전공의법 시행에 따른 전공의 수련환경 변화
Changes in the Training Conditions of Residents by Enforcement of Medical Residents Act
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초록
전공의법은 2015년 12월 전공의의 권리보호, 환자안전, 우수한 의료 인력을 양성하기 위해 제정되었다. 본 연구는 전공의를 대상으로 2015년(1,793명)과 2017년(1,768명) 두 차례 실시한 설문조사 결과를 비교하여 전공의법 시행에 따른 수련환경 변화를 분석하였다. 분석결과, 전공의들은 주당 평균 80시간을 초과하여 근무하고 있었으며(’15=92.4h, ’17=87.3h), 36시간의 두 배에 달하는 시간을 연속해서 근무하고 있었다(’15=89.4h, ’17=70.1h). 이 외 출산휴가(’15=78.5day, ’17=82.2day), 표준근로계약서 작성(’15=19.3%, ’17=40.8%) 및 계약서 교부(’15=12.4%, ’17=36.1%)도 규정을 준수하지 않고 있었다. 전공의 수련환경은 환자안전 및 국민 건강과 직결되는 문제로 대체인력에 대한 지원, 공정한 수련환경평가와 평가결과에 따른 인센티브 부여, 전공의 및 지도전문의 인건비, 전문과목별 수련 프로그램 개발 비용 등 국가의 지원이 필요하다.
Abstract
The Medical Residents Act was enacted in December 2016 to protect the rights of residents, and to ensuring the safety of patients, and nurturing good medical human resources. This study analyzed the changes of training conditions according to the enforcement of The Medical Residents Act by comparing the results of two surveys conducted in 2015(1,793 Residents) and 2017(1,768 Residents). As a result, Residents worked over 80 hours per week on average('15=92.4h, '17=87.3h) and they worked twice as many times as 36 hours('15=89.4h, '17=70.1h). Female residents' leave before and after childbirth(’15=78.5day, ’17=82.2day), Preparation of Standard training contract('15=19.3%, '17=40.8%), Delivery of training contract('15=12.4%, '17=36.1%) did not comply with the regulations. The training conditions of the residents is directly related to the safety of patients and the public's health. National support is needed for the support of substitute workforces, fair training evaluation conditions and incentives based on the evaluation results, labor costs for residents and supervising medical specialists, and the cost of making training programs.
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