Background : After introduction of health care delivery system, the study were analyzed of contents of outpatient in family medicine department in order to special requirments for emdical students and residency training in primary care.
Methods : In order to analyze the patients on departement of family medicine Tae Jeon Sung Sim Hospital from July 1st, 1991 to June 30th, 1992. Except the patient of medical examination and vaccines 1104 patients were reviewed charts.
Results : The ratio of male and female was 1.52:1. 25-34 year old group was largest by 21.8% and then the frequency of the pediatric group under 15 year old was 26.8% respectively. The department distribution of patients was internal medicine(29.2%), ENT(24.5%), pediatrics(20.1%), dermatology(17.6%). The most common chief complaints were cough(10.8), sore throat(7.9%), fever(6.6%), in order. The most frequent diagnositc tests was Urianalysis(17.5%), and then chest X-ray(14.2%), complete blood count(13.4%), in order. The most common diagnosis were acute pharyngitis(11.4%), URI(10.1%), acute tonsillitis(8.2%), gastritis(8.1%). in order. In classifying diseases by system, respiratory, skin, digestive and ear were ranked. 39 cases were referred to and ENT, pediatrics, internal medicine, urology, general surgery 12, 6, 5, 4, 3, cases respectively.
Conclusion : Residency training was concerned about internal medicine, pediatrics, ENT, dermatology in the family medicine department at a general hospital.