No abstract available.
*Diagnostic Imaging ; Human ; Radiology/*trends ; Radiology, Interventional ; Specialties, Medical

In order to investigate the extent and growth of SCI publication activity of Korean medicine, DIALOG's SCISearch database was searched and the number of SCI Korean medical papers in each medical specialty was measured by publication year and by document type for 1996 and 1997. The percentage contribution of Korean medical papers to SCI database and the SCI publication productivity ratio were analyzed for each of 57 medical specialties. The data obtained in this study was compared with the data representing the 1980s and the data for the first half of the 1990s. The absolute productivity of SCI Korean medical papers as measured by the number of SCI Korean papers has increased about ten times from 306 papers in 1990 to 3,261 papers in 1997. More than 15% of SCI Korean publication output has resulted from six Korean medical journals indexed in SCI from 1995. The relative productivity of SCI Korean medical papers as measured by the percentage contribution from Korea to SCI and by its corresponding productivity ratio is not as impressive as the absolute productivity and its growth rate. It has increased three times from 0.245% to 0.642% during the same period. The relative productivity of SCI Korean medical publication output is not as great as the SCI Korean publication output of all sciences combined (1.02%).
Databases, Factual ; Human ; Korea ; Publishing/statistics & numerical data* ; Research/trends ; Research/statistics & numerical data* ; Schools, Medical/trends ; Schools, Medical/statistics & numerical data ; Specialties, Medical/trends ; Specialties, Medical/statistics & numerical data* ; World Health

The talk traces briefly the development and changes of surgical training in the English-speaking world in the early days and the trials and tribulations of surgical training in Singapore a few decades ago. The factors that brought about the surge of American surgery from late 19th century to the first half of the 20th century are discussed. Structured surgical training leading to the exit point was introduced by William Halsted of Johns Hopkins Hospital around 1892, a system that was later adopted by all other medical disciplines and by all other hospitals in the US. It is considered to be the prime mover of the rapid progress of American medicine. Training surgeons to only the entry point while leaving the competence of trainees to chance, used to be common in the British surgical world. The trend now favours surgical training to the exit point. It is also the system being adopted in Singapore. Increasing demands of high standard of patient care and public accountability no longer allow us to be casual and permissive mentors of future generations of surgeons. Proper surgical upbringing requires a good structured programme that itself needs to be accredited and periodically reviewed. It also requires that discipline be observed on the part of trainees. Knowledge and skills are within the capability of our mentors to impart, but inculcation of good attitude and ethics in trainees is a harder goal to achieve.
Attitude ; Education, Medical ; history ; trends ; General Surgery ; education ; History, 19th Century ; History, 20th Century ; Singapore ; Specialties, Surgical ; United Kingdom ; United States