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홍차넷
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추천
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- 회원들이 추천해주신 좋은 글들을 따로 모아놓는 공간입니다.
- 추천글은 매주 자문단의 투표로 선정됩니다.
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전체기타일상/생각꿀팁/강좌게임문학영화의료/건강문화/예술경제체육/스포츠과학철학/종교정치/사회요리/음식역사여행IT/컴퓨터음악창작사진
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| Date |
Warning: Use of undefined constant reg_date - assumed 'reg_date' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view.php on line 53 18/06/24 16:12:33 Warning: Use of undefined constant mod_date - assumed 'mod_date' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view.php on line 56 |
| Name | Zel |
| Subject | 전공의 특별법의 이면 |
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"1984년 미국에 고열과 오한 등의 증세로 응급실을 찾은 대학생 리비 시온(Libby Zion)은 병용 처방 금기약물을 처방 받아 사망했다. 18시간 이상 근무하던 인턴이 약을 잘못 처방했기 때문이었다. 리비 시온의 죽음을 계기로 2003년 7월 미국에서는 전공의의 근무시간을 주 80시간으로 제한하고 24시간 이상 연속 근무를 금지하는 법안이 발효되었다" -이하 프레시안 펌 전공의 특별법이라 함은 여러 내용이 있지만 가장 큰 것은 인턴, 레지던트라고 불리는 전공의들의 근무시간을 주당 80시간 이상 금지시키고 연속근무시간도 36시간으로 제한 시킨 법입니다. 전공의의 이 과다한 근무 자체가 비인간적, 비윤리적이기도 하지만 이로 인한 실수를 줄이면 궁극적으로 환자안전에 도움이 될거라는 취지하에 한국에서도 2017년 전면 도입되었습니다. 이로 인해서 각 병원마다 난리입니다. 아니 52시간 근무하는 세상에 80시간도 못지킴? 하지만 여러가지 어른의 사정에다가.. 년간 전공의 지원에 15조가 들어가는 미국, 7조가 들어가는 영국에 비해, 한국 정부님들은 전혀 서포팅이 없으니 민간병원들은 죽을 맛입니다. (말로는 500억을 준답니다.) http://www.healthfocus.co.kr/news/articleView.html?idxno=69351 그러다가 심지어 아산병원 마져도 이 근무시간을 못지켜서 페널티를 받는다고 하니 대한민국에서 이를 제대로 지킬 수 있는 병원은 없습니다. 근무 시간을 줄이면 과연 환자들은 덜 위험할까요? https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4047317/ 이 메타연구에 따르면 미국에서 조차 근무시간은 줄었지만 더 편해지는건 모르겠고, 전공의 시험 성적은 떨어졌으며, 결정적으로 환자의 유병율은 증가하였답니다. 눼.. 조는 의사가 없는 의사보단 낫다는 이야깁니다. 물론 메타연구긴 하지만 저자들이 이런 틀딱스러운 (애들 일시킬려는) 의도가 없다고 믿기엔 좀 거시기 합니다. 하지만 미국의 전공의란 그야말로 보조인력이고 (전공의 1명이라면 교수는 10명 정도, 전임의 5명 정도?) 진료보조인력 (PA)도 합법이라서 임팩이 약합니다. 우리는 거의 대부분 병원에서 필수 중의 필수 인력이고, 실제로 환자의 좋은 경과에 가장 결정적인 요소는 교수가 아니라 전공의라고 믿는 사람들도 많습니다. 특히 전임의가 아예 없는 병원들은 교수-전공의 두 직종만 있습니다. 그래서 많은 병원에서 교수가 갈려나가고 있습니다만.. 버티거나 관두거나 이분법 밖에 모르고 조직화가 되어 있지 않아 아무 생각이 없지요. 어쩌면 드디어 현실로 내려왔는 지도 모르겠습니다. 하지만 한국은... 소위 빅4병원이야 펠로우라는 완충 인력들이 잘 갈아집니다만 그 이하 병원들은 법을 어기거나, 그 충격이 위로 전해질 수 밖에 없습니다. 수술하다가 여섯시 땡 하면 칼같이 이만 퇴근하겠습니다 하고 전공의가 빠져버리는게 요즘 병원의 일상입니다. 이식 수술같이 열 몇시간짜리 수술은 클라이막스 근처도 못가고 집에 가게 됩니다. 눼 영화를 봐도 맨날 앞의 시작부분만 보는 거지요. 어쨌던 그 동안 파행적으로 돌아가던 판이니 이런 충격과 강제가 없으면 안돌아가는 건 이해가 가지만.. 과연 환자라도 안전해지는 지가 의문입니다. 의사를 많이 양성해서 많이 뽑으면 되지.. 그래서 전문의가 병동에서 전공의 대신 환자보는 하스피탈리스트 사업들이 진행되고는 있습니다만.. 결국 전공의도 교수도 아닌 애매한 직업을 위험만 개인이 져 가며 갈려라 하는데 굳이 갈릴 멍청한 사람은 없지요. 집단적 직업의식의 부재를 탓하는 소리도 있습니다만 아니 기소불욕이면 물시어인 아닙니까? 대부분 병원들이 공고를 내지만 지원을 하지 않습니다. 이는 특히 워라밸 강조현상이 두드러지는 요즘 더욱 명확한 트렌드가 되고 있습니다. 초음파 급여, 병실 급여 다 좋은데 항상 소프트한것만 건드리고 포장질하고, 코어는 민간님들이 알아서 해야지 안되면 접으삼 뿌잉뿌잉 하는게 지겹지만 ㅎ 유구한 전통입니다. 환자 입장에선 당장 간병인 돈 주는게 크고 아쉽지만, 실제로 문제가 되는건 그 병원에 의사가 없는 겁니다. 의사는 당연히 있는 거라고요? 노 웨이 * 수박이님에 의해서 티타임 게시판으로부터 게시물 복사되었습니다 (2018-07-09 17:14) * 관리사유 : 추천게시판으로 복사합니다. Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view.php on line 133 Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view.php on line 146 Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view.php on line 161 10
이 게시판에 등록된 Zel님의 최근 게시물
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Warning: Use of undefined constant is_admin - assumed 'is_admin' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/lib.php on line 609
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/lib.php on line 614
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/lib.php on line 616
Warning: Use of undefined constant x - assumed 'x' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/lib.php on line 618
Warning: Use of undefined constant name - assumed 'name' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/lib.php on line 618
Warning: Use of undefined constant x - assumed 'x' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 612
Warning: Use of undefined constant name - assumed 'name' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 612
Warning: Use of undefined constant reg_date - assumed 'reg_date' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 620
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 628
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 628
Warning: Use of undefined constant HTTP_HOST - assumed 'HTTP_HOST' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 640
Warning: Use of undefined constant name - assumed 'name' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 644
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 646
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 646
Warning: Use of undefined constant HTTP_HOST - assumed 'HTTP_HOST' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/cmt_replace.php on line 3
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 6
Warning: Use of undefined constant file_name - assumed 'file_name' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 28
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 65
14695 class="iamcmt" style="display:none;"> Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 66
14695 class='vcm '>
Warning: Use of undefined constant x - assumed 'x' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 70
Warning: Use of undefined constant x - assumed 'x' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 71
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 76
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 117
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 118
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 119
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 120
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 121
14695'> 먹이
Warning: Use of undefined constant mod_date - assumed 'mod_date' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 133
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 140
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 140
Warning: Use of undefined constant reg_date - assumed 'reg_date' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 142
18/06/24 16:48
14695>삭제 주소복사
Warning: Use of undefined constant level - assumed 'level' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 150
프레시안 기사 설명은 좀 두루뭉실하게 넘어간 면이 있는데, 당시에는 mao 억제제 쓰는 환자에게 페치딘을 처방하면 세로토닌 증후군을 초래할 수 있다는 점에 대해 아는 분들이 잘 없기도 했죠. 리비 시온 케이스 이후로 잘 알려지게 되었어요. 그래도 어쨌든 유족들이 처음부터 의사 개개인의 잘잘못보다는 병원 시스템을 공격한 것이 많은 공감대를 샀고, 전공의를 보호하는 움직임으로 이어졌다는 점을 중요하게 봐야 할 것 같습니다
물론 그 전에도 미국 전공의들의 사망 1위가 교통사고였다는 점을 생각해보면 - 당연히 졸음운전 때문이었죠 - 저런 움직임이 없던 것은 아니었지만 리비 시온의 사망이 결정타였다고 봐야...
Warning: Use of undefined constant level - assumed 'level' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 158
Warning: Use of undefined constant password - assumed 'password' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 166
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 171
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 172
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 172
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 173
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 173
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 173
물론 그 전에도 미국 전공의들의 사망 1위가 교통사고였다는 점을 생각해보면 - 당연히 졸음운전 때문이었죠 - 저런 움직임이 없던 것은 아니었지만 리비 시온의 사망이 결정타였다고 봐야...
Warning: Use of undefined constant level - assumed 'level' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 158
Warning: Use of undefined constant password - assumed 'password' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 166
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 171
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 172
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 172
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 173
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 173
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 173
14695>
14695>
