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KMID : 0381520020140010033
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Korean Journal of Medical Education
2002 Volume.14 No. 1 p.33 ~ p.42
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Current Status of Subspecialists Training Programs and Factors Affecting Subspecialists’ Job Selection after Training
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Kim Chang-Yup
Yim Jun
Kim Dong-Jun
Kim Yong-Ik
Shin Young-Soo
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Abstract
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Purpose:This study was designed to identify current status of the subspecialist training programs and related factors affecting subspecialist’s job selection.
Methods: The study subject were 5,569 subspecialist trainees in 61 hospitals between 1989 and 1999. Among them, 1,260 subjects were selected to identify employment status after training. Also we analysed factors affecting career selection for 863 subspecialist on which basic information was available.
Results: About 26.6% of all subspecialist trainees trained in 1999 was for subspecialist in internal medicine, the largest majority, and 89.3% was in metropolitan areas. Also 91.1% were trained in teaching hospitals. Among subspecialist
completed training, 79.5% selected career to work at general or teaching hospitals as of 1999, but 13.5% practised at clinics. The factors affecting career selection after training were gender, ownership of medical school, and specialty.
Conclusion: The fact that not a few subspecialist work at primary care clinics means there are unreasonable human resource allocation and planning, with probable poor quality of primary care. Therefore, it is necessary to have a human resource plan at the national level for appropriate number of subspecialist, based on each specialty, in particular. Any structural factors affecting destination of subspecialist trainees, such as gender and graduated medical school, etc, should be dealt with in the long run.
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KEYWORD
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Subspecialist, Job selection
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