Study on the Construction of a Doctor-patient Community from the Perspective of Struggle Spirit / 中国医学伦理学

Maintaining a harmonious doctor-patient relationship is an important foundation for the development of health care, and building a doctor-patient community is a key measure to maintain the harmonious doctor-patient relationship. To accelerate the construction of a doctor-patient community, it is necessary to establish a sense of struggle, grasp the connotation of a doctor-patient community, and understand its predicament, so as to propose targeted strategies for constructing a doctor-patient community. A doctor-patient community is a cooperative community, not a compromise community. The purpose of struggle is to better unite and cooperate. A doctor-patient community established under the guidance of struggle spirit is more united, more cohesive, and more effective. In the context of the new era, building a doctor-patient community faces the challenges of doctors being busy with "treatment" and neglecting emotional communication between doctors and patients, patients looking for "curing" and generating the illusion of omnipotence in medical skills, schools focusing on "medical skill" and weakening the cultivation of students’ humanities, the society lacking "integration" and disrupting the harmonious doctor-patient environment, etc. Building a doctor-patient community should strengthen emotional communication between doctors and patients, correct patients’ cognitive biases, enhance humanistic education, and create a good medical environment, with a view to promoting the healthy development of a doctor-patient community and facilitating the construction of the healthy China strategy.

Health and Community of the Foreign Residents / 国際保健医療

 Kani city, Gifu is yet a typical small local town of 100,000 populations but has Japanese Brazilian and Filipino increased recently and shares 7% of total population that is a foreigner residing town.<br> The foreigner residing towns to be called are facing similar several issues at every place. The working and educational environment for the people as the migrant worker from Central and South America and their health condition which is the most important became worsen.<br> 4 years ago in Kani city, we made a survey for the educational environment of the children of foreigners for 2 years period, which was reported in public and gained favorable evaluation from several sectors.<br> Nowadays we are promoting to assure their social status who live in the local community. They are working as same as Japanese, and sometime to do the job that Japanese would not, but it seems that they are ignored on their treatment in the social life. If they spoil their own health, their life planning may cause a serious problem. Once they dropout, they may not have any chance to recover themselves. This means the “healthy condition” of the local society will be damaged before long. Therefore, we started the foreign nationality citizen's committee where we can maintain not only the individual health but also to be healthy local society from the concept that the foreign residents would not rely on the local society but they act themselves as the citizen and the local residents to participate with the local activities so that they can enjoy their independency, health, pleasure and hope.

Current Status of the Standardized Patient Programs in Korea and Plans to Develop and Improve the Program / 한국의학교육

Though SP programs have been used in Korean medical education for half a decade, few of those SP programs have demonstrated psychometric characteristics. In order to be a more useful educational tool, and in to more accurately evaluate Korean Medical students, the standardized patient program needs to be more thoroughly researched and developed. In the near future, if Korean medical educators lend their support and standardize the program in Korea, SPs will be widely adopted across the curriculum because of their potential advantages: from medical interviewing and physical diagnosis courses to clinical clerkships and residency training. This study demonstrates why Korean SP programs need early, systematic collaboration and cooperation among Korean medical colleges through a regional consortium in order to form an agenda for the implementation of SP programs, and realize the implications of this agenda throughout medical education.