J Korean Med Assoc.  2019 Nov;62(11):573-576. 10.5124/jkma.2019.62.11.573.

Development of the role of teaching hospitalists in the education of residents

• Oh SJ
• Jung SM

• KMID: 2462240
• DOI: http://doi.org/10.5124/jkma.2019.62.11.573

Abstract

Resident law was enacted to improve the training environment and working conditions. However, the law caused confusion in the field and resulted in a medical vacuum in inpatient care. It also resulted in a lack of training time. A hospitalist system was introduced to improve the quality of patient care and to cover the shortage of residents. This study aimed to outline a development strategy for hospitalists participation in resident education in Korea. The result of pilot study of the hospitalists in Korea showed that patients, nurses, and residents were satisfied with hospitalists. Eighty-five percent of surgical residents were helped in postoperative patient care and 70.7% of residents were willing to work with a hospitalist. The competency of surgical hospitalists includes understanding surgery and the appropriate management of postoperative complications. In order to shift the paradigm of resident education, the Korean government must pay the expenses for resident training. Through hospitalists' participation in the resident training, it may be possible to provide residents with more comprehensive and continuous education for inpatient care.

Keyword

Internship and residency; Education; Hospitalists; Hospital medicine

MeSH Terms

Education*
Hospital Medicine
Hospitalists*
Humans
Inpatients
Internship and Residency
Jurisprudence
Korea
Patient Care
Pilot Projects
Postoperative Complications
Vacuum

Reference

1. Lee JH. After enforcement of resident's law, over 80 hours of work per week. Doctor's News. 2019 Jan 25. [cited 2019 Aug 29]. Available from:. http://www.doctorsnews.co.kr/news/articleView.html?idxno=127501.

2. Shin JH. Surgical resident training period will be shortened from 4 to 3 years from next year. Hankook-ilbo. 2018 Nov 15. [cited 2019 Aug 29]. Available from:. http://www.hankookilbo.com/News/Read/201811151060043965.

3. Parekh V, Flanders S. Resident work hours, hospitalist programs, and academic medical centers. Hospitalists 2005 Jan [Epub].https://www.the-hospitalist.org/hospitalist/article/122924/resident-work-hours-hospitalist-programs-and-academic-medical-centers.

4. Pak M, Jones T. Education: hospitalists add value to formal and informal learning processes. Hospitalists 2005 Jan [Epub].https://www.the-hospitalist.org/hospitalist/article/122929/education-hospitalists-add-value-formal-and-informal-learning-processes?channel=27631.

5. Jung SM. Current status and directions of resident education. J Korean Med Assoc. 2019; 62:72–77.

6. Jang SI, Park EC, Nam JM, Chae WJ, Lee NK, Kim JY, Lee JE, Cho . A study on the introduction of hospitalists to improve quality of inpatient care (phase 2). Wonju: Health Insurance Review & Assessment Service;2018.

7. Kim KW. Reorganization of the three-year training program of surgical resident. Doctorstimes. 2017 Jun 16. [cited 2019 Aug 29]. Available from:. http://www.doctorstimes.com/news/articleView.html?idxno=185797.

8. Song SY. Support for training expenses of residents, America 70%, Japan 100%, Korea? Chengnyenuysa. 2016 May 16. [cited 2019 Aug 29]. Available from:. http://www.docdocdoc.co.kr/news/articleView.html?idxno=200942.

9. Jeon MO. Still far away the resident law. Kukinews. 2019 Jan 22. [cited 2019 Aug 29]. Available from:. http://www.kukinews.com/news/article.html?no=624495.

10. Ko SJ. Give one more resident to the hospitalist-operating hospital. Doctor's News. 2019 Aug 13. [cited 2019 Aug 29]. Available from:. http://www.doctorsnews.co.kr/news/articleView.html?idxno=130519.