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전공의의 수련포기 의도와 영향요인

Training dropout Intention and Related Factors of Residents

  • 오수현 (대한의사협회 의료정책연구소) ;
  • 김진숙 (대한의사협회 의료정책연구소)
  • Oh, Su-Hyun (Research Institute for Healthcare Policy, Korean Medical Association) ;
  • Kim, Jin-Suk (Research Institute for Healthcare Policy, Korean Medical Association)
  • 투고 : 2021.06.17
  • 심사 : 2021.08.20
  • 발행 : 2021.08.28

초록

전공의 수련은 우수한 역량을 지닌 전문의를 양성하는 과정이다. 본 연구는 2017년 4월에 수행한 전공의 수련 및 근무환경 실태조사 결과를 활용하여 전공의의 수련포기 의도와 영향요인을 규명하였다. 다변량 로지스틱 회귀분석을 통해 전공의 1,748명을 대상으로 수련포기 의도를 조사한 결과, '그런 편이다'라고 응답한 전공의는 340명(19.5%), '보통' 518명(29.6%), '그렇지 않은 편이다' 890명(50.9%)으로 나타났다. 전공의의 수련포기와 관련이 있는 요인은 기업 연계병원 여부, 수련연차, 근무시간, 적절한 교육지도 여부, 수련과정 적절성 여부로 나타났다. 바람직한 전공의 교육 수련을 위해서는 전공의 근로환경 정상화와 더불어 내실 있는 교육수련 프로그램 개발, 공정하고 체계적인 평가, 재정적 지원이 필요하다.

Resident training is the process of training specialists with excellent competency. This study analyzed the intention of resident's training dropout and influencing factors by utilizing the results of a survey on the training and working environment of the residents conducted in April 2017. According to a multivariate logistic regression analysis of 1,748 residents, 340(19.5%) answered 'yes', 518(29.6%) 'normal', 890(50.9%) 'no'. Factors related to the dropout of training by residents were found to be whether the hospital was affiliated with a enterprise, training year, training hours, appropriate educational supervision and adequate of the training process. For a desirable Resident education and training, it is necessary to normalize of the resident's working environment, develop of a substantial training program, provide fair and systematic evaluation, and financial support.

키워드

참고문헌

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