Practice of Plastic Surgery in Korea

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1 Practice of Plastic Surgery in Korea Suk Wha Kim, MD, PhD Chairman, Board of Directors

2 Training and Certification Requirements Training requirements graduation from a 6 yr medical school program and one year of internship at a hospital recognized by the Ministry of Health and Welfare Graduation from a 4 yr university and a 4 yr graduate school with one year of internship at a hospital recognized by the Ministry of Health and Welfare

3 Fair competitive exam Residency Internship performance Written examination Interview Clinical exam

4 Plastic and Reconstructive Surgery Clinical Training Hospital Criteria No. of staff professors: N-2 No. of admitted/discharged patients, outpatient no. No. of operations Establishment of necessary facilities for training Acquirement of necessary tools and equipment for surgical procedures, etc. (lasers, microscope ) Establishment of plastic/reconstructive surgery seminars, meetings, study programs, and microsurgical programs Establishment of necessary references and textbooks Participation in annual meetings Publication and presentation of papers Establishment and protection of medical records

5 Certification requirement One year of internship Four years of residency all at a hospital designated by the Ministry of Health and Welfare as a training institution

6 Conditions and terms established by the Korean Society of Plastic and Participation and presentation at annual meetings overseas and in Korea Paper publication in the journals including journals specified in the SCI In-training examination Op records

7 board certification examination Step 1: written exam Step 2: OSCE certification requirement : >60%

8 The Number of Plastic Surgeons in Korean Organization since 1975 in 2010: 84 plastic surgeons were board certified total of board certified plastic surgeons in Korea: 1,695 total active members at present (Sept. 2010): 1,660

9 The Activities of Korean Society Executive Committee Scientific Programs Committee Publication & Editorial Service Committee Board Examination Committee Training & Education Committee

10 Accreditation & Certification Committee Medical Insurance Committee Information & Communication Committee International Affairs Committee Public Information & Public Affairs Committee

11 Ethics Committee Finance Committee Internal Affairs Committee Research & Academy Committee

12 Major Issues Residency training program Research Charity operation Medical tourism Foundation

13 Emerging and Current Legislation that Is Impacting the Practice of Plastic Surgery Cosmetic surgery V.A.T.(Value added tax) August 25, 2009: tax reform July 1, 2010: VAT on cosmetic surgery violation of Constitution such as tax egalitarianism, the freedom carrying out a job and the right to pursue one's happiness The nature of the strong to secure tax The patient must pay 10% VAT on cosmetic surgical procedures Result: decrease in patients seeking aesthetic plastic surgery Currently, Law enforcement situation, the one year delay

14 Mandatory cash receipts Patients without a request issued in the transaction required more than 300,000 won Violations, a fine of 50% of the amount which was not issued will be charged The reward paid to the claimant - 20% of the amount of fines imposed

15 Plastic Surgeon and Patient Advocacy Issues The problem with cost National Health Insurance Low medical insurance fee If extended to cosmetic surgery Plastic surgeons opposed Consent of patients

16 Advertising Regulations / Restrictions Advertising Regulation Since 2007, when medical advertising to be consideration of the Minister of Health and Welfare Targets Newspapers, magazines and periodicals, the Internet newspaper, banners, posters, flyers

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