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박석건,정유석 한국의료윤리학회 2018 한국의료윤리학회지 Vol.21 No.1
In 2017, the Korean Medical Association (KMA) revised its Code of Ethics at the request of the Korean Society for Medical Education. Through this revised Code, which incorporates the concept of medical professionalism, the KMA hopes to strengthen and improve its self-regulatory powers. This article examines different aspects of self-regulation and explores the connection between self-regulation and medical professionalism. Using the examples of maintenance of competency and the management of conflict of interests, it is argued that medical professionalism is the goal of self-regulation. Additionally, since medical professionalism cannot be implemented through the efforts of individual doctors or even medical institutions without broader social support, it is suggested that society as a whole should be fully informed of the importance of self-regulation and medical professionalism. 의사협회의 자율규제 권한에 대한 열망과 의학교육학계의 꾸준한 개정 요구를 받아들여 2017년 대한의사협회의 윤리지침이 개정되었다. 새 지침은 그동안 논의되어 왔던 의학전문직업성의 개념을 도입하였으며 자율규제권의 중요성이 강조되었다. 이 논문에서는 자율규제가 가지는 여러 가지 의미를 살펴보고, 의학직업전문성을 구성하는 요소들 중에서 자율규제가 어떤 위치를 차지하는지를 탐색하였다.그리고 의학의 수월성 유지와 이해상충의 관리를 중심으로, 의사단체의 자율규제는 그 목표를 의학전문직업성의 성취에 두어야 한다는 논의를 하였다. 또한 의학직업전문성의 성취는 의사개인이나 의사단체만으로는 달성할 수 없으므로, 적극적으로 사회를 설득하는 일이 의료계의 과제라고 주장하였다.
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박석건,김흥태,김광환,서순원 한국의료QA학회 1997 한국의료질향상학회지 Vol.4 No.2
Background : Medical records thought to be reflecting the quality of medicine. By this ground, examination of medical records can be served to evaluate, and to improve the quality of medical care. To examine the medical records, we need some standards or checklists which can be used to sort out the problems. Methods : We developed checklists for medical records evaluation. We studied 1,677 medical records about its completeness using this checklists in one educational hospital. Survey was completed by 5 well trained staffs of medical record department. Results are analyzed. SPSS/PC+ program was used for statistics. Results : 13.8% of discharge summary was incomplete. Recording of the demographic information was also poor in incomplete medical records compared to complete ones. Progress note was recorded average 4.16 times during 11.9 hospital days. After 4th hospital day, recording rate of progress note dropped sharply. Rate of professor’s signature on operation records was poor(27%). He or she who described the discharge summary well also wrote progress note well. Conclusions : Fill-up of demographic data should be stressed during medical record education program. Strategy to create the environment emphasizing the responsibility of professor on quality medical record should be made. Vile suggest new index(number of records/hospital stay) for the evaluation of completeness of progress note.
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