Korean Journal of Clinical Laboratory Science (대한임상검사과학회지)

Korean Society for Clinical Laboratory Science (대한임상검사과학회)
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The Role of Perfusionists during the COVID-19 Pandemic and Clinical Laboratory Technologists: Comparison of Training Systems in Japan and the United States

코로나19를 통해서 바라본 체외순환사의 역할과 임상병리사: 일본과 미국의 양성체계를 비교

  • Dong-Ok, Aum (Neurology Laboratory, Samsung Medical Center) ;
  • Dae Jin, Kim (Department of Clinical Laboratory Science, Kyungbok University) ;
  • Dae Eun, Kim (Department of Clinical Laboratory Science, Kyungbok University) ;
  • Myong Soo, Kim (Clinical Pathology Laboratory, Samsung Medical Center) ;
  • Bon-Kyeong, Koo (Clinical Pathology Laboratory, Samsung Medical Center)
  • 엄동옥 (삼성서울병원 신경검사실) ;
  • 김대진 (경복대학교 임상병리학과) ;
  • 김대은 (경복대학교 임상병리학과) ;
  • 김명수 (삼성서울병원 진단검사의학검사실) ;
  • 구본경 (삼성서울병원 진단검사의학검사실)
  • Received : 2022.10.28
  • Accepted : 2022.11.19
  • Published : 2022.12.31
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Abstract

In 2022, Korea reported a total of 224 perfusionists, employing nurses or clinical laboratory technologists (also known as medical technologists) to provide hospital self-education or reliable education. In 2021, the total number of perfusionists in Japan was 2,100, mainly supported by clinical engineering technologists. During the same period, the number of perfusionists reported in the United States was 4,212, who had received training in the master's program, post-bachelor certificate program, and bachelor's program. Most personnel in the USA were graduates of healthcare sciences or life sciences. Perfusionists must be knowledgeable in heart anatomy, physiology, pharmacology, pathology, hemodynamics, laboratory analysis, and quality assurance, as well as techniques to operate the cardiopulmonary bypass machine (heart-lung bypass machine). These are jobs similarly handled by clinical laboratory technologists. The importance of perfusionists became more prominent during two major crises: the MERS-CoV and COVID-19 pandemic. Currently, perfusionists play a significant role in the rapidly expanding field of extracorporeal membrane oxygenation (ECMO) and extracorporeal circulation during cardiac surgery. Results of the current study indicate that hospitals offering cardiac surgery and infectious disease hospitalization need to be institutionalized to secure a certain number of qualified perfusionists. In the future, we look forward to establishing a perfusion technology association under the Korean Society for Clinical Laboratory Physiology to provide academic exchanges.

2022년 국내 체외순환사(관류사)는 224명으로 간호사나 임상병리사를 모집해 병원 자체교육이나 위탁교육을 실시하고 있다. 일본의 체외순환사는 2021년에 2,100명이며, 주로 임상공학 기사들이 지원한다. 미국의 체외순환사는 2021년 4,212명으로 석사과정, 학사후 자격증 프로그램, 학사과정 등에서 교육을 받았으며 대부분 보건의료과학 또는 생명과학 전공 졸업생이다. 체외순환사는 인공심폐장치를 운용시키는 기술뿐만 아니라 심장해부학, 생리학, 약리학, 혈류역학, 검사분석, 정도보증 등에 대한 지식이 있어야 하기에 임상병리사와 한 직군이다. 메르 스와 코비드-19라는 두 가지 영향력 있는 위기를 통해 체외순환사의 중요성이 더욱 부각되고 있었다. 현재 심장수술의 체외순환은 물론 최근 급격히 확대되고 있는 체외막산소화장치 영역에서 체외순환사가 큰 역할을 하고 있다. 본 연구를 통해 심장수술 및 감염병 치료를 하는 병원은 자격을 갖춘 체외순환사를 일정한 수 만큼 확보하도록 제도화하고, 대한임상생리검사학회 산하에 체외순환기술회(관류기술회)를 설립하여 학술교류가 실시되기를 기대해 본다.

Keywords

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