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J Korean Soc Emerg Med > Volume 31(2); 2020 > Article
Journal of The Korean Society of Emergency Medicine 2020;31(2): 236-245.
응급의학과 전공의는 왜 그만두는가?
이시원1 , 강지훈1 , 김양원1 , 오성찬1 , 지재구1 , 윤유상1,2
1인제대학교 의과대학 응급의학교실
2인제대학교 인문의학연구소
Why emergency medicine residents quit?
Si Won Lee1 , Ji Hun Kang1 , Yang Weon Kim1 , Sung Chan Oh1 , Jae Gu Ji1 , Yoo Sang Yoon1,2
1Department of Emergency Medicine, Inje University College of Medicine, Busan, Korea
2The Institute for Medical Humanities, Inje University, Busan, Korea
Correspondence  Yoo Sang Yoon ,Tel: 051-890-6120, Fax: 051-891-1465, Email: 101mars@hanmail.net,
Received: June 21, 2019; Revised: October 6, 2019   Accepted: October 18, 2019.  Published online: April 30, 2020.
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.
Key words: Education; Emergencies; Residency
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