Current Status of Pediatric Surgical Practice in Korea

(1)

= Abstract=

~~~6t~iI}~§1 §1~~ 1995~ Y {] fi ~ % ~ 4-~7S~ /-~ f ^~A}

t:H2;S.A-I. a::O:jEH. O~A-I$. n .:¢:a~. ol~Ai ola~C:-I. oIA-I.::::z.. oIA-I;;;-I. A~.:¢:OI

..., I t::t ⁰ 0 . . . , 0 0 Î ..::c.. Î ⁰ Î ^L..!, ⁰ ^{- ,} ^{- , .} ⁰ a ⁰ Î a

A-IA-I'£. A-I¥C~. ~1.::::z.AL. ~1¢.2.. ^-=1O~.:¢:. S~ 01 i5

C O L - O~L..:. ^C r L..:....' ^{0 1 0} ^I ^O-...:L-

Current Status of Pediatric Surgical Practice in Korea

- a Survey among the Members of Korean Association of Pediatric Surgeons-

WK Kim, M.D., SY Kim, M.D., SK Kim, M.D., IK Kim, M.D., JE Kim, M.D., CS Kim, M.D., HH Kim, M.D., KW Park, M.D., YS Park, M.D., WH Park, M.D.,

JS Park, M.D., YT Song, M.D., JW Yang, M.D., SM Oh, M.D., OS Lee, M.D., MO Lee, M.D., SK Lee, M.D., SC Lee, M.D., SI Chang, M.D., SE Jung, M.D., PM Jung, M.D., KJ Choi, M.D., SO Choi, M.D., YS Huh, M.D., EH Hwang, M.D.

To understand the current status of pediatric surgical practice of the members of the Korean Association of Pediatric Sutgeons, a survey of the practice of the 31 members in both 1994 and 1995. Twenty five members(80%) representing 20 hospitals responded. An average of four hundred and seventy four cases pediatric surgical operations were performed at individual institution in 1995 with 40 newborn cases. Eighteen members(72%) ate currently working at university hos- pital. Fourteen institutions(70%) are currently classified as tertiary by the health insurance agency. The majority(l5 to 60%) of members are working in the met- ropolitan Seoul area, while five in Taegu area. Sixteen members reported having the title of department head/ director. Four members reported occasional

non-pediatric surgical practice. Nine members out of 20 reported having indepen- dent pediatric surgical out-patient clinic before the establishment of the associa-

tion( 1985). Eight out of 15 members reported being appointed chief of pediatric surgery before 1985. In 20 institutions, 34 full time physicians(27 members, re-

portedly) are working in pediatric surg~ry. In regarding to pediatric surgical training, 16 members(64%) received an average of 16 months of training abroad, 5 members trained at home and abroad, and 4 from only at home. There are no differences in length of training periods in these groups. TWenty one members received their basic pediatric surgical training before 1985, the year of inaugura-

- 61 -

(2)

tion of the association. Twelve members received post-pediatric surgery refresh- er courses averaging 11 months' duration, after 2-11 years. Thirteen participants of this study belongs to the founding members of the association.

Index Words: Survey, Pediatric surgical training, Pediatric surgical institution, Korean Asso- ciation of Pediatric Surgeons( KAPS)

1960 1;'1 cJ1 ^oj] p] -:;;-.2..ii.. 1['- E~ .:;z-] -:;;-~

'il

^~^~, 0] Al]

~oJ] 9.JCS-}O:j A]~¥.! 1J-:;;-!?-] ~0}.2.]JJj-~~ 70tdcJ191 -:;;-1-l1 ~7.}.9.l .2.]-:;;-* ~JJj-Aa g ;;z]

4,

19H5 tds:. cJ1 ~S:

0}.2.]JJj-~§j (14 ;<cl-~§j~) 1l~% 7)-7;j ~.2.. o:j,

1995td~ 7]~ 31 na9.J 1:"l§j~.2..ii.. ~{i5010-] ~cf.

rrJ-2.j-A1 ~§j1l ~ lO-T-td 0] ;;z]

'd

"'cl-El1oJ] Ai 9.J ~o}

.2.] :t4 ~lli 9.J ~ ~ 0 ] 0-]

rt:l

;;z

1.

^~AH ~ 0 }.2.] :t4 9.J A} 9.J

'T-~41:"l.g. 0-]';1') 4Aa-~ 7-1~ ~AHoJ] °15.Xi-c;;z]~

~7] ~ cs-}O:j 0] Ai!. ,rS:A} 7)- A] ^ii~ !<j ^~cf.

s:0}.2.J:t4~§j Aa§j~ 31':3 (1 na.g. 95tds:. Aa7]%

§j oJV1 7)-'iJ 0] s::{i 1['- *.!2.) % cJ1 "'cl-.2..£ 4-Jt1 %

%~ 1l,rs:A~ 1996td 1-%1 1f-E1 ^A]ii~ o)-S1cf. ^S:.

A}1-l1%~ -T-£ '94/95\::!9.J ~li7cl"'flJJj-

*31

^AlAi!. ^S:

A)-, .::r c.].:il ^~0 )-.2.J:t4

'T-

^~7cl"'fl !f- 1f--lE- g "iPil .2..£

~ q. S:A)-~ ~]-c §j ~ ZjA 9.J .2.] :t4"T- ~ A]-'Q- 1f- E1

1995td~ ;:71-;;z1 {l-3j% cJ1"'cl-.2..£ cs-)-S1cf. 1996td 1

-%l ~ ;:7)-;;z] S:A},r"8j- §l {} % o}~ CS-)--c ?;:! % ~:3J.2..

£ cs-}O:j, 2~}oj1 7i!.~ qA1 ~,rg .!i!.1..J1 ~] {l% .B.

"acs-)-S1q. ~:t4, 1:"l§j~ 31 ':3%- 25na o] 1l,roJ] cJ1

~ §l1t% cs-}S1q(%1t% 80 %) . {)-O:j~~ 'T--c 207H ~~ o]~q. ~J{1, .!2..:il7.)-oJ] rrJ-2.j-A1 TEf-{i

A}"8"cl-, ~ .!2..:il

'?l:-'fl

A)-"8"cl-s:. 917]oJ1. ~,roJ] rrJ-c.]-Al -c .!2..:il ^~~(0]4- A]1l. o]c.]-.:il ^~)o] 207H 0]0)-

'?l

7cl4-s:. 91 q .

l7H 9.J A]1l9.J li!...:il7.)--c

*3J

^§j^~^9.J ^"T-7)- ³^na^0]^2.j-

.:il S:A )-oJ] 1tcs-} 51.2.. 4 , li!...:ilAj-~ /\l].2.] ~

'it

0-] ;;z] 2 na oj] cJ1 ~ 7.)-li7)-

irt

^0H, ^~,roJ] rrJ-2.j-A-]::::, .!2..:il7.)- 1

'?l

^~^-'-'8^if^~%-&-H 6:j cs-}-c 1:11 %.:il -&-H ⁰t W ?;:! 0] q.

- 62-

7)-. 9.J~

L-j-.~~

cf. %~~~

2.j-. ^cJ1~~~

7}. U)- ^~liA11l

4.

^2;;')-

z!.li

^"1~

cf. ^{3~)- ~li}A] Ai!.

4.

cJ1-:r- cf.1f--8- 2.j-.3lJ--T-

0)-. ~<j-

7 1-. ²⁰⁰ "l3 oJ 51- ^AJ1l.

4. 201-400 "l3 . q-. ^401-600 "l3

c.J-.

^601-800 "l3

01-. ^801-1,000 "l3

% 'iH! _. _. ~ AI-"T-

o

^na

Ona

7na (67HA]Ai!.) 18na (147H Aj--'i!.)

Ona

6':3 (67H "Vi!.)

19 na (147H ^A]Ai!.)

47H AlAi!. (5':3 ) 27H A11l. (2na ) 27H A]1l. (2na ) 17H A]Ai!.(1':3)

1994*

(19

"'JAJ )

1995*

(19 "'VJ)

3

7

3 5

1

8,049 "l3

1

9 4 4 1

8,819 qj

(3)

7}. 200 1:)j o]f>} A]A;;j

L-j-. 201-400 1:)j

q. 401-600 1:)j 2.}. 601-800 1:)j

o}. 801-1,000 1:)j

tI}. 1,000 O]Ad-

7}. 20 oj] o]f>} A]A;;j

T

L-j-. 21-40 ^oj]

q. 41-60 oj]

2.}. 61-80 ^oj]

0]. 81-100 oj]

tI}. 100 ^oj] 0Vd-

1994*

(19 A]A;;j) 3

8 3 3 1 1

7,931

:ct

1994 \!

5 6 6 0 1 1

646(19 AV;;j )

1995*

(19 AV;;j) 2

9 1 4 2 1 9021

:ct

1995 \!

4 8 3 2 1 1

767(l9A]~)

~y 7. ~B"i:l-

).VJE1

'94\:1.s:.. '95\:1£ 0J~.2.j:i!.}

4-

A"'] /- ^'-?

e""1 ^I'\.-.

1:1- : *11] : 1994 \:l 28,474 ^{i 1995 \:l 39,880 ^{i

;;<Jy 8. ::t.o}.2.j:i!.}

).VJ %Ell

^3:A(207~

).VJ,

25"l:l

:§:j~)

7} . Aj ^A~.£_{2. -,}i3l _1::J ( 1t1 ₀ ^/-1_2.,.2.j cJ1 _~_), ::t.

° }

9.] :i!.};;< J- (

€-

JI};;< J- ) _~i11

l17H A

VJ

(16 :§:j .!f~ ) y-. AVJ.£i3l ..., \oJ,

::t. o}.2.j JI};;<J- D] ^~^~ 17B AjAJ(1 ^:§:j~)

r:.f- .

^A

111

^D

I

^~^1J, ^::t.

° }

^9.]

^J!}1i.:g.

^~

¹³ ^,

100 % ::t.o}9.]JI}{lli 47H A]AJ(4 :§:]~)

ct.

^A

VJ

^Dj ~

1J,

^::t.

° }

^{9.] JI}}^{~.:g. ~}^:>:J, ^A}:"J^AJ- ^::t.

O}9.]JI} oj9.]{lli 47H AVJ(4:§:j~)

D}. A]l1 Dj~1J, ::t.O}9.]J!} ~.:g.~~:>:J 0

;;<J y 9. 2

l' ). VJ E1

^.2.j^cJ1^~^fi

*

<>Ij " ::t. o}.2.j :i!.}" if.).j 7} -¥-~ -{:j \:1.s:.. ~ ?

7}. 1980\:l oj;i y-. 1981-851-,1

q .

1986-90 \:l

c.}. 1991 \:l oj~

47B

).VJ(7

^:§:^j ^~)

27H )'/AJ(2 ^:§:j~) 57H ).jAJ(6 ^:§:j~) 47B ).jAJ (5 ^:§:j~)

-W :

¹⁵ ^).jAJ ⁽²⁰ ^:§:j~)

;;<J y 10. ::t.

°

}.2.j:i!.} :i!.}~, *:i!.}~

% -¥-).l

^{~ BJ-~} ^\:1

"Co?

-'- .

7}. 1980\:l °1~ JI};<J-~i11

L-}. 1981-85\:l ~~

3 AjAJ(6 :§:j~)

2 AjAJ(2 ^:§:j~)

..

q.

1986-90 \:l ~~

ct.

^{1991 \:l} ^o]~^~~

2 AVJ(3 ^:§:j~) 3 AjAJ(4 ^:§:j~)

W:

^10* ^AVJ(15* ^:§:j~)

* : JJj1J-~~ 0]

91 q.c

^.2.2^~ ¹¹ ^7B AVJ (16"l:l ) ojy-, \:ls:.~ .2.2~ AjAJ.f- 107B .

;;<J y 11. ::t.

° }

^.2.j:i!.} ^~^1; ^{~ ~}

13

^B

J

^.::il ^::t.

°

}.2.j:i!.} ~

.li ~ ).) ~~ \:1.'i..<t}

01:=

~ .li. ~

*

^.li.^~

\:1.s:.. ? ( :§:j ~ ~ )

7}. 1980 \! ^o]z!

L-j-. 1981-85 \!

q. 1986-1990 \!

2.}. 1991 ^o]~

7}. 11:)j

L-j-. 21:)j

q. ^31:)j

2.}. 41:)j

:±.

° }

⁹¹^:i!j-

~liA]'3f

10 11

2 2 25

10 7 2 1

20.A]~(341:)j )

01~ Zlli

%li \!.s:.

9 6 4 2 21*

16(16A].A;;l.) 4(2 AVJ) 3(lAj.AJ ) 4( lAV;;l.) 271:)j *(20 A].AJ)

..

* 1 .AVJ (.!i!.J:!.7,r).g. 31:)j 9i ^{A3~] ~}^0] ^c.lf- ^~qJ:!. .!i!.J:!.

~l OJ.Q..

Or M tJ

~ 63 ^~

(4)

{IT 13. ~;::

l'

^-*^~ ^;::

l'

\'1-9- (95.12.31 71~ )

7}.

5

t.J.

0ll..H y..

6- 10 'ci

c}. 11- 15'ci

ct.

16'ci olAd-

2 ~ (-2--¥--"1 01% O~) 4~ (01%7cl~ 2 ~) 6~ (01%7cl~ 2 ~) 7~ (01 %7cl~ 2 ~)

~ : 19 ~ (-?--¥--"1 01% 6~)

7}. 60 'ci

tll

-9-li

y..

71-75 'citJ1 4'li

c}. 76'ci-80'ci -9-li

ct.

^81'ci ^- 85'ci 4' li

y~;<J:±'

( ^~1.Jl, ^~.2.J )

7 r.

^~1.Jl

4. ~1.Jl '3<l ~ "-1

(~1.Jl.2.J 2.) ^{j l}~)

c}.~.2.J

~

:§H! Y

4~

5~

16~

25~

3 ~ 8~

9 ~

5 ~

.!ld TIY ~ 7]:?}

( ~"'t!-,WJ71m

Q.) 1 87~~

(12 -24 7H ~)

~1.Jl Q.}7 7~ ~ (1-24 7~~)

~.2.J Q.} 1 07H ^~

(6-127~~ ) Q.} 167~~

(3-307~~) Q.}167~~

{IT 3. ±o}.9.jJ!j- -9-~*li \'1s=. ~ -9-~:A1~ ~A}

(*

^25~)

7}. 71 - 75'ci 4'li 1 ~ (-:t:-91 1 ~)

y..

76 - 80 \1 4' li 8 ~ (-:t:-t.H 1 ~ , -:t:-9.1 7 ~ )

c}. 81 - 85\1 -9-li ^12~

(-:t:-t.H 1 ~, -:t:-t.H 91 4 ~, -:t:-91 7 ~ )

ct.

^{86 -} ⁹⁰ ^{\1 4'li} ^3~

(-:t:-t.H 1 ~, -:t:-t.H 91 1 ~, -:t:- 91 1 ~ )

or. 90'ci ^°1~4'li ^1~ c-:t:-t.H ^1~)

{IT 4. ±o}.9.jJ!j- ^-9-~+, 100 % :±.o}.9.jJ!j- ^~li

A1~~ A17j-E(* 25~)?

7}. 71 - 75 'cis=. 1 ~

l..}. 76 - 80 'cis=. 7~

c}. 81 - 85 'cis=. 7~

ct .

⁸⁶ ^- 90 'cis=. 4~

O r.

⁹¹^'cis=. ^°¹ ^~ ^2~

ti}. oj~ ~li ~~ 4~

9~

y..

:::~::.O} 91:il.} ;~ -t-% 'tP~a ~

-" 1 *

^~

:

¹³^~

;<JT 2. -9-~~, *~7j~oJ1).1 ±0}.9.jJ!j- ~-"8 ~ ~

~ ~.g- 7j{}.g-?

7}. 1'ci :Aas=. 3~

y..

2\1 :Aas=. 1~

c}. 3'ci ~ s=. ^1~

ct .

^4'ci ^:Aas=. ^3~

Or.

^6\1 ^:Aas=. ¹ ^~

4. "T'-iC:!~ ~o~~~ 'i1"T'-(Post-training refresh course) 3S.A~

7} . -:t:-t.H '?:l4'

y..

-:t:- "-1 '?:l4'

1 3~

0 ' " •

" I •

12~

\1J.%

12~

c}. ;Ad-:±. : u1-:t:- (11 §j), ~ 9- C 2 §j), Cd -:t:-,-&

~ ,~~

Zf

¹ ^§j~

'ff : .!l,ra

^11.8 ⁷^R-%l ^C~t!7¹ ^17R-%l, ^~ ^;Ad-7¹ ³⁴

7R -%l )

;<JT 4. ^jJ ~ 1"~ ±0}.9.jJ!j- -9-~.:f ~o}y. -Aj{}oj

7J#

).j-&~ ~y.?

- 64 -

(5)

'9" :

^.'.LJ^{7J 5 \1} ^~^{( 3]}

B

2l--j, 2017-J- 10 \1)

'?1

T tll-ol-.9... _c _/-A

p

7}. 1985( "J-ifl\1s:.) y.. 1986-90 \1 ^7}~

q: 1991 \1 01~ 7}~

13q!

8q!

4q!

~A} {}cxj ^~~.g.25q! 01JI., {}cxj AVJ2. 207H

•

)'1~ ~r11. %~~~ 67~5:(7q!) %'- 17~5:7} 3~}zl

jU1¥!-, 14 cJ1~~~(l8q!) %'- 1 7~5: 7} 2~} zlli 71¥!- °1JI., y.u-jA1 (l7q! )7} 3~}zlli71{}011Al -2-lf-

%'-°1q. ~~ -B-7.} T~ .!iJI.~ ~~.g. 94\1 197~

A1~, 95\1 197~ AVJ 019i.2..ttj, 94\1011 1:l1o}cxj 95\12.

'4

9.6 %.91 -B-7.}.91 ~7}7} ~1l1s:19iq. {i

7113:j.2..5'. .!io} ~5:~ ~~01 87H, ~7}~ ~~01 97~5'. .!iJI.s:19i.9..ttj, .'.LJ7J~7}%(;;-i\1r.Jl1:l1 9.6 %)

01 AJ ;Q5:~ 7clSf-7} 57~ L~~, ~7}~· 7c1Sf-7} 47H 5'. .!iJI. s:19i q .

5:7~7.1~ ~~-B-7.}TC 1995\1-"-1 7c1Sf- Al% 5:

7~ 11 7H A1 AJ 5,240q!, rH.::r 5:7~ 47~"'VJ 2,028 q!, %4- 816q!, lj'-{} 448q! %019iq. 1995\1s:.

A1 ~?} ~ ~ -B-7.}c 92 q! 011 "'l 995 q! -"-1

1iJ

^~91.9.. 0:],

"J7J~~-B-7.}TC 464q!019i.9..0:], .!iJI.~~ 1~?}

.'.LJ -IT 367 q! ° 19), q.

T~-B-7.} ~A1 94\1011 1:l1o}cxj 95\1.g. A1 AJ?} .'.LJ

Table 1. Number of Admission,

Admission, 1994 1995

Surgical operation, 1994 1995 Neonatal operation, 1994

1995 Adult operation, 1994

1995

Surgery, Neonatal Total

8,049 8,819 7,931 9,021 646

767 28,474 39,880

*: data less than one year period were omitted.

7J T~7,:1. T7} 13.7 % ~7} o}91c}. \1zJ:- A1~?}

IiJ7J T~a11 T~- 94\1 417{}, 95\12.

4747,:1.°19i

.9..0:], ~-JI.~1~-"-1 1 ~'3 "J7J T~a11 T.'r 94\12.

3447,:1., 95l--j2. 3927,:1. 019iq. 95,;,:1-"-1 7c1Sf- AH·5:

7~ AVJ 01 5,8267,:1., r.Jl.::r5:7~ AVJ 01 1,8757,:1., %

4-5:7~ AVJ 01 6207,:1. %.9..5'. .!iJI. s:19iq. 7.1~~

AVJ?} ^5:0}.2-1~ .'.LJ7J ^{T~a11 T~}3]5: 2147,:1. :iL}

3] rH 5827,:1.

1iJ

^~Y191.9.. 0:], .!iJI.~ ~ 7H ~?} .'.LJ 7J

T~ilj1Ts:. 214-4167,:1. A}0191q. ~A~O} T~s:.

95l--j2. 94\1011 1:l1o}cxj 18.7 %-"-1 ^~7}7} 9)9iq.

01AJ~1

21·%

^.!iJI.~ qA1 zl:~o1 .±l:."'1-o}1i'1 qg ~

~q(lt. 1).

5:0}.2-1:iL} A1AJ.91 ~ifl:iL} Jf-"'l"J ~cg AJ-~g ~ A}~ 1:l},

%

^207~%,- ^117~.91 "'1~(l6q!).g. 5:0}91

~~~, 91211, ^T~7-J- '; ^~iflAVJg ;(Jl

t:r

^lj'-Al

7-J(5:o}91~7-J, ~~7-J-)01 ~cg.{l AJEl1011Al -2-lf-

%'-0191q. ~{! 87~ AVJ(8q!.91 ~~)2. u}5'.5:0}

91~ AVJ% ;(JI. 9)7.1c '2i.9..y., 5:o}91~;;-i-t?-g

~7:clWJI. 9,lqJI. .!iJI.o}91c}. 47~ A1 AJ(4q!.91 ~

~).g. %0V1~~1 A}7:cl -'J 5:0}.2-1:iL} 0191.91 -B-7.}s:.

~qJI. .!iJI.o}9;tq. 5:0}.2-1~~ ~7:cl-o}7.1

'?i

q JI. .!iJI. s:19i c} .

%?-1 AVJ ^~1 91211 zlli.±l:. 011 " 5: ° } 91 ^~".±l:. A 17} 9) c7.1 cxjlj'-, ~ 5:0}91~~ It.tlJo}~ A1~011 -2-lf-o}

c ^~~.91 .±l:.tlJ \1s:.~ ~A}~ 1:l}, 80\1r.Jl °1{i011

.±l:.tlJ~ AVJ 01 47~~, 80\1rH7} 77~5:, 90\1r.Jl 01

~7} 47~5:5'. 5!.JI.s:19iq. %U15'.* ^~.g. 1:lP'i· 5:

0}.2-1 ~~ ;;-i -t?-.9..5'. ~ 7:cl ~ AVJ 011 Als:. 0}?-1 91211 zl

Surgery and Adult Surgery in 1994/95 Minimum*

252 92 239 140 7 8 416 206

Maximum*

966 995 1,021 1,030

114 108 3,280 4,739

Institutional average number

423 464 417 474 34 40 1,674 2,098

- 65 -

(6)

lilE oJ] .c s: 0 }.<t.1 :it} .:l±. tlJ ~ '?l o} .:il 'V, q .:il .Ii!..:il ~

A]Aj£ 57Hs:t-j- ~ q.c A}1l. 0]q . O].c Jf-c.] t-j-2}

~lil~jAJ lE tlJ.l!}~Q.£ A] Aa 501 A] ?J-.g. ~J..J:it}

%-tl.-

"6"}q.:il A~2f~q.

.!i!..:il7-} 2 5 ~ 'F 21 ~.g. Q:}:§j AJ

1:l

\:1 £ 'Zl 1985 \:1

o]~oJ] .±.0}.<t.1:Ll} ~li~ A]~ot~Q.9, 0] 'F 15~

.g. 0] A ]7] oj] s: 0 }.<t.1 .l!} ~~ ~ li "6"}.:il 'V, q .:il .!i!..:il

"6"}~ q. 4 ~ % ;<J].<t.1 ~ 21 ~ 0] 'iJ:-9 s: 0 }.<t.1.l!}~%

~li"6"}.:il 'V, q. .!i!..:il7-} 19 ~ 'F 9~.g. oj ~~li ~

~li~ i5HoJ] s:0}.2.].l!}~ ~li"6"}7] A]~~q.:il "6"}~

Q.oo], 4~.g. oj~~li~ 'F1(!"6"}.:il 9 'C! 7Jn ~ ~

l:l]7]Z! (3\:1,- 2\:1, 1 \:1 2~) % A]'Ll: q% s:0}.<t.1

.l!}~li~ A]~~ ~Q.£ .Ii!. 0] 9 , 6~.g. ~1(! s:o}

.<t.1.l!} ~li~ oj~ ~li9.} W-7Jl] o}q7} oj ~ ~li~

'F 1(!"6"}.:il s: 0 }.<t.1.l!} ~ li ~ A] ~~ q.:il .Ii!..:il ~ q. oj

~.l!} O}O] ~~~~li~ ~ 7]Z!£ 2f 6\:1, 5\:1, 1\:1

4~0]~q . .!i!..:il7-} 19~~ 95\:1 ~% 7]~Q.£:ITJ

iJ: 12\:1 %'?l s:0}.<t.1.l!}~~ ~li~ A,JlO]q.

20A] ~ oj] A~ s:0 }.<t.1 .l!} J..J-2-~ ( 9'C! ~ Al].<t.1) 34 ~

01 -2-lf- o}.:il 'V, q.:il .Ii!..:il 501 ~ q . ~ ~ 'Zl l O A 1 ~

.g. J..J-2-~ 7 t 1 ~, J..J-2-~ 7} 2 ~ .2.£ .!i!..:il ~ A

HI

⁰^]

7 7H ~ 0 1 ~ q. s: 0 }.<t.1.l!} Q:}:§j Aa:§j.!?:l 0] 1 ~ -2-lf-'F 'Zl

Al~.g. 16 A1J..J(80 'Yo.) 01.:il, 2~01 -2-lf-'F'Zl A1J..J .g. 2 7 H s: ~ q. .!i!..:il ~ AJ-2- .±. 0 } .<t.1.l!},§ :§j.!?:l 27

~ % ;<J].<t.1"6"} ~ 7 ~ ~ cJ]1:Il :§j.!?:l Ef. .c ~ ~ .2.].l!} ~ ~

~ 7} J..J--2-~ A} £ -2-lf- 'F 0] c.}.:il ~ 9 'V, q . ~ -2-

If-:7.~ -2-lf- \:1 ~ ~ 3) AJ 01% :§j 9 %.g. 19 ~.91 .Ii!.

.:il:§j.Jtl 'F 6 ~ 01 3) AJO] %75 ~ 01 'V, q.:il .!i!..:il "6"}~

~ ~.<t.1.l!} ~ ~ ~

'T

^li^\:1£ ^5A.c 199 51;:1. ~%

71~.2.£, 201;:1.~'Zl 19751;:1. 01~oJ1 9li~q.:il .!i!.

.:il. ~ :§j.!?:l 0] 11 ~, 19761;:1. 0] ~

'T

^li^~q.:il .Ii!..:il

~ :§j.Jtl01 14 ~omq . 7}AJ YcJl~ 9li1;:1.£.c

1967\:1°m.:il, 7}AJ ~-2- 9li\:1£.c 85\:101~q . .±.0}.<t.1.l!} 9'C!.l!}Aa~ 5A.c ^25~.Ii!..:il7-}.91 :ITJiJ:

9'C!7]Z!.g. Q.)= 16 7H -%t°]~Q.00], ~LJ1, ~LJ1.2.], .<t.1~

9 'C! A .£..'f- :ITJ iJ: 71 Z!.g. ~ :7.} °17} \li q . ~.<t.19 'C!

~ 78Jf-, 0]~01 12~ , TT~7t 7~, ~~01 4 ~,

~T 1~ 0100], 1~.g. 37H ~, 2~.g. 27H~oJ]A~ 9 'C!% ~'V,-q.:il .!i!..:il.~q. TT~7}~ 78Jf-, oa~ 2

~, ~'ClAl 2~, L;l}O}3. 2~, -&~ ~~ ~ 2f 1 ~

0] ~ q. 9'C! ~ rjPf-~~ :§j.Jtl.g. l:l} £ S:0 }.<t.1.l!}~li

~ A 1 ~"6"} ~ q.:il .Ii!..:il"6"} ~ q .

.£. .'f- ^{2 2} ^{~ ~}:§j.!?:l 0] 9 'C! ~ ~ S: 0 }.<t.1.l!} ~ liJ..J

% oj] rll~ 5AoJ] %'8-"6"}~q. 01'F 9~.g. l:l1~ S:

0}.<t.1.l!} 9'C!.l!}Aa% 019 o}A1.c *"6"}~Q.t-j-, -2-lf-A1

AJoj]Al .±.0}.<t.1:Ll}~~% '(1~ ~o} {)li~ "6"}~q.:il

~q. 701;:1.rll 0101 .±.0}.<t.1:i!f ~~% '(1~ ~.g. A}

~01 6~, 80\'irlloJ] '(111% ~.g. A}~ol 3 ~01~

q. Ef. 'Zl11% ~.g. 71Z!£ 11;:1. - 61;:1.( :ITJiJ: 2.8

1;:1.)01~q.

s:0}.<t.1.l!} 9'C!~ ~9(post-graduate refresh course) a:jlf-~ 3::.A} "6"}~.cti], 12~~ :§j.Jtl01 1

7H-%t 01 J..J~ ~975~01 'V,q.:il .!i!..:il~q. 12~~

.Ii!..:il7-}.c 9 'C! ~ :ITJ iJ: ^51;:1. 78.l!}~ ~ 9~ 7} 711 501

~ Q. 00], ~

If-

~.<t.1 oJJAl ~ 'V,-q.:il .Ii!..:il ~ q . ~ 9 71 Z!.g. liJ iJ: ^11.^{8 7}^H-%t 0 1.:il, ~ "6"1 ~LJ1.±. 0 }.<t.1.l!} 9 'C!

%

~.g. A}~%oJH AJ71 Z!~ ~.<t.1~9~ ~ 9'V,

~q.

3::A }oJ] % '8-~ :§j.Jtl ~ 11 :§j.!?:l 7} '?J 1;:1. £ ~ ~o } .Ii!. 'V,-.c ti]' 13 ~ 0] ;:i.Hl:§j.Jtl, ~ 19851;:1. £ 7} '?J :§j .!?:l o].:il, 8~.g. 86-901;:1.£ A}O]oJ] 7}'?J"6"} ~.:il, 4~0]

911;:1. ⁰1 ~ 7} '?J :§j .Jtl.2. £, ~ Q:}:§j :§j.!?:l ~ 7} '?J 1;:1. £

~~9.} ~:7.]"6"}~q.:il ~q .

rll ~.±. 0 }.<t.1.l!} Q:}:§j ;:i.J

1:l

lOT 1;:1. % ~ o}, :§j.Jtl %%

rll J..J.2.£ .±.o }.<t.1.l!} {)liJ..J%.l!} 9'C! llH 78 % AJ ~5:.

A} ~~Q.£ {il:-~"6"}~q. ol-Si-~ tlJ~o]t-j-o}, Jf-c.]

7} :7.1 ~ J..J %% 0] i5H "6"}.c til £ % ⁰¹ ^501~.2.^~"6"}.:il

1:I}~q. rlllf-~~ ~~~H A] ~~501.c AJ~3::A}, J..J%

5A~ ~Aa.l!} ~o], l:l1Jl1.~ rllJ..Jo] \li%Q.£, %.:il

o -., 0 ^~A1oJ..Q..Q. o]:-U -1

12

^li;!.}rl

c:-'C!-c ^v ^'-00 a ⁰ on or7 2" 1:Ir L.--r .

•

rll ~ S: 0 }.<t.1.l!} Q:} ~1 ;:i.J

1:l

¹⁰^T^1;:1.

%

^~⁰¹⁰ta:j, Jf- c.]

~ ~1l.% °1i5H"6"}.c ti] ~5:."6"}.:il7-} , 31 ~~ :§j.Jtl% rllJ-J.2.£ 1994, 19951;:1. ~li~%.l!} s:0}.<t.1.l!}9'C!

% 'F{l.2.£ J-J~5A~ A1~~ "6"}~q. 207H A1J-JoJ1 -2-lf-ot.c 25~~ :§j.Jtl01 5:.A}oJ] %a:j"6"}S1q. 1995

\:1, llJ iJ: 464 ~ 0] '?J .!?:It-}a:j, 474 7,:! ~ S: 0 }.<t.1.l!} 9

~(.,~}A~o} 40 7,:! ~w-)01 ~ A]J-JoJ1Al A]~~501 ~q

.:il .!i!..:il~q. 207H A1 ~.g. 147H7} rllQ:}~ ~ -iI °1~

- 66-

(7)

Jl, ^:E 147H AVJO] ^3~}~li7]{l ^O]~C}. :::::'/lH;z.]

-c

^Al

%

2--¥- 1508, r{1 TC-¥- 508, lJl-0

og-? z-r

2 08 %o]~c}. 11 7H AVJ.g. :::::'0}.2.J.llj-7} -&1:l~0l,

:::::,o}.2.]it} lJl-Af"'J ~'1l 0] '8 /.J~01]Al c-¥-(1608)

c}uj, 408 (47H AVJ)-& A}A,VJ 7}-t'-

0l.e'Ti'-5:.

^c}

:::: ll] ~

C1 :::::.

⁰}.2.J .llj-01] Ai C -¥- 'F 0 ]2-} Jl 5!. Jl ^~c} . 2508

.£¥

^1985\9. ^o]~ oJ1(!-.2.].llj- 'TiCi% lJ}~c}

(11 O8.g. 75\9.0]~), 2508'F 2108 0] ^~:§:j~J~ 0]

~ :::::. 0 }.2.J it}

'T

^iCi^%^lJ^}^~^~^uj, ^~^~^9-] ^nJIT

'T

^iCi^7]

ZS.g.

nait

167H~0]~C}. 1608-& .::r:-.2.J 'TiCi , 508-&

.::r:-

Y1

^~.::r:-.2.J

'T

^{iCi %} ^~^7J11. ⁴O8.g. .::r:-

Y14 -:.

iCi ~ ~~

c} Jl 5!.Jl c} ~ c}.

'T ^ii::!

^AJ:::::' 01]

ut.e 'T

^iCi^7]

zs

^Qj ^~}^{0 ]}

-C

'ict

c} . 25 08 'F 12 08 0] :::::. 0 }.2.J .llj-

'T ^ii::!

^.f. ^~^'T~

~~c}Jl ~~uj, 7]ZS.g.

.!lait

l17H~o]Jl, 5!..!8-

'TiCi 5\1.f. ~ ~'T~ ~~c}Jl 5!.Jl~c}.

- 67 -

Current Status of Pediatric Surgical Practice in Korea

~~~6t~iI}~§1 §1~~ 1995~ Y {] fi ~ % ~ 4-~7S~ /-~ f ~A}

Current Status of Pediatric Surgical Practice in Korea

'il

4,

'd

rt:l

1.

*31

'T-

'?l:-'fl

'?l

*3J

'it

irt

'?l

4.

z!.li

4.

c.J-.

o

"'JAJ )

T

:ct

:ct

).VJE1

4-

).VJ %Ell

).VJ,

° }

€-

VJ

r:.f- .

111

I

° }

J!}1i.:g.

13 ,

ct.

VJ

1J,

° }

l' ). VJ E1

*

q .

).VJ(7

-W :

°

% -¥-).l

q.

ct.

W:

91 q.c

° }

13

J

°

01:=

*

° }

l'

l'

5

0ll..H y..

ct.

tll

y..

ct.

7 r.

(*

y..

ct.

ct .

O r.

y..

-" 1 *

:

y..

ct .

Or.

~~~6t~iI}~§1 §1~~ 1995~ Y {] fi ~ % ~ 4-~7S~ /-~ f ^~A}

^J!}1i.:g.

¹³ ^,

'T ^ii::!

'T ^ii::!