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J Korean Soc Emerg Med > Volume 33(4 Suppl.); 2022 > Article
Journal of The Korean Society of Emergency Medicine 2022;33(4 Suppl.): 20-28.
응급의학 전문의로 건강하게 일하기 위해서는 무엇이 필요한가?
장민석1 , 이형민1 , 조광현2 , 김인병3 , 이미진4 , 윤유상5 , 박경혜6,7 , 박송이8 , 김홍재9 , 기동훈10 , 서범석11 , 주영민12 , 지창근13 , 최석재14 , 여인환4 , 강지훈5 , 정우진7 , 임대성15 , 이의선16
1경희대학교병원 응급의학과
2을지대학교 노원을지병원 응급의학과
3명지병원 응급의학과
4경북대학교 의과대학 응급의학교실
5인제대학교 부산백병원 응급의학과
6연세대학교 원주의과대학 의학교육학과
7연세대학교 원주세브란스기독병원 응급의학과
8동아대학교 의과대학 응급의학교실
9KS병원 응급의학과
10가톨릭대학교 여의도성모병원 응급의학과
11순천향대학교 서울병원 응급의학과
12고려대학교 구로병원 응급의학과
13여수전남병원 응급의학과
14화홍병원 응급의학과
15창원경상대학교병원 응급의학과
16울산대학교 의과대학 예방의학과
What does it take to work healthy as an emergency physician?
Min Seok Jang1 , Hyung Min Lee1 , Kwang Hyun Cho2 , In Byung Kim3 , Mi Jin Lee4 , Yoo Sang Yoon5 , Kyung Hye Park6,7 , Song Yi Park8 , Hong Jae Kim9 , Dong Hoon Key10 , Beom Sok Seo11 , Young Min Joo12 , Chang Gun Jee13 , Suk Jae Choi14 , In Hwan Yeo4 , Ji Hun Kang5 , Woo Jin Jung7 , Dae Sung Lim15 , Eu Sun Lee16
1Department of Emergency Medicine, Kyung Hee University Hospital, Seoul, Korea
2Department of Emergency Medicine, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea
3Department of Emergency Medicine, Myongji Hospital, Goyang, Korea
4Department of Emergency Medicine, School of Medicine, Kyungpook National University, Daegu, Korea
5Department of Emergency Medicine, Inje University College of Medicine, Busan, Korea
6Department of Medical Education, Yonsei University Wonju College of Medicine, Wonju, Korea
7Department of Emergency Medicine, Wonju Severance Christian Hospital, Wouju, Korea
8Department of Emergency Medicine, Dong-A University College of Medicine, Busan, Korea
9Department of Emergency Medicine, KS Hospital, Gwangju, Korea
10Department of Emergency Medicine, Yeouido St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
11Department of Emergency Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea
12Department of Emergency Medicine, Korea University Guro Hospital, Seoul, Korea
13Department of Emergency Medicine, Yeosu Jeonnam Hospital, Yeosu, Korea
14Department of Emergency Medicine, Hwahong Hospital, Suwon, Korea
15Department of Emergency Medicine, Gyeongsang National University Changwon Hospital, Changwon, Korea
16Department of Preventive Medicine, University of Ulsan College of Medicine, Ulsan, Korea
Correspondence  Hyung Min Lee ,Tel: 02-958-8585, Fax: 02-958-9689, Email: nice008@naver.com,
Received: June 2, 2021; Revised: September 2, 2021   Accepted: September 4, 2021.  Published online: August 31, 2022.
ABSTRACT
Objective:
Unlike the temporary nature of an emergency resident's job, the position of an emergency physician is one of a lifelong commitment requiring stability and persistence. However, it is hard to pursue a healthy lifestyle because of the 24 hours a day, 7 days a week (24/7) working schedule. The emergency room environment demands high physical and mental stamina, and hence the health problems of emergency physicians have a significant impact on the patient’s outcome. Our study was designed to analyze the emergency physician’s health status and influencing factors based on the data from the 2020 Korean Emergency Physician Survey.
Method:
Based on the results of the survey, the factors affecting health were classified into several categories, such as personal character, working conditions, lifestyle, and emotional status. Statistical methods have been used to determine whether these factors can affect self-rated health.
Results:
The self-rated health worsened for emergency physicians in their 40s rather than in their 30s. However, drinking, smoking, and eating patterns had no effect on self-rated health. Also, the actual number of shifts was observed to bear no relationship with health. Sleeping, wellness, and mood affected self-rated health. Physicians who felt they were unhealthy, expected an early retirement because of the burden of night shifts.
Conclusion:
Emergency physicians in Korea have a low self-rated health status. Mental stress, exercise, and sleep had an impact on the status. Physicians who served long-term night shifts saw a deleterious effect on their sleep and mood, and this damage was cumulative. The career longevity of an emergency physician thus requires a reasonable night shift schedule and age-modified adjustments.
Key words: Emergency physician; Survey; Self-rated health; Night shift; Burnout
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