Determinants of Working Practice Location for Clinicians According to High School, Medical School, and Resident Training Locations in Korea
Although several regulations have been implemented for medical school admission, such as a quota system, the uneven distribution of healthcare personnel across regions is an unresolved problem in Korea. This study explores the distribution and retention rate of clinicians across regions according to...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/9/1203 |
| _version_ | 1797602658430746624 |
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| author | Kyungah Park Hyeongsu Kim Jeehye Lee Jinyoung Shin AhHyun Park |
| author_facet | Kyungah Park Hyeongsu Kim Jeehye Lee Jinyoung Shin AhHyun Park |
| author_sort | Kyungah Park |
| collection | DOAJ |
| description | Although several regulations have been implemented for medical school admission, such as a quota system, the uneven distribution of healthcare personnel across regions is an unresolved problem in Korea. This study explores the distribution and retention rate of clinicians across regions according to the degree of experience staying in the current clinical area during high school/medical school/resident training using 2016 Korean Physician Survey data. Both in metropolitan and non-metropolitan areas, clinicians who completed high school, medical school, and resident training in the current practice region (Subgroup D) accounted for the largest proportion (Metro, <i>n</i> = 1611, 46.1%; non-metro, <i>n</i> = 1917, 52.9%). The retention rate was the highest in Subgroup D both in metropolitan (84.3%) and non-metropolitan areas (Chungcheong 86.2%, Jeolla 79.9%, Daegu/Gyeongbuk 81.6%, Busan/Ulsan/Gyeongnam 93.3%) except Gangwon and Jeju. The second, third, and fourth highest retention rates were observed in cases where clinicians completed their high school and resident training, medical school and resident training, and resident training only, respectively, in all regions, although the ranking differs by region. To increase the retention rate of physicians, this study shows that it is necessary for a student to seek ways to continue training in the same region in which they graduated from medical school. |
| first_indexed | 2024-03-11T04:18:44Z |
| format | Article |
| id | doaj.art-efe9e91855f544099e267af1d3bbac8b |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-11T04:18:44Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-efe9e91855f544099e267af1d3bbac8b2023-11-17T22:56:45ZengMDPI AGHealthcare2227-90322023-04-01119120310.3390/healthcare11091203Determinants of Working Practice Location for Clinicians According to High School, Medical School, and Resident Training Locations in KoreaKyungah Park0Hyeongsu Kim1Jeehye Lee2Jinyoung Shin3AhHyun Park4Department of Preventive Medicine, Konkuk University School of Medicine, Seoul 05029, Republic of KoreaDepartment of Preventive Medicine, Konkuk University School of Medicine, Seoul 05029, Republic of KoreaNational Emergency Medical Center, National Medical Center, Seoul 04564, Republic of KoreaDepartment of Family Medicine, Konkuk University School of Medicine, Seoul 05029, Republic of KoreaExpert Group on Health Promotion for Seoul Metropolitan Government, Konkuk University, Seoul 05029, Republic of KoreaAlthough several regulations have been implemented for medical school admission, such as a quota system, the uneven distribution of healthcare personnel across regions is an unresolved problem in Korea. This study explores the distribution and retention rate of clinicians across regions according to the degree of experience staying in the current clinical area during high school/medical school/resident training using 2016 Korean Physician Survey data. Both in metropolitan and non-metropolitan areas, clinicians who completed high school, medical school, and resident training in the current practice region (Subgroup D) accounted for the largest proportion (Metro, <i>n</i> = 1611, 46.1%; non-metro, <i>n</i> = 1917, 52.9%). The retention rate was the highest in Subgroup D both in metropolitan (84.3%) and non-metropolitan areas (Chungcheong 86.2%, Jeolla 79.9%, Daegu/Gyeongbuk 81.6%, Busan/Ulsan/Gyeongnam 93.3%) except Gangwon and Jeju. The second, third, and fourth highest retention rates were observed in cases where clinicians completed their high school and resident training, medical school and resident training, and resident training only, respectively, in all regions, although the ranking differs by region. To increase the retention rate of physicians, this study shows that it is necessary for a student to seek ways to continue training in the same region in which they graduated from medical school.https://www.mdpi.com/2227-9032/11/9/1203retention rateconsecutive medical traininggeographical maldistribution of physiciansKorean physician survey |
| spellingShingle | Kyungah Park Hyeongsu Kim Jeehye Lee Jinyoung Shin AhHyun Park Determinants of Working Practice Location for Clinicians According to High School, Medical School, and Resident Training Locations in Korea Healthcare retention rate consecutive medical training geographical maldistribution of physicians Korean physician survey |
| title | Determinants of Working Practice Location for Clinicians According to High School, Medical School, and Resident Training Locations in Korea |
| title_full | Determinants of Working Practice Location for Clinicians According to High School, Medical School, and Resident Training Locations in Korea |
| title_fullStr | Determinants of Working Practice Location for Clinicians According to High School, Medical School, and Resident Training Locations in Korea |
| title_full_unstemmed | Determinants of Working Practice Location for Clinicians According to High School, Medical School, and Resident Training Locations in Korea |
| title_short | Determinants of Working Practice Location for Clinicians According to High School, Medical School, and Resident Training Locations in Korea |
| title_sort | determinants of working practice location for clinicians according to high school medical school and resident training locations in korea |
| topic | retention rate consecutive medical training geographical maldistribution of physicians Korean physician survey |
| url | https://www.mdpi.com/2227-9032/11/9/1203 |
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