J Korean Med Assoc.  2016 Aug;59(8):602-611. 10.5124/jkma.2016.59.8.602.

Current status and plans for development of medical self-regulation in Korea

• Kim HW
• Kim CJ

• KMID: 2349837
• DOI: http://doi.org/10.5124/jkma.2016.59.8.602

Abstract

Following several medical scandals, the issue of medical regulation has come under the spotlight in the Republic of Korea. In this article, the authors examine the administrative measures newly required of doctors in the past five years in order to illustrate the current state of medical regulation and demonstrate the urgent need for self-regulation. The history of the General Medical Council in the United Kingdom and its newly launched system of "revalidation" can provide an instructive example of a self-regulation system, and it suggests several principles for self-regulation in Korea. The recent disarray can be viewed as an opportunity to introduce a new system of self-regulation. The authors present three principles-professionalism, transparency, and fairness-for a successful system of medical regulation.

Keyword

Medical regulation; Self-regulation; Licensure; Professionalism

MeSH Terms

Great Britain
Korea*
Licensure
Professionalism
Republic of Korea
Self-Control*

Reference

1. Ministry of Health and Welfare. Reinforcement of medical regulation for patients' safety. Sejong: Ministry of Health and Welfare;2016.

2. Korean Medical Association. Public hearing for improving the system of regulating license and achieving self-regulation authority. Seoul: Korean Medical Association;2016.

3. Choi JW. Physician peer-review for medical self-regulation. Doctor's News. 2016. 03. 08. cited 2016 Jul 20. Available from: http://www.doctorsnews.co.kr/news/articleView.html?idxno=109069.

4. Huh S, Chung MH. Can a medical regulatory system be implemented in Korea? J Korean Med Assoc. 2013; 56:158–163.

5. Park JI. Administrative disposition for doctors and autonomous regulatory: regarding limitations of the current administrative disposition management for people's health and safety. Seoul Law Rev. 2013; 21:97–120.

6. Medical Service Act, No. 13726. 2016. 01. 06.

7. The violation of the constitution re-submittal of the Medical Service Act of Article 25 Section 1 case, 22-2(A) KCCR, 37. 2008 Hun-Ga 19; 2008 Hun-Ba 108; 2009 Hun-Ma 269, 736; 2010 Hun-Ba 38; 2010 Hun-Ma 275. consolidated July 29, 2010.

8. Koo HR. The socioeconomic origin of professional autonomy: a theoretical consideration. Korean J Sociol. 2003; 37:231–248.

9. Kwon I. Medical ethics as professional ethics. Korean J Gastroenterol. 2012; 60:135–139.

10. Hamowy R. The early development of medical licensing laws in the United States, 1875-1900. J Libert Stud. 1979; 3:73–119.

11. Lee J. State control of medicine through legislation and revision of the Medical Law: licensed and unlicensed medical practices in the 1950s-60s. Korean J Med Hist. 2010; 19:385–432.

12. Chang C. Medical practice and the fundamental rights: approaching by constitutional interpretation. Korean Soc Law Med. 2014; 15:11–34.

13. Enforcement decree of the Medical Service Act, enforcement decree No. 27241. 2016. 06. 21.

14. Ministry of Health and Welfare. Answer to request of information disclosure about the number of administrative measure, receipt no. 3444730. 2016. 04. 11.

15. Ministry of Health and Welfare. Answer to request of information disclosure about the number of administrative measure, receipt no. 3455680. 2016. 04. 25.

16. Ministry of Health and Welfare. Answer to request of information disclosure about the number of administrative measure, receipt no. 3463045. 2016. 04. 29.

17. Ministry of Health and Welfare. Answer to request of information disclosure about the number of administrative measure, receipt no. 3463074. 2016. 04. 29.

18. Ministry of Health and Welfare. Answer to request of information disclosure about the number of administrative measure, receipt no. 349353. 2016. 05. 19.

19. The reason why revised: partial revision of Medical Service Act, No. 10609, OG. 2011. 04. 28.

20. Sung YB. The problems and improvement on administrative measures prescription of doctors. Healthc Policy Forum. 2015; 13:108–113.

21. Ahn D. Structure and function of Canadian medical licensing authorities. Korean J Med Educ. 2004; 16:139–146.

22. Archer J, de Bere SR. The United Kingdom's experience with and future plans for revalidation. J Contin Educ Health Prof. 2013; 33:Suppl 1. S48–S53.

23. Marcovitch H. Governance and professionalism in medicine: a UK perspective. JAMA. 2015; 313:1823–1824.

24. General Medical Council. Revalidation: a statement of intent. London: General Medical Council;2010.

25. General Medical Council. Ready for revalidation: supporting information for appraisal and revalidation. London: General Medical Council;2012.

26. Archer J, Regan de Bere S, Nunn S, Clark J, Corrigan O. "No one has yet properly articulated what we are trying to achieve": a discourse analysis of interviews with revalidation policy leaders in the United Kingdom. Acad Med. 2015; 90:88–93.

27. Irvine D. A short history of the General Medical Council. Med Educ. 2006; 40:202–211.

28. General Medical Council. Good medical practice. London: General Medical Council;1995.

29. General Medical Council. Tomorrow's doctors: recommendations on undergraduate medical education. London: General Medical Council;1993.

30. Smith DJ. The shipman inquiry fifth report. Safeguarding patients, lessons from the past: proposals for the future. London: Shipman Inquiry;2004.

31. Donaldson L. Medical revalidation: principles and next steps. London: Department of Health;2008.

32. Leviton LC, Khan LK, Rog D, Dawkins N, Cotton D. Evaluability assessment to improve public health policies, programs, and practices. Annu Rev Public Health. 2010; 31:213–233.

33. General Medical Council. Consultation on the General Medical Council (licence to practise and revalidation) regulations. London: General Medical Council;2011.

34. Dixon-Woods M, Yeung K, Bosk CL. Why is U.K. medicine no longer a self-regulating profession? The role of scandals involving "bad apple" doctors. Soc Sci Med. 2011; 73:1452–1459.

35. Professional Standard Authority [Internet]. London: Professional Standard Authority;cited 2016 Aug 5. Available from: http://www.professionalstandards.org.uk/home.

36. Chung JT, Lee MJ, Lee YH, Kang HR. Study on improvement strategy for the Central Ethics Committee of Korean Medical Association. Seoul: Research Institute for Healthcare Policy, Korean Medical Association;2011.