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        전공의 외래교육은 수련 후 진료수행능력 요구를 충족시키는가? - 일부 대학병원 가정의학과 전공의 외래교육 프로그램을 중심으로 한 평가 -

        유준서(Joon-Seo Yoo),송윤미(Yun-Mi Song),김주용(Joo-Yong Kim),김융언(Yoong-Eun Kim),박지원(Ji-Won Park),정휘수(Hwee-Su Jung) 한국의학교육학회 2001 Korean journal of medical education Vol.13 No.2

        Background: In family practice residency program, education of common health problems in community primary care is the most important. This study was performed to evaluate whether the trainees of current tertiary hospital family practice residency programs could sufficiently experience common health problems in community primary care. Methods: Each of three conveniently chosen tertiary hospital family practice centers in seoul was matched with one family practice clinic by its location. Whole patients visited the three family practice clinics on one specific day of June, 2001 (primary care group) and the patients seen by the trainees of tertiary hospital family practice residency programs (tertiary care group), whose number was the same as that in matched family practice clinic, were included in this study. Demographic and clinical characteristics were obtained. Results: In primary care group, the proportions of patients younger than 15-year (31.62%) or older than 65-year (21.79%) were significantly higher than those in tertiary care group. Laboratory tests (34.24%:2.99%) and referral (11.79%:0.85%) were significantly more common in tertiary care group. The most common health problem assessed by physician and chief complaint of patients in primary care group was respiratory illness, while digestive illness was the most common in tertiary care group. Conclusion: Age distribution, performance rate of laboratory tests and referral, chief complaints, and the health problems in primary care group were significantly different from those in tertiary care group. Trainees in family practice residency program needs to be provided more chances experiencing common health problems in community primary care.

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