• Title/Summary/Keyword: Medical ethics

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The trends of duplicate publication in Korean Medical journals. (한의학 학술지에서의 이중게재 현황)

  • Ahn, Jin-hyang;Lee, Young-jin;Kwak, Jae-young;Kim, Min-hee;Choi, Inhwa
    • The Journal of Korean Medicine
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    • v.38 no.3
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    • pp.103-110
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    • 2017
  • Objectives: The purpose of this study was to examine trends in duplicate publication in Korean medical articles indexed in the Oriental Medicine Advanced Searching Integrated System(OASIS). Methods: We searched the list of papers published in Korean medical journals by using OASIS. We randomly extracted 10% of total articles (n=1,162). We searched using OASIS by entering keywords from the title and names of the first and last authors of each indexed article. After the librarian selected the candidates of duplicate publication, three authors reviewed the full texts of the articles independently. When their opinions were not in agreement, reconciliation was made by discussion. The patterns of duplicate publication, such as copy, salami slicing (fragmentation), and aggregation (imalas), were also determined. Results: A total of 1162 articles were evaluated, 24 (2.1%) index articles of which were duplicate articles. Among 24 index articles, Two were triple publications and 22 were double publications. The patterns of duplication publication were as follows; (1) copy (n=8, 33.3%); (2) salami (9, 37.5%), (3) imalas (5, 20.8%) (4) others (2, 8.3%). Conclusion: Duplicate publications have appeared in Korean medical journals in a small proportion. Education on publication ethics and authors'ethical awareness is needed.

Perceptions and Attitudes of Nurses toward Euthanasia (임상 간호사의 안락사에 대안 인식과 태도)

  • Son Haeng-Mi
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.11 no.3
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    • pp.309-316
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    • 2004
  • Purpose: The purpose of this study was to identify the perceptions and attitudes of nurses toward euthanasia. Method: In this descriptive study, data were collected from 485 nurses using a self-report questionnaire. The attitudes toward euthanasia scales were composed of four sub dimensions; quality of life, client's right, respect for life and medical ethics. The data were analyzed with descriptive and parametric statistics using SPSS WIN program. Results: Of the nurses, 84.7% were in agreement with constituting a law for euthanasia and 57.6% accepted passive euthanasia. Further, 80.1% would accept euthanasia for their own end-of-life situation. The most frequent reason for pro euthanasia was pain relief, and for con, respect for lift. The mean attitude score was 54.64 and that of sub dimensions, were 2.81 for quality of life, 3.21 for client's right, 2.87 for respect for life, and 2.84 for medical ethics. The nurses who were positive in their thinking about euthanasia had higher attitude scores. Among general characteristics of the nurses, attitudes scores were significantly different according to religion. Conclusion: Although many nurses had a positive concept of euthanasia, they still have ethical dilemmas in lift-sustaining care. Therefore training programs on moral rights are necessary to provide guidelines for end-of-life care.

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A Study on the Past that Work Scope of Medical Interpreter Professional Personnel -Focusing on the Range of Possible Questions for the Medical Translation Ability Test (의료통역전문인력 업무범위에 대한 소고 -의료통역능력검정시험 출제범위 중심으로)

  • Kim, Seung Chul;Kim, Tae-Hyung;Lee, Yeon-Kyung
    • The Journal of the Korea Contents Association
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    • v.20 no.4
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    • pp.571-581
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    • 2020
  • There are large, medium, and small items in the evaluation test for medical interpreter professionals personnel and the criteria and level are not clear, which may cause confusion for those preparing for the test. Therefore, we would like to suggest that the qualification requirements for the medical translation ability test and the criteria for the evaluation items are consistent with the medical system in Korea. The survey on the medical interpreter competency test conducted was collected from domestic and foreign data, compared with similar test and overseas test. We also examined the perception of the test by experts with experience in developing and interpreting the medical interpretation test. As a result, in the 'International Culture' evaluation category, 'Language-oriented culture' was changed to 'Medical-oriented culture' and 'Interpretation ethics' was changed to 'Medical interpretation ethics'. In the evaluation items of the hospital system, the 'Medical Dispute Mediation Act', which is 「ACT ON MEDIATION OF MEDICAL DISPUTES」 of the middle item was changed the 「ACT ON REMEDIES FOR INJURIES FROM MEDICAL MALPRACTICE AND MEDIATION OF MEDICAL DISPUTES」 and the Act also reduced the four items related to the 'Medical Tourism Law' to two and added the 「ACT ON SUPPORTING THE ADVANCEMENT OF MEDICAL OVERSEAS AND ATTRACTING FOREIGN PATIENTS」. If the Medical Interpretation Proficiency Test is prepared in accordance with the medical culture of Korea, it is expected that there will be a stable opportunity for professionals who pass the examination to act as experts.

Ethical Perspectives on the Middle East Respiratory Syndrome Coronavirus Epidemic in Korea

  • Kim, Ock-Joo
    • Journal of Preventive Medicine and Public Health
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    • v.49 no.1
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    • pp.18-22
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    • 2016
  • Ethical considerations are essential in planning for and responding to outbreaks of infectious diseases. During the outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) in the Republic of Korea in 2015, serious challenges emerged regarding important ethical issues, such as transparency and the protection of privacy. The development of bioethics in Korea has been influenced by individualistic perspectives applied in clinical contexts, leading to a paucity of ethical perspectives relevant to population-level phenomena such as outbreaks. Alternative theories of public health ethics include the perspectives of relational autonomy and the patient as victim and vector. Public health actions need to incorporate clear and systematic procedures founded upon ethical principles. The MERS-CoV epidemic in Korea created significant public support for more aggressive early interventions in future outbreaks. This trend makes it all the more imperative for ethical principles and procedures to be implemented in future planning and responses to outbreaks in order to promote perceptions of legitimacy and civic participation.

Mission and Operation of Institutional Review Board (임상시험심사위원회의 임무와 운영)

  • Kim, Yong-Jin
    • Journal of Yeungnam Medical Science
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    • v.30 no.2
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    • pp.73-78
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    • 2013
  • An institutional review board (IRB) should independently safeguard the right, safety, and well-being of all clinical trial subjects. It should consist of members who are qualified and experienced to review and evaluate the science, medical aspects, and ethics of the proposed trial. They have to pursue continuing efforts to improve the standards of review. The levels of review include the full board review, expedited review, continuing review, or exempt from review, while the levels of decision-making include approval, conditional approval, deferred approval, and disapproval. Investigators must follow the approved protocols and regulations honestly, and it is the IRB's mission to audit clinical trial sites as well.

COVID-19 and IRB Review (코로나19와 IRB 심의)

  • Shin, Hee-Young
    • The Journal of KAIRB
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    • v.2 no.2
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    • pp.33-36
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    • 2020
  • In December 2019, coronavirus disease 2019 (COVID-19) was discovered in Wuhan, China. The disease was so severe that as early as 30 January 2020 COVID-19 was declared by WHO as a Public Health Emergency of International Concern. There have been a lot of concerns about conducting COVID-19 clinical researches scientifically and ethically in pandemic. This article is directed at addressing these issues from the perspective of IRB. First of all, the urgency of COVID-19 research requires prompt IRB process through efficient ethics review and oversight system. IRB should determine whether the risks that will be presented to human subjects are justified after assessing possible harm and anticipated benefits. The safety of subjects should not be compromised. Furthermore, informed consent should be voluntarily obtained by sufficient information in consideration of special circumstances during a pandemic.

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Comparison Study on Views of Life and Death and Spiritual Well-being of Medical and Non-Medical University Students (임상실습을 경험한 의과대학생과 일반대학생의 생사관과 영적안녕에 대한 비교연구)

  • Park, So Young;Kim, Clara Tammy
    • The Journal of the Korea Contents Association
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    • v.20 no.11
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    • pp.501-510
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    • 2020
  • The aim of this study was to examine the characteristics of views of life and death and spiritual wellbeing of medical and non-medical university students and to compare their correlation. To this end, 95 medical students from H University and 103 non-medical students from A University were sampled for this research. The research results are as follows: For both medical and non-medical university students, negative meaning of death was found to be most high among sub-factors of views of life and death. Medical and non-medical university students differed in death anxiety and life respect will as medical students showed lower death anxiety and higher life respect will than non-medical students. As a result of analyzing the correlation between view of life and death and the sub-factors of spiritual wellbeing, religious wellbeing showed negative correlation with meaning of death, and both existential and religious wellbeing showed positive correlation with life respect will in medical university students. The results of this study are expected to be helpful in constructing differentiated contents in biomedical ethics education for medical university students who will be exposed to medical deaths.

OEM Pre-Medical Education ('OEM' 방식의 의예과 교육은 개선되어야 한다)

  • Lee, Sung Nak
    • Korean Medical Education Review
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    • v.12 no.2
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    • pp.3-4
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    • 2010
  • Purpose: Education provided in many Korean medical colleges still isn't free from the contents of the "2+4 year program." Korean medical colleges especially holds onto the belief that humanities must be taught to the lower grades. Methods: I introduced the six-year integrated program and reversed the order of the existing education program. The new program assigned anatomy, physiology, and biochemistry to the 1st years, and humanities subjects such as forensic medicine and medical ethics to the 4th, 5th, and 6th years. Results: Increased participation and interests among students. Conclusion: Occupational and Environmental Medicine (OEM) at the level of pre-medicine brings harm rather than good.

History and Future of the Korean Medical Education System (우리나라 의사양성체제의 역사와 미래)

  • Ahn, Duck-Sun;Han, Hee-Jin
    • Korean Medical Education Review
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    • v.20 no.2
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    • pp.65-71
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    • 2018
  • Western medicine was first introduced to Korea by Christian missionaries and then by the Japanese in the late 19th century without its historical, philosophical, cultural, social, political, and economic values being communicated. Specifically, during the Japanese colonial era, only ideologically 'degenerated' medicine was taught to Koreans and the main orthodox stream of medicine was inaccessible. Hence, Korean medical education not only focuses on basic and clinical medicine, but also inherited hierarchical discrimination and structural violence. After Korea's liberation from Japan and the Korean war, the Korean medical education system was predominantly influenced by Americans and the Western medical education system was adopted by Korea beginning in the 1980s. During this time, ethical problems arose in Korean medical society and highlighted a need for medical humanities education to address them. For Korean medical students who are notably lacking humanistic and social culture, medical humanities education should be emphasized in the curriculum. In the Fourth Industrial Revolution, human physicians may only be distinguishable from robot physicians by ethical consciousness; consequentially, the Korean government should invest more of its public funds to develop and establish a medical humanities program in medical colleges. Such an improved medical education system in Korea is expected to foster talented physicians who are also respectable people.