응급의학과 수련 만족도에 대한 분석과 향후 교육 수련 발전 방향에 대한 제안

Abstract

Purpose: At 1990, the first emergency medicine residency training was started in Korea. However, there was no date and discussion about the satisfaction of emergency medicine residency training and improvement point. The aim of this study is to investigate the satisfaction of emergency medicine residency training and suggest for improvement on the future emergency medicine residency training. Methods: A nationwide survey was conducted with a representative sample of 432 emergency medicine specialist involved in emergency care in 2015. Results: The average score of satisfaction for emergency medicine residency training was 3.29±1.09. The most satisfied part was about procedure skills as 3.70±0.99, and the most needed part for future residency training was about communication skill as 4.27±0.77. Satisfaction gap among each training hospitals was significant. Emergency physicians in training hospital considered that patient management and administration, communication skills, prehospital emergency medical service system, educational methods, and research are important in this order. On the other hand. Emergency physicians in non-training hospital considered that medical knowledge, procedure skills, professionalism, and resource utilization are more important. However there was no difference in recommendation between clinical practitioners and non-clinical practitioner. Conclusion: Korean emergency physicians are satisfied with residency training in procedure skills, patient management and administration, and professionalism and highly recommended them. Communication skill is most highly recommended, but show low satisfaction. Developing the advanced competency assessment for specialist board can lead to residency curriculum change. Furthermore, the Korean Society of Emergency Medicine needs to provide standardized and systematic residency curriculum in order to minimize the disparity between the training hospitals.