DOI QR코드

DOI QR Code

Training dropout Intention and Related Factors of Residents

전공의의 수련포기 의도와 영향요인

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

Abstract

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.

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.

Keywords

References

  1. The National Law Information Center. (2021). Regulations on Specialist Training and Qualification. no. 28440[Online]. http://www.law.go.kr/lumLsLinkPop.do?lspttninfSeq=61760&chrClsCd=010202.
  2. Korean Statistical Information Service. (2021). Status of manpower by type of medical institution. (Online). http://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=DT_920015N_222&vw_cd=MT_ZTITLE&list_id=350_920015_001&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=MT_ZTITLE
  3. C. P. Landrigan et al. (2004). Effect of reducing interns ' work hours on serious medical errors in intensive care units. N Engl J Med, 351, 1838-1848. DOI: 10.1056/NEJMoa041406
  4. C. Ulmer, D. M Wolman & M. M. E Johns. (2008). Institute of Medicine. Resident duty hours: enhancing sleep, supervision, and safety. Washington, DC: National Academies Press.
  5. E. K. Kang, H. S. Lihm & E. H. Kong. (2013). Association of Intern and Resident Burnout with Self-reported medical errors. Korean Journal of Family Medicine, 34(1), 6-42. DOI:10.4082/kjfm.2013.34.1.36
  6. J. M. Han. (2020). Proposal of the Korean Medical Association for improving the training environment. Medical Policy Forum, 18(4), 42-50.
  7. M. H. Hong. (2020). Half of this year's residents dropouts are internal, general, obstetrics and gynecology, pediatrics and Seoul National University has no exception. http://www.doctorstimes.com/news/articleView.html?idxno=213233(2021.6.4.)
  8. M. K. Kim et al. (2017). A survey on training and working conditions of residents in 2017. Seoul: Research institute for Healthcare Policy, Korean Medical Association.
  9. The National Law Information Center. (2021). The Annual Curriculum of resident. no. 2019-34 [Online]. http://www.law.go.kr/LSW/admRulInfoP.do?admRulSeq=2100000176462.
  10. J. S. Huh. (2018). The Proposal for Residency Educational Programs. Korean Medical Education Review, 20(3), 135-140. DOI:10.17496/kmer.2018.20.3.135
  11. S. R. Kim, S. S. Kim & J. Y. Kim. (2015). Working condition, Health and Perceived Patient Safety among Doctors in Training: 2014 Korean Interns & Residents Survey. Health and Social Welfare Review, 35(2), 584-607. DOI:10.15709/hswr.2015.35.2.584
  12. J. H. Kim, J. Y. Kim & S. S. Kim. (2015). Workplace Violence and Depressive Symptoms among Medical Residents in South Korea: 2014 Korean Interns & Residents Survey. Health and Social Sciences, 39, 75-95.
  13. J. H. Kim, J. H. Yoon & S. S. Kim. (2015). Association between Long Working Hours and Depressive Symptoms among Interns and Residents in South Korea-2014 Korea Interns & Residents Survey. Journal of Korean Society of Occupational and Environmental Hygiene, 25(2), 236-243. DOI:10.15269/JKSOEH.2015.25.2.236
  14. S. Y. Yoo et al (2017). Relationship of Sleep Quality, Physical Stress, Psychological Stress, and Job Stress among Residents. Korean J Health Promot, 17(1), 9-19. DOI:10.15384/kjhp.2017.17.1.9
  15. S. H. Oh, J S. Kim. (2019). Changes in the Training Conditions of Residents by Enforcement of Medical Residents Act. Journal of Digital Convergence, 17(12), 427-434. DOI:10.14400/JDC.2019.17.12.427
  16. S. W. Lee. (2014). The need for education in general competencies during the resident training in Korea. Journal of the Korean Medical Association, 57(4), 292-295. DOI:10.5124/jkma.2014.57.4.292
  17. Y. G. Kyeon et al. (2018). Competency-Based Psychiatry Residency Training Program Development in South Korea. Korean Medical Education Review, 20(1), 51-59. DOI:10.17496/kmer.2018.20.1.51
  18. Y. S. Cho et al. (2018). Survey of emergency medicine residency education programs and suggestion for improvement on the future emergency medicine residency education. Journal of the Korean Society of Emergency Medicine, 29(2), 179-187.
  19. H. J. Kim et al. (2020). A Recognition Survey by Psychiatry Residents and Psychiatrists Regarding the Quality of Residency Training and Clinical Competence in Korea. Journal of the Korean Neuropsychiatric Association, 59(2), 148-158. DOI : 10.4306/jknpa.2020.59.2.148
  20. Y. H. Lee. (2017). The Examination on the Labor Legal Status and Protection Methods for the Residents in Medical Institutions-With Focus on Status of Residents & Disadvantages of Special Act on Medical Residents. Northeast Asian Law Studies, 11(1), 179-213. DOI : 10.19035/nal.2017.11.1.9
  21. K. K. Park, K. Y. Kim & J. S. Huh. (2019). Recent cases of legal disputes and institutional implications related to residents : Types of institutional precedents and institutional improvement for residents. Journal of the Korean Medical Law Society, 27(1), 167-192. DOI : 10.17215/kaml.2019.06.27.1.167
  22. D. H. Shin. (2021). The Vision of Hospitalist System in Korea. Korean Journal of Medicine, 96(1), 1-6. DOI : 10.3904/kjm.2021.96.1.1