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응급의학과 전공의는 왜 그만두는가?

Why emergency medicine residents quit?

대한응급의학회지 2020년 31권 2호 p.236 ~ 245
이시원 ( Lee Si-Won ) - Inje University College of Medicine Department of Emergency Medicine

강지훈 ( Kang Ji-Hun ) - Inje University College of Medicine Department of Emergency Medicine
김양원 ( Kim Yang-Weon ) - Inje University College of Medicine Department of Emergency Medicine
오성찬 ( Oh Sung-Chan ) - Inje University College of Medicine Department of Emergency Medicine
지재구 ( Ji Jae-Gu ) - Inje University College of Medicine Department of Emergency Medicine
윤유상 ( Yoon Yoo-Sang ) - Inje University College of Medicine Department of Emergency Medicine

Abstract


Objective: The rate of dropouts by emergency residents is relatively high in Korea, which causes harm to both medical institutions and individuals. This study investigated the dropouts in emergency residents to identify the related factors.

Method: In this retrospective study, data were collected through in-depth individual interviews by telephone after the first interview by e-mail for residents who dropped out of emergency medicine training, and thematic analysis was conducted.

Results: Three themes were identified from nine subthemes: ‘Overload,’ ‘Disposition dilemma,’ and ‘Occurrence of negative feeling.’

Conclusion: The core themes of dropout in emergency residents are complex, leading to skepticism about emergency medicine training and a loss of self-esteem as an emergency medicine doctor. Therefore, the guidance specialist should examine the appropriateness of the job of the resident to prevent the dropout in emergency medicine departments, recognize the ambiguous patient dilemma as a problem of the emergency system, and watch for negative emotions of the residents.

키워드

Education; Emergencies; Residency
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