Gastrointestinal Stromal Tumor in a Patient Complaining about Less Decreasing Abdominal Obesity

The gastrointestinal stromal tumor was finded in a female patient complaining continous abdominal obesity without any gastrointestinal symptoms. The tumor was sized 5.5 7 10 cm and expanded from stomach to the space between stomach and pancreas. The surgical resection was carried out for treatment. This case means that careful physical examinations should be done when there are no gastrointestinal complains in a abdominal obesity patient.

The Patient's Opinion for the Presence of Medical Students in Ambulatory Care / 한국의학교육

PURPOSE: The aim of this study was to report the patient's opinion of the presence of medical students in ambulatory care, and to find out which factors were related with the outpatient's feelings and opinion. METHODS: The study subjects were 187 outpatients attended at three medical college hospitals in Busan. The subjects completed self-reported questionnaires about the patients' opinion of the presence of medical students in ambulatory care. These data were analyzed chi-square test. RESULTS: Among 187 people, 100 (53.4%) respondents answered with 'agree', 65 (34.8%) were 'no idea', and 22 (11.8%) were 'disagree' about the presence of medical students in ambulatory care. The patient's age, sex, educational level, and monthly income were not related significantly with the patient's opinion of the presence of medical students in ambulatory care. The factors related to subject's opinion were previous experience of medical students' inspection (p< 0.05), comfortableness of talking to doctor with medical students (p< 0.001), and previous recognizing the medical educational function of the medical college hospital (p< 0.005). CONCLUSION: Most outpatients have positive opinion for the presence of medical students in ambulatory care. But, because some outpatients have negative opinion toward the presence of medical students in ambulatory care, we need systemic consideration about them.

The Experience of Brief Survey for Teaching Journal Writing by Medical Students in a Clinical Curriculum of Family Medicine / 한국의학교육

PURPOSE: This study was to report our experience of the brief survey for teaching journal writing by medical students in a clinical curriculum of family medicine. METHODS: Brief surveys performed by medical students in clinical clerkship of department of family medicine from 1998 to 2000. Medical students determined theme without rein for brief surveys. Lecture about meaning and process of survey was given for sufficient understanding of students, and then surveys were conducted. The subjects of survey were outpatients, nursing person, medical students, nursing students, and other general persons. The subjects of theme were classified to 17 chapters 7 components by international classification of primary care(ICPC). RESULTS: In analysis of brief surveys according to ICPC, the reasons for surveys by components were diagnostic, screening prevention(89.0%), treatment, procedures, medication(5.7%), symptoms, complaints(5.3%). By chapters, there were social(64.6%), psychological(12.6%), metabolic and endocrine(6.5%). Among social problems, there were other social problem(35.4%), health care system/access(20.9%), problem with education(13.9%), relation problems partner(12.7%). Majority of medical students had affirmative response for survey conduction. In conclusion, our finding suggest that teaching journal writing as brief survey seems to be useful in understanding of journal writing of medical students.