1. Reasons for Amendment

This amendment aims to improve some deficiencies that have emerged in the operation of the system while determining detailed matters, such as standards for installing closed-circuit televisions (CCTVs) inside operating rooms of medical institutions, filming request procedures, and reasons for filming refusal, entrusted by the Act and improving other unnecessary regulations following the revision of the Medical Act (Act No. 18468; promulgated on September 24, 2021, and to be enforced on September 25, 2023).

2. Major Provisions

A. Alleviate standards for medical institutes where midwifery training is possible (Article 2)

1) Expand training institutions without limiting the average number of deliveries per month (100 deliveries or more), considering the environment where childbirth is difficult, such as a decrease in the number of births due to low birth rates.

B. Update cited clauses following the division of firefighting statutes (Article 25 (2))

1) As the Act on Fire Prevention and Installation, Maintenance, and Safety Control of Firefighting Systems was divided into the Fire Prevention and Safety Control Act and the Act on Installation and Management of Firefighting Systems (Dec. 1, 2022), update the provisions of the Enforcement Rule of the Medical Service Act citing the relevant statutes.

C. Newly insert CCTV installation and operation measures for operating rooms in medical institutions (Articles 34-2 through 34-11) 

1) CCTV main functions, installation principles, minimum performance, recording range, etc. (Articles 34-2 and 34-3)

2) Posting notices related to CCTV filming, filming request and sound recording request procedures, etc. (Articles 34-4 and 34-6)

3) Emergency surgery, high-risk surgery, reasons for hindering the purpose of the training of medical residents, etc. (Article 34-5) 

4) Obligatory measures, etc., to ensure safety (Article 34-7)

5) Procedures for requesting access/provision, decision notification method, reasons for refusal to provide, preparation of access ledger, storage standards for video information, etc. (Articles 34-8, 34-9, and 34-11)

6) Range of fees that may be charged for accessing video information (Article 34-10)

7) Provide forms such as a request for recording, application for accessing or provision, and consent for video information in relation to operating room CCTV operation of medical institutions (Attached Forms 33 through 33-3)

D. Alleviate regulations on medical institution name signs (Article 40 subparagraphs 1 and 6)

1) Alleviate font size regulations on medical institution name signs.

2) Add items that may be displayed on the name signs of medical institutions (address, website address, opening date, opening time).

E. Improve the standard for indicating a specialized medical department (Article 40 subparagraph 4) 

1) For medical institutions where “dentist” is duplicated in a specialized medical department, stipulate that the name may be displayed by omitting “dentist.”

F. Change the terminology of medical waste disposal facilities ([Table 3] and [Table 4])