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Study of the Process of the Professionalization of Korean Oriental Medicine of Taegu - Focusing on the Case of Je-Han Medical Center - (대구지역 한의학의 전문화 과정에 대한 연구- 제한의료원을 중심으로 -)

  • Hong, Seung-Pyo;Lee, Hyun-Ji
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.1
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    • pp.52-60
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    • 2005
  • This study explored the process of the professionalization of Korean Oriental medicine in Je-Han Medical Center. Je-Han Medical Center has fulfilled the requisites of the professionalization. The process of professionalization of Je-Han Medical Center is different from the process of professionalization of Western medical profession. Firstly, the Korean Oriental medical doctors of Je-Han Medical Center had been educated the standardized Korean Oriental medical knowledges. But the medical practices of them were not fully standardized. Secondly, the Korean Oriental medical doctors of Je-Han Medical Center have occupied the exclusive rights in the areas of Korean Oriental medicine. But there still exists the restriction of the range of license. Thirdly, the Korean Oriental medical doctors of Je-Han Medical Center had pride as a Korean Oriental medical doctor. They had the ideology as the national medical doctors. But the patients' use of Korean Oriental medicine were based on the practical reasons, not based on the ideological reasons. Fourthly, the inner hierarchy of Je-Han Medical Center was very strict. But the hierarchical and authoritarian relations between medical doctors and patients were very weak. Like this, we can find the unique process of professionalization of Korean Oriental medicine in Je-Han Medical Center. These findings can contribute to the extend the horizon of the sociology of profession.

Survey for Standardization of Medical Examination Items in Oriental Medicine (한의 진찰항목 표준화를 위한 실태 및 수요조사)

  • Moon, Jin-Seok;Park, Sae-Wook;Kang, Byoung-Gap;Kim, Bo-Young;Kang, Kyung-Won;Choi, Sun-Mi
    • The Journal of Korean Medicine
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    • v.28 no.3 s.71
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    • pp.23-36
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    • 2007
  • Objective : To poll oriental medical doctors on their opinions about the necessity of standard medical charts and of detailed items in their development. Currently, oriental medical institutions use their own medical charts, but a standard medical chart is necessary for medical information sharing. Methods : Report by 912 of the 10,490 oriental medical doctors surveyed on their general aspects, actual conditions, and requirements. Results : The oriental medical doctors surveyed who worked in oriental medicine clinics, oriental medicine hospitals, and public health centers said medical examination programs should consist of chief complaints (said by 814 respondents or 89.25%), history (792 or 86.84%), ordinal symptoms (753 or 82.57%), diet (727 or 79.71%), emotions and overstrain (654 or 71.71%), side effects and allergies (622 or 68.20%), improvement of symptoms (605 or 66.34%), a questionnaire on particular diseases (558 or 61.18%), social aspects (523 or 57.35%), a physical examination (520 or 57.02%), a questionnaire on syndrome differentiation (514 or 56.36%), diagnosis using medical devices and laboratory tests (471 or 51.64%), and Sasang constitution (357 or 39.14%). Ninety-one percent of the respondents said they intended to use a standard chart, and 82.19% agreed to share patient information with medical institutions. Conclusions : Over 90 percent of the oriental medical doctors surveyed said they need a standard medical examination program. Oriental medical examination items that correspond with the opinions of the oriental medical doctors surveyed and of experts will thus be developed, and the draft chart will be distributed to oriental medical institutions with the developed medical forms and electronic medical chart.

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An Attitudinal Study of Korean Oriental Medical Doctors toward the Status of Korean Oriental Medicine and Korean Oriental Medical Doctors - Focusing on Gyeongsang Provinces - (한의학과 한의사의 지위에 대한 한의사들의 태도 연구 - 경상도 지역을 중심으로 -)

  • Lee, Hyun-Ji;Hong, Seung-Pyo;Lim, Young-Kyu;Hong, Jin-Woo;Kim, Bo-Kyu;Kwon, Young-Kyu
    • Journal of Society of Preventive Korean Medicine
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    • v.15 no.1
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    • pp.99-115
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    • 2011
  • Korean Oriental Medicine has experienced the fluctuation of its status since modernization started. At the beginning of the modernization, Korean Oriental Medicine faced the crisis of disappearance and, nowadays, its status has risen to the very important position in the medical system of Korea. Korean Oriental Medical doctors have obtained the position of medical profession and enjoyed the exclusive privileges. The study on the status of Korean Oriental Medicine is an interesting subject field in the sense that the empirical research on the social factors concerning the status fluctuation of medical profession in non-western world can be done. Few studies on the social status of Korean Oriental Medicine have been found so far in spite of its ample implication of the subject. This paper conducted the questionnaire survey in order to investigate the views of Korean Oriental Medical doctors about the status of Korean Oriental medicine, factors for the improvement of its status, and the cultivating methods of Korean Oriental Medicine. Depending on the demographic features of Korean Oriental Medical doctors, first, the attitude toward the status of Korean Oriental Medicine was analyzed. The criteria to be investigated were the present and future status of Korean Oriental Medicine. Second, the items for the status improvement of Korean Oriental Medicine was analyzed under the criteria of specialization and scientific movement of Korean Oriental Medicine. Third, the stance of Korean Oriental Medical doctors on the cultivating methods of Korean Oriental Medicine was analyzed under the criteria of the level of awareness of and attitude toward Korean Oriental Medicine.

Prospect and development of oriental medicine in Korea (한국(韓國) 한의학(韓醫學)의 발전(發展) 과정(過程)과 전망(展望) - 1945년부터 1995년까지 광복후 50년동안의 한의학계를 돌아보며 -)

  • Jeong, Woo-Yeal
    • Journal of The Association for Neo Medicine
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    • v.1 no.2
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    • pp.57-82
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    • 1996
  • The policies of oriental medicine, changes of medical systems, development of oriental medical education and research activities of oriental medicine were reviewed in this paper from 1945 to 1995 and several opinions were suggested to relevant government authorities and doctors of oriental and western medicine. The history of oriental medicine had to come a long and winding road since the Political Reform in 1894. However, national effort of oriental medicine people in Korea has kept the oriental medicine as national medicine. It has been a misfortune that oriental and western medical doctors did not get along well each other. In this paper, the right direction of the medical systems for government were suggested together with timely roles of medical doctors of both oriental and western medicine. 1. Government should carry out reasonable and future-oriented medical systems. 2. Medical doctors of both oriental and western medicine should co-operate and try to promote mutual understanding. 3. Oriental medicine should be lectured in western medical college. 4. Medical researches of both oriental and western medicine should be carried out together.

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Patient-Centredness, Job Satisfaction and Psychological Distress: a Brief Survey Comparing Oncology Nurses and Doctors

  • Chan, Caryn Mei Hsien;Ahmad, Wan Azman Wan;Yusof, Mastura MD;Ho, Gwo Fuang;Krupat, Edward
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.16
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    • pp.6895-6898
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    • 2015
  • Background: We aimed to explore whether levels of patient-centredness, job satisfaction and psychological distress varied between oncology nurses and doctors. Materials and Methods: In a cross-sectional study using self-administered questionnaires, a total of 24 nurses and 43 doctors were assessed for patient-centredness, psychological distress, and job satisfaction using the Patient-Practitioner Orientation Scale, Hospital Anxiety and Depression Scale, and Job Satisfaction Scale. Data were analysed using descriptive statistics, independent samples t-test and MANCOVA, with p<0.05 considered significant. Results: Overall response rate was 95.6% (43/45) for physicians and 85.7% (24/28) for nurses. Even after adjusting for known covariates, our principal finding was that doctors reported greater psychological distress compared to nurses (p=0.009). Doctors also reported lower job satisfaction compared to nurses (p = 0.017), despite higher levels of patient-centredness found in nurses (p=0.001). Findings may be explained in part by differences in job characteristics and demands. Conclusions: Mental health is an important concern not just in cancer patients but among healthcare professionals in oncology.

USMLE Application and Overseas expansion of TKM doctors (한의사의 USMLE 지원과 해외 진출)

  • Cho, Hyun-Joo;Choi, Hyug-Yong;Choi, Hyeon;Ahn, Sang-Young
    • Korean Journal of Oriental Medicine
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    • v.14 no.3
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    • pp.149-154
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    • 2008
  • With sophisticated clinical skills and the effectiveness of Traditional Korean Medicine(TKM), many TKM doctors look forward to over seas expansion. About 450 TKM doctors had NCCAOM certificate, but only 40 TKM doctors arc in US now. Because The status of NCCAOM certificate in USA is not adequate enough for TKM doctors to perform medical treatments. In case of US, State medical boards depend to a large extent on the Educational Commission for Foreign Medical Graduates(ECFMG) for certification of international medical graduates (IMGs) seeking licensure in the United States. In addition to receiving certification that includes verification of education credentials, IMGs must pass Steps I and II of the USMLE. In order to obtain a license to practice in the United States, IMGs must successfully complete a residency in a program approved by the American Council of Graduate Medical Education(ACGME) and the complete Step III, the final step in the USMLE. TKM doctors, in the prospective of overseas expansion, applied to ECFMG and their applications have been rejected. This circumstance happened because Korea is unique country in the world with two different medical licensing system, Oriental and Western, both being physician workforce. Rejection by ECFMG occurred because of their minimal understanding of Korea's situation, while the responsibility to inform, propagate and protect TKM doctors own rights depend exclusively to Korean government, TKM doctor oneself and its related organizations, all the members should endeavor on it.

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E-mail Survey for Developing Clinical Trial Protocol on Individualized Acupuncture Treatment for Knee Osteoarthritis (무릎 관절염의 맞춤형 침구 임상시험 프로토콜 개발을 위한 전자우편 설문 조사)

  • Lee, Seung-Deok;Kim, Sun-Woong;Choi, Sun-Mi;Seo, Jung-Chul;Lee, Sang-Hoon;Kim, Yong-Suk
    • Journal of Acupuncture Research
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    • v.22 no.4
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    • pp.197-204
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    • 2005
  • Objectives : This survey was accomplished to find out how Korean medical doctors take acupuncture prescriptions for knee osteoarthritis in real clinical practice. Methods : The survey questions were developed by the consensus from 4 professors and 10 residents who major in acupuncture & moxibustion for developing clinical trial protocol on individualized acupuncture treatment for knee osteoarthritis. The questionnaires were distributed via e-mail to 3,306 members of Korea Oriental Medical Association from March 15th to March 23rd in 2005.84 members completed answers, and the computerized data were analyzed by ISP statistical program. Results : 1. 68 out of 84 Korean medical doctors used pattern diagnosis. 2. 61 out of 84 Korean medical doctors used both local and remote points, 20 doctors remote points only, and 3 doctors local acupuncture points only. 3. In case of doctors who use remote acupuncture points only, the acupuncture prescription principle was Saam or five element acupuncture (66%), along the meridian pathway (14%), Eight constitutional acupuncture (11%), Taegeuk acupuncture (2%), and miscellaneous (18%). Conclusion : In our e-mail survey, Korean medical doctors who experienced more than 10 year practice answered that they use five element acupuncture or Saam acupuncture according to meridian pathway theory as the most common principle of their acupuncture treatment prescription.

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Appropriate Adjustment according to the Supply and Demand Status and Trend of Doctors (의사 인력의 수급 현황과 추세에 따른 적정 조정)

  • Yun Hwa Jung;Ye-Seul Jang;Hyunkyu Kim;Eun-Cheol Park;Sung-In Jang
    • Health Policy and Management
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    • v.33 no.4
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    • pp.457-478
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    • 2023
  • Background: This study aims to contribute to the adjustment of the appropriate doctor manpower by analyzing the distribution, supply and demand, and estimation of the doctor manpower. Methods: This study utilized the medical personnel data of the Ministry of Health and Welfare, population trend data of the National Statistical Office, and health insurance benefit performance data of the National Health Insurance Service. Based on 2021, we compared the number of doctors in actual supply and the number of doctors in demand according to the amount of medical use by gender and age for 250 regions. Logistic regression analysis and scenario analysis were performed to estimate the future medical workforce by considering the demand for doctors according to the future demographic structure, the size of the quota in medical schools, and the retirement rate. Results: There were 186 regions in which the supply of doctors was below average, and the average ratio of the number of doctors in supply to demand in the region was 62.1%. Conclusion: In order to increase the number of active doctors nationwide to at least 80%, 7,756 people must be allocated. The number of doctors in demand is estimated to decrease after increasing to 1.492 times in 2059. The future projected number of doctors is expected to increase to 1.349 times in 2050 and then decrease taking into account the doctor quota and the retirement rate.

Nutritional and Health Status of Nurses, Medical Doctors and Factory Workers (근무시간이 불규칙한 사람들의 식생활태도 및 건강상태에 대한 조사 연구)

  • Kim, Hyun-Joung;Moon, Soo-Jae;Lee, Ki-Yull
    • Journal of Nutrition and Health
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    • v.13 no.3
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    • pp.126-133
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    • 1980
  • The purpose of this survey was to investigate the nutritional status of special working persons related to health status, nutrient intake and living environment. The survey was conducted on workers in 9 general hospitals and 2 factories from Nov. 24 in 1979 to Jan. 20 in 1980. Nurses, medical doctors on intership or residency, and factory workers were chosen as subjects because of their irregular working hours, i.e., they sometimes work during the day and. sometimes at night. The total number of subjects was 417 for nurses, for medical doctors was 91, and was 216 for factory workers, all together 724 subjects were investigated. The results obtained are summarized as follows: 1) Average nutrient intake of subjects per day. For nurses the caloric intake was 1743 Kcal. This was composed of carbohydrate 251g(57.6%), protein 81g (18.5%), and fat 46g (23.9%). Other nutrient intake, such as iron (16mg), thiamin (0.98mg), riboflavin (1mg) was lower than the recommended dietary allowance. For male medical doctors, the caloric intake was 2064 Kcal, This was composed of carbohydrate 288g (55.8%), protein 102g (19.8%) and fat 56g (24.4%). Other nutrient consumption, such as riboflavin (1.31mg) was lower than the recommended dietary allowance. For female medical doctors, the caloric intake was 1909 Kcal. This was composed of carbohydrate 156g(53.7%), protein 90g (18.9%) and fat 58g (27.4%). For male factory workers, caloric intake was 1699 Kcal. This was composed of carbohydrate 317g(74.5%), protein 64g (15.0%) and fat 20g(10.5%). Other nutrient intake, such as vitamin A (4765IU), ascorbic acid (46mg) and riboflavin (1.11mg) were lower than the recommended dietary allowance. For female factory workers, the caloric intake was 1630 Kcal. This was composed of carbohydrate 287g (70.5%), protein 65g (15.8%) and fat 25g (13.7%). Other nutrient consumption, such as iron (15mg), riboflavin (1.04mg), ascorbic acid (42mg), and vitamin A (4334IU) was lower than the recommended dietary allowance. The percentage of animal protein to total protein was 65.2% in nurses, 67.4% in male medical doctors, 64.9% in female medical doctors, 38.6% in male factory workers, and 45.6% in female factory workers. 2) The average Kaup's value of subjects was 1.9 in nurses, 2.2 in male mcdical doctors, 1.9 in female medical doctors, 2.0 in male factory workers, and 2.1 in female factory workers. 3) The health status of subjects according to their self diagnosed answer was as follows; The percentage of food health was 82. 7% in nurse, 82.7% in nurse, 83.5% in medical doctor, and 56% in factory workers. The remainder answered that they were in poor health.

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Research of 3D Information processing for Robot Surgery (로봇 수술을 위한 3차원 구조계산의 필요성 조사)

  • Jung, Jae-Eun;Choi, Seok-Yoon
    • Korean Journal of Digital Imaging in Medicine
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    • v.11 no.1
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    • pp.43-50
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    • 2009
  • Geometry calculation Using Abdominal internal organ image from traditional laparoscopy or robotic surgery system we can make depth informations through measured 3D structure informations is very helpful to doctors, depth information is mare useful then others that use traditional laparoscopy or robotic surgery system to many doctors. however, traditional method are incomplete. less experienced doctors make much mare prohability of mistake. Hence, 3D information of organ is very helpful to the less experienced doctors. it will be greate role of reducing medical accidents and surgical time. We can get 3D informations using geometrical calculation method in robotic surgical system. also suggested method is needed in traditional surgical method without the need to create a new system, finally, We can get 3D information from traditional system without any new system, it take advantage in cost and create high efficiency. mare information will provided to many doctors.

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