• 한국임상약학회지
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• 제25권4호
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• pp.273-279
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• 2015

Objective: Codeine may result in death or respiratory depression in children, particularly who are rapid metabolizer of CYP2D6, therefore it should be used cautiously among children under 12 years of age. This study was to investigate the prescribing pattern of codeine among children according to the age group, prescribed diagnosis, type of medical service and medical specialties. Method: We used Korea Health Insurance Review and Assessment Service-National Patient Sample (HIRA-NPS) database. Study subjects included inpatients or outpatients, who were prescribed codeine between January, 1, 2011 and December, 31, 2011. Contraindicated use of codeine was defined as the use of codeine at least one times under aged 12. Age groups were subclassified according to the <2 years, 2-4 years, 5-8 years, and 9-11 years. Frequently prescribed diagnosis (ICD-10), type of medical service, and medical specialties were also described among codeine users under aged 12. Results: Codeine users were 6,411 inpatients (9,958 prescriptions), and 3,397 outpatients (6,258 prescriptions), respectively. Codeine prescription under 12 years of age were 2.1% (210 prescriptions) among inpatients, and 12.3% (776 prescriptions) among outpatients (p-value<0.05). Outpatient prescriptions of codeine under 12 aged were issued mostly from primary care clinics and frequent diagnosis were unspecified bronchopneumonia (51.6%), and vasomotor rhinitis (23.7%). Conclusion: This study found prescribing of codeine under 12 aged is common in outpatient and primary clinics. Nationwide and community-based efforts should be needed to reduce inappropriate prescribing among children.

• 대한의용생체공학회:의공학회지
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• 제26권5호
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• pp.301-307
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• 2005

We introduce a new multimedia telemedicine system which is called Telemedicine for Real-time Emergency Multi-consultation(TREM), based on multiple connection between medical specialists. Due to the subdivision of medical specialties, the existing one-to-one telemedicine system needs be modified to a simultaneous multi-consulting system. To facilitate the consultation the designed system includes following modules: high-quality video, video conferenceing, bio-signal transmission, and file transmission. In order to enhance the operability of the system in different network environment, we made it possible for the user to choose appropriate data acquisition sources of multimedia data and video resolutions. We have tested this system set up in three different places: emergency room, radiologist's office, and surgeon's office. All three communicating systems were successful in making connections with the multi-consultation center to exchange data simultaneously in real-time.

• 의학교육논단
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• 제13권2호
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• pp.39-45
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• 2011

Women's educational opportunities have been increasing and women's general advancement in higher education is the underlying factor behind the increasing number of female students in medical school. A number of issues affect female students and residents, including the existence of gender bias and sexual harassment, higher stress levels and lower levels of work satisfaction, the lack of role models in academic medicine, and conflict between work and family roles, including challenges surrounding having children. To what extent female and male medical students and residents make different career and life style choices is also an important issue. The shortage of doctors in surgical departments and maldistribution among specialties are of great concern in the health care system and medicine's future. We must prepare to solve these problems. New medical policies and educational approaches are needed for the future.

• Journal of Trauma and Injury
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• 제35권2호
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• pp.131-138
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• 2022

Other than gunshot injuries, sacral penetrating injuries with a foreign body exiting to the other side are extremely rare. We encountered a case of sacral injury in which a long metallic pipe penetrated from the anus into the lower back of a patient. Since the pelvis contains various organs, management of a penetrating injury requires multidisciplinary treatment involving several medical specialties. Due to the infrequency of this type of injury, there are no definitive guidelines for effective management. We described our experience surgically treating a sacral penetrating injury and conducted a literature review. On this basis, we suggest a surgical strategy for treating this type of injury.

• 보건행정학회지
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• 제33권3호
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• pp.370-375
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• 2023

The responsibility to ensure the health rights of detainees, particularly their medical rights, fundamentally lies with the state in all nations. However, in the correctional facilities of the Republic of Korea, these rights are currently not adequately safeguarded. Numerous detainees express dissatisfaction with the medical services provided and show a preference for voluntary external treatment. However, barriers such as prolonged application processes for external treatment and the requirement for detainees to cover their medical expenses present significant challenges. Therefore, the National Human Rights Commission of Korea has advocated for an increased medical budget in correctional facilities and a bolstered professional medical workforce to improve the medical care of detainees. Recommendations for improvements include: (1) establishing dedicated correctional hospitals for detainees, (2) setting up specialized correctional wards, (3) collaborating with military hospitals, (4) launching mobile medical buses for diverse specialties, (5) enhancing collaboration with public and private medical institutions, (6) increasing compensation for partnering external medical institutions, (7) improving the working conditions of medical officers, (8) safeguarding the defense rights of medical staff, (9) improving the working conditions of public health doctors from the Ministry of Justice in correctional facilities, and (10) pre-assigning public health specialists and military doctors to correctional facilities. By implementing these measures, it is anticipated that the quality of medical services in the Republic of Korea's correctional facilities will improve, reducing the demand for external treatments among detainees and ensuring their health and medical rights are realistically upheld.

• 의학교육논단
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• 제15권2호
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• pp.82-86
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• 2013

Medical students can choose to pursue any of a large number of specialties. This diversity reflects exciting opportunities, yet it also present significant challenges, such as providing medical students with adequate resources and guidance to help them to make informed career decisions. Additionally, because the medical internship will be abolished in the near future, many Korean medical schools have recently focused on implementing a career planning and advising program. This paper describes the Careers in Medicine (CiM) program offered by the Association of American Medical Colleges as a framework for other schools to adopt or adapt as they consider the best ways to address the career counseling needs of their own students. CiM is a comprehensive career planning program that provides students with the skills, information, and resources to choose a specialty and residency program that meets their career goals. CiM follows a four-year, four-step career planning process including self-understanding, exploring a variety of medical careers, and finally choosing a specialty. The CiM program has been evaluated as successful because of widespread participation and positive feedback from medical students. The information in this study can be used to develop a formal career advising program throughout the four years of medical school.

• 의학교육논단
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• 제26권1호
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• pp.41-47
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• 2024

The ultimate goal of career guidance is to help medical students develop a career plan that matches their personal characteristics, allows them to train in their desired subspecialty, and helps them to adapt well to medical practice after graduation. Gachon Medical School has designed a longitudinal career guidance program called GLORI (Gachon Longitudinal Orientation and Career Development), which is based on the outcome of each phase. The program consists of regular courses and portfolio-based career guidance from a mentor professor. In phase 2 (basic medical science), the "Career Seminar" course was developed. This course focuses on self-understanding through a psychological inventory, exploration of postgraduate career paths, and interviews with professors in specialties of interest. In phase 3 (the integration of basic and clinical science), the "Exploring Nonclinical Career Options" course was introduced. This course presents perspectives from doctors who have followed various pioneering career trajectories, including biomedical engineering, medical journalism, writing, public health, health care administration, the pharmaceutical and medical device industries, and other areas. All teaching methods were designed to encourage student participation. The assessment methods are assignment-based, including self-reflective reports and presentations. In addition, a portfolio-based career guidance program is implemented in phases 3 and 4 (clinical clerkship). It is expected that this case study will serve as a practical example for developing comprehensive career guidance programs for medical schools.

• 보건행정학회지
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• 제9권2호
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• pp.139-156
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• 1999

Recent changes in the health care environment have directed increasing attention to the number and specialty mix of practicing physicians. A major concern identified in Korean health care system is the serious oversupply of specialists and a relative lack of primary care physicians. Currently only 21% of Korean physicians are primary care physicians(general practitioners and family physicians), and less than 10% of recent medical school graduates are choosing to enter primary care. More primary care physicians are needed to deal with major problems in the current health care system, such as cost and access. The infrastructure that relies on primary care physicians is needed to deliver cost-effective and efficient care. To achieve a better balance of primary care to non-primary care physicians. more medical students need to choose careers in one of the primary care specialties(family medicine. internal medicine and pediatrics). This paper suggests the necessity of reforming the Korean graduate medical education system, that is, establishing the path of training primary care physicians in internal medicine and pediatrics residency training programs.

• 의학교육논단
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• 제17권1호
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• pp.20-25
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• 2015

In light of changes in today's medical environment, whether to dismantle the 50-year-old internship training system in the Republic of Korea is under debate. Although the question remains open, discussions on such issues have drawn attention to the quality of the clinical clerkship and student career advisory programs in medical colleges. The purpose of this study is to analyze the experiential clerkship and career exploration issues. Ensuring excellence of the clerkship and career advisory sessions is an essential responsibility of educational institutions regardless of whether the intern training system is dismantled. Important objectives of the experimental clerkship include reinforcing prerequisites established by law, introducing a student practice license, developing a standardized clinical assessment and student portfolio requirement, and publishing a guidebook for clinical directors. For career exploration, it is necessary to broaden participants' experiences of specialties and to manage the variety of student career guidance programs. It is imperative for the Korean Association of Medical Colleges, in collaboration with medical colleges, to play a leading role in focusing more attention and effort on such issues.

• 대한영상의학회지
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• 제79권5호
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• pp.247-253
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• 2018

이 연구의 목적은 영상정보교류의 효용성을 높이기 위한 영상 품질 기준 연구에서 영상정보교류의 실태를 파악하고 영상정보교류에 대한 의사들의 의견을 수렴하기 위해 시행한 설문조사의 결과를 정리하는 것이다. 설문조사는 개별 접촉 또는 소셜 네트워크 서비스를 통해 홍보하였고, 자발적으로 참여한 의사가 설문조사의 대상이다. 설문조사는 기본 정보 및 영상정보교류에 대한 11개의 문항으로 구성되었다. 총 30개 진료과의 전문의 160명이 설문조사에 참여하였고, 95.6%의 응답자가 상급종합병원 또는 종합병원에 근무하는 상태였다. 외부 병원에서 영상검사를 시행한 후 의뢰되는 환자가 빈번하였다. 하지만 판독소견서가 함께 교류되는 경우는 드물었고, 의뢰받은 의료기관의 영상의학과 전문의에 의한 재판독을 통해 이차적인 의견을 구하고자 하는 요구가 많았다. 결론적으로, 외부 판독소견서가 누락되는 경우가 많으므로 판독소견서가 영상정보와 함께 교류될 수 있도록 하는 방안의 마련이 필요하다. 또한 외부 판독이 있더라도 재판독이 필요하다는 의견이 많은 점을 고려할 때 판독소견서에 반드시 포함되어야 할 기본적인 판독소견서의 요소 및 외부 검사의 재판독에 대한 가이드라인이 필요할 것으로 생각된다.