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J Korean Soc Emerg Med > Volume 27(5 Suppl.); 2016 > Article
Journal of The Korean Society of Emergency Medicine 2016;27(5 Suppl.): 76-84.
어떤 스케줄이 우리나라 응급의학 봉직의에게 더 적절할까?
이정열1, 김지혜1, 백진휘1, 정현민1, 김아진1, 김아름1, 조광현2, 이형민1
1인하대학교병원 응급의학과
2을지병원 응급의학과
What is a More Appropriate Schedule for Clinically Active Emergency Physicians in Korea?
Jung Yeol Lee1, Ji Hye Kim1, Jin Hue Baek1, Hyun Min Jung1, Ah Jin Kim1, Areum Durey Kim1, Kwang Hyun Cho2, Hyung Min Lee1
1Department of Emergency Medicine, Inha University Hospital, Incheon, Korea
2Department of Emergency Medicine, Eulji Hospital, Korea
Correspondence  Hyung Min Lee ,Tel: 032) 890-2310, Fax: 032) 890-2314, Email: nice008@naver.com,
Received: August 17, 2016; Revised: August 18, 2016   Accepted: October 11, 2016.  Published online: October 30, 2016.
Night shift is nothing new to emergency physicians. In fact, all of them feel stressed about shift work regardless of frequency or duration. The effects of rotating shifts are cumulative, and represent one of the most important reasons physicians leave the specialty. This is the first comprehensive study in Korea which analyzed shift schedules in association with quality of life of emergency physicians.
The 2015 Korean Emergency Physician Survey (KEPS) distributed a questionnaire to its members regarding their shift schedule, status of health, quality of sleep and satisfaction. This survey was performed from August to October 2015 and a total of 189 clinical emergency physicians enrolled.
The most common pattern of schedule were rotating, 12-hour shift. Regular schedulers showed better status of health and daytime sleepiness. Fixed day or night schedulers had better quality of sleep. Shorter duration of shifts showed better status of health, quality of sleep and less sleep related problems they reported. Regular 8-hour shift in a fixed manner was most preferred by responders. Meanwhile, schedule satisfaction was more related to frequency of shifts.
Status of health and quality of sleep of clinical emergency physicians were influenced by regularity of schedule and duration of shift. But many of us had rotating long duration of shift in an irregular manner because lack of specialty. Considering a mismatch in supply and demand in the field of emergency medicine, we should increase number of staffing first in order to make a better schedule of shifts.
Key words: Shift, Schedules, Sleep, Emergency physicians
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