Citations

• A comparative survey study of knowledge, attitude, and practice towards medical ethics among surgical and non-surgical physicians
  Heba K. Khalifa, Amira A. Wahdan, Moataz Y. Soliman, Fatma G. Sobeeh
  Egyptian Journal of Forensic Sciences.2024;[Epub]     CrossRef
• Specialty impact on residents’ perceived quality of life, stress, and job satisfaction: a comparative study
  Bo Young Kim, Inah Yoon, Seong John Han, Suk-Kyung Hong, Sehoon Choi, Hyo-Jin Kwon, Eun Key Kim
  Annals of Surgical Treatment and Research.2023; 105(4): 188.     CrossRef
• ETIOLOGICAL FACTORS DETERMINING OCCUPATIONAL STRESShttps://journals.4science.ge/index.php/jecm/article/view/885
  MARINA TSIMAKURIDZE, NINO KHACHAPURIDZE, MAIA TSIMAKURIDZE, NATO KHUNASHVILI, DALI ZURASHVILI, ETERI MAISURADZE
  EXPERIMENTAL & CLINICAL MEDICINE GEORGIA.2022;[Epub]     CrossRef
• Investigation of Sleep Quality of Nurses and Its Relationship with Musculoskeletal Disorder Prevalence and Job Stress
  Behnam Moradi, Samira Barakat
  Journal of Occupational Hygiene Engineering.2021; 8(1): 26.     CrossRef
• Job stress among resident physicians in Tanta University Hospitals, Egypt
  Nadira Mansour Hassan, Mira M. Abu-Elenin, Rania M. Elsallamy, Ibrahim A. Kabbash
  Environmental Science and Pollution Research.2020; 27(30): 37557.     CrossRef
• Prevalence of and risk factors for poor sleep quality among residents in training in KSA
  Haytham I. AlSaif
  Journal of Taibah University Medical Sciences.2019; 14(1): 52.     CrossRef
• Examining self-reported and biological stress and near misses among Emergency Medicine residents: a single-centre cross-sectional assessment in the USA
  Bengt B Arnetz, Philip Lewalski, Judy Arnetz, Karen Breejen, Karin Przyklenk
  BMJ Open.2017; 7(8): e016479.     CrossRef
• Short sleep duration is dose-dependently related to job strain and burnout in nurses: A cross sectional survey
  Weishan Chin, Yue Leon Guo, Yu-Ju Hung, Chiu-Yueh Yang, Judith Shu-Chu Shiao
  International Journal of Nursing Studies.2015; 52(1): 297.     CrossRef
• Antioxidants in Asian-Korean and Caucasian Skin: The Influence of Nutrition and Stress
  Sora Jung, Maxim E. Darvin, Hyoung-Seok Chung, Bena Jung, Sang-Hyuk Lee, Klaus Lenz, Wan-Seok Chung, Ruo-Xi Yu, Alexa Patzelt, Bich-Na Lee, Wolfram Sterry, Juergen Lademann
  Skin Pharmacology and Physiology.2014; 27(6): 293.     CrossRef
• Assessment of work related stress among female public service workers in Kaunas
  Gintare Kaliniene, Ruta Ustinaviciene, Lina Skemiene
  Open Medicine.2013; 8(6): 861.     CrossRef

Background
The purpose of the study was to understand how family physicians managed their primary health care centers and to identify the factors for successful management of their privative clinics. Methods: The data was collected through individual interviews from five family physicians who operated their private clinics. All interviews were tape-recorded and transcribed into verbatim data. The data was analyzed using qualitative content analysis. Results: Three major categories were identified: 1) types of physician based on major value as a doctor; 2) difficulties in operation and management; 3) desirable operating strategies for success. The first category described what kinds of value the physicians pursued as they operated their private clinics. Two different types were identified. One was intrinsic value oriented and the other was extrinsic value oriented. The second category illustrated many difficulties that family physicians faced in operating and managing their private clinics. Lack of private time, social isolation, and gap between mission and reality of practice were identified as major difficulties. Desirable strategies for the successful management were four subcategories: location; self-oriented developmental plan; specialization of the services; and activating network with larger hospitals. Conclusion: The results of the study would be helpful in setting up and operating private clinics through understanding the difficulties and strategies of primary physicians and recognizing mission and major value of them.

Background
: Breastfeeding is not common in Korea despite its known benefits. The role of family physicians is important in promoting breast-feeding since they can provide prenatal and postnatal care on lifelong basis. This paper analyzed a survey of family physicians on their knowledge, attitude, experience, and training concerning breastfeeding.

Methods : The survey was carried out by e-mail enquiry to the residents and board-certified physicians registered in the Korean Academy of Family Medicine. The enquiry was developed by Gary L. Freed composed of 18 questions about knowledge, attitudes, experience, and training. The answers to the questions were analyzed to give frequency and the associations between the variables.

Results : Among the total, 64% of the residents and 76% of the physicians answered yes to whether breastfeeding was the best means of feeding an infant under 6 months of age. Also, 83% of the residents and 85% of physicians answered it was right to quit breastfeeding completely when breast abscess developed. The breastfeeding promotion was done more frequently by those who had personal experience. They had higher rate of educating patients than those who did not (28% vs. 9%, P＜0.0001). Despite its importance, 86.5% of the residents and 77.6% of the physicians answered that they did not have enough opportunity to learn about breastfeeding during their training years.

Conclusion : Although family physicians are required to play a role in promoting breastfeeding, they are insufficiently trained under the current system. Therefore, it is necessary to develop a training program to educate the residents on breastfeeding.

In early May 2003, a small group of four, including three family physicians and a media person, visited various family medicine education and training facilities in Edmonton, Alberta, Canada. This paper is a brief discussion of what knowledge and insight was gained during this trip.

Background
: Obligatory continuing medical education was applied by medical law for lifelong education to physicians in Korea. A new method of continuing medical education was needed because of wide-spread and easy access to internet which resulted in improved public knowledge of medicine, and appearance of a new internet site for doctors's continuing medical education.

Methods : A questionnaire was sent twice by mil and fax to randomly selected 256 office based family physicians in Seoul and Kyonggi Province in May 2001 and 124 available responses were received.

Results : The response rate to the questionnaire was 50.7%. Median studying time per week for the past one year of the responders was 3 hours and there was no significant correlation in studying time per week with duration in practice, age, sex, or internet accessibility at clinic. The group with more than or equal to 6 years in duration of practice was significantly more than the group of participating academic conferences(P=0.027), number of participating lectures for office based physicians(P=0.001) and points of formal continuing medical education(P=0.002). The practice pattern change after attendance was 51.3% in 5years or less in duration of practice, 42.7% in 6years on more. Main causes of being reluctant to attend continuing medical education activities were 'no practical content' and 'long distance'.

Conclusion : For the improvement of quality of care by continuing medical education, practical program applicable to the clinical practices should be developed and continuing medical education activities be carried out in various areas.

Background
: Physicians’ satisfaction with their professional life influences the quality of patient care they provide and helps to determine the number and type of students attracted to the various fields of medicine. In South Korea, two decades have passed already since the introduction of family medicine. But, S. Korean health policy has not developed a strong plan a strong plan to control a high medical cost and ineffective utilization of medical resources. Additionally, the number of students applying for family medicine is less than that for internal medicine or pediatrics. The purpose of this study was to de-lineate factors relation to professional satisfaction among family physicians in South Korea.

Methods : The subjects were 840 family physicians who had been trained formally and registered to the Korean Academy of Family Physicians. The self-administered questionnaires were collected by three mailings during March 18 to May 24 in 1998.

Results : Completed questionnaires were received from 292 South Korean family physicians. With respect to income, there showed ‘satisfaction in 31.4%, ‘middle’ 47%, and ‘dissatisfaction’ 20.5%(no response 1.0%). Three periods of certification acquisition(P=0.001), four practice types(P=0.005), and three degrees of training satisfactioni(P=0.003) had significantly different degrees of satisfaction. In the aspect of pride as a family physician, there showed ‘high’ in 42.1%, ‘middle’ 45.8%, and ‘low’ 10.9%(no response 1.2%). In the aspect of future view as a family physician, there showed ‘bright‘ in 40.6%, ‘middle’ 40.6%, and ‘dark’ 17.6%(no response 1.2%).
After confounding variables were controlled, practice types(faculty family physicians rather than private practitioners) (P=0.003), the degree of training satisfaction(P=0.001, positive relationship), and the number of patients encountered per an hour(P-0.0098, positive relationship) were significant variables of the degree of general professional satisfaction.

Conclusion : Though standard measure of professional satisfaction have not been developed, this survey result seems to help understand factors relating to professional satisfaction of S. Korean family physicians. This information may be useful in the development of policy to structure a primary care oriented health care system in S. Korea.( J Korean Acad Fam Med 1999;20:1697-1708)

BACKGROUND
Importance of the participation of clinical practitioners in the development of guideline is increasingly emphasized. We studied the attitude of family physicians to the guideline for hypertension management and compared it with their reported practice patterns.
METHODS
We developed a guideline for hypertension management with reference to other guidelines previously published and used by WHO and health organizations in many countries. A questionnaires asking attitude to the contents of the guideline and real practice pattern was sent to 200 Korean family physicians. Response rate to the questionnaire was 27.5%.
RESULTS
The agreement rate to annual blood screening in persons aged 15 and older was 87%, while the reported practice rate in most of patients was only 42%. The agreement rates to medical history taking in hypertensives were high in all items, but reported practice rate was very low. The agreement rates to physical examination in hypertensives were relatively high in all items, while reported practice rate was high only in lung and heart examination. The reported practice rate of laboratory tests were less than 60% and that of electrolyte check was only 22%. Most of the study subjects agreed with all behavior modification methods. Although 80% of the subjects agreed that diuretics or beta blocker should be used as an initial regimen, the reported practice rate was only 36 %.
CONCLUSION
There observed a big difference between attitude to the guideline and reported practice pattern in this study. It showed the need to narrow the gap between them.