Background
: Since the winter of 1997, Korea has been in an economic crisis. During this period family the most important and basic social unit faced many problems. The purpose of this survey was to assess Korean family's functional status and emphasize family as a social support unit.

Methods : During April-May 1998 Nationwide Telephone survey was done. Sampling was done by Multi State Random Sampling technique. We questioned subjects on 5 categories of present family problems and used Modified Faces-III Questionnaire for evaluation of family function.

Results : By 5 point scale, the impact of present economic problems to the family showed the highest score(3.7). Other causes had a score range of 1.7-2.1. Economic impact was greater in 4th and 5th life cycle step, those with low income, and those in bereavement. Family type was divided in to 3 groups; extreme type 20%, mid range 50%, and balanced 30%. Among extreme groups chaotic adoption and enmeshed cohesion type were the most common(10.8%).

Conclusion : In the korean family 1998, economic problem seems to be the most important impact factor and the proportion of extreme type family is high.

Background
: Pain is among the most prevalent symptoms experienced by patients with cancer. Severe pain is incompatible with quality of life. Although cancer pain can be effectively treated in 70-90% of patients with the principle of pain management, between 60% and 70% of cancer patients' pain is inadequately treated. Both knowledge and attitudes of medical professionals are important for effective pain management. This study was designed to survey residents' knowledge and attitudes toward cancer pain management in order to offer the basic data for researching the problems and education program of cancer pain management.

Methods : In February 1997, we surveyed 116 residents practising in 7 departments of one university hospital, including physicians and surgeons, with a case-oriented questionnaire assessing knowledge and attitudes toward cancer pain management.

Results : The percentage of residents choosing the correct answer for knowledge about pain management was ; pain in the drug abuser(42.2%), equianalgesic dosing(47.4%), physical dependence(50.9%), WHO analgesic ladder(61.2%), neuropathic pain(62.9%), around the clock dosing(69.8%). The percentage of residents choosing answer for attitude toward cancer pain management ; upper limit to opioid prescription(46.5), reluctance to prescribe morphine(45.7%), need of education for pain management(99.1%). Fear of side effects was the most frequent reason of their reluctance to prescribe opioids(80.4%.) Physicians had higher level of knowledge than surgeons(P=0.004).

Conclusion : This study shows the presence of barriers to adequate pain control in Korea as identified in other countries. There is the lack of knowledge about cancer pain management and doctors are reluctant to prescribe because of negative attitudes towards pain management. This suggests a need for not simply offering knowledge but problem solving education and training of pain management.

Background
: in order to provide basic data which are necessary for the standard reference of residency training program in family medicine(F.M.), we surveyed all of 47 training hospital's current residency traing program in Korea.

Methods : There are 38 training hospitals which fulfilled the inclusion criteria among the 47 residency training hospitals registered to the Korean academic society of family practice as of March 1, 1992. Survey included general characteristics, number of staff, ratio of staff to residents, facilities in F.M. center, out-patient care by resident and preceptorship, academic activities, and curriculi. We classified and compaired them by history of hospital(less than 2 years vs, more than 3 years) and character(non-university vs. university hospital) of residency training hospita.

Results : Among 38 training hospitals, there were 13(34.2%) hospitals with less than 2 years of history, 25(65.8%) hospitals with more than 3 years of histroy. There were 23(60.5%) non-university hospitals, and 15(39.5%) university hospitals. Total number of staff was 56. There were 24(63.2%) hospitals which had only 1 staff member, 11(28.9%) were 2, 2(5.3%) were 3, and 1(2.6%) hospital which were 4. Total number of residents were 378. The number of hospitals whose ratio of staff to residents exceeded 1:6 was 14(36.8%). The percentage of Facilities which had Examining Room Resident Room, Care Room, Conference Room, Conunselling Room Clinical Lab, Record Room and Admission Room in the F.M. center were 97.4%, 84.2%, 57.9%, 57.9%, 26.3%, 23.7%, 18.4% and 55.3% each others. 28(73.7%) of teaching hospitals had outpatient care by residents and 14(36.8%) had preceptorship available. In a 3 year period, hospitals which had at least 150 inhouse conferences and 3 conferences outside the hospital were 26(68.4%). Average months of 3 year curriculum were as follows : Internal Medicaine 6.9, Pediatrics 3.7, General Surgery 3.2, Obstetrics and Gynecology 3.1, Emergency Room 0.8, Family Medicine 5.9 and Essential electives 8.7, Free electives 1.1.

Conclusion : Generally, there were some problems in the family medicine residency programs. most important is the lack of staff members and the lack of outpatient care by residents, especially in non-university hospitals which had les than 2 years history.