The Korea Times

Concerns grow over lack of new medical specialist­s entering field next year

- By Jun Ji-hye jjh@koreatimes.co.kr

The number of new medical specialist­s next year could be zero amid the prolonged confrontat­ion between the government and doctors over the planned hike in the medical school admissions quota. The country usually produces approximat­ely 3,000 medical specialist­s every year.

The projection is raising concerns that the already significan­t disruption­s in hospital operations could escalate further.

Medical specialist­s in Korea are those who have been fully trained for a certain specialty such as pediatrics, obstetrics or orthopedic­s.

These highly trained personnel are produced when trainee doctors pass a related exam after going through a yearlong internship and three to four years of a residency program at a training hospital after acquiring a doctor’s license upon graduating from medical school.

The next medical specialist exam is scheduled for February next year.

Concerns are rising as more than 90 percent of the country’s 13,000 trainee doctors have walked away from their duties since Feb. 20 to protest the government’s medical school quota hike plan. Among them, 2,910 are in the third or fourth year of their residency program and therefore are subject to the exam.

If they do not return to work by May 20 — after three months since their collective action began — they will be disqualifi­ed and unable to take the exam due to lack of training.

Rules governing the training and qualificat­ions of doctors stipulate that trainee doctors should go through additional training if they are absent for more than a month. If the hiatus period exceeds three months, they are unable to complete their residency program that year and are disqualifi­ed from taking the medical specialist qualificat­ion exam. In such instances, they are made to wait another year before they can take the exam.

This was why the Ministry of Health and Welfare threatened to suspend the licenses of trainee doctors on strike for three months, as a means to pressure those who defied the return-to-work order. This threat has failed to bring doctors on strike back to their hospitals, and their failure to take the exam next February means no new medical specialist­s will be produced next year.

“The deadline for returning to work [in order to acquire medical specialist qualificat­ions] will vary among individual­s as the timing of when they walked off their jobs differs,” a ministry official said, Wednesday. “But one thing is for sure, the hiatus period should not exceed three months in their residency program to be qualified to take the exam for medical specialist­s.”

Adding to these concerns is that many medical students may have to repeat the year as they have boycotted classes in support of the collective action undertaken by trainee doctors. This means the supply of new junior doctors will also be drasticall­y reduced next year.

“We are giving administra­tive and financial efforts to prevent medical students from repeating the year but there will be no way to prevent it if they do not return to classes by this summer,” an official from the Ministry of Education said.

Amid growing concerns over more serious shortages of physicians, the health ministry decided, also on Wednesday, to allow those who have acquired doctors’ licenses in other countries to practice medicine in Korea while the country faces a serious public health care crisis.

The ministry said it will make a pre-announceme­nt regarding the legislatio­n for this revised bill by May 20.

“The decision was made as part of efforts to respond to medical service disruption­s caused by shortages of physicians,” the health ministry said in a statement.

On Feb. 23, the ministry raised the national health crisis level to the uppermost tier of “serious” in response to the walkout by trainee doctors.

The Yoon Suk Yeol administra­tion is seeking to increase the medical school admissions quota by 2,000 for next year in a bid to improve public access to medical services, but the doctors’ community opposes it, claiming that such a drastic hike in the number of medical students will compromise education and training.

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