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김옥주 ( Kim Og Ju ) 밴쿠버기독교세계관대학원 2003 통합연구 Vol.16 No.1
In Korea, medical ethics education started in the late 1980s in a few medical schools. After the year of 2000 when doctors` strikes occurred, the importance of ethics education to medical students has been emphasized. In 2001, 39 out of 41 medical schools(95%) offer medical ethics courses and other related courses. This paper examines current situation of medical ethics education in Korea to have an overview on contents, class hours, goals, objectives, and learning methods. Compared to medical schools in the United States, Korean medical schools provide fewer medical ethics courses and allotted less time to the courses. Each medical school developed goals and time to the courses. Each medical school developed goals and philosophy of each school. Lectures in a large classroom are the most prevalent teaching method. Lack of specialists in medical ethics education is one of the most serious problems. Deficiency of teaching staffs, facilities, and support from the school hinder introduction of diverse teaching methods to medical ethics education, such as small group discussion, case-based study, and tutorials. The author suggests possible approaches in medical ethics education including casuistry, literature and ethics, principalism, and virtue ethics. Lastly, the author emphasizes the importance of role model, professionalism, social responsibilities of medical professionals for internalizing ethics as virtues of physicians.
안옥주 ( An Og Ju ),전승욱 ( Jeon Seung Ug ),문영 ( Mun Yeong ),이종민 ( Lee Jong Min ),박찬용 ( Park Chan Yong ),정동해 ( Jeong Dong Hae ),이의돈 ( Lee Ui Don ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.5
Objective : The purpose of this study was to evaluate the appropriateness of diagnosis of the failure to progress (FTP) and accompanying emergency Cesarean section in university hospital and possibility of reducing emergency Cesarean section among these patients. Methods : Chart review of 680 patients who had underwent emergency Cesarean section with diagnosis of FTP between January 1996 and December 2002 at Hanyang University Medical Center was carried out for this study. Among patients who underwent normal vaginal delivery during the same period, 300 patients were randomly chosen for control group. Comparison between there two groups on maternal physical properties, management during delivery, birth weight and sex of babies were made. Also, differences of labor management among obstetrical staff were compared Results : Compared to the vaginal delivery group, FTP group patients showed older age (29.1 vs 27.7 yr) (p=0.000), shorter stature (158.4 vs 159.8 cm) (p=0.001), and heavier body weight (68.2 vs 65.7 kg( (p=0.000) suggesting unfavorable outcome Also, birth weight of the newborn infant was heavier compared to the normal delivery group (3350 vs 3181 g) (p=0.001). In addition, the frequency of PG E_2 use was higher (45% vs 35%) (p=0.001) and hours of oxytocin use was longer (6.3 vs 4.2 hr) (p=0.000) in FTP group. The distribution of delivery time in FTP group was around four or more hours in comparison to the normal delivery group in which the judgement was made that there was as inclination for sufficient effort for the purpose of a normal delivery. On one side, cervical dilatation was less than 3 cm, there were 44 people in a group with less than 70% effacement of cervix in which 40 of these people (excluding 4) were capable for a normal delivery with additional effort. Moreover, in the case of the failure to progress group, active labor management can decrease the rate of cesarean section to about 5.8% (46/680). Conclusion : The results of this study suggests the possibility that frequency of cesarean section could be reduced through the efforts of active labor management. However, there are a variety of factors leading to cesarean section that must be analyzed along with social and national support.