{"id":2632,"date":"2025-08-20T18:32:56","date_gmt":"2025-08-20T09:32:56","guid":{"rendered":"https:\/\/in-te-ri-or.com\/?p=2627"},"modified":"2025-08-28T12:27:45","modified_gmt":"2025-08-28T03:27:45","slug":"building-an-internal-medicine-clinic","status":"publish","type":"post","link":"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/","title":{"rendered":"Building an Internal Medicine Clinic"},"content":{"rendered":"<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p><strong>Construction of an inpatient hospital: Review (building\/code check) \u2192 Preparation (design, licensing, contractor selection) \u2192 Construction (demolition \u2192 equipment \u2192 finishing \u2192 equipment installation) \u2192 Completion and opening report in this order.<\/strong><\/p>\n<\/blockquote>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title ez-toc-toggle\" style=\"cursor:pointer\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/#%E2%91%A0_%EB%82%B4%EA%B3%BC_%EB%B3%91%EC%9D%98%EC%9B%90_%EC%8B%9C%EA%B3%B5_%EC%82%AC%EC%A0%84_%EA%B2%80%ED%86%A0_%EB%8B%A8%EA%B3%84\" >Pre-construction review stage of an internal medicine hospital<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/#1_%EA%B1%B4%EB%AC%BC_%EB%B0%8F_%EC%9E%85%EC%A7%80_%EC%A1%B0%EA%B1%B4_%EA%B2%80%ED%86%A0\" >1. Review building and site conditions<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/#2_%EC%83%81%EA%B6%8C_%EB%B0%8F_%ED%99%98%EC%9E%90_%EC%88%98%EC%9A%94_%EB%B6%84%EC%84%9D\" >2. Analyze commercial districts and patient demand<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/#3_%EB%B2%95%EA%B7%9C_%EB%B0%8F_%EC%9D%B8%ED%97%88%EA%B0%80_%EC%82%AC%EC%A0%84_%ED%99%95%EC%9D%B8\" >3. pre-check regulations and permits<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/#4_%EC%9E%AC%EB%AC%B4%EC%A0%81_%EA%B2%80%ED%86%A0_%EB%B9%84%EC%9A%A9_%EB%B0%8F_%EC%88%98%EC%9D%B5%EC%84%B1\" >4. financial review (costs and profitability)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/#5_%EC%9D%98%EB%A3%8C_%EC%9E%A5%EB%B9%84_%EB%B0%8F_%EA%B3%B5%EA%B0%84_%EC%9A%94%EA%B5%AC%EC%82%AC%ED%95%AD_%EA%B2%80%ED%86%A0\" >5. Review medical equipment and space requirements<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/#6_%EA%B4%80%EA%B3%84_%EA%B8%B0%EA%B4%80_%EC%82%AC%EC%A0%84_%EC%83%81%EB%8B%B4\" >6. consult with authorities in advance<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/#%E2%91%A1_%EC%84%A4%EA%B3%84_%EB%B0%8F_%EC%A4%80%EB%B9%84_%EB%8B%A8%EA%B3%84\" >Design and preparation phase<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/#%E2%91%A2_%EC%8B%9C%EA%B3%B5_%EB%8B%A8%EA%B3%84\" >\u2462 Construction phase<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/#%E2%91%A2_%E2%80%93_1_%EC%B0%A9%EA%B3%B5_%EC%A0%84_%EC%A4%80%EB%B9%84Pre%E2%80%91con\" >\u2462 - 1. Pre-con (Pre-con)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/#%E2%91%A2_%E2%80%93_2_%EC%B2%A0%EA%B1%B0%C2%B7%EC%9B%90%EC%83%81%EC%A0%95%EB%A6%AC\" >\u2462 - 2. Demolition and Cleanup<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/#%E2%91%A2_%E2%80%93_3_%EA%B8%B0%EC%A4%80%EC%9E%A1%EA%B8%B0%C2%B7%EB%B0%94%EB%8B%A5%C2%B7%EC%B2%9C%EC%9E%A5%C2%B7%EA%B5%AC%EC%A1%B0\" >\u2462 - 3. Baseline-Floor-Ceiling-Structure<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/#%E2%91%A2_%E2%80%93_4_MEP_1%EC%B0%A8_%EB%B0%B0%EA%B4%80%EB%9F%AC%ED%94%84%E2%80%91%EC%9D%B8\" >\u2462 - 4. MEP Primary Piping (Rough-in)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/#%E2%91%A2_%E2%80%93_5_%EB%B0%A9%ED%99%94%C2%B7%EC%B0%A8%ED%8F%90%C2%B7%ED%8C%8C%ED%8B%B0%EC%85%98\" >\u2462 - 5. Firewall-Shield-Partition<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/#%E2%91%A2_%E2%80%93_6_2%EC%B0%A8_%EC%84%A4%EB%B9%84%C2%B7%ED%95%A8%EC%B2%B4%C2%B7%EC%B2%9C%EC%9E%A5_%EA%B3%A8%EC%A1%B0\" >\u2462 - 6. Secondary Fixtures - Framing - Ceiling Framing<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/#%E2%91%A2_%E2%80%93_7_%EB%B0%A9%EC%88%98%C2%B7%EB%B0%94%EB%8B%A5%C2%B7%EB%B2%BD%EC%B2%B4_%EB%A7%88%EA%B0%90\" >\u2462 - 7. Waterproofing - Flooring - Wall Finishes<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/#%E2%91%A2_%E2%80%93_8_%EA%B0%80%EA%B5%AC%C2%B7%EC%A7%91%EA%B8%B0FF_E_%EB%B0%8F_%EC%9D%98%EB%A3%8C%EC%8B%A4_%EA%B0%80%ED%8A%B9\" >\u2462 &#8211; 8. \uac00\uad6c\u00b7\uc9d1\uae30(FF&#038;E) \ubc0f \uc758\ub8cc\uc2e4 \uac00\ud2b9<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/#%E2%91%A2_%E2%80%93_9_MEP_2%EC%B0%A8%ED%8A%B8%EB%A6%BC%E2%80%91%EC%95%84%EC%9B%83%C2%B7%EC%8B%9C%EC%9A%B4%EC%A0%84\" >\u2462 - 9. MEP 2nd (trim-out) - Commissioning<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/#%E2%91%A2_%E2%80%93_10_%EB%B2%95%EC%A0%95%C2%B7%EC%A0%84%EB%AC%B8_%EA%B2%80%EC%B8%A1_%EC%9D%B8%EC%A6%9D\" >\u2462 &#8211; 10. \ubc95\uc815\u00b7\uc804\ubb38 \uac80\uce21 &#038; \uc778\uc99d<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/#%E2%91%A2_%E2%80%93_11_%EC%B2%AD%EC%86%8C%C2%B7%EC%9D%B8%ED%85%8C%EA%B7%B8%EB%A6%AC%ED%8B%B0%C2%B7%EC%9D%B8%EA%B3%84Handover\" >\u2462 - 11. Cleaning-Integrity-Handover<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/#%EB%82%B4%EA%B3%BC_%EB%B3%91%EC%9D%98%EC%9B%90_%EC%8B%9C%EA%B3%B5\" >Construction of an internal medicine clinic<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/#%EA%B6%8C%EC%9E%A5_%EA%B3%B5%EC%A0%95_%EC%98%88%EC%8B%9C%ED%8F%89%EA%B7%A0_610%EC%A3%BC_%EA%B7%9C%EB%AA%A8%ED%8A%B9%EC%88%98%EC%8B%A4%EC%97%90_%EB%94%B0%EB%9D%BC_%EA%B0%80%EA%B0%90\" >Recommended process example (average 6-10 weeks, depending on size\/specialty)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/#%ED%92%88%EC%A7%88%EB%A6%AC%EC%8A%A4%ED%81%AC_%EA%B4%80%EB%A6%AC_%EC%B2%B4%ED%81%AC%ED%8F%AC%EC%9D%B8%ED%8A%B8%ED%95%B5%EC%8B%AC%EB%A7%8C\" >Quality\/risk management checkpoints (core only)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-24\" href=\"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/#%EC%9D%B8%EC%88%98_%EC%A0%84_%EA%B8%B0%EB%8A%A5%EC%8B%9C%ED%97%98%EC%83%98%ED%94%8C_%EC%B2%B4%ED%81%AC%EB%A6%AC%EC%8A%A4%ED%8A%B8\" >Pre-acquisition functional testing (sample checklist)<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-25\" href=\"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/#%E2%91%A3_%EC%A4%80%EA%B3%B5_%EB%B0%8F_%EA%B0%9C%EC%9B%90_%EC%A4%80%EB%B9%84\" >\u2463 Preparing for completion and opening<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E2%91%A0_%EB%82%B4%EA%B3%BC_%EB%B3%91%EC%9D%98%EC%9B%90_%EC%8B%9C%EA%B3%B5_%EC%82%AC%EC%A0%84_%EA%B2%80%ED%86%A0_%EB%8B%A8%EA%B3%84\"><\/span>Pre-construction review stage of an internal medicine hospital<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><strong>Preliminary review steps = building (use\/location) + patient demand + legal permits + financial plan + equipment\/facilities availability + institutional consultation<br>It's important to review it at this stage to avoid additional cost\/time loss during the construction phase.<\/strong><\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"1_%EA%B1%B4%EB%AC%BC_%EB%B0%8F_%EC%9E%85%EC%A7%80_%EC%A1%B0%EA%B1%B4_%EA%B2%80%ED%86%A0\"><\/span>1. Review building and site conditions<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Check the building ledger<\/strong>\n<ul class=\"wp-block-list\">\n<li>Purpose <strong>Neighborhood living facilities (councils available)<\/strong> or <strong>Healthcare facilities<\/strong>Awareness checks<\/li>\n\n\n\n<li>If it is a \"business facility\" or \"neighborhood living facility (type 1 or 2)\", it can be a medical center<\/li>\n\n\n\n<li>If it says \"sales facility\", \"warehouse facility\", etc. <strong>Report repurposing<\/strong> Required<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Location and accessibility<\/strong>\n<ul class=\"wp-block-list\">\n<li>Preferably near a main street, bus\/subway station for easy access to patient population<\/li>\n\n\n\n<li>Parking availability (legal number of spaces + patient comfort)<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Number of floors and layout<\/strong>\n<ul class=\"wp-block-list\">\n<li>First or second floor is most advantageous (consider older patients)<\/li>\n\n\n\n<li>Check elevator capacity and speed if high rise<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"2_%EC%83%81%EA%B6%8C_%EB%B0%8F_%ED%99%98%EC%9E%90_%EC%88%98%EC%9A%94_%EB%B6%84%EC%84%9D\"><\/span>2. Analyze commercial districts and patient demand<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Know the status of competing legislators<\/strong>\n<ul class=\"wp-block-list\">\n<li>Compare Internal Medicine, Family Medicine, Pediatrics, etc. within a 500m-1km radius<\/li>\n\n\n\n<li>Need to differentiate when there are many identical subjects (e.g., specialize in digestive-endocrine)<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Estimating patient inflow size<\/strong>\n<ul class=\"wp-block-list\">\n<li>Number of nearby apartment complexes, population, and proximity to work.<\/li>\n\n\n\n<li>Hospital utilization patterns (day\/night, office workers vs. elderly patients)<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Targeting key patient populations<\/strong>\n<ul class=\"wp-block-list\">\n<li>Aging neighborhoods \u2192 Chronic disease emphasis (hypertension, diabetes, heart disease)<\/li>\n\n\n\n<li>New towns\/young people \u2192 Digestive system, health check-ups, vaccinations<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"3_%EB%B2%95%EA%B7%9C_%EB%B0%8F_%EC%9D%B8%ED%97%88%EA%B0%80_%EC%82%AC%EC%A0%84_%ED%99%95%EC%9D%B8\"><\/span>3. pre-check regulations and permits<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Healthcare law<\/strong>\n<ul class=\"wp-block-list\">\n<li>Physician level cannot have inpatient rooms (outpatient focused)<\/li>\n\n\n\n<li>Required for exam rooms, waiting areas, patient restrooms, and medication storage<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Building codes<\/strong>\n<ul class=\"wp-block-list\">\n<li>Gross floor area of 500\u33a1 or more \u2192 Obligation to install facilities for the disabled (accessible restrooms, ramps, elevators)<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Fire Code<\/strong>\n<ul class=\"wp-block-list\">\n<li>Determine fire protection obligations based on square footage and number of stories<\/li>\n\n\n\n<li>Sprinklers are required for 600 square feet or more<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Radiation Safety Management<\/strong>\n<ul class=\"wp-block-list\">\n<li>If you plan to install X-ray, <strong>Radiation shielding design<\/strong> Required<\/li>\n\n\n\n<li>Prepare for Nuclear Safety Commission reporting and inspections<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"4_%EC%9E%AC%EB%AC%B4%EC%A0%81_%EA%B2%80%ED%86%A0_%EB%B9%84%EC%9A%A9_%EB%B0%8F_%EC%88%98%EC%9D%B5%EC%84%B1\"><\/span>4. financial review (costs and profitability)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Lease terms<\/strong>\n<ul class=\"wp-block-list\">\n<li>Contract duration: Recommended minimum of 5 years (to account for payback of clinic interiors)<\/li>\n\n\n\n<li>Rent levels vs. projected revenue<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Estimating initial investment costs<\/strong>\n<ul class=\"wp-block-list\">\n<li>Interiors ($2-4 million per square foot, $4 million+ with lab)<\/li>\n\n\n\n<li>Medical equipment (X-ray 7 thousand<del>100 million, ultrasound 50 million<\/del>100 million, endoscopic 100 million and above)<\/li>\n\n\n\n<li>Start-up capital (6 months of labor and rent)<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Review your profitability<\/strong>\n<ul class=\"wp-block-list\">\n<li>Estimated number of patients \u00d7 average fee \u2192 simulate monthly revenue<\/li>\n\n\n\n<li>Estimate how long it will take to break even<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"5_%EC%9D%98%EB%A3%8C_%EC%9E%A5%EB%B9%84_%EB%B0%8F_%EA%B3%B5%EA%B0%84_%EC%9A%94%EA%B5%AC%EC%82%AC%ED%95%AD_%EA%B2%80%ED%86%A0\"><\/span>5. Review medical equipment and space requirements<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Required equipment or not<\/strong>\n<ul class=\"wp-block-list\">\n<li>X-rays, Ultrasound: General Internal Medicine Basics<\/li>\n\n\n\n<li>Endoscopy: Specialty care, requires prewash and pretreatment rooms<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Free up space<\/strong>\n<ul class=\"wp-block-list\">\n<li>X-ray room: Reflects shielding thickness \u2192 12-18 m2 minimum<\/li>\n\n\n\n<li>Endoscope cleaning room: Separate dirty\/clean areas, ventilation required<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Check electrical and plumbing<\/strong>\n<ul class=\"wp-block-list\">\n<li>Building power capacity (typical commercial buildings may require increased power)<\/li>\n\n\n\n<li>Water supply and drainage plumbing locations (can you add a toilet-sink?)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"6_%EA%B4%80%EA%B3%84_%EA%B8%B0%EA%B4%80_%EC%82%AC%EC%A0%84_%EC%83%81%EB%8B%B4\"><\/span>6. consult with authorities in advance<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Health centers<\/strong>\n<ul class=\"wp-block-list\">\n<li>Contact your local health department to open a clinic <strong>Facility Standards\/Required Documentation<\/strong> Confirm<\/li>\n\n\n\n<li>\"Can we set up like an endoscopy room and an X-ray room?\"<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>City Hall Building Division<\/strong>\n<ul class=\"wp-block-list\">\n<li>Determine if a change of use is required and how to report a remodel<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Fire Department<\/strong>\n<ul class=\"wp-block-list\">\n<li>Discuss fire protection requirements before design (avoid post-construction changes later)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E2%91%A1_%EC%84%A4%EA%B3%84_%EB%B0%8F_%EC%A4%80%EB%B9%84_%EB%8B%A8%EA%B3%84\"><\/span>Design and preparation phase<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Basic Design (Planning Design)<\/strong>\n<ul class=\"wp-block-list\">\n<li>Floor plan: Optimize patient flow (reception\u2192waiting\u2192treatment\u2192examination\u2192storage\u2192return)<\/li>\n\n\n\n<li>Medical staff mobility: Ensure minimum travel distance from nurse's station to exam room\/examination room<\/li>\n\n\n\n<li>Separate dirty\/clean areas (endoscopy-clinical pathology, etc.)<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Conceptualization<\/strong>\n<ul class=\"wp-block-list\">\n<li>Architecture: Wall, floor, and ceiling finishes<\/li>\n\n\n\n<li>Electrical: Dedicated power for equipment such as X-rays, endoscopes, IV pumps, etc.<\/li>\n\n\n\n<li>Facilities: water supply and drainage, medical gases (oxygen\/negative pressure), ventilation (especially exam rooms\/cleaning rooms)<\/li>\n\n\n\n<li>Fire: Deploy detectors, guidance lights, fire extinguishers, and fire doors<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Prepare for authorization<\/strong>\n<ul class=\"wp-block-list\">\n<li>Health centers: Submit at the time of opening (floor plans, building ledger, physician licenses, medical waste contracts, etc.)<\/li>\n\n\n\n<li>City Hall Building Division: Change of Use\/Remodeling Notification<\/li>\n\n\n\n<li>Fire Departments: Fire protection design verification and as-built inspection<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>General contractor-selection<\/strong>\n<ul class=\"wp-block-list\">\n<li>Experience with medical facilities required (radiation shielding, endoscopy cleaning rooms, etc. are different from general interiors)<\/li>\n\n\n\n<li>Work with equipment vendors to pre-empt footprint, power, and plumbing specifications<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E2%91%A2_%EC%8B%9C%EA%B3%B5_%EB%8B%A8%EA%B3%84\"><\/span>\u2462 Construction phase<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E2%91%A2_%E2%80%93_1_%EC%B0%A9%EA%B3%B5_%EC%A0%84_%EC%A4%80%EB%B9%84Pre%E2%80%91con\"><\/span>\u2462 - 1. Pre-con (Pre-con)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Contract-Budget finalization: Specifying Scope, Bill of Quantities (BOQ), Schedule, and VO rules.<\/li>\n\n\n\n<li>Permits and licenses: Change of use\/remodeling notifications, fire prevention consultations, radiation shielding diagram reviews, waste discharge notifications.<\/li>\n\n\n\n<li>Kickoff: <strong>RFI scheme<\/strong>, weekly process meetings, and organizing sign-off lines (presiding\/leading).<\/li>\n\n\n\n<li><strong>Shop Drawings \/ Manufacturing Drawings<\/strong> Submit: partition-duct-plumbing-junction-box-furniture-shielding-sign.<\/li>\n\n\n\n<li><strong>Mock-up<\/strong> Approvals: floor cove 100-150 mm, wall-door frame-silicone, clinic soundproofing samples, etc.<\/li>\n\n\n\n<li>Safety and ICRA plans: dust\/noise barriers, negative pressure equipment (if needed), and maintaining emergency lines.<\/li>\n\n\n\n<li>Site temporary: access control, fire extinguishers\/emergency lights, temporary power\/water, material delivery routes, floor protection.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E2%91%A2_%E2%80%93_2_%EC%B2%A0%EA%B1%B0%C2%B7%EC%9B%90%EC%83%81%EC%A0%95%EB%A6%AC\"><\/span>\u2462 - 2. Demolition and Cleanup<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pre-inspection: Structural - load-bearing walls\/slabs, location of existing plumbing\/wires, presence of hazards (asbestos, etc.).<\/li>\n\n\n\n<li><strong>Block-Protect<\/strong>: Elevator\/common area protection, noise and dust barriers, pick-up and drop-off time arrangements.<\/li>\n\n\n\n<li><strong>Blocking MEPs<\/strong>: Power-valve closure \u2192 Lock-out\/Tag-out.<\/li>\n\n\n\n<li>Selective demolition: removal of walls, ceilings, finishes, fixtures and fittings \u2192 separation of debris for discharge and intermediate inspection.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E2%91%A2_%E2%80%93_3_%EA%B8%B0%EC%A4%80%EC%9E%A1%EA%B8%B0%C2%B7%EB%B0%94%EB%8B%A5%C2%B7%EC%B2%9C%EC%9E%A5%C2%B7%EA%B5%AC%EC%A1%B0\"><\/span>\u2462 - 3. Baseline-Floor-Ceiling-Structure<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Set up\/measure baseline (axis-dimensions) \u2192 Show wall position, door width-door swing, machine center.<\/li>\n\n\n\n<li>Floor preparation: leveling (self-leveling\/mortar), burying utility trenches and drains, waterproofing if necessary.<\/li>\n\n\n\n<li>Structural Reinforcement: Structural Inspection approval for opening and top beam reinforcement, core drilling.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E2%91%A2_%E2%80%93_4_MEP_1%EC%B0%A8_%EB%B0%B0%EA%B4%80%EB%9F%AC%ED%94%84%E2%80%91%EC%9D%B8\"><\/span>\u2462 - 4. MEP Primary Piping (Rough-in)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><strong>Piping and wiring are cross-checked in the order of \"Drawings\u2192Site Conditions\u2192Equipment Specifications\"<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Plumbing\/Sanitation<\/strong>: water supply-drain-return line, drain slope (typical 1-2% recommended), trap-cleanout location.<\/li>\n\n\n\n<li><strong>Heating, ventilation, and air conditioning (HVAC)<\/strong>: Intake-Exhaust Ducts, Silencers\/Dampers, Fresh Air-Exhaust Routing, Endoscopy Cleaning Room <strong>Negative pressure<\/strong>\/cleanroom <strong>Positive pressure<\/strong> Plan.<\/li>\n\n\n\n<li><strong>Electricity<\/strong>: Distribution panel extension\/move, dedicated circuits (endoscopes, x-rays, refrigerators, servers), grounding\/earth leakage circuit breakers.<\/li>\n\n\n\n<li><strong>Low voltage<\/strong>: Datarack location, AP\/EMR\/Nurse Call\/CCTV, access control wiring.<\/li>\n\n\n\n<li><strong>Medical Gas (optional)<\/strong>Oxygen (O\u2082)\/Vacuum (VAC) piping, pipe diameter-outlet position (managing \u00b1100 mm tolerance on bay center).<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p><strong>Hold Point<\/strong>: Pipe and duct pressure testing, photographic documentation of conduit\/box locations, supervisory interim inspections.<\/p>\n<\/blockquote>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E2%91%A2_%E2%80%93_5_%EB%B0%A9%ED%99%94%C2%B7%EC%B0%A8%ED%8F%90%C2%B7%ED%8C%8C%ED%8B%B0%EC%85%98\"><\/span>\u2462 - 5. Firewall-Shield-Partition<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Fire Protection<\/strong>: Fire protection of duct penetrations (fire dampers\/refractory fillings), fire doors and door closures.<\/li>\n\n\n\n<li><strong>Radiology (X-ray)<\/strong>: Lead plate\/glass\/shield door installation, shield continuity (corner to outlet) check, control room\/glass height.<\/li>\n\n\n\n<li><strong>Partitions<\/strong>: Exam Room <strong>Double plaster + sound absorbing material (target acoustic STC 45\u00b1)<\/strong>, Door Bottom Seal\/Door Gasket.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E2%91%A2_%E2%80%93_6_2%EC%B0%A8_%EC%84%A4%EB%B9%84%C2%B7%ED%95%A8%EC%B2%B4%C2%B7%EC%B2%9C%EC%9E%A5_%EA%B3%A8%EC%A1%B0\"><\/span>\u2462 - 6. Secondary Fixtures - Framing - Ceiling Framing<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Adjust sprinkler head\/piping locations, wire detectors-emergency lights-indicator lights.<\/li>\n\n\n\n<li>Ceiling framing construction (grid\/plaster), inspection opening locations (valve-damper-trap accessibility).<\/li>\n\n\n\n<li>Sanitary instrument recessed box - Medical gas panel box - Armrest\/rail recessed.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E2%91%A2_%E2%80%93_7_%EB%B0%A9%EC%88%98%C2%B7%EB%B0%94%EB%8B%A5%C2%B7%EB%B2%BD%EC%B2%B4_%EB%A7%88%EA%B0%90\"><\/span>\u2462 - 7. Waterproofing - Flooring - Wall Finishes<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Wet spaces<\/strong>(Wash\/Washroom\/Washing): Waterproofing \u2192 Water proofing \u2192 Leak test.<\/li>\n\n\n\n<li><strong>bottom<\/strong>: For hospitals <strong>Vinyl Sheet + COVE (Round) Mop<\/strong> 100-150 mm, treatment\/cleaning is chemical-resistant-non-slip.<\/li>\n\n\n\n<li><strong>Wall\/Ceiling<\/strong>: Stain-resistant paint, cleanable finish (film\/HPL) site selection.<\/li>\n\n\n\n<li><strong>Doors\/Hardware<\/strong>: Validate aseptic handles, door closers, automatic doors (standby\/exit), and wheelchair door widths.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">\u2462 &#8211; 8. \uac00\uad6c\u00b7\uc9d1\uae30(FF&E) \ubc0f \uc758\ub8cc\uc2e4 \uac00\ud2b9<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Receptionist-Accounting<\/strong>: Counters, cache\/printer-serverbox, privacy shield.<\/li>\n\n\n\n<li><strong>Office casework<\/strong>: upper-lower, <strong>Hands-free sinks<\/strong>, Sharp's Box, and backsplash.<\/li>\n\n\n\n<li><strong>Treatment\/Irrigation<\/strong>: Curtain track, bed light, oxygen\/vacuum panel, call bell.<\/li>\n\n\n\n<li><strong>Endoscopy<\/strong>: Procedure room monitor arm, <strong>Washroom<\/strong> My autocleaner - drying cabinet, passbox (dirty to clean).<\/li>\n\n\n\n<li><strong>X-ray<\/strong>: Tables\/wallstands, shielded door seals, control room consoles.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E2%91%A2_%E2%80%93_9_MEP_2%EC%B0%A8%ED%8A%B8%EB%A6%BC%E2%80%91%EC%95%84%EC%9B%83%C2%B7%EC%8B%9C%EC%9A%B4%EC%A0%84\"><\/span>\u2462 - 9. MEP 2nd (trim-out) - Commissioning<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Electricity<\/strong>: Megger (insulation) testing, measuring earth resistance, labeling distribution boards, and identifying emergency power (UPS) lines.<\/li>\n\n\n\n<li><strong>Installations<\/strong>: Water supply pressure test - drain leakage test (coloring \/ irrigation water), water temperature \/ recovery check.<\/li>\n\n\n\n<li><strong>Medical Gases<\/strong>: pressure-confidential-<strong>Cross-connection<\/strong> Testing, Oxygen Purity-Contamination Measurement, Labeling\/Color-Valve Marking.<\/li>\n\n\n\n<li><strong>HVAC TAB<\/strong>: Air volume \/ static pressure - temperature and humidity adjustment, <strong>Negative\/Positive Pressure<\/strong> Check differential pressure (endoscope cleaning\/cleaning chamber), check filter rating.<\/li>\n\n\n\n<li><strong>Firefighting<\/strong>: sprinkler flow\/pressure, detection-alarm interlocking, induction light illumination, fire damper activation.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">\u2462 &#8211; 10. \ubc95\uc815\u00b7\uc804\ubb38 \uac80\uce21 & \uc778\uc99d<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Radiation Shielding Field Measurements<\/strong>: Accredited institutional dosimetry (controlled\/uncontrolled area criteria met) \u2192 Certificate of Conformity.<\/li>\n\n\n\n<li><strong>Fire Inspection<\/strong>: matching the drawing, operation - water pressure test passed.<\/li>\n\n\n\n<li><strong>Health center facility inspections<\/strong>: Clinic\/waiting room\/restroom\/medicine storage\/waste storage proper.<\/li>\n\n\n\n<li><strong>Medical Waste<\/strong>: Locker-Cover-Contract (shorten the journey).<\/li>\n<\/ul>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E2%91%A2_%E2%80%93_11_%EC%B2%AD%EC%86%8C%C2%B7%EC%9D%B8%ED%85%8C%EA%B7%B8%EB%A6%AC%ED%8B%B0%C2%B7%EC%9D%B8%EA%B3%84Handover\"><\/span>\u2462 - 11. Cleaning-Integrity-Handover<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Cleaning the terminal<\/strong>: Dust\/glue odor removal, IAQ (formaldehyde\/TVOC) testing (if required).<\/li>\n\n\n\n<li><strong>O&M \uc778\uc218<\/strong>: Equipment Manual - Warranty, <strong>As-built drawings<\/strong>(PDF+CAD), electrical circuit-panel schedules, and filter\/consumables lists.<\/li>\n\n\n\n<li><strong>Training<\/strong>EMR-Electricity\/Distribution, Medical Gas Valves-Emergency Procedures, Fire Evacuation Drills.<\/li>\n\n\n\n<li><strong>Punch List<\/strong>: Clean up defects \u2192 <strong>DLP (Day-to-Date)<\/strong> Start.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/wi-th.com\/wp-content\/uploads\/2025\/08\/Construction-of-the-internal-medicine-clinic.png\" alt=\"Building an Internal Medicine Clinic\" class=\"wp-image-2628\"\/><figcaption class=\"wp-element-caption\">Construction of an internal medicine clinic<\/figcaption><\/figure>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%EB%82%B4%EA%B3%BC_%EB%B3%91%EC%9D%98%EC%9B%90_%EC%8B%9C%EA%B3%B5\"><\/span>Construction of an internal medicine clinic<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%EA%B6%8C%EC%9E%A5_%EA%B3%B5%EC%A0%95_%EC%98%88%EC%8B%9C%ED%8F%89%EA%B7%A0_610%EC%A3%BC_%EA%B7%9C%EB%AA%A8%ED%8A%B9%EC%88%98%EC%8B%A4%EC%97%90_%EB%94%B0%EB%9D%BC_%EA%B0%80%EA%B0%90\"><\/span>Recommended process example (average 6-10 weeks, depending on size\/specialty)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ol class=\"wp-block-list\">\n<li>1 week for demolition\/temporary<\/li>\n\n\n\n<li>Floor-Structure-Baseline 0.5 weeks<\/li>\n\n\n\n<li>MEP Rough-in 2 weeks<\/li>\n\n\n\n<li>Shielding-Partition-Ceiling-Framing 1.5 weeks<\/li>\n\n\n\n<li>Finishing (waterproofing\/flooring\/painting\/doors) 1.5 weeks<\/li>\n\n\n\n<li>FF&E\u00b7\uac00\ud2b9 0.5\uc8fc<\/li>\n\n\n\n<li>Trim-out-TAB-check 1 week<\/li>\n\n\n\n<li>Forensic inspection, cleaning, and handover 0.5 to 1 week<\/li>\n<\/ol>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%ED%92%88%EC%A7%88%EB%A6%AC%EC%8A%A4%ED%81%AC_%EA%B4%80%EB%A6%AC_%EC%B2%B4%ED%81%AC%ED%8F%AC%EC%9D%B8%ED%8A%B8%ED%95%B5%EC%8B%AC%EB%A7%8C\"><\/span>Quality\/risk management checkpoints (core only)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Hold Points<\/strong>(a) before rough-in closure, (b) before shield concealment, (c) before watertight concealment, and (d) before TAB.<\/li>\n\n\n\n<li><strong>Soundproofing<\/strong>: Before the walls of the exam room are finished <strong>Field Core Testing<\/strong> Or check the Structure Same Thread Mock-up.<\/li>\n\n\n\n<li><strong>Endoscope Cleaning Room<\/strong>: drainage slope - water heating capacity - maintaining negative pressure <strong>Always-on measurement ports<\/strong> Install.<\/li>\n\n\n\n<li><strong>X-ray<\/strong>: Note missing lead liner in outlet-penetration (photo documentation required).<\/li>\n\n\n\n<li><strong>Accessibility<\/strong>: Ensure ceiling inspection opening\/valve-damper access distance (\u2265 450\u00d7450 recommended).<\/li>\n\n\n\n<li><strong>Change management<\/strong>: Changing the route of a ventilation wire\/gas\/wiring is done using the <strong>Post-approval construction<\/strong>(specify cost-fair impact).<\/li>\n<\/ul>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%EC%9D%B8%EC%88%98_%EC%A0%84_%EA%B8%B0%EB%8A%A5%EC%8B%9C%ED%97%98%EC%83%98%ED%94%8C_%EC%B2%B4%ED%81%AC%EB%A6%AC%EC%8A%A4%ED%8A%B8\"><\/span>Pre-acquisition functional testing (sample checklist)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Electrical: Insulation resistance \u2265 1 M\u03a9 (at Megger 500 V, design\/regulatory priority), earth leakage test, UPS disconnection.<\/li>\n\n\n\n<li>HVAC: Each room air volume-differential pressure (endoscopy cleaning negative pressure, clean positive pressure), noise, and condensation checks.<\/li>\n\n\n\n<li>Fixtures: Water supply\/water pressure-temperature, drain traps maintained, no leaks.<\/li>\n\n\n\n<li>Fire: Comprehensive interlocking test (alarm to induction lights\/fire dampers\/equipment shutdown).<\/li>\n\n\n\n<li>Medical Gas: Regulator pressure, outlet leakage 0, labeled-valve mapped.<\/li>\n\n\n\n<li>Radiation: Receipt of shielding compliance letter, control room intercom-emergency switch activation.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><strong>Demolition\/Framing<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Existing building interior demolition, structural verification<\/li>\n\n\n\n<li>Wall additions and partitions (exam rooms, waiting rooms, exam rooms, etc.)<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Capital construction<\/strong>\n<ul class=\"wp-block-list\">\n<li>Installing water supply and drainage piping, ventilation ducts, and heating and cooling systems<\/li>\n\n\n\n<li>Medical gas (oxygen, negative pressure) piping<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Electrical, telecommunications, and fire protection<\/strong>\n<ul class=\"wp-block-list\">\n<li>Place a dedicated exam room to exam room circuit<\/li>\n\n\n\n<li>Build a server room\/electronic medical record (EMR) network<\/li>\n\n\n\n<li>Install fire protection equipment and conduct fire inspections<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Finishing touches<\/strong>\n<ul class=\"wp-block-list\">\n<li>Floor: Antimicrobial vinyl\/tile (easy to clean)<\/li>\n\n\n\n<li>Wall-Ceiling: Durable\/Antimicrobial Painting<\/li>\n\n\n\n<li>Furniture: reception desk, treatment room desk, treatment room cabinet, refrigerated medicine cabinet<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Bringing in and installing equipment<\/strong>\n<ul class=\"wp-block-list\">\n<li>X-ray room: Install equipment after verifying lead shielding<\/li>\n\n\n\n<li>Endoscopy suite: Separate washroom-treatment room, check ventilation<\/li>\n\n\n\n<li>Deploy ultrasound, electrocardiogram, infusion pumps, blood testers, etc.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E2%91%A3_%EC%A4%80%EA%B3%B5_%EB%B0%8F_%EA%B0%9C%EC%9B%90_%EC%A4%80%EB%B9%84\"><\/span>\u2463 Preparing for completion and opening<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>As-built inspection<\/strong>\n<ul class=\"wp-block-list\">\n<li>Fire Departments: Pass fire safety inspections<\/li>\n\n\n\n<li>Health centers: On-site verification that facilities meet criteria<\/li>\n\n\n\n<li>City Hall: Check for construction\/change of use<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Get ready for production<\/strong>\n<ul class=\"wp-block-list\">\n<li>Contracting a medical waste handler and installing a dedicated storage unit<\/li>\n\n\n\n<li>Staffing (nurses, administrative staff) and EMR training<\/li>\n\n\n\n<li>Install a claims program and integrate with your accounting system<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Declare your practice open and start seeing patients<\/strong>\n<ul class=\"wp-block-list\">\n<li>Health center opening notification approval \u2192 Application for designation as a nursing institution (Simpyeongwon) \u2192 Start of treatment<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"970\" height=\"90\" src=\"https:\/\/wi-th.com\/wp-content\/uploads\/2025\/08\/in-te-ri-or_logo_1.png\" alt=\"Microservices \u24d2 wi-th.com\" class=\"wp-image-2906\" srcset=\"\/\/wi-th.com\/wp-content\/uploads\/2025\/08\/in-te-ri-or_logo_1.png 970w, \/\/wi-th.com\/wp-content\/uploads\/2025\/08\/in-te-ri-or_logo_1-665x62.png 665w, \/\/wi-th.com\/wp-content\/uploads\/2025\/08\/in-te-ri-or_logo_1-300x28.png 300w, \/\/wi-th.com\/wp-content\/uploads\/2025\/08\/in-te-ri-or_logo_1-768x71.png 768w\" sizes=\"(max-width: 970px) 100vw, 970px\" \/><figcaption class=\"wp-element-caption\">All things interior <a href=\"http:\/\/dknock.in-te-ri-or.com\" data-type=\"link\" data-id=\"dknock.in-te-ri-or.com\" target=\"_blank\" rel=\"noopener\">In-The-Rear.com<\/a><\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"970\" height=\"90\" src=\"https:\/\/wi-th.com\/wp-content\/uploads\/2025\/08\/dknock_banner_1.png\" alt=\"\u24d2 dknock.in-te-ri-or.com\" class=\"wp-image-2924\" srcset=\"\/\/wi-th.com\/wp-content\/uploads\/2025\/08\/dknock_banner_1.png 970w, \/\/wi-th.com\/wp-content\/uploads\/2025\/08\/dknock_banner_1-665x62.png 665w, \/\/wi-th.com\/wp-content\/uploads\/2025\/08\/dknock_banner_1-300x28.png 300w, \/\/wi-th.com\/wp-content\/uploads\/2025\/08\/dknock_banner_1-768x71.png 768w\" sizes=\"(max-width: 970px) 100vw, 970px\" \/><figcaption class=\"wp-element-caption\">Interior specialists \u24d2 <a href=\"http:\/\/dknock.in-te-ri-or.com\" data-type=\"link\" data-id=\"dknock.in-te-ri-or.com\" target=\"_blank\" rel=\"noopener\">dknock<\/a><\/figcaption><\/figure>\n\n\n\n<p class=\"has-text-align-center has-medium-font-size\">\u0392 <a href=\"https:\/\/wi-th.com\/en\/\">Weed<\/a><\/p>\n\n\n\n<p class=\"has-text-align-center has-medium-font-size\"><a href=\"https:\/\/wi-th.com\/en\/construction-tips\/designing-an-internal-medicine-practice\/\" data-type=\"link\" data-id=\"https:\/\/wi-th.com\/%ea%b3%b5%ec%82%ac%ed%8c%81\/%eb%82%b4%ea%b3%bc-%eb%b3%91%ec%9d%98%ec%9b%90-%ec%84%a4%ea%b3%84%ed%95%98%ea%b8%b0\/\">Designing an internal medicine practice<\/a><\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>\ub0b4\uacfc \ubcd1\uc758\uc6d0 \uc2dc\uacf5: \uac80\ud1a0(\uac74\ucd95\ubb3c\/\ubc95\uaddc \ud655\uc778) \u2192 \uc900\ube44(\uc124\uacc4\u00b7\uc778\ud5c8\uac00\u00b7\uc2dc\uacf5\uc0ac \uc120\uc815) \u2192 \uc2dc\uacf5(\ucca0\uac70\u2192\uc124\ube44\u2192\ub9c8\uac10\u2192\uc7a5\ube44 \uc124\uce58) \u2192 \uc900\uacf5\u00b7\uac1c\uc6d0 \uc2e0\uace0 \uc774 \uc21c\uc11c\ub300\ub85c \uc9c4\ud589\ub429\ub2c8\ub2e4. \u2460 \ub0b4\uacfc \ubcd1\uc758\uc6d0 \uc2dc\uacf5 \uc0ac\uc804 \uac80\ud1a0 \ub2e8\uacc4 \uc0ac\uc804 <a href=\"https:\/\/wi-th.com\/en\/construction-tips\/building-an-internal-medicine-clinic\/\" class=\"read-more-link\">[more&#8230;]<\/a><\/p>\n","protected":false},"author":1,"featured_media":2633,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17,404,45],"tags":[400,401,402,403],"class_list":["post-2632","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-17","category-404","category-45","tag-400","tag-401","tag-402","tag-403"],"_links":{"self":[{"href":"https:\/\/wi-th.com\/en\/wp-json\/wp\/v2\/posts\/2632","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wi-th.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wi-th.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wi-th.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wi-th.com\/en\/wp-json\/wp\/v2\/comments?post=2632"}],"version-history":[{"count":0,"href":"https:\/\/wi-th.com\/en\/wp-json\/wp\/v2\/posts\/2632\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wi-th.com\/en\/wp-json\/wp\/v2\/media\/2633"}],"wp:attachment":[{"href":"https:\/\/wi-th.com\/en\/wp-json\/wp\/v2\/media?parent=2632"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wi-th.com\/en\/wp-json\/wp\/v2\/categories?post=2632"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wi-th.com\/en\/wp-json\/wp\/v2\/tags?post=2632"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}