ABSTRACT
BACKGROUND: This study was conducted to survey the current status of family medicine residency programs and to evaluate the difficulties in training of the curriculums. METHODS: Questionnaires on residency programs were sent to all the centers of residency programs by mail in April 2006. The questionnaire included detailed characteristics of residency programs, curriculum schedule, reasons for failed specific curriculum, and review and measures by the program center and the Korean Academy of Family Medicine to resolve problematic curriculums. RESULTS: A total of 113 residency programs responded. Among the 93 residency programs except for the 20 subsidiary hospitals, inadeguate subjects were mainly dermatology (12 programs, 12.3%), psychiatry (6 programs, 7.5%), ophthalmology (5 programs, 7.1%), and otolaryngology (5 programs, 7.1%). Training rejection rate was higher in dermatology (13 programs, 14.4%), radiology (11 programs, 13.1%), gastrofibroscopy (8 programs, 9.5%), and psychiatry (5 programs, 6.2%). Emergency me-dicine in 4 programs and general surgery in 3 programs had a longer duration of training than initially planned. Difficulties in training some subjects were due to failed establishment of specific curriculums in non-university hospital. Commonly established clinics were health promotion center, obesity clinic, smoking cessation clinic, geriatric clinic, stress clinic, and clinical nutrition clinic. Family medicine center programs included gastrofibroscopy, obesity, smoking cessation, geriatrics, hospice care, and evidence-based medicine. CONCLUSION: There is repeated demand for taking measures to promote better curriculum in the nation-wide view of family medicine. Dermatology, radiology, psychiatry, and otolaryngology were the subjects difficult to receive training. Measures to strengthen the weak subjects are urgently needed.
Subject(s)
Humans , Appointments and Schedules , Curriculum , Dermatology , Emergencies , Evidence-Based Medicine , Geriatrics , Health Promotion , Hospice Care , Internship and Residency , Korea , Obesity , Ophthalmology , Otolaryngology , Postal Service , Smoking Cessation , Surveys and QuestionnairesABSTRACT
BACKGROUND: This study was conducted to survey the current status of family medicine residency programs and to evaluate the difficulties in training of the curriculums. METHODS: Questionnaires on residency programs were sent to all the centers of residency programs by mail in April 2006. The questionnaire included detailed characteristics of residency programs, curriculum schedule, reasons for failed specific curriculum, and review and measures by the program center and the Korean Academy of Family Medicine to resolve problematic curriculums. RESULTS: A total of 113 residency programs responded. Among the 93 residency programs except for the 20 subsidiary hospitals, inadeguate subjects were mainly dermatology (12 programs, 12.3%), psychiatry (6 programs, 7.5%), ophthalmology (5 programs, 7.1%), and otolaryngology (5 programs, 7.1%). Training rejection rate was higher in dermatology (13 programs, 14.4%), radiology (11 programs, 13.1%), gastrofibroscopy (8 programs, 9.5%), and psychiatry (5 programs, 6.2%). Emergency me-dicine in 4 programs and general surgery in 3 programs had a longer duration of training than initially planned. Difficulties in training some subjects were due to failed establishment of specific curriculums in non-university hospital. Commonly established clinics were health promotion center, obesity clinic, smoking cessation clinic, geriatric clinic, stress clinic, and clinical nutrition clinic. Family medicine center programs included gastrofibroscopy, obesity, smoking cessation, geriatrics, hospice care, and evidence-based medicine. CONCLUSION: There is repeated demand for taking measures to promote better curriculum in the nation-wide view of family medicine. Dermatology, radiology, psychiatry, and otolaryngology were the subjects difficult to receive training. Measures to strengthen the weak subjects are urgently needed.
Subject(s)
Humans , Appointments and Schedules , Curriculum , Dermatology , Emergencies , Evidence-Based Medicine , Geriatrics , Health Promotion , Hospice Care , Internship and Residency , Korea , Obesity , Ophthalmology , Otolaryngology , Postal Service , Smoking Cessation , Surveys and QuestionnairesABSTRACT
BACKGROUND: The future health of our increasing senior population depends upon the interrelationship between the onset time of the first major disease, infirmity or disability and the time of death. Reduction of morbidity requires compressing the average period between two points and reducing the average level of morbidity during this period. In this article, authors demonstrated the change of mortality curve and estimated the mortality curve upto 2010. And we intend to use this result as basic data in the future for preventive health service, health promotion, and health policy for senior people. METHODS: In this study, the authors demonstrated the survival curve from 1970 to 1995. And we intended to estimate death rate according to age and year upto 2010 and construct a new forecasting model. By using this model, we can calculate the data upto 2010 and suggest mortality curve. RESULTS: According to the results, the relative and absolute rectangularization and the convergency of survival curves were observed, and all the Keyfitz's H, NH, SD and CV decreased while the life expectancy in creased in the period of 1970 to 2010. So we conclude that the hypothesis of mortality compression suggested by Fries explains the changing pattern of aged population in Korea very well. CONCLUSION: According to Fries theory, this study shows compression of mortality is exist in Korea But when we observe the tail of mortality curve, there are no evidence that life expectancy reaches to limitation in Korea and we expect life expectancy of Korean will continuously increase.