Status and prospect of workforce requirement for surgery in republic of Korea
김주현, 정상설, 이인규, 송병주, 문재환, 장용석, 이혁준, 이은숙, 이왕준, 이길연,
소속 상세정보
김주현 ( Kim Joo-Hyun )
Kyung Hee University School of Medicine Department of Surgery
정상설 ( Jung Sang-Seol )
Catholic University School of Medicine Department of Surgery
이인규 ( Lee In-Kyu )
Catholic University School of Medicine Department of Surgery
송병주 ( Song Byung-Joo )
Catholic University School of Medicine Department of Surgery
문재환 ( Moon Jae-Hwan )
Hanil General Hospital Department of Surgery
장용석 ( Jang Yong-Seog )
Dr. Jangs Surgical Clinic
이혁준 ( Lee Hyuk-Joon )
Seoul National University College of Medicine Department of Surgery
이은숙 ( Lee Eun-Sook )
Korea University College of Medicine Department of Surgery
이왕준 ( Lee Wang-Jun )
Kwandong University College of Medicine Department of Surgery
이길연 ( Lee Kil-Yeon )
Kyung Hee University School of Medicine Department of Surgery
KMID : 0371320110810060363
Abstract
Purpose: In order to prepare long-term alternatives to surgical residency training and workforce policies in Korea, objective data are needed; in addition, determination of the status of surgical procedures being performed is also needed.
Methods: Cases of surgeries performed by board-certified Korean surgeons for 1 year, from July 2009 to June 2010 were reviewed and analyzed. Variation of the last five years was also investigated against the number of surgery cases of the same item and for data on status of population, medical institutions, and surgeons.
Results: Difficulty in distribution of a given surgery varied according to the classification of medical institution types, and performance of highly difficult surgeries occurred more in tertiary hospitals. The number of surgeries has increased over the last 5 years (28.1%). The number of surgeries among elderly patients (41.5%), high difficulty (41.8%), and tertiary hospitals (34.9%) has especially increased. There has been no increase in the number of diagnosis related group claim cases for the last 5 years (-0.8%). 43.3% of surgeons working at private clinics in Korea did not present surgery as an indicating item of their clinics.
Conclusion: While the demand for surgeons in high risk and highly difficult surgeries is continuously increasing, stagnation is expected in the traditional area. Considering the proportion and current status of surgeons working at private clinics, the need for a realistic reduction in the quota of surgical residents and reconsideration of personnel policies is raised.
키워드
Quota; Resident; Surgeo
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