• Title/Summary/Keyword: Medicine in Practice

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Introduction of Reflective Journals and Satisfaction Evaluation for Active Clinical Practice Model of Colleges and the school of Korean Medicine (한의과대학의 능동적 임상실습을 위한 성찰일지 도입 및 만족도 평가 - 한방 안이비인후피부과학 사례를 중심으로 -)

  • Kim, Chul-Yun;Seo, Hyung-Sik;Lee, Ma-Eum;Kwon, Kang
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.32 no.3
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    • pp.186-201
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    • 2019
  • Objectives : The aim of this study is to develop clinical practice program using reflective journals in the department of Korean medicine ophthalomology & otolaryngology & dermatology. Methods : It was applied to clinical practice and considered the adequacy of the clinical practice program using reflective journal for students who complete the clinical practice. Result : Students are given high marks for self-directed learning and Korean medicine ophththalomology & otolaryngology & dermatology professional learning.

An Analysis of Korean Supreme Court Cases Regarding Medical Practice and Clarifying the Meaning of Medical Practice (의료행위에 관한 용어정리 및 판례분석)

  • Noh, Tae-Heon
    • The Korean Society of Law and Medicine
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    • v.11 no.2
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    • pp.11-74
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    • 2010
  • This article analyzes legal meaning and definition of medical practice examining Korean Supreme Court cases. Until now, there is no right answer about the meaning of medical practice and it is also hard to define of it. Moreover, not only Acts and regulations containing medical practice but also many cases ruling a person who practice medicine, the concept of medical practice involves various meanings. So, it has caused confusion. In order to solve this problem, this article divides the medical practice's meaning into range and nature within prohibition article of the Medical Act about unlicensed personnel who practice medicine. After providing a explanation of the meaning of medical practice according to amendment of the Act, this article disputes the meanings of the several cases following the amendment. And then analyzing non-medical person's unlicensed medical practice and medical person's unlicensed medical practice. In order to provide more accurate legal concept of medical practice when Korean government amends the Medical Act or making policies in this field, this classifying analysis approach should be needed. Looking at the result, in general, Korean Supreme Court has interpreted unlicensed prohibition clause of the Medical Act widely; not only non-medical person's unlicensed medical practice but also medical person's unlicensed medical practice. Therefore, this article suggests that the prohibition clause needs to be careful applying to non-medical practice. Because, in fact, even though there are some necessity of non-medical practice, there are no qualificatory or license system of non-medical practitioner in the Medical Acts or regulations forbidding whole non-medical practices. Furthermore, the Supreme Court has decided medical person's unlicensed medical practice too narrowly, thus it does not keep up with rapid change of medical development and people's demands these days. Regarding this subject, in order to take advantage of medical practitioners effectively and cope with increasing people's medical demands, this article proposes that medical person's unlicensed medical practice only to be prohibited in case of endangering our public health.

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Satisfaction of Qigong Lecture in College of Oriental Medicine (한의과대학에서의 기공교육 향상을 위한 강의 만족도 조사)

  • Kim, Ki-Jin;Han, Chang-Hyun;Park, Ji-Ha;Choi, Seong-Hun;Lee, Sang-Nam
    • Korean Journal of Oriental Medicine
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    • v.15 no.1
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    • pp.69-78
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    • 2009
  • Objectives : To understand the basis for future improvement and development in the lectures, an evaluation was made on the lecture by the 'theory-practice-self study' system initiated in 'Yangseng Qigong(養生氣功) and practice' at Daegu Haani University. Method : We surveyed the satisfaction of 'Yangsaeng Qigon and Practice' which is the lecture that is composed theory, practice, self study for 120 students at college of oriental medicine in Daegu Haani University. Result : In the inquiry for the satisfaction with the general class of 'Yangsaeng Qigong and practice', 69% of students answered positively. As to the satisfaction with class grouping, 76% answered affirmatively, and as to the question "Agreement to the plan workable?", 72% said it was satisfactory, showing lectures by class grouping were made successful as planed. As to satisfaction with theory lectures, 36% were satisfied (38% unsatisfied), as to practice 90% was satisfied (2% unsatisfied) and as to the self-study and special lectures, 36% was satisfied (23% unsatisfied), showing the satisfaction was relatively higher for practice. To the question "Was it helpful in understanding hygiene Danjeon-breathing science?", 31% said yes (16% no) for theory, 87% yes (3% no) for practices, 32% yes (32% no) for special lectures, and 37% yes (28% no) for team assignments. Conclusions : The textbooks and majors of the lecturers turned out to be varied, but as seen from the result of lecture satisfaction on 'Yangseng Qigong and practice', it was different according to the preparedness of the lecturers and satisfaction with the lecture material. Despite the situation that most schools have chosen it as a major subject, the subject name was divergent among schools and the textbook and the content of practice were also not unified. At the point of globally rising interest in Qigong, this will only lead to its weak competitiveness when advancing to the world.

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Clinical Practice Patterns for Benign Prostatic Hyperplasia: An Online Survey (전립선증식증(Benign Prostatic Hyperplasia)의 한의 임상 진료 현황 조사를 위한 온라인 설문 조사)

  • Ji-soo Baek;Seon-mi Shin;Chung-sik Cho
    • The Journal of Internal Korean Medicine
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    • v.44 no.4
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    • pp.703-725
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    • 2023
  • Objectives: This study investigated Korean medicine doctors' perspectives on clinical practice patterns in the process of developing Korean medicine clinical practice guidelines for benign prostatic hyperplasia. Methods: A questionnaire was developed for Korean medicine doctors. A total of 323 oriental medicine doctors participated in the survey, which was live for a total of 9 days from September 22, 2022, to September 30, 2022. Results: Regarding awareness of treatments for benign prostatic hyperplasia, 63.8% of respondents showed high awareness of Korean medical treatments. However, items such as diagnostic criteria (17.7%), evaluation methods (17.0%), and Western medical treatments (22.9%) showed low recognition rates. In clinical practice, 76.2% of respondents were found to treat five or fewer patients with benign prostatic hyperplasia per month, and the average treatment period was 1 to 3 months for most at 41.2%. Korean medicine doctors diagnosed benign prostatic hyperplasia based on clinical features. The main interventions used were acupuncture, herbal medicine (prescription medicine), and moxibustion. This study has several limitations because of the low response rate for this survey; therefore, the participants are not representative of all Korean medicine doctors. In addition, because the study was conducted broadly on various topics related to benign prostatic hyperplasia, sufficient quality management was not carried out. Further studies that include a larger sample size and more in-depth studies on benign prostatic hyperplasia are needed. Conclusions: It is necessary to develop appropriate and reasonable Korean medicine clinical practice guidelines for benign prostatic hyperplasia.

An Analysis of Nursing Practice in an Oriental Medicine Hospital (일 대학부속 한방병원 간호사의 직무내용 및 직무량분석)

  • Ahn, Yang-Heui
    • Journal of East-West Nursing Research
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    • v.2 no.1
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    • pp.54-61
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    • 1997
  • This study was directed at analysing nursing practice in one oriental medicine hospital. In this study, the nurses were chosen from two units at one oriental medicine hospital. Using the worksampling method, a total of 780 series of nursing actions were collected over thirteen days. this study had two findings. First, the percentage for the amount of actual nursing practice was 79.5% which is lower than the amount of actual nursing practice in other western style general hospitals. Second, the content of nursing practice included nursing actions(43.8%), nursing management (35.5%), and education /research (0.1%), indicating that only the special care of oriental nursing and education /research were not observed in nursing practice. These findings indicate a deficit knowledge in oriental medicine and oriental nursing care by nurses in oriental medicine hospitals. Since Oriental Nursing has not been included in Nursing curriculum, there is a need for research to develop basic education in Oriental Medicine and pharmacology as well as the development of a sgstematized approach to Oriental Nursing so as to provide an appropriate background for nurses working in this field. Further research is needed to define nursing in the Oriental Medicine system.

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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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Clinical Practice Guidelines in Korean Medicine for Gastric Cancer (위암 치료에 대한 한의 임상 가이드라인)

  • Kim, Hyo-rin;Yoo, Hwa-seung;Baek, Dong-gi;Park, In-hae;Jang, Chul-yong;Kim, Hyo-young;Ha, Ye-jin;Moon, Goo
    • The Journal of Internal Korean Medicine
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    • v.37 no.1
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    • pp.26-46
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    • 2016
  • Objectives: The purpose of this study was to present the clinical guidelines and traditional Korean medicines for gastric cancer.Results: Gastric cancer is the second most common cancer in Korea. Recent studies have reported that applying integrative Oriental and Western medicine can suppress the tumor, improve the survival, the immune system, and the quality of life in gastric cancer. However, there still is no unified protocol for gastric cancer treatment, which produces difficulty in clinical applications. In Korea, a “Synopsis on the Clinical Practice Guidelines of Gastric Cancer” was published by the Korean Journal of Gastroenterology in 2014. In China, Oriental medicine clinical practice guidelines were published for the first time in 2014. The present author proposed “Clinical Practice Guidelines of Korean Medicine for Gastric Cancer” in 2014, but there is a need for more advanced guidelines with reference to the aforementioned Oriental and Western guidelines. This study will be helpful for understanding and building systems for integrative gastric cancer treatment.Conclusions: Further studies on integrative gastric cancer treatment are needed to improve the survival of gastric cancer patients and build the clinical practice guidelines for gastric cancer.

Resident Perceptions of Competency-Based Korean Medicine Education: A Qualitative, Content Analysis Study Conducted using Focus Group Interviews

  • Jiseong Hong
    • The Journal of Korean Medicine
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    • v.44 no.4
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    • pp.59-71
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    • 2023
  • Objectives: The new educational system emphasizes acquisition of clinical competency by the time of graduation from Korean medicine colleges that allow Korean medicine doctors to immediately perform clinical tasks. This study investigated awareness of competency-based education in Korean medicine hospital residents who must simultaneously undergo training and assist medical students in clinical practice. Methods: This was a qualitative research that was conducted using focus group interviews (FGIs) to investigate the awareness of demands for improvement in competency-based Korean medicine education in Korean medicine hospital. To apply the principles and procedures of FGIs, a semi-structured questionnaire was developed. Data analysis was conducted using the five steps of framework analysis. Results: According to contents analysis, first competency-based education that reflects actual clinical practice tasks is needed. Second, sufficient basic skill mastery education must be reinforced. Third, an intermediate curriculum that mediates clinical practice and basic education is needed. Fourth, the Objective Structured Clinical Examination and Clinical Performance Examination must be expanded to prepare for the Korean medicine doctor practical test. Conclusions: Korean medicine residents reported the gap between clinical practice and use of knowledge and skills acquired in the curriculum while acting as direct observers and educations of clinical clerkship in hospitals. Based on this exploratory study it is necessary to conduct research on the educational competency of Korean medicine residents who play an important role as educational leaders in Korean medicine clinical practice training.

Clinical Practice Guidelines of Korean Medicine for Malignant Lymphoma (악성 림프종 치료에 대한 한의 임상진료지침)

  • Jung, Hyun-sik;Lee, Sang-hun;Yoo, Hwa-seung;Kim, Kyung-suk
    • The Journal of Internal Korean Medicine
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    • v.37 no.3
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    • pp.453-466
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    • 2016
  • Objective: The purpose of this study was to present the clinical practice guideline of Korean medicine for malignant lymphoma.Background: Malignant lymphoma is the tenth most common cancer in Korea. The two main types of lymphoma are Hodgkin’s disease and non-Hodgkin’s lymphoma. Non-Hodgkin’s lymphomas are more common, comprising nearly 95 percent of all lymphomas. In China, the traditional Chinese medicine clinical guidelines for malignant lymphoma were published in 2014. Therefore, there is growing need for a clinical practice guideline in Korea, which has not thus far existed. This clinical practice guideline was created by reviewing the Chinese clinical practice guideline and Korean clinical reports. This study will be helpful in understanding malignant lymphoma and in understanding its treatment in Korean medicine.Conclusion: Further clinical research on malignant lymphoma is needed to develop a more advanced clinical guideline.

A Web-based Survey on Clinical Practice Patterns of Korean Medicine Treatment for Traffic Injuries (교통사고 상해증후군의 한의 임상진료 현황조사를 위한 웹기반 설문조사)

  • Park, In-Hwa;Hwang, Eui-Hyoung;Hwang, Man-suk;Heo, In;Kim, Byung-Jun;Lim, Kyeong-Tae;Shin, Byung-Cheul
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.4
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    • pp.131-145
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    • 2017
  • Objectives The purpose of this study is to understand current status of Korean Medicine treatment practice patterns for traffic injuries by web-based survey. Methods The structured questionnaire was distributed by a web based survey to 1,630 potential respondents by email from December 19th in 2016 to February 13th in 2017. All data were statistically analysed. Results The response rate was 79.4%. According to the analysis of the outcome of the survey, 88.0% of the participants felt necessity of the development of Korean medicine clinical practice guidelines (CPGs) for traffic injuries. Survey results showed cognitive degree about Korean Medicine CPGs' necessity, individual Korean medicine treatments and requirement for extending insurance coverage for patients with traffic injuries. Conclusions This survey study helps to determine current clinical practice patterns of Korea medicine treatments for traffic injuries. These results further anticipate to provide basic data for CPGs for traffic injuries.