Song Song Yi, Han Hee Youn, Park Se Yoon, Kim Jaewoong, Park Kyung Mee, Kyong Taeyoung
Department of Hospital Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea.
Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
J Gen Intern Med. 2025 Feb;40(2):302-308. doi: 10.1007/s11606-024-08910-8. Epub 2024 Jul 22.
Although the roles and responsibilities of hospitalists have grown considerably in recent years, research on the current job status and satisfaction levels of Korean hospitalists is lacking.
We investigate the present state of Korean hospitalists and the factors influencing their job satisfaction 6 years after the pilot program's launch.
This cross-sectional analysis was based on an online survey conducted from January 30 to February 18, 2023.
Korean hospitalists (N = 303) MAIN MEASURES: The survey encompassed participant demographics, hospital information, education, clinical practice, research involvement, and job satisfaction. We employed multiple logistic regression analyses to identify determinants of satisfaction as a hospitalist.
The analysis was based on 79 hospitalists' responses (response rate 26%). Respondents had a median age of 39 years; approximately half were male internal medicine specialists, possessing over 3 years of hospitalist experience. Most respondents were interested in clinical work (94.4%), with only 21.5% interested in research and evidence-based medicine. Over two-thirds indicated that non-clinical duties occupied less than 20% of their time. Overall, job satisfaction among hospitalists averaged 51.9%. Notably, the availability of a research mentor was significantly associated with job satisfaction (P = .011). While hospitalists with more than 3 years of experience, more hospitalists per facility, and autonomy were associated with increased job satisfaction, these associations were not statistically significant. Furthermore, there was no association between night shift work, work type, or work hours and job satisfaction.
Although Korean hospitalists primarily focus on clinical practice, our study underscores the positive impact of mentorship from research mentors on job satisfaction, supported by comprehensive univariate and multivariate analyses. These findings signal a progressive transformation in the role of Korean hospitalists, as they increasingly engage in research alongside patient care.
尽管近年来住院医师的角色和职责有了显著增长，但关于韩国住院医师当前工作状况和满意度水平的研究却很匮乏。
我们调查了试点项目启动6年后韩国住院医师的现状以及影响他们工作满意度的因素。
本横断面分析基于2023年1月30日至2月18日进行的一项在线调查。
韩国住院医师（N = 303）主要测量指标：该调查涵盖参与者的人口统计学信息、医院信息、教育背景、临床实践、研究参与情况以及工作满意度。我们采用多元逻辑回归分析来确定作为住院医师满意度的决定因素。
分析基于79名住院医师的回复（回复率26%）。受访者的年龄中位数为39岁；约一半是男性内科专科医生，拥有超过3年的住院医师经验。大多数受访者对临床工作感兴趣（94.4%），只有21.5%对研究和循证医学感兴趣。超过三分之二的人表示非临床职责占用他们的时间不到20%。总体而言，住院医师的工作满意度平均为51.9%。值得注意的是，有研究导师与工作满意度显著相关（P = 0.011）。虽然经验超过3年的住院医师、每个机构更多的住院医师以及自主权与工作满意度的提高相关，但这些关联在统计学上并不显著。此外，夜班工作、工作类型或工作时长与工作满意度之间没有关联。
尽管韩国住院医师主要专注于临床实践，但我们的研究强调了研究导师的指导对工作满意度的积极影响，这得到了全面的单变量和多变量分析的支持。这些发现表明韩国住院医师的角色正在逐步转变，因为他们在提供患者护理的同时越来越多地参与研究。
