[헬스코리아뉴스 / 임도이] As suspicions of proxy surgery arose one after another in the medical world, the Korean Medical Association was in a difficult situation. Although it has strengthened its own ethical education for doctors and announced a policy to take hard measures against doctors related to surrogate surgery, public opinion is getting worse due to the repeated controversy over surrogate surgery.
The Korean Medical Association (President Lee Pil-soo) expressed strong regret on the 9th in relation to the recent media reports of the suspicion of surrogate surgery at the Gwangju Spine Hospital, which occurred three years ago in 2018, and will take strict measures as in the case of the last Incheon surrogate surgery said.
According to media reports, the Gwangju Police Agency secured CCTV inside the hospital through a report from a hospital official, and as a result of checking the video, it was revealed that a nursing assistant, not a doctor, participated in medical activities such as surrogate surgery.
This time, the nurse’s assistant’s proxy surgery
Medical Association “I can’t help but apologize to the public”
In this regard, the Medical Association bowed its head, saying, “We are deeply shocked by the news that a proxy operation performed again due to the unethical and unreasonable judgment of some doctors” and “I deeply apologize for causing concern to the people.”
This is the second apology from the Medical Association this year, following the recent controversy over proxy surgery at Incheon 21st Century Hospital.
The Medical Association said, “Medical actions by non-doctors can cause serious harm to patients, so if you lead a surrogate operation or ignore it knowingly, it is an act against the doctor’s cause. We need to strengthen our own purification by accusing us of not overlooking it,” he said.
“It is known that a fellow doctor made a whistle in this case,” the Medical Association said. “We will restore public trust by strengthening internal monitoring within the profession.”
Park Soo-hyeon, public relations director and spokesperson for the Korean Medical Association, said, “The medical practice of unqualified persons and unlicensed persons in the medical field is absolutely unacceptable as it undermines trust between doctors and patients. I deeply apologize for causing concern to the people through successive surrogacy cases.”
Spokesperson Park added, “In response to some unethical behaviors of doctors, the Medical Association will immediately and closely respond to similar illegal acts through the Central Ethics Committee, the Expert Evaluation Committee, and the Special Committee for Self-Regulation.”
The Medical Association is known to have launched its own fact-finding investigation, including sending an official letter to the hospital and the Gwangju Metropolitan City Medical Association regarding the suspicion of the surrogate surgery, requesting confirmation of the facts. Through this, when violations of the medical law, such as aiding in unlicensed medical practices, and violations of medical ethics are confirmed, prompt action will be taken, such as requesting a disciplinary review by the Central Ethics Committee against the relevant member and filing a complaint with the prosecution. For a more in-depth investigation and evaluation, the Medical Association commissioned the Gwangju City Council to conduct a deliberation investigation on the case.
Earlier, on the 24th of last month, the Medical Association filed a complaint with the Supreme Prosecutors’ Office against the director of the Incheon 21st Century Hospital, which specializes in spine surgery, and the officials of medical institutions, alleging violations of the ‘Act on Special Measures for the Control of Health Crimes’, and the CEO of the Central Ethics Committee has been referred to The hospital’s website is currently closed.
It is unclear whether the medical association’s super-strong countermeasures will be effective.
“The conduct of some immoral doctors” … underestimating the seriousness of the matter
However, it is unclear how effective the medical association’s measures will be in eradicating surrogate surgery in the medical field.
First of all, it is pointed out that the fact that the Medical Association defines surrogate surgery, which is known to be widespread even in university hospitals, as “the act of some immoral doctors” itself is an underestimation of the seriousness of the matter.
“Unlicensed medical practices that are not seen in large hospitals are being practiced everywhere, and even illegal UA (Unlicensed Assistant) has been legalized to work in Yangji,” said Shin Ju, chairman of the Korean Hospital Medical Association, in a recent article in this journal. He pointed out the limitations of eradicating surrogate surgery, saying, “The government, who is well aware of this, is unable to do anything.”
Chairman Joo said, “The government’s policy implementation direction is not well established, so it shows a double behavior of taking care of large hospitals and punishing small and medium-sized hospitals and private clinics immediately.” “This is also unreasonable from the point of view of the public and doctors.” vomited
Chairman Joo’s remarks are interpreted as raising strong doubts as to whether the Medical Association can solve unlicensed medical practices such as surrogacy surgery, which the government cannot do.
An official from the medical community who requested anonymity said, “Since surgery is basically a matter on the life of the patient, surrogate surgery is one of the evils of the medical community that must be eradicated.” But “It is difficult to eradicate surrogate surgery only with punishment in the current low-cost system. will be. There are bound to be limits to the self-help efforts of the KMA,” he said.
The official said, “Even if the cost of surrogate surgery is greatly increased, will surrogate surgery be eradicated? In the end, I don’t think it’s a problem that can be solved unless there is a stronger alternative, such as installing CCTV in the operating room, which is a demand of the people.”
“The Medical Association opposes the installation of CCTV… It only lowers the public’s trust”
Some observers point out that the fact that the Medical Association is strongly opposed to the installation of CCTVs on the grounds of the human rights of doctors in defense departments and the leakage of personal information is also making it difficult to resolve the situation. This means that excessive self-defense will only lower the public’s trust and will rather fuel the public opinion about installing CCTV in the operating room.
Ki-jong Ahn, president of the Korea Association of Patient Organizations, said in a phone call with Health Korea News on the same day, “It is difficult to even estimate how many patients have suffered damage from surrogacy surgery. The case of unqualified surrogate surgery is a serious crime that undermines public trust in terms of operating room safety and human rights protection,” he said.
CEO Ahn said, “The operating room CCTV installation law cannot completely prevent ghost surgery, surrogate surgery for unqualified persons, sexual crimes, and concealment of medical accidents, but it is a minimum means of securing it, so it needs to be quickly enacted.” “The law is currently pending in the Legislative and Judiciary Committee of the National Assembly. It is also necessary to promptly pass a bill to amend the medical law proposed by Representative Kim Won, which aims to revoke the license of a medical practitioner who taught unqualified substitute surgery or ghost surgery,” he said.
In particular, he said, “Could this Gwangju incident have been uncovered without CCTV? Paradoxically, this case shows why the CCTV mandatory installation law must be passed.” He emphasized, “The license of medical personnel who participated in surrogate surgery for unqualified persons should not be allowed to be reissued after a certain period of time, but should be permanently revoked.”
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