South Korean doctors, particularly young physicians in training, continue to face grueling work hours, raising concerns about patient safety and physician well-being. A recent survey indicates that one in three residents—doctors completing their specialized training—still work more than 80 hours per week. This persistent issue, despite ongoing efforts to address it, underscores the systemic challenges within the nation’s healthcare system and has prompted plans for another comprehensive assessment in 2026. The findings highlight a critical need for sustainable work practices to prevent burnout and ensure quality care.
The data, originally reported by 경기메디뉴스, reveals a troubling reality for many young doctors. Beyond the sheer number of hours, the survey also shed light on the difficulties faced by pregnant residents. Of the 91 respondents who had been pregnant, only 26.4% (24 individuals) were able to work 40 hours or less per week without overtime during their pregnancy. Nearly 20% (18 respondents) continued to work extended hours even while pregnant, raising serious questions about maternal and fetal health.
The Burden on Expectant Mothers
The disproportionate impact on pregnant residents is particularly alarming. The demands of residency, already intense, are compounded by the physiological changes and increased needs of pregnancy. Working long hours during pregnancy is associated with a higher risk of complications such as preterm labor, low birth weight, and preeclampsia, according to research published in the American Journal of Obstetrics & Gynecology. The survey data suggests that current policies and workplace cultures are failing to adequately protect this vulnerable group.
The lack of adequate support for pregnant residents isn’t simply a matter of hours worked. It often involves limited access to modified duties, difficulty scheduling prenatal appointments, and a perceived pressure to maintain the same level of performance despite physical limitations. This creates a challenging environment where residents may feel compelled to prioritize their careers over their health and the health of their babies.
Long Hours: A Systemic Problem
The issue of excessive working hours for residents isn’t new. South Korea has historically had some of the longest working hours for doctors in the world. This is often attributed to a combination of factors, including a shortage of physicians, a hierarchical medical culture, and a fee-for-service healthcare system that incentivizes volume over value. The government has implemented several measures to address the problem, including regulations limiting working hours and increasing the number of medical school slots. Although, the latest survey data suggests these efforts haven’t yet yielded substantial improvements.
In 2023, the government proposed increasing the number of medical school admissions to address physician shortages, particularly in rural areas and essential specialties. This proposal sparked widespread protests from doctors, who argued that it would lower the quality of medical education and exacerbate existing problems. The resulting conflict led to a large-scale walkout by junior doctors in February 2024, which significantly disrupted healthcare services across the country. Reuters reported extensively on the disruptions and the government’s response.
The 2026 Reassessment
Recognizing the need for a more comprehensive understanding of the situation, authorities have announced plans for another nationwide survey in 2026. This upcoming assessment will aim to provide a more accurate picture of working conditions for residents, identify areas where improvements are needed, and inform future policy decisions. The scope of the 2026 survey is expected to be broader than previous assessments, potentially including data on resident mental health, work-life balance, and access to support services.
The 2026 survey will likely focus on several key areas. These include: the actual number of hours worked by residents across different specialties; the prevalence of burnout and mental health issues; the effectiveness of current policies aimed at reducing working hours; and the barriers that prevent residents from taking advantage of available support services. The findings will be crucial for developing targeted interventions to address the root causes of the problem.
Impact on Patient Care and Future of Healthcare
The consequences of overworked doctors extend beyond their personal well-being. Fatigue and burnout can lead to medical errors, decreased diagnostic accuracy, and reduced empathy for patients. A stressed and exhausted physician is less likely to provide optimal care, potentially jeopardizing patient safety. The demanding work environment can discourage talented individuals from pursuing careers in medicine, exacerbating the existing physician shortage.
Addressing the issue of excessive working hours is not just a matter of improving physician well-being; it’s essential for ensuring the long-term sustainability of the healthcare system. Creating a more supportive and balanced work environment will attract and retain qualified doctors, improve the quality of care, and ultimately benefit patients. This requires a multifaceted approach that includes regulatory reforms, cultural changes, and increased investment in support services.
Disclaimer: This article provides information for general knowledge and informational purposes only, and does not constitute medical advice. It is essential to consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.
The next official update on this issue is expected following the completion of the 2026 nationwide survey. We will continue to follow this story and provide updates as they develop into available. What are your thoughts on the challenges facing young doctors in South Korea? Share your comments below, and please share this article with your network.
