With an increase of the need for primary physician who has a main role in the Health Care Delivery System, it is necessary to understand the medical students' attitudes towards Family medicine. So we surveyed the senior students' specialty choice, the reasons why choose that specialty and why not choose family Medicine as a career.
The results are as follows ;
1. The study population were 142 senior students of an university located at Seoul. Among them 127 cases(102 males and 25 females) could be analyzed.
2. Internal Medicine was the most favorable specialty (48.8%) among the students followed by Psychiatry(26.0%) and Family Medicine(25.6%).
3. There were 32 students who consider Family Medicine as a career. To coincide with his philosophical background was the most inportant reason for choice(1.97), followed by the country requir more Family Physician than other specialists(1.72) and to achieve a wide spectrum of knowledge(1.06).
4. There were 95 students who chose other specialties than Family Medicine. The important reasons why they chose that specialty were to achieve intellectually satisfaction(1.43), attractive during medical school lecture or clinical rotation (1.07), and to coincide with his philosophical background(0.76).
5. The important reasons of 91 students who did not cchoose Family Medicine were Family Medicine lacks specialty in academic discipline(1.40), lack of information on Family Medicine(0.95), and not satisfied with training program(0.78).

It is important to define cliniclal contents of inpatient in Family Medicine department, National Medical Insurance System and Medical Delivey System were established at 1989, Therefore, role of hospital was differentiated to primary, secondary and tertiary. The establishment of family medicine is important task for its role.
In order to know the role of family medicine department, 262 patients who were admitted in the family medicine department of Incheon hospital from september, 1988 to august, 1989 were selected and analyzed.
The results of this study were as follows.
1. They were admitted via emergency room(56%), via OPD(37%) or transferred from other departments(7%).
2. Most 4 frequent chief complaints in all age group were syncope(21.7%), abdominal pain(14.1%), dyspnea(6.1%) and fever(5.3%).
3. The total number of consultation was 82, and consultation rate was 31.2%.
The department in order of consultation by frequency was ophthalmology, orthopedic surgery, neuropsychiatry, dermatology, OB & GY, general surgery, urology, ENT, neurosurgry.
4. The referral rate was 1.9%.
5. The total number of final diagnosis was 659, and mean number of final diagnosis was 2.5 diagnosis / patient. The diagnoses in order by frequency were hypertension, pneumonia, DM, APN, chronic liver disease, alcohol dependence, UTI, pulmonary tuberculosis, intracranial hemorrhage, and chronic ulcer of skin. Upper 15 diagnoses were included 46.71% and upper 25 diagnoses were included 60.61%.
6. In classifing disease by system, the rank of frequency in order was circulatory, gastrointestinal, respiratory system.

Low back pain is a one of the commonest cause of physical impairment and induces disability the activities of everyday living or the activities of work. Family practitioners often face patients with low back pain, therefore, they should fully understand the nature of low back pain and could explain it.
A clinical observation has been made on 47 patients with low back pain visited a local orthopaedic clinic, Incheon, from March 19th 1990 to March 24th 1990. The purpose of this study was to review and analyze the status of the patients with low back pain through questionnaires, specially concordance of diagnosing the low back pain was looked into with X-ray readings done by a family practoner and radiologist.
In comparing discrepancy of reading the series of Anterior-Posterior and Lateral views of Lumbo-Sacral spine in 47 patients, 47 percent of cases showed disagreement(kappa:0.14). However the results of management in patients influenced by discrepancy in X-ray readings have not been evaluated.
In conclusion, a more efficient educational program should be sought and performed for family practitioners or in residency program of family practice about low back pain.

Compliance with medical therapy in general is often low, and compliance with diabetic control is no better. Numerous studies have shown that patients frequently drop out of treatment for diabetes melitus and that compliance is related to health belief model. Furthermore, even when patients stay in treatment, they often take their medications in a way quite dissimilar from that prescribed.
The purpose of this study is to evaluate the relationship between compliance and health belief model in diabetic patients. This study has shown that the compliance is related to health belief model.

To obtain basic data for family physicians who would like to open private clinic at a rural area, the 4,483 patients who visited Hoeng Sung Daesung hospital from August 1, 1988 to July 31, 1989. were analyzed.
The results were analysed as follows ;
1. Among the total 4,483 patients, the sex ratio of man to woman was 1.4:1 and the age distribution of patients is as follows ; 0-9 year group was 23.9% of the total. 20-29 year group was 18.7% 30-39 year group was 16.8% in order.
2. The seasonal distribution of the patients who visited emergency room was summer (30.1%), Spring(27.4%), Autumn(23.8%) and winter(18.6%) in order.
3. 23.0% of patients visited emergency room on Sunday the most and 9.7% of patients visited on thursday the least.
4. Concerning medical insuranace, 65.7% of patients was on general medical insurance, 28.2% of patients was on non-insurance, 3.6% of patients was on medical protection and 0.4% was on industrial accident medical insurance.
5. Distribution by symptoms in decreasing order of frequency was trauma(68.1%), coughing and rhinorrhea(11.5%), out-patient-level procedure(11.5%), vomiting and diarrhea(6.7%), sore throat(6.2%), abdomenal pain(4.8%), itching and urticaria(4.7%), musculoskeletal pain(3.3%), headache(2.5%), fever and chill(2.1%).
6. Distribution by diagnosis in decreasing order of frequency was musculoskeletal system diseases(31.4%), respiratory system diseases of sk in in and subcutaneous tissus(7.8%), circulatory system diseases(5.0%), nervous system diseases(2.9%), urologic system diseases(1.9%).
7. In management of pateints, 81% of patients was returned home immediately after treatment, 7.6% was transferred to other hospitals, 0.4% was dead on arrival and 0.1% of patients died during treatment procedure.