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韩国神经外科住院医师的当前培训现状:一项全国多中心调查。

Current Training Status of Neurosurgical Residents in South Korea: A Nationwide Multicenter Survey.

机构信息

Department of Neurosurgery, Soonchunhyang University Seoul Hospital, Seoul, South Korea.

Department of Neurosurgery, Soonchunhyang University Bucheon Hospital, Buecheon, South Korea.

出版信息

World Neurosurg. 2019 Nov;131:e329-e338. doi: 10.1016/j.wneu.2019.07.147. Epub 2019 Jul 26.

Abstract

BACKGROUND

In South Korea, special legislation was introduced in December 2016 to limit residents' training time to a maximum of 80 hours per week. The aim of this study was to survey the current training system and environment of neurosurgical residents and to find ways to improve the quality of neurosurgical training.

METHODS

The questionnaire survey included 373 neurosurgical residents at 66 training hospitals nationwide, who were members of the Korean Neurosurgical Society. The survey method included a questionnaire link through a text message and was carried out anonymously. The survey was conducted for 7 days and targeted a total of 106 residents (28.4%).

RESULTS

Most respondents selected "excessive training time" as a reason for dissatisfaction with the training environment (n = 61, 57.5%), followed by "limited number of opportunities for surgery" (n = 50, 47.2%), and "little experience for research" (n = 42, 39.6%). Respondents still believe that they have to work excessively longer, even after 80 hours of training per week.

CONCLUSIONS

The major reason that neurosurgical residents are dissatisfied with the current training system and environment is the excessive time spent on it. These survey results are expected to be used as the basis for improvement of the residents' training system and work environment in South Korea.

摘要

背景

2016 年 12 月,韩国出台了一项特别立法,将居民的培训时间限制在每周最多 80 小时。本研究旨在调查神经外科住院医师目前的培训体系和环境,并寻找提高神经外科培训质量的方法。

方法

问卷调查包括全国 66 家培训医院的 373 名神经外科住院医师,他们都是韩国神经外科学会的成员。调查方法包括通过短信发送问卷链接,并匿名进行。调查持续了 7 天,共针对 106 名住院医师(28.4%)进行了调查。

结果

大多数受访者选择“培训时间过长”作为对培训环境不满的原因(n=61,占 57.5%),其次是“手术机会有限”(n=50,占 47.2%)和“研究经验不足”(n=42,占 39.6%)。受访者仍认为即使每周接受 80 小时的培训,他们也必须过度工作更长时间。

结论

神经外科住院医师对当前培训体系和环境不满的主要原因是培训时间过长。这些调查结果有望作为韩国改善住院医师培训体系和工作环境的基础。

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