지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.95 No.5
- 발행연도
- 2018.11
- 수록면
- 233 - 239 (7page)
이용수
초록· 키워드
오류제보하기
Purpose: In Korea, the working-hour limitation regulation has been implemented in December 2017. We aimed to define the difference in operative experience of surgical residents before and after implementing this policy in 2 hospitals among 8 affiliated hospitals of the Catholic Medical Center where implemented the 80 working-hour limitation policy since March 2015.
Methods: All the operation records were reviewed, and the number of resident-participated surgeries between March and August in 2002 and 2017 were compared. Operations performed or participated in by residents as first assistants were defined as resident participated surgery.
Results: After 2 years from the initiation of the resident work-hour limitations, the number of resident participated surgery has slightly decreased in both hospitals (Yeouido St. Mary’s Hospital [YSM]: 317 to 302, St. Paul Hospital [SPH]: 635 to 461). For each resident, changes were like followings: 0 → 21 cases for R1, 65 → 72 cases for R2, 83 → 192 cases for R3, and 169 → 17 cases for R4 in YSM. In SPH, number of resident participating surgery was changed like followings: 4 → 32 cases for R1, 222 → 100 cases for R2, 317 → 300 cases for R3, and 92 → 29 cases for R4. In both hospital, while, total number of resident participating oncologic surgery has been decreased, number of resident participating appendectomy has been far increased. Activity of each grade resident is different according to hospital.
Conclusion: Although total number of resident participating surgery decreased, variable changes were observed in each grade of resident according to each type of surgery and different hospitals. It is believed that comparisons of experiences from more hospitals in the future would be helpful in establishing the guidelines for surgical experience requirement of residents in Korea.
Methods: All the operation records were reviewed, and the number of resident-participated surgeries between March and August in 2002 and 2017 were compared. Operations performed or participated in by residents as first assistants were defined as resident participated surgery.
Results: After 2 years from the initiation of the resident work-hour limitations, the number of resident participated surgery has slightly decreased in both hospitals (Yeouido St. Mary’s Hospital [YSM]: 317 to 302, St. Paul Hospital [SPH]: 635 to 461). For each resident, changes were like followings: 0 → 21 cases for R1, 65 → 72 cases for R2, 83 → 192 cases for R3, and 169 → 17 cases for R4 in YSM. In SPH, number of resident participating surgery was changed like followings: 4 → 32 cases for R1, 222 → 100 cases for R2, 317 → 300 cases for R3, and 92 → 29 cases for R4. In both hospital, while, total number of resident participating oncologic surgery has been decreased, number of resident participating appendectomy has been far increased. Activity of each grade resident is different according to hospital.
Conclusion: Although total number of resident participating surgery decreased, variable changes were observed in each grade of resident according to each type of surgery and different hospitals. It is believed that comparisons of experiences from more hospitals in the future would be helpful in establishing the guidelines for surgical experience requirement of residents in Korea.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (14)
참고문헌 신청
[인터넷자원] - / / ACGME Common Program Requirements / Accreditation Council for Graduate Medical Education
[학술지(정기간행물)] - Damadi A / 2007 / ACGME duty-hour restrictions decrease resident operative volume: a 5-year comparison at an ACGME-accredited university general surgery residency / J Surg Educ 64 : 256 ~ 259
[학술지(정기간행물)] - Bruce PJ / 2010 / Operative volume in the new era : a comparison of resident operative volume before and after implementation of 80-hour work week restrictions / J Surg Educ 67 : 412 ~ 416
[단행본] - / 2017 / American Board of Surgery. Booklet of Information Surgery 2016-2017 / American Board of Surgery
[학술지(정기간행물)] - Kelly A / 2007 / A new curriculum for surgical training within the United Kingdom : context and model / J Surg Educ 64 : 10 ~ 19
[학술지(정기간행물)] - Damadi A / 2007 / ACGME duty-hour restrictions decrease resident operative volume: a 5-year comparison at an ACGME-accredited university general surgery residency / J Surg Educ 64 : 256 ~ 259
[학술지(정기간행물)] - Bruce PJ / 2010 / Operative volume in the new era : a comparison of resident operative volume before and after implementation of 80-hour work week restrictions / J Surg Educ 67 : 412 ~ 416
[단행본] - / 2017 / American Board of Surgery. Booklet of Information Surgery 2016-2017 / American Board of Surgery
[학술지(정기간행물)] - Kelly A / 2007 / A new curriculum for surgical training within the United Kingdom : context and model / J Surg Educ 64 : 10 ~ 19
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UCI(KEPA) : I410-ECN-0101-2019-514-000096346