1.Introduction of basic medicine examination in Korean Medical License Examination to improve physician's science competency
Journal of the Korean Medical Association 2020;63(1):56-65
Physicians play a central role in the fields of medical service, research, and industry, so it is imperative to produce well-qualified doctors. Medicine is composed of science and arts, both necessary for its practice, and thus, the education outcomes in basic medical education in a medical school include basic biomedical sciences, social sciences and clinical sciences. Adequate science competencies create a deeper and better understanding of scientific knowledge, concepts, and methods fundamental to clinical science, and contribute to the scientific, technological, and clinical developments. The science competencies are primarily obtained by studying basic medicine in basic medical education, which has been criticized for failing to do so sufficiently in Korea. The failure is attributed to insufficient education time, teachers, and budgets, but the most critical factor is the lack of awareness regarding the importance of the science competencies of the physicians. Such ignorance also affects the Korean Medical Licensing Examination (KMLE). The KMLE tests competency in clinical sciences, preventive medicine, and medical laws, but not in basic biomedical sciences, which might result in insufficient science competency of the physicians and a decrease in the overall quality of the medical health service. Tests must be urgently introduced in KMLE on the competencies of basic biomedical sciences to improve the science competency of the physicians. The representative organizations of the medical society should take vigorous actions for the introduction of the basic medicine examination in KMLE.
Budgets
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Education
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Education, Medical
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Fibrinogen
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Health Services
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Jurisprudence
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Korea
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Licensure
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Preventive Medicine
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Schools, Medical
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Social Sciences
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Societies, Medical
2.Chinese Trauma Surgeon Association for management guidelines of vacuum sealing drainage application in abdominal surgeries-Update and systematic review.
Yang LI ; Pei-Yuan LI ; Shi-Jing SUN ; Yuan-Zhang YAO ; Zhan-Fei LI ; Tao LIU ; Fan YANG ; Lian-Yang ZHANG ; Xiang-Jun BAI ; Jing-Shan HUO ; Wu-Bing HE ; Jun OUYANG ; Lei PENG ; Ping HU ; Yan-An ZHU ; Ping JIN ; Qi-Feng SHAO ; Yan-Feng WANG ; Rui-Wu DAI ; Pei-Yang HU ; Hai-Ming CHEN ; Ge-Fei WANG ; Yong-Gao WANG ; Hong-Xu JIN ; Chang-Ju ZHU ; Qi-Yong ZHANG ; Biao SHAO ; Xi-Guang SANG ; Chang-Lin YIN
Chinese Journal of Traumatology 2019;22(1):1-11
Vacuum sealing drainage (VSD) is frequently used in abdominal surgeries. However, relevant guidelines are rare. Chinese Trauma Surgeon Association organized a committee composed of 28 experts across China in July 2017, aiming to provide an evidence-based recommendation for the application of VSD in abdominal surgeries. Eleven questions regarding the use of VSD in abdominal surgeries were addressed: (1) which type of materials should be respectively chosen for the intraperitoneal cavity, retroperitoneal cavity and superficial incisions? (2) Can VSD be preventively used for a high-risk abdominal incision with primary suture? (3) Can VSD be used in severely contaminated/infected abdominal surgical sites? (4) Can VSD be used for temporary abdominal cavity closure under some special conditions such as severe abdominal trauma, infection, liver transplantation and intra-abdominal volume increment in abdominal compartment syndrome? (5) Can VSD be used in abdominal organ inflammation, injury, or postoperative drainage? (6) Can VSD be used in the treatment of intestinal fistula and pancreatic fistula? (7) Can VSD be used in the treatment of intra-abdominal and extra-peritoneal abscess? (8) Can VSD be used in the treatment of abdominal wall wounds, wound cavity, and defects? (9) Does VSD increase the risk of bleeding? (10) Does VSD increase the risk of intestinal wall injury? (11) Does VSD increase the risk of peritoneal adhesion? Focusing on these questions, evidence-based recommendations were given accordingly. VSD was strongly recommended regarding the questions 2-4. Weak recommendations were made regarding questions 1 and 5-11. Proper use of VSD in abdominal surgeries can lower the risk of infection in abdominal incisions with primary suture, treat severely contaminated/infected surgical sites and facilitate temporary abdominal cavity closure.
Abdomen
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surgery
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China
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Drainage
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methods
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Evidence-Based Medicine
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Humans
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Practice Guidelines as Topic
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Societies, Medical
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organization & administration
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Surgical Wound Infection
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prevention & control
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Traumatology
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organization & administration
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Vacuum
3.Review of Chinese Journal of Traumatology in the year 2018.
Yuan TIAN ; Gui-E LIU ; Wen-Jun ZHAO ; Yuan-Yuan PENG ; Shuang-Ming SONG ; Lei LI
Chinese Journal of Traumatology 2019;22(1):21-23
Trauma is one of the leading causes of death worldwide. It is an urgent task to strengthen the trauma care and prevent the complications. In 2018, Chinese Journal of Traumatology reported a series of trauma-related articles of which the contents include pre-hospital care, in-hospital care and complication prevention, et al, aiming to improve the treatment levels, decrease the trauma incidence, and reduce the trauma mortality and disability.
China
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Humans
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Periodicals as Topic
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Societies, Medical
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organization & administration
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Time Factors
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Traumatology
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organization & administration
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Wounds and Injuries
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prevention & control
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therapy
4.The Concept of Academic Medicine and Its Potential Establishment in Korea
Korean Medical Education Review 2019;21(2):63-72
The purpose of this study was to introduce the concept of academic medicine to the medical societies of Korea and to identify any potential obstacles in the establishment of academic medicine in Korea. The core concepts of academic medicine include medical education, research, and patient care. Academic medicine can be practiced in the unique area of healthcare involving medical schools and teaching hospitals by faculty physicians in the academic medicine field. Through academic medicine, the next generation of healthcare professionals is trained, new discoveries can be made, and patients can find new hope for a cure. The flourishing of academic medicine has resulted in substantial advancements in medicine over the past few centuries, but at the turn of the 21st century, there was concern that academic medicine was on the decline. To address this concern, the International Campaign to Revitalize Academic Medicine was established and announced five scenarios to 2025 to debate the future of academic medicine. Although the system resembles that of Western medical societies, Korean medical societies were not familiar with academic medicine, and poor conditions caused by the distorted healthcare system in Korea have actually interfered with the nurturing of academic medicine. One of the main problems may include less interest in medical education and research relative to clinical practice by medical societies and the government. Collaborative efforts from both medical societies and the government are needed to establish academic medicine successfully in Korea for a better future.
Delivery of Health Care
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Education, Medical
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Hope
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Hospitals, Teaching
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Humans
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Korea
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Organizational Policy
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Patient Care
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Schools, Medical
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Societies, Medical
5.Efforts to prepare inter-Korea medical consolidation: compilation of a medical dictionary for all of Korea
Journal of the Korean Medical Association 2019;62(10):506-511
It is known that there are wide disparities in the medical terms and language that medical professionals currently use in South and North Korea. How much chaos can be expected when people will be able to come and go freely unless there is an effort to lessen these gaps? To minimize medical mess in advance and to provide a better environment to strengthen collaborative exchanges between South and North Korea, which should be independent of political beliefs and dynamics, as part of the efforts for inter-Korea medical consolidation, I would like to underscore the need to compile an integrative medical dictionary. For the compilation of such a dictionary, the following process and preparations are suggested. First, there should be a database of medical terminology from North Korea through a search of various types of literature in North Korea, including dictionaries, journals, and textbooks. Second, entry words for an integrative dictionary based on English terms should be included. Third, specialists in medical terminology from the northern side should participate in the editing process and hold discussions with their southern counterparts. Fourth, after the full discussion and consensus has taken place, print and web versions of the dictionary can be published. Furthermore, a dissemination plan should be established to be used widely with both sides. The above strategy should also be supported by not only the medical society in South Korea but also the Korean government.
Consensus
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Democratic People's Republic of Korea
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Dictionaries, Medical
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Korea
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Societies, Medical
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Specialization
6.The role of Korean Council on Medical Education and its future direction
Journal of the Korean Medical Association 2019;62(6):294-299
This study was conducted to recognize the role of Korean Council on Medical Education (KCME), which is composed of 12 medical organizations related to medical education, and its importance in Korean medical society. The historical background of the establishment of the KCME is reviewed, along with changes in medical education in Korea starting in the early 1960s. In 1971, the first organization for medical education in Korea, the Association of Korean Medical Colleges, was established by 14 deans of medical colleges. This organization sought to create a good environment for medical education, but because of conflict between deans and medical educators, in 1983 it was divided into two organizations : the Korean Society of Medical Education and the Korean Council of Deans of Medical Colleges. Neither was active until they co-organized a congress about medical education in 1994, and fortunately, they have continued to collaborate since. At that time, the Korean government aggressively tried to authorize 9 new medical colleges, which caused Korean organizations related to medical education to unite against this governmental policy by establishing the KCME. The KCME played an important role in monitoring policy changes and achieved some noteworthy results. However, recent changes, including the fourth industrial revolution and patterns of mutual influence among medical education, research and clinical practice, have spurred the KCME to change and broaden its activities. Therefore, the KCME should take the lead in launching a serious discussion reorganizing Korean medical societies so that academic medicine and practical medicine may flourish.
Capacity Building
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Education, Medical
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Korea
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Organization and Administration
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Organizational Policy
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Societies, Medical
7.Journal of Korean Neurosurgical Society from 2001 to 2006, the Pivotal Period of Transition and Preparation for Making Great Stride
Journal of Korean Neurosurgical Society 2019;62(2):131-135
In the circumstances of overflowing numbers of medical journals, progress of their own medical journal is one of the primary concerns of many medical societies. Among the 46-year-history of Journal of Korean Neurosurgical Society (JKNS), it undertook a period of important transition and preparation to take off for journal with international reputation during the period from 2001 to 2006. The overall process of manuscript handling, peer review, and editorial work has undergone systematic improvement. Workshops for authors, reviewer and editors were held, which were very helpful to improve the quality of submitted manuscript, peer review and editorial processing. Articles on the history, current status of the JKNS, citations and the change of proportion of types of articles were published, which provided insight about present condition and direction for further progress. It was changed into English journal in 2005. These efforts resulted in registration of the journal Chemical Abstract Service in 2005 and Science Citation Index Expanded in 2008 and SCOPUS in 2009. Now JKNS has become international journal, with about half of the submitted manuscripts from abroad, with increasing impact factor. Along with the effort of Korean Neurosurgical Society (KNS) members and support of KNS, dedication of Professor Dong Gyu Kim for the progress of JKNS is worth remembering, who served as Editor-in-Chief of JKNS during this period.
Education
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Peer Review
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Societies, Medical
8.Artificial Intelligence and Radiology in Singapore: Championing a New Age of Augmented Imaging for Unsurpassed Patient Care.
Charlene Jy LIEW ; Pavitra KRISHNASWAMY ; Lionel Te CHENG ; Cher Heng TAN ; Angeline Cc POH ; Tchoyoson Cc LIM
Annals of the Academy of Medicine, Singapore 2019;48(1):16-24
Artificial intelligence (AI) has been positioned as being the most important recent advancement in radiology, if not the most potentially disruptive. Singapore radiologists have been quick to embrace this technology as part of the natural progression of the discipline toward a vision of how clinical medicine, empowered by technology, can achieve our national healthcare objectives of delivering value-based and patient-centric care. In this article, we consider 3 core questions relating to AI in radiology, and review the barriers to the widespread adoption of AI in radiology. We propose solutions and describe a "Centaur" model as a promising avenue for enabling the interfacing between AI and radiologists. Finally, we introduce The Radiological AI, Data Science and Imaging Informatics (RADII) subsection of the Singapore Radiological Society. RADII is an enabling body, which together with key technological and institutional stakeholders, will champion research, development and evaluation of AI for radiology applications.
Artificial Intelligence
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Humans
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Image Processing, Computer-Assisted
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Machine Learning
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Neural Networks (Computer)
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Radiology
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Singapore
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Societies, Medical
9.Comparative Analysis of Visual System Disability Evaluation Criteria between China and the United States.
Journal of Forensic Medicine 2019;35(5):607-612
Gradation of Disability in Human Body Injuries (hereinafter referred to as Gradation) has been released and used since January 2017, and has become the most widely used standard in forensic science practice. This paper calculates and rates the visual system evaluation provisions of the current domestic disability evaluation criteria represented by the Gradation which used the methods of Guides to the Evaluation of Permanent Impairment (hereinafter referred to as GEPI) issued by American Medical Association (AMA). Through comparing, a good correlation between the provisions in Gradation and whole person impairment rating index in GEPI was shown. On the basis of this, suggestions are put forward to amend some provisions of Gradation, in order to provide reference for the revision and further improvement of domestic standards and provisions.
American Medical Association
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China
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Disability Evaluation
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Disabled Persons
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Forensic Medicine/standards*
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Forensic Sciences
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Guidelines as Topic
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Humans
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United States
10.2018 Changes in the Journal
Journal of Veterinary Science 2018;19(1):1-1
No abstract available.
Societies, Medical
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Periodicals as Topic
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Organizational Objectives

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