RESUMO
PURPOSE: This study was performed to evaluate the educational status of medical residents and to find factors that hinder resident education in Korea. METHODS: A survey questionnaire on educational status of residents in internal medicine was developed, and sent to three groups: (1) specialists in internal medicine who are involved in resident training, (2) specialists in internal medicine who are not involved in resident training, and (3) residents who are under training in internal medicine. RESULTS: The surveys revealed that the education to medical residents is mainly focused on delivery of knowledge of specialty. Insufficient or unsatisfactory items in the residents' education are those of skills, attitude, communication skill, leadership, and practical matters concerning medical practice such as insurance. Most respondents replied that medical residents were employed doctors in hospitals rather than trainees to become qualified medical specialists. CONCLUSION: Residents are supposed to work in hospitals as trainees to become qualified specialists rather than as employed doctors. However, resident education in Korea is hindered by such factors as lack of teaching resources, heavy workload of educating specialists, heavy duty for residents, and lack of teaching skills of resident training staffs.
Assuntos
Inquéritos e Questionários , Educação , Escolaridade , Seguro , Medicina Interna , Internato e Residência , Coreia (Geográfico) , Liderança , EspecializaçãoRESUMO
Lipofibromatous hamartoma of median nerve is an extremely rare tumor that involves the palmar aspect of the hand, wrist and distal forearm. Other terms to describe this condition include macrodystopia lipomatosa of median nerve and median nerve territory-oriented macrodactyly. Lipofibromatous hamartoma is the most common condition associated with macrodactyly in the hand Also it most commonly involves the median nerve and is one of the causes of carpal tunnel syndrome. We present a review of our experience with this unusual neoplasm and give a detailed follow-up on patient treated by surgical exploration with carpal tunnel release.
Assuntos
Humanos , Síndrome do Túnel Carpal , Seguimentos , Antebraço , Hamartoma , Mãos , Nervo Mediano , PunhoRESUMO
The increasingly successful results of hair restoration surgery in the last years have developed the interest and the confidence of patients and it is the most frequently performed esthetic surgery among male patients. Currently, various kinds of techniques for hair restoration surgery including hair transplantation, scalp reduction, and scalp flaps are performed in our clinic. Among these, hair transplantation is the basic and the most popular procedure, which can be performed not only by itself but also in conjunction with other procedures. 123 consecutive cases of hair transplantations were peformed from Jan. 1995 to Feb. 1996 for male pattern baldness, traumatic alopecia, and female pattern baldness under out patient base. The authors introduced a new classification for male pattern baldness, which are the type M, O, C, U, M-O, and C-O after alphabet to make simple and easy for clinical application. The ancillary procedures were scalp reduction, preauricular flap, and scalp expansion. An ellipsis of hair bearing scalp taken from the occipital area was sliced into slit-, mega-, mini-, and micro-grafts. The survival rate of the grafts was over 90% with minimal complications. This hair transplantation technique enabled us to achieve a good density and more natural looking hair with avoidance of cobble stoning and apparent scar.