Hospitalist 제도에 대한 외과 전공의 및 전임의의 인식 조사

Abstract

Purpose: Although the hospitalist which was first defined in USA at 1996 has been incorporated into a clinical activity in South Korea, adequate role of hospitalist is not established yet especially in the department of surgery. It is evident that the role of surgical residents or fellows are most influenced by the introduction of surgical hospitalist. However, the expectations of surgical residents or fellows on the role of the hospitalist has not been evaluated.

Methods: This study was based on the questionnaire from surgical residents and fellows working at a single large center.

Results: A total of 64 responders participated in this study. Most of the responders believe that certificate of internal medicine or family medicine is fit for the hospitalist. Most of the responders believe the obligatory limitation law of working hours for residents has not been kept well. The main reasons are overloading of working of residents or sustained operation schedules. They think that nurse practitioners or physical assistants may be of a help in partially, but, could not fully compensate for the work loading of residents. The most expected role of surgical hospitalist by residents or fellows is to replace the role of duty especially at night. The willingness to apply for surgical hospitalist after cessation of the training is low. This observation may suggest the concern of current uncertain surgical hospitalist’s role.

Conclusion: This study demonstrates that the most expected role for surgical hospitalist by surgical residents and fellows is to replace the duty of night time.