This is a fundamental study concerning the family practice clerkship of the senior medical students, which was focused on the experience in the community medical institutes. Health problems experienced in the community by 76 students who finished the 3-week course of family practice clerkship were described and a questionaire was applied to evaluate the degrees of satisfaction of the students at the end of each course. The result from the analysis of these data is as follows. 1. Seven out of 10 most common health problems in overall frequency were included within 10th order of frequency in family practice encounter, showing that most of the common problems in the community were experienced in family practice clinic. 2. The lectures for the clerkship dealt with 10 problems among the 18 most frequent problems encountered in the community. 3. Problems within 10th rank in overall frequency which were not included in the lecture topics were acute bronchitis, prenatal care, vaccination, induced abortion, and acute tonsillitis. 4. Over 75% of the students responded to be satisfied with the selection of the institutes, experience of common problems, and the education of the doctors in charge. 5. The most important factor in dissatisfaction of the students proved to be the insufficient cooperation of the doctors in charge for the education. 6. To enhance the comprehensiveness of the experience and the cooperation of the doctors in charge, it was considered as a promising innovation to increase the proportion of the family practice clinic in the selection of the institutes. In conclusion, the family practice clerkship at present was evaluated as showing considerable appropriateness and satisfaction and several guidelines were obtained for further development of the clerkship.
In order to analyze the clinical contents of Family Medicine, eight 3rd year Family medicine residents who were rotated five satellite clinic were requested to record the clinical contents for one random day in every week from July 1988 to October 1988. The following results were obtained. 1. The total number of patient were 1,392, among them 591 were male(42.4%), 801 were female(57.6%). There were more female visitors than male in all age group, execpt in 0-1 9 age group. 2. The pediatric group under 14 years of age was 28.2% and the geriatric group above 65 was 12.8% 3. The total number of reasons for encounter(RFEs) were 1,807 with the mean number of REFs per encounter was 1.3, we observed 148 REFs. The top 20 reasons occupied 63.0%, cough was the most frequent REF. 4. According to systemic division of diagnosis, Digestive(23.9%), Respiratory(21.2%), Musculoskeletal(15.5%) and Skin(15.0%) were ordered. 5. By using the 140 differant kinds of diagnosis of 1,392 participants, mean number of diagnoses of each patients was 1.0, out of 140 diagnoses the top 20 outnumbered 63.7%, and Disorder of stomach function, U.R.I., Uncomplicated hypertension, Other osteoarthritis, Acute Tonsilitis were 13.7%, 9.3%, 6.9%, 4.0%, 3.8% respectively. 6. The frequency of obstetric problems, male and female genital problems were very low, showing 0.1%, 0.1%, 1.7% in order. No one complained of social problem as a reason for encounter. 7. The mean number of laboratory examination performed by each patient was 0.34 and of total 39 kinds of laboratory examination top 10 include 84.0%, and extremity X-ray, Chest X ray, Urinalysis, CBC, LFT were 16.1%, 14.0%, 13.1%, 10.2%, 9.7% respectively. 8. Twenty-eight patients(2.0%) were refered to other specialists,and the frequency of referred specialties were General Surgery, Orthopedic Surgery and OB. and GYN.and the main reason to refer was to determine diagnosis and operation. 9. The ICPC method is considered to be more comprehensive as it is available to code RFEs, Diagnosis, Process of care, therefore further study on ICPC in primary care is necessary.
This study was carried out in order to screen and identify the risk factors of hypertension and to obtain information useful in formulating strategy for hypertension control programs in rural Korean communities. From January until March, 1987, a mobile screening team visited nine established centers served by community health practitioners (CHPs) in the Kosan region, and also visited several villages in this district which are not served by CHPs. A total of 537 adult volunteers over 30 years of age participated in this study. Each volunteer was interviewed individually, checked for height, weight, and blood pressure twice by a trained nurse,and examined by a family physician. The definitions of hypertension were based upon World Health Organization criteria. This study revealed the following results. 1. The mean systolic blood pressure of men was higher than that of women in all age groups except in the 50-59 age decade : however, the mean diastolic blood pressure of men was higher than that of women in all age groups. 2. Systolic blood pressure increased in accordance with advancing age, but diastolic blood pressure showed a plateau from age 40 years and older in men and from age 50 years and older in women. 3. Among suspected factors contributing to the presence of hypertension in this population group, the following showed a statistically significant association : contents and days of use of the refrigerator per year; relative body weight; duration of cigarette smoking; alcohol consumption: hypertensive history of the volunteer's mother; and preference for salty food. Of these factors, the contents and days of refrigerator use per year showed the strongest association. Based upon the findings of this study, diet and nutrition can be considered to be the most important factors in the development of hypertension among the people in the area studied. The strategy of hypertension control must therefore include measures to improve the diet and mutrition as essential constituents. This study is part of the work of the Kosan Community Health Project which has been supported by the Protestant Central Agency for Development Aid in Bonn, West Germany since 1982.
A study to find out the Family Function and its Resources in 3rd grade boys high school students was performed in a Kang-dong district high school from september 5th 1988 to september 12th 1988. A questionnaire, that of Smilkstein(1978), and sociodemographic factors that may influence their family function were given to 213 students and following results were obtained. 1. The total number of participants were 189 students. 2. Mean Family APGAR was 5.3 points revealing moderately dysfunctional. 3. According to dicision by family APGAR score, 51 students(27.0%) were included in 0-3 point group (severe dysfunctional), 77 students (40.7%) were included in 4-6 point group (moderately dysfunctional), 61 students(32.3%) were included in 7-10 point(healthy family functional). 4. Family APGAR score was statistically higher when students had their own study room, students had frequent verbal communication with their parents, they had no suffering patients in their family, theri parents had warm attitude of breeding them, they share their thoughts before decision making, good at schooling. Through these results one can conclde that in order to increase Family APGAR score, their parents should have frequent verbal communication, need warm attitude toward breeding their children, should discuss about family matter, provide their own study room. In a situation, where most students are on psychological stress, their parents should bear in mind above factors to admitt psychological safety to their children. And further studies involving female students and other factors should be needed in the future.