응급의학과 레지던트의 근무시간 현황: 다기관 단면 연구

Abstract

Purpose: This study was conducted in order to determinethe current status of duty hours of emergency residentphysicians in Korea. Methods: The training committee of the Korean Society ofEmergency Medicine surveyed using a questionnaire onresident training status, which contained the total number ofduty hours during four weeks of July (first to 28th day)according to the grades of the resident physician. The proportionsof both irregular working hours and independentworking hours without supervision of a board certified physicianwere also evaluated. Results: Responses from 80 hospitals out of 97 training hospitalswere analyzed. The average number of duty hours ofemergency resident physicians was 63.7±10.7 hours/week. The proportion of hospitals for which the average number ofduty hours exceeded 80 hours/week was 16.1%. Irregularworking hours consisted of 63.9%. Residents in 15(18.7%)hospitals worked 3.7~73.5% of their duty hours withoutsupervision of a board certified physician. The higher graderesident had fewer working hours (p<0.001). No statistical differencewas observed in the rate of both irregular work andunsupervised work according to the grade. Conclusion: Results of this study showed that nine(11.3%)hospitals had average duty hours above 80 hours/week. InKorea, training hospitals should prepare to minimize theimpact of duty hour restriction in the near future, as well asto improve training quality.