임상의학 전임의 수련 후 진로와 이에 영향을 미치는 요인

• 영문명: Current Status of Subspecialists Training Programs and Factors Affecting Subspecialists Job Selection after Training
• 발행기관: 한국의학교육학회
• 저자명: 김창엽(Chang-Yup Kim) 임 준(Jun Yim) 김동준(Dong-Jun Kim) 김용익(Yong-Ik Kim) 신영수(Young Soo Shin)
• 간행물 정보: 『Korean Journal of Medical Education』제14권 제1호, 33~42쪽, 전체 10쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2002.06.30

영문 초록

Purpose: This study was designed to identify current status of the subspecialist training programs and related factors affecting subspecialists job selection. Methods: The study subjects were 5,569 subspecialist trainees in 61 hospitals between 1989 and 1999. Among them, 1,260 subjects were selected to identify employment status after training. Also we analysed factors affecting career selection for 863 subspecialists on which basic information was available. Results: About 26.6% of all subspecialist trainees trained in 1999 was for subspecialties in internal medicine, the largest majority, and 89.3% was in metropolitan areas. Also 91.1% were trained in teaching hospitals. Among subspecialists completed training, 79.5% selected career to work at general or teaching hospitals as of 1999, but 13.5% practised at clinics. The factors affecting career selection after training were gender, ownership of medical school, and specialty. Conclusion: The fact that not a few subspecialists work at primary care clinics means there are unreasonable human resource allocation and planning, with probable poor quality of primary care. Therefore, it is necessary to have a human resource plan at the national level for appropriate number of subspecialists, based on each specialty, in particular. Any structural factors affecting destination of subspecialist trainees, such as gender and graduated medical school, etc, should be dealt with in the long run.

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Subspecialist Job selection