• 의학교육논단
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• 제20권2호
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• pp.72-77
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• 2018

Observation of the current Korean medical education and training system shows that certain negative traits of unchangeable solidification engraft themselves so deeply into the overarching system that they are now hampering the state of the national health welfare. Focusing only on undergraduate medical education, we can point out some glaring side-effects that should be of concern to any stakeholder. For instance, a graduate can legally begin his career as an independent practitioner immediately after passing the licensing exam and return to the old stuck school-year system of 2-year-premedical and 4-year-medical programs where outcome-based and integrated curricula are incomplete and unsatisfactory. In terms of learning opportunities, the balance between patient care and public health, as well as that between in-hospital highly specialized practice and community-based general practice, has worsened. Every stakeholder should be aware of these considerations in order to obtain the insight to forge a new direction. Moreover, our medical schools must prepare our students to take on the global roles of patient care within the Fourth Industrial Revolution, health advocacy for the imminent super-aged society, and education and research in the bio-health industry, by building and applying the concept of academic medicine. We will need to invest more resources, including educational specialists, into the current undergraduate medical education system in order to produce proper outcomes, smart curriculum, innovative methods of teaching and learning, and valid and reliable monitoring and evaluation. The improved quality of undergraduate medical education is the starting point for the success of the national system for public health and medical care as a whole, and therefore its urgency and significance should be emphasized to the public. The medical society should go beyond fixing what is broken and usher in a new era of cooperation and collaboration that invites other health professionals, governmental partners, law-makers, opinion leaders, and the general public in its steps toward the future.

• 농촌의학ㆍ지역보건
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• 제49권3호
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• pp.235-256
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• 2024

Background: The adequate provision of medical care relies on the availability of a suitable number of healthcare professionals. To ensure stability in healthcare delivery, it is crucial for a country to accurately estimate and address the supply of doctors. This study aims to contribute to the formulation of effective policies for securing and distributing doctor manpower, with a focus on medically underserved areas at both the national and local government levels. Methods: Employing the system dynamics methodology, this research utilizes stock and flow diagrams, including level and rate diagrams, to quantitatively analyze the cumulative structure of the doctor supply and demand system. Results: The analysis reveals a substantial shortage of clinical doctors in Gyeongsangnam-do, amounting to 15,477 as of 2021. Projections indicate a need for an additional 7,570 doctors by the year 2050 to maintain the current healthcare service level. Examination of medical treatment rights and distribution across cities and counties indicates an insufficiency in doctor supply relative to demand in the majority of regions. Alternative scenarios, such as increasing medical school enrollments and adjusting retirement ages, were explored, yet none provided a sufficient resolution to the shortage. Conclusion: The findings underscore an impending exacerbation of the doctor shortage in Gyeongsangnam-do if the existing system is perpetuated. Addressing this issue necessitates not only augmenting the number of medical school students and adapting retirement age policies but also implementing diverse strategies employed successfully in other countries. This study serves as a foundational step in informing evidence-based policies aimed at securing an ample and appropriately distributed doctor workforce for sustainable healthcare delivery.

• 한국식품영양과학회지
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• 제4권1호
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• pp.13-17
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• 1975

(1) 보육원경영주(保育園經營主)는 원아(園兒)들의 체력(體力)이나 건강면(健康面)을 고려(考慮)해서 영양관리(營養管理)에 유기적변화(劉期的變化)를 가(加)해야 하며 행정당국(行政當局)도 양적(量的)인 보육원경영(保育園經營)을 지양(止揚)하고 물적면(質的面)에 치중(置重)해야 할 것으로 생각된다. 외원(外援)이나 내자지원(內資支援)을 받는 보육원(保育園)이 합리적(合理的)으로 운영(運營)의 묘(妙)를 기(期)한다면 체육중학수준(體育中學水準)에는 미급(未及)일망정 일반가정아(一般家庭兒)의 생활수준(生活水準)을 오히려 능가할 수도 있을 것으로 예측한다. (2) 체육중학교생(體育中學校生)의 1 일(日) 평균(平均) Cal 섭취량(攝取量)은 연령(年齡)(체중(體重))과 운동량(運動量)에 비(比)하여 과식(過食)을 하는 형편(形便)이 아닌가 우려(憂慮)된다. 따라서 영양사(營養士)에게는 영양(營養)의 공급량(供給量)에 대(對)하여 새로운 검토(檢討)가 요망(要望)된다. (3) 기생충감염여부(寄生蟲感染如否)는 고려(考慮)하지 않았다. 그것은 체육중학교(體育中學校)에서 일정(一定)한 식단(食單)(menu)으로 생활(生活)($1{\sim}2$년(年))이 계속(繼續)되는 학생(學生)들의 Hb 량(量)이 많기 때문에 Hb량(量)이 적은 것은 기생충(寄生蟲)과는 무관(無關)하고 오직 영양물질(營養物質)에 기인(基因)한다고 예측(豫測)되기 때문이다. 더우기 어린 학생(學生)이면서 상류생활권(上流生活圈)에 속(屬)하는 리화여대(梨花女大)의 대학생(大學生)들과 같은 수준의 Hb 양(量)을 보지(保持)하므로 더욱 그 신빙도(信憑度)가 높다고 보아도 좋을 것이다. 따라서 일반가정아(一般家庭兒)와 원아(園兒)들의 건강상태(健康狀態)를 정상적(正常的)으로 유지(維持)시키면서 국력(國力)을 증강(增强)시키려면 보육원경영주(保育園經營主)나 한 가정의 책임자(責任者)는 오직 영양관리(營養管理)에 세심(細心)한 주의(注意)를 가져야 하고 행정당국(行政當局)도 보육원운영면(保育園運營面)에 보다 깊은 배려(配慮)가 있어야 한다고 요망(要望)된다.