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Abstract
Objectives
The authors evaluated the environment and conditions of Korean psychiatric residents to identify important factors for them in determining their satisfaction with training programs.
Methods
Questionnaires on the residency training program were administered to 513 Korean psychiatric residents from 2016 to 2017. The questionnaire was composed of sociodemographic background, work environment and status of the training program. The authors analyzed questionnaire according to the residents’ grade and hospital type and identified the significant factors for satisfaction with their training.
Results
Compared to the 1st grade, the 4th grade psychiatric residents have significantly less working time, duty days, and more sleep time, mealtime, and annual salary. In the hospital type, the residents of general hospitals and university hospitals have more working time, annual salary, and accessibility to educational material than mental hospitals. The satisfaction with their training is higher in the 1st grade than in the 4th grade, in those with more than six hours of sleep time, and in residents who are satisfied with the accessibility of educational materials.
Conclusion
Compared to the 1st grade, the working intensity of 4th grade psychiatric residents is lower and their welfare is better. To improve the satisfaction with the training program, it is necessary to make efforts to increase the sleep time of residents, improve the accessibility of educational material, identify the problem of the training program, particularly in the 4th grade, and make institutional improvements. J Korean Neuropsychiatr Assoc 2019;58(3):216-229
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Table 1.
Comparison of average working time per day according to grade and hospital type
Table 2.
Comparison of average sleep time per day according to grade and hospital type
Table 3.
Comparis son of average duty days per week according to o grade and hospital type e
Table 4.
Comparison of annual salary according to grade and hospital type
Table 5.
Comparison of subjective identity of dual status as trainee and employee by grade and hospital
Table 6.
Residents’ satisfaction with their training according to their characteristics
| Characteristics | VS | S | N | D | VD |
|---|---|---|---|---|---|
| Grade∗ | |||||
| 1st (n=251) | 18 (7.2) | 147 (58.6) | 59 (23.5) | 26 (10.4) | 1 (0.4) |
| 4th (n=253) | 10 (4.0) | 122 (48.2) | 78 (30.8) | 41 (16.2) | 2 (0.8) |
| Hospital type | |||||
| MH (n=95) | 6 (6.3) | 51 (53.7) | 27 (28.4) | 11 (11.6) | 0 (0.0) |
| GH (n=60) | 2 (3.3) | 30 (50.0) | 14 (23.3) | 13 (21.7) | 1 (1.7) |
| UH (n=348) | 20 (5.7) | 188 (54.0) | 96 (27.6) | 42 (12.1) | 2 (0.6) |
| Average sleep time† (hours) | |||||
| ≤6 (n=249) | 8 (3.2) | 134 (53.8) | 64 (25.7) | 40 (16.1) | 3 (1.2) |
| >6 (n=253) | 20 (7.9) | 133 (52.6) | 73 (28.9) | 27 (10.7) | 0 (0.0) |
| Accessibility to educational materials‡ | |||||
| S (n=316) | 28 (8.9) | 205 (64.9) | 54 (17.1) | 26 (8.2) | 3 (0.9) |
| N (n=115) | 0 (0.0) | 39 (33.9) | 56 (48.7) | 20 (17.4) | 0 (0.0) |
| D (n=71) | 0 (0.0) | 25 (35.2) | 25 (35.2) | 21 (29.6) | 0 (0.0) |
| Working time per day (hours) | |||||
| ≤11 (n=222) | 16 (7.2) | 116 (52.3) | 59 (26.6) | 29 (13.1) | 2 (0.9) |
| 11-13 (n=181) | 9 (5.0) | 102 (56.4) | 49 (27.1) | 20 (11.0) | 1 (0.6) |
| >13 (n=95) | 3 (3.2) | 47 (49.5) | 29 (30.5) | 16 (16.8) | 0 (0.0) |
| Annual salary (million won) | 8 (6.3) | ||||
| <30 (n=126) | 8 (6.3) | 69 (54.8) | 30 (23.8) | 18 (14.3) | 1 (0.8) |
| 30-40 (n=282) | 11 (3.9) | 146 (51.8) | 85 (30.1) | 38 (13.5) | 2 (0.7) |
| >40 (n=90) | 9 (10.0) | 49 (54.4) | 21 (23.3) | 11 (12.2) | 0 (0.0) |
Table 7.
Accessibility to educational material by grade and hospital type
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