variables of the degrees of emotional labor included organization culture, distress and self-leadership. These three variables demonstrated the explanatory power of 13.9% of the emotional labor. Based on the findings, emotional labor of radiation therapist was correlated with occupational professionalism. These results suggest that the intervention program intervening emotional labor should be continued to develop in order to improve the effective self-leadership, organization culture and distress factor.

Perceptions and Attitudes towards Interprofessional Education in Medical Schools (의과대학에서의 보건의료 전문직 간 교육에 대한 현황과 인식)

  • Kim, Soyun
    • Korean Medical Education Review
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    • v.19 no.1
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    • pp.10-17
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    • 2017
  • Since the World Health Organization identified interprofessional education (IPE) as an important component in primary health care in the 1980s, medical and health sciences educators have continued to debate factors for implementing effective IPE in the classroom. Although IPE research is widespread internationally, few studies have been done in South Korea. This study explored the current status of IPE and examined factors that influence IPE in South Korea. A total of 30 (70%) out of 41 medical education experts in medical schools participated. Forty-seven percent of the participants reported that they allocated less than 5% of their time implementing IPE in the curriculum of their schools throughout the 4 years of medical school. Although all experts (100%) agreed that IPE is essential for medical students, they expressed practical difficulties in implementing IPE in the current education system. Factors that influence IPE are scheduling and curriculum (e.g., rigid curriculum vs. providing learning environment) and attitudes (e.g., lack of reciprocal respect vs. willingness to change). In addition, participants reported that communication skills and collaborative practice employing clinical practice or role-playing would be appropriate education methods and content for IPE in the future. The findings of this study provide a foundation for the implementation of IPE in South Korea. Future research directions for IPE in medical, nursing, and pharmacy schools are discussed.

Medical Students' Perceptions and Intentions Regarding Patient Safety (의과대학 학생들의 환자안전에 대한 인식)

  • Lee, Hoo-Yeon;Lee, Sang-Gyu
    • Quality Improvement in Health Care
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    • v.24 no.1
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    • pp.23-29
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    • 2018
  • Background: The purpose of this study was to examine undergraduate medical students' perceptions and intentions regarding patient safety during clinical clerkships. Methods: Cross-sectional and self-administered questionnaire survey was conducted on 34 students from one medical school using a modified version of the Medical Student Safety Attitudes and Professionalism Survey (MSSAPS). We assessed $4^{rd}-year$ medical students' perceptions of the cultures ('safety', 'teamwork', and 'error disclosure'), 'behavioural intentions' concerning patient safety issues and 'overall patient safety'. The overall response rate was 66.4%. Results: Among safety domains, "teamwork culture" was rated highest. "Error disclosure culture" received the lowest ratings. Regarding the error disclosure domain, only 10% of respondents reported that they have received education or training on how to disclose medical error to patients. Independent of survey domains, when students were asked "Overall, do you think your hospital is safe based on your clinical rotation?", 61.8% reported that the hospital was safe. Conclusions: Assessing students' perceptions of safety culture can provide clerkship directors and educators with information that enhances the educational environment and promotes patient safety. Discussions of medical errors, patient safety, and how best to incorporate an analysis of these issues into the existing curriculum are needed.

A Study on Leaving Factors of Patients in a Rehabilitation Hospital : in Bukgu, Daegu (신경계 재활전문병원 환자의 이탈요인에 관한 연구 : 대구시 북구를 중심으로)

  • Lee, Jae-Hong;Jeon, Kwon-Il;Kwon, Won-An;Lee, Jin-Hwan;Kim, Han-Soo
    • PNF and Movement
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    • v.10 no.4
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    • pp.41-48
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    • 2012
  • Purpose : The purpose of his study was to analyze the environmental and the medical selection factor on rehabilition hospital admission. Methods : The subjects were 107 patient and inpatients. The date were collected analyzed using the SPSS window 17.0 program. Results : General hospital select the recommendation 35.5%, medical team professionalism 18%, accessibility 16%, any others 14% appear in the rehabilitation hospital admission selection factor. Conclusion : Rehabilitation hospital admission selection factor is recommend and medical team service approach.

A Study on the Specialism and Professionalism of Journalists: A MERS-CoV Case (기자 경력 및 기자 전문성에 따른 취재활동 분석 - 메르스 취재를 중심으로 -)

  • Jeon, Hyoungjoon
    • Journal of Digital Convergence
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    • v.14 no.10
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    • pp.381-391
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    • 2016
  • This study analyzed the reporting activities of journalists who covered MERS-CoV in 2015. Twenty-one reporters were interviewed to investigate their differences in reporting. They were categorized into four small groups based on their specialism and professionalism. Some specialist reporters answered that they acknowledged the first MERS patient through an external source. A few special reporters contacted foreign experts for further information and one of them answered that she read academic articles on MERS to verify governmental announcements. Specialist reporter groups and the other groups showed difference when they were asked the situation they felt something was going wrong in governmental communication: Many specialist reporters pointed out the outbreak of a patient from out of the monitoring people, but many general reporters emphasized the policy of the government not to reveal the name of hospitals that the outbreaks happened.