• 항공우주의학회지
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• 제29권2호
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• pp.67-71
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• 2019

The health of licence holders (flight crew members and air traffic controllers) is recognized as an important element of aviation safety. The medical emergency symptoms that occur during the flight duty period without prior notice can interfere with human performance capabilities and threaten aviation safety. To prevent this, ICAO has been required to conduct a periodic medical assessment process of licence holders including routine analysis of in-flight incapacitation events and medical findings during medical to identify areas of increased medical risk and continuous reevaluation of the medical assessment process to concentrate on identified areas of increased medical risk. The supply and demand of licence holders have become a major issue due to the increase in air traffic around the world, and the pilot retirement age has been extended to 65 years. But, there is no significant change in the aviation medical assessments process. The follow up of the result of medical examination discovered through aviation medical examination is a very important part, but it has not been properly implemented, and the sick leaves and medical inflight incapacitation reporting system should be improved. The management of health risk factors for licence holders must be implemented to prevent aircraft accidents or aviation safety problems caused by health problems. In this paper, we propose the development plan and concrete improvement plan of the health risk management system of licence holders in Korea in terms of aviation safety.

• 보건행정학회지
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• 제28권1호
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• pp.23-34
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• 2018

Background: This study aims to conduct curriculum analysis on health management schools focusing on relationship with licence and certification in Republic of Korea. Methods: Possible employment field, licence and certification as well as curriculum were collected from the home page of 30 health management schools. The subjects and credits of curriculum were analyzed using descriptive statistics. Main subjects by areas were drew using categorization and ranking within qualitative methods. Comparative analysis was conducted for checking relationship between main subject and possible employment field, licence and certification. Results: First, major employment fields after graduation were public health officer, general hospital and clinic, and National Health Insurance Service. Possible licence and certificate were hospital administrator, medical recorder, health education specialist, and medical insurance specialist. Second, total graduate credits were 133.9 including 79.0 for major education, 30.5 for of general education, and 30.5 for elective courses. Third, main subjects were reviewed by areas including basic medicine, health management, hospital business & management, medical records & information, insurance billing & assessment, healthcare marketing & tourism, and health education. There were highest number of subjects on health education area among 8 categories. By subjects, many health management schools open health law, medical terminology, introduction to public health, and biostatistics. Relationship between main subjects and possible employment field, licence and certification in health management schools was strong. Conclusion: It is necessary to review curriculum and for improving educational quality in health management schools. Also, development of curriculum standards for courses in health administration and introduction of accreditation system can be considered.

• 의료법학
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• 제11권2호
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• pp.75-112
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• 2010

This article analyses the concept of medicine in the legal context. It is not easy to define the concept of medicine because medical practice has various dimensions and the situation in which the practice is performed has a broad variety. The duty of medical law is to build the boundary of protection in that the nature of medicine would not be distorted by the factors of social systems like industry or governmental authorities. Without understanding the various dimensions - especially the dimension of Humanities and Sociology - of the medicine it is not possible to draw the limit on the performance of medicine appropriately. Concerning the medical practice (especially in the context of the regulation of medical licence), the enacted law (Medical Act) defines the concept just for form's sake and it finally depends on the interpretation of the legal enforcement authorities. Moreover, between the judgments of the courts there exists no coherent principles for the regulation and the interpretation of the Medical Act depends often on the riskiness, the abstract concept, which finally leads the interpretation to depend on the subject of the practice. On the contrary, the development and scientific movement of the technology tends to tighten the range of the medical professionals of medical practice and the perspectives of the medicine. Medical act is actually oriented at the patient's understanding of him- or herself. The above-mentioned tendency of the interpretation and the legal policy could lead the medicine away from its nature.

• 의료법학
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• 제15권1호
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• pp.59-80
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• 2014

The Medical Affairs Law regulates that Medical Doctor and Korean Medical Doctor(KMD) can practice in the boundary of each licence. But there is no clear provision to explain what practice in the boundary of MD's permitted region and what is KMD's. Moreover practice over the boundary of licence could be punished as a violation of the Law. KMD's use of medical devices have been objects of legal conflicts in the field. Because there is no clear provision in the Law, judical precedents have played the role as practical and final regulations. In this study, analyses on some judical precedents could show some rationales whether an issued KMD's use of medical devices is in the boundary of license. The courts considered the theories based on the practice, the level of required specialty and education, and the probability of danger to a patient. The judical precedents should be reviewed more precisely in the respects that it is adaptable in "the written law system"and it is desirable to divide boundaries between MD's and KMD's.

• 대한예방한의학회지
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• 제14권1호
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• pp.125-135
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• 2010

The aim of this study is to observe the spread and implementation of acupuncture as an official medical treatment in France. This research is based on the study of the scientific magazine produced by the Association of Acupuncturist Doctors of France from 1945 to 2008 as well as medical and sociological studies. Western medicine was introduced and spread in Korea about one hundred years ago and is the foundation of modern Korean medicine. Nowadays it is more commonly employed than traditional Oriental medicine. Oriental medicine was introduced in France in the 17th century but only acupuncture gained notoriety. The French Faculty of Medicine officially chose to legalize acupuncture after WWII but only allowed doctors to study acupuncture. It takes three years to obtain an Inter-University Degree(DIU) in acupuncture therapy. Why would the Faculty of Medicine make a holistic treatment system official that is in opposition to the systematic treatment method of the Western medicine? The second question posed is, does Western Academia still recognize acupuncture as a viable treatment method? The final question addressed is, has acupuncture any real impact on medical treatment of the French Society?

• 대한예방한의학회지
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• 제28권1호
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• pp.31-42
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• 2024

Objective : In order to understand the changes in domestic approval regulations applicable to traditional Korean medical device companies, this article will explain the major amendments 「Regulation on Medical Device Approval Report Review, etc.」 from 2005 to the present on a year-by-year basis, and provide a counter plan to the recent changes in approval regulations. Methods : We analysed the changes in approval regulatory amendments related to the traditional Korean medical devices from 2005 to the present. Results : The Ministry of Food and Drug Safety is continuously improving medical device approval regulations to ensure the global competitiveness of domestic medical devices and contribute to the improvement of public health. Recent major approval regulatory amendments include the establishment of a review system for software medical devices and digital therapeutics, the recognition of real world evidence materials, the introduction of a biological evaluation of medical devices within a risk management process and a medical device approval licence renewal system. Conclusions : It is expected that the range of medical devices available to Korean medicine doctors will continue to expand in the future through the provision of non-face-to-face medical services and the development of advanced and new medical devices, as well as wearable medical devices and digital therapeutics. In order to increase the market entry potential of traditional Korean medical devices that incorporate advanced technologies such as digital technology and AI-based diagnosis and prediction technology, it is urgent that the government provide significant support to traditional Korean medical device companies to improve approval regulatory compliance.

• 의료법학
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• 제11권1호
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• pp.173-198
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• 2010

There is a system in Korea named "Advanced Practice Nurse System" qualified by the Minister of Health, Welfare and Family Affairs for Advanced Practice Nurse besides nurse licence. Medical practice is, in today's medical law, understood as a general concept colligating medical practice, nursing practice and midwife practice and so on, for it is defined as a deed of medical technique practiced by medical personnel. Referring to the fact that the Supreme Court recognizes medical personnel as people who have medical expert knowledge, nursing practice can be recognized as a region of medical business and therefore it is not necessary to prescribe nursing practice separately from the definition of medical practice on a precedent, because nurse belongs to medical personnel. According to the precedent regarding 'Unlicensed Medical Practice of Advanced Practice Nurse for Anesthesia' recently sentenced by the Supreme Court, the medical practice is only allowed a doctor because it is 'in need of special knowledge and experience because of high danger on human body' and it is judged to be an unlicensed medical practice prohibited in medical law if it is to be done by a nurse. When considering the actual situation that System for Advanced Practice Nurse for Anesthesia is established under the circumstance that an anesthetist is in want and therefore the operation has not been performed on time, and that it is being expected an anesthetist to be in need, it is necessary to legislate for the range of medical practice of Advanced Practice Nurse so that Advanced Practice Nurse System can be practically legalized, for the role of Advanced Practice Nurse has the great possibility of shrinking because the precedent has considered Advanced Practice Nurse for Anesthesia doing anesthetic operation in clinic today as a potential wrongdoer.

• 한국산학기술학회논문지
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• 제13권1호
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• pp.194-200
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• 2012

본 연구는 국가고시를 앞둔 응급구조과 학생들의 스트레스에 영향을 미치는 요인을 분석하기 위해 시도되었다. 연구 기간 및 대상은 2010년 10월 1일부터 11월 1일까지 K광역시에 소재한 대학의 응급구조학과 3학년 학생 87명 이었다. 연구도구는 대상자의 일반적 특성 12문항, 스트레스 요인 20문항, 스트레스 적응방법 34문항으로 총 66문항으로 구성되어 있다. 수집된 자료는 SPSS PC프로그램을 이용하여 산술 통계, t-test, ANOVA와 Pearson's Correlation을 이용하여 분석하였다. 본 연구대상자의 스트레스 정도를 분석한 결과 영역별로는 교과과정이 3.67로 가장 높았으며 과제물이 3.39, 공부환경 3.37, 시험 3.35, 취업 3.04 순으로 전체 평균 점수는 3.36이였다. 대상자의 스트레스 적응방법의 전체 평균은 2.85이며, 장기적 적응방법의 평균은 3.14, 단기적 적응방법의 평균은 2.55로 대상자들은 스트레스적응방법 중 장기적 적응방법을 더 많이 사용하는 것으로 나타났다. 일반적 특성 중 스트레스 정도와 유의한 차이를 보인 특성은 성별(t=4.366, p=.040), 성적(F=2.527, p=.047)이었으며 스트레스 영역별 요인과 스트레스 정도와의 상관관계 분석결과 시험(r=.809, p=.000), 교과과정(r=.657, p=.000), 과제(r=.798, p=.000), 공부환경(r=.738, p=.000), 취업(r=.619, p=.000)에서 유의하게 상관성이 높은 것으로 나타났다. 따라서 본 연구 결과에서 나타난 관련요인을 파악하여 스트레스 관리의 효율적인 대처방안 프로그램의 개발과 더 다양하고 구체적인 후속 연구가 필요하다고 사료된다.

• 보건행정학회지
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• 제29권4호
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• pp.394-398
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• 2019

Education on the physician continues with undergraduate medical education, graduate medical education, and continuous medical education. The countries such as the United States, Japan, the United Kingdom, German, and others are required to undergo training in the clinical field for 2 years after completing the national medical examination, and to become doctors after passing the clinical practice license test. Korea can obtain a medical license and become a clinical doctor at the same time if it passes written and practical tests after completing 6 years of undergraduate medical education or 4 years of graduate school. About 90% of medical school graduates replace clinical practice with 4-5 years of training to acquire professional qualifications, but this is an option for individual doctors rather than an extension of the licensing system under law. The medical professional qualification system is implemented by the Ministry of Health and Welfare on the regulation. In fact, under the supervision of the government, the Korean Hospital Association, the Korean Medical Association, and the Korean Academy of Medical Sciences progress most procedures. After training and becoming a specialist, the only thing that is given to a specialist is the right to mark him or her as a specialist in marking a medical institution and advertising. The government's guidelines for professional training are too restrictive, such as the recruitment method of residents, annual training courses of residents, dispatch rule of the residents, and the quota of residents of training hospitals. Although professional training systems are operated in the United States, the United Kingdom, France, and Germany, most of them are organized and operated by public professional organizations and widely recognize the autonomy of academic institutions and hospitals. Korea should also introduce a compulsory education system after graduating from medical education and organize and initiate by autonomic public professional organization that meets global standards.

• 한국산림과학회지
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• 제103권2호
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• pp.299-306
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• 2014

일본과 한국은 산림의 건강증진 효과에 주목하고 산림치유사업을 전개하고 있으나 제도와 정책은 차이가 많다. 일본은 산림치유사업을 지자체와 주민이 운영하는 반면 한국은 산림청이 운영한다. 일본은 삼림세라피 기지 인증제를 이용해 삼림의과학적 증거에 바탕을 두고 산림치유의 질을 유지하면서 지자체와 주민의 경쟁적 참여를 유도하며, 산림치유사업자협회를 통해 인력을 양성하고 연구회가 운영방식을 개선한다. 반면 한국은 허가제에 기초해 법제 정비를 실시하였으나, 아직 치유의 숲 조성과 인력 양성이 초기단계에 있으며 운영방식도 체계화되어 있지 않다. 산림치유 육성정책은 일본의 경우 지역진흥 및 산촌활성화 정책과 중첩되어 자체 추진력이 약하지만, 한국의 경우는 산림서비스 확대라는 정책목표 아래 고유의 정책체계를 가짐으로써 강력히 추진되고 있다.