• 대한물리의학회지
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• 제13권2호
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• pp.147-156
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• 2018

PURPOSE: The law pertaining to medical service technologists does not discuss the scope and limits of doctors' guidelines. My paper aims to discuss these topics. METHODS: This study was based on a review of literature and an analysis of judicial precedents. RESULTS: Physical therapists have often noted the need for independent practitioners in their articles on health care. Their continued discussions on professional and educational differences have centered round this issue, but their ideas have not been accepted. Practitioners have continued to interpret doctors' guidelines in hospitals without discussing their scope. However, the Supreme Court presented a meaningful decision outlining the conceptual limits and the scope of medical practice. The court suggested, basing its interpretation in the goal of clarifying the concept of medical activities smoothly, was to follow a specific judgment on the levels of education, testing, and professionalism. CONCLUSION: The role of physical therapists is expanding in this country, in order to meet the needs of the ultra-aged society. Education is already responding to rising training needs. By dividing the doctors' guidelines into indirect and direct types, if there's no medical risk near or around the health center or hospital, it is a good idea to allow the management of physical therapy partially, while understanding the scope and limitations of these guidelines clearly. A teleological interpretation of the law is especially relevant, and can be implemented immediately by the authoritative interpretation on part of the health authorities without any legal amendments.

• 대한방사선기술학회지:방사선기술과학
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• 제25권1호
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• pp.73-76
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• 2002

In order to evaluate the exposure to the radiologic technologists from patients who had been administrated with radiopharmaceuticals, we measured the spatial dose rates at 5 cm, 50 cm, and 100 cm from skin surface of patients using an proportional digital surveymeter, both 5 min after injection and right before the studies. In results, the exposure to the technologists in each procedure was small, compared nth the dose limits of the medical workers. However, the dose-response relationships in cancer and hereditary effects, referred to as the stochastic effects, have been assumed linear and no threshold models ; therefore, the exposure should be minimized. For this purpose, the measurements of spatial dose rate distributions were thought to be useful.

• 대한방사선기술학회지:방사선기술과학
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• 제35권1호
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• pp.35-44
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• 2012

서울소재 'S'병원에서 근무중인 방사선사를 대상으로 병원 근무경력 및 CT검사실 근무 경험 유 무, 현재 사용하고 있는 방사선 선원의 종류에 따른 CT검사와 일반촬영검사의 방사선 선량과 위험성에 관한 인식도 조사를 통해 CT검사의 위험성에 대한 각성을 위한 기초자료로 활용하고자 한다. 영상의학과에 근무하는 방사선사 중 131명을 대상으로 설문지를 통해 연구가설 검정을 위한 자료를 수집하였고, 설문문항의 Cronbach @계수는0.825988과0.767161로 나타났으며, p-value의 기각률은<0.05로 하였다. 연구가설검정을 위해 SAS 9.1(SAS Institute Inc., Cary, NC, USA.)통계패키지를 이용하여 Mann-Whitney test와 Kruskai-Wallis test, Two sample T-test, Two sample T-test with Bonferroni's Correction, One-way ANOVA 통계분석방법 등을 이용하였다. CT검사와 일반촬영의 선량에 관한 가설의 각 p-value 값은 0.2291~0.9663의 범위로 나타났고, CT검사와 일반촬영검사의 위험성에 관한 가설의 각 p-value 값은 0.1924~1.0000의 범위로 나타났다. 모든 연구가설의 p-value값이 기각률(<0.05)을 상위하여 나타났으며, 현재 'S'병원에 근무중인 방사선사들은 근무경력 및 CT검사실 근무경력 유무, 현재 사용하는 방사선 선원의 종류에 관계없이 일반촬영 보다 CT검사가 선량이 많으며, 위험하다고 인식하고 있는 것으로 나타났다.

• 한국방사선학회논문지
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• 제18권3호
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• pp.293-300
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• 2024

2023년 10월 31일 의료기사 등에 관한 법률의 개정에 따라 방사선사 면허를 취득하기 위해서는 현장실습과목을 필수로 이수하여야 한다. 이에 따라 의료기관 현장실습의 실태를 조사하여 개정된 의료기사법을 알리고, 현장실습의 실효성을 높이기 위한 개선방안을 제안하고자 한다. 2023년 3월부터 4월까지 의료기관에 종사하는 방사선사를 대상으로 설문을 시행하였다. 설문지는 국내 포털사이트인 N사의 폼을 통해 받았으며, 응답자는 120명이었다. 현장실습 학생의 교육을 담당한 경험이 있는 응답자는 68.3%인 82명이었다. 의료기사 등에 관한 법률 개정으로 방사선사면허를 취득하기 위해 현장실습이 의무화된 사실을 알고 있는 응답자는 58%로 나타났다. 의료기사 등에 관한 법률 제9조 무면허자의 업무 금지 등에 따라 대학 등에서 취득하려는 면허에 상응하는 교육과정을 이수하기 위하여 실습 중에 있는 사람의 실습에 필요한 경우는 해당 의료기사 등의 업무를 수행할 수 있다는 사실을 알고 있는 응답자는 50%로 나타났다. 현재 현장 실습 시 어떤 교육을 하는지 묻는 질문에 참관, 환자 안내 및 환자 자세 유지와 이동 외에 방사선을 발생시키는 행위를 하게 한다는 응답자는 6%로 나타났다. 면허 취득을 위한 현장실습이 의무화됨에 따라 앞으로의 교육 방향에 묻는 질문에 77%의 응답자가 현행보다 더 많은 것을 교육할 것이라고 응답하였다. 현장실습의 적절한 전체 시간을 묻는 질문에는 12주 480시간이 35%, 8주 320시간이 33%, 16주 640시간이 27%로 나타났다. 현행 현장실습은 각종 규제에 따라 부실한 교육여건이며, 학생들의 만족도 또한 낮음을 알 수 있다. 그러나 의료기사 등에 관한 법률이 개정됨에 따라 방사선사 면허를 취득하기 위해 현장실습이 의무화되었으며, 현장실습의 교육여건을 개선할 필요가 있다. 이에 따라 원자력안전법과 진단용방사선발생장치의 안전관리에 관한 규칙을 준수하며, 표준화된 실습 목표와 평가 시스템 도입, 수련 병원 지정과 교육 전담 방사선사 지정, 확대된 실습 기간과 모의실습을 도입하여 현장실습 교육의 내실화가 필요하다.

• 한국의학물리학회:학술대회논문집
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• 한국의학물리학회 2002년도 Proceedings
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• pp.13-16
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• 2002

Recent topics on quality assurance (QA) of X-ray diagnosis in Japan were reported in this presentation. These were related to mass screening mammography (MMG), lung screening CT (LSCT), skin injury caused by interventional radiology (IVR) and traceable system of dosimeters for x-ray diagnosis. In these successful stories, the author would like to stress the cooperation of all the medical am: clinical staff including medical doctors, radiological technologists, medical physicists, manufacturers of medical devices and others.

• 대한방사선협회지
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• 제27권2호
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• pp.115-123
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• 2001

The two ligaments, the anterior talofibular ligament(ATFL) and the calcaneofibular ligament(CFL), arise from the anteroinferior aspect of the lateral malleolus, and therefore avulsion fragments are superimposed on the lateral malleolus on the srandard rad

• 대한방사선협회지
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• 제29권1호
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• pp.61-66
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• 2003

Purpose : To evaluate was the newly designed gastroduodenal coil catheter: in-vitro test. Material and Method : the coil catheter that we made in our laboratory was 150 cm. The coil that is made of stainless steel wire was composed 1.3m inner diameter and

• 대한임상검사과학회지
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• 제40권2호
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• pp.153-162
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• 2008

The main purpose of this study was to investigate relationship between WRMD (Work Related Musculoskeletal Disorders) symptoms and dangerous factors in medical technologistes who work in Gwang-ju city and Jeollanam-do province. Experimental group was 74 medical technologistes at hospital centers, hospitals, general hospitals, university hospitals. From the this survey, we found that significant statistical difference in WRMD symptoms by general characteristics (sex, exercise) and working environmental characteristics (examination numbers, time of margin, repetition, intensity of work, time of using PC). In the general factors, Odds ration in male vs female, do exercise vs do not exercise were 4.557 (95% CI=1.003-20.713), 2.747 (95% CI=0.59-12.783). In working environment factors, Odds ration in little of examination numbers vs a lot of examination numbers, little of time margin vs a lot of time margin, non repetitive vs repetitive, non intensity of work vs intensity of work, little of pc using time vs a lot of pc using time were 1.901 (95% CI=0.828-4.363), 1.15 (95% CI=0.335-3.944), 3.952 (95% CI=1.095-14.262), 1.411 (95% CI=0252-7.891), 2.606 (95% CI=1.055-6.437) respectively. For prevention of WRMD symptoms, Most of hospitals should improve medical technologists of working circumstances, especially control a intensive of work, working speed and guarantee enough break time. Therefore, This study suggests that increasing workers and examination of automation, streching during working be needed.

• Journal of Genetic Medicine
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• 제4권2호
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• pp.142-159
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• 2007

Purpose : This study was undertaken to provide prerequisites for accreditation of medical genetics training program and certification process for medical genetics professionals as clinical specialist and set up guidelines on curriculum of medical genetics training program in Korea. Methods : Six ad hoc committees for clinical geneticist, clinical cytogeneticist, clinical molecular geneticist, clinical biochemical geneticist, medical genetics technologists and genetic counselors were organized for reviewing current status in Korea as well as foreign countries. Each committee is composed of 6-8 members. They summarized their opinions according to the structured questionnaire inquiring the ways of accrediting training program, qualification of program director, trainee requirements, contents of curriculum, duration of training program, certification process, estimation of numbers of each specialist needed in next 5 years in Korea. Results : Both prerequisites for the accreditation of medical geneticist training institutions and qualification of program director are suggested. Candidacy of trainees requires MD with board of medical specialty, or PhD degree with professional experiences in related field except clinical genetics program which only accepts MD with board of medical specialty, and Non-MD genetic counselor and medical technologists with degrees of BS or MS. General duration of fellowship will be 2-3 years depending on the categories they are enrolled into. Contents of curriculum for each speciality training are described. For the certification of each category, the candidacy should submit a log book detailing the cases they experienced during the fellowship, prove that they successfully completed course work and clinical experiences in the accredited program, and pass the written examination. Conclusion : As medical genetics becomes more important in daily routine clinical practice, the accreditation of medical genetics training program and certification of personnel are urgently needed. In this regard, the study will be providing guidelines and prerequisites for accreditation of medical genetics training program and certification process for medical genetics professionals as clinical specialist.

• 대한방사선협회지
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• 제30권1호
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• pp.148-158
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• 2004

Purpose : Most Patients experienced severe tension and/or anxiety during invasive procedures at angiography room. To ease patients' emotion and to improve their tolerance to the procedure, we applied music therapy. Material and Methods : Between March 1 a