응급의학과 전공의 교육을 위한 제언 = THE ANALYSIS OF THE EMERGENCY PATIENTS-FOR THE TRAINIG OF EMERGENCY MEDICINE RESIDENTS-

다국어 초록 (Multilingual Abstract)

Although the medical science in Korea has experienced remarkable development, both qualitatively and quantitatively, since its introduction at the beginning of the 20th century, its main focus has been on the expansion of spcialized treatment and medical care in general. However, the fast-paced economic development that started in the 1960's has caused substantial increases in cerbrovascular disease and coronary artery disease while the industrial development and in creased use of means of transportation have resulted in the rapid rise of incidents in external injuries. Consequently, the public has become acutelyh aware of the need for fast and effective emergency transportation and treatemnt. Such awareness also stems from the wide avalilability of medica care which is now established as a basic citizen's right as a result of the national medical insturance system that started in 1977 and was fully implemented in 1989.
In response to the public demand for effetive emergency treatments, kthe health care sector has been making serious efforts to deliver better emergency treatments by expanding the emergency facilities and newly offering emergency training programs. Several hospitals have already commenced training programs in order to provide personnel specially trained in that area. The emergency medicine requires not only specialized training in the emergency treatment program in emergency should be designed in order to adapt to the specific needs of the Koreans, as based on epidemiological studies of the nature of emergency cases, its distribution in the population by ages and nature of injury, admission ratio, death rates, etc. currently prevailing in Korea.
The present research has been carried out by the Korea university Hospital in preparation of the commencement of the emergency training program in 1994. The research consists of analysis of the emergency cases admitted in the Emergency center of Korea University Hospiatl from January 1992 to December 1992, its distribution, nature, and statistics regarding admission. Based on our research and our review of other available literature on the subject, we make the following suggestions regarding the specialized training program for emergency treatment.
1. The trainees must be required to be also t4rained in the areas of internal medicine surgery, obstetrics and pediatrics.
2. The training in internal medicine should include gastrointestinal, espiratory, cardiovascular medicine and nephrology which the training in surgery should include general surgery, neurosurgery and cardiac surgery.
3. The program should provide training for effective and accurate reading of the radiology.
4. The trainees should be required to participate in actural emergency treatment activities in order to have opportunities to acquire practical skills as well as theoretical knowledge.
5. The program should include course in medical management which would be necessary for effective management and administration of emergency centers and facilities.
6. The continued development of the program would require extensive studies and researches supported by the academic associations of medicine.