• Hye Ran Park, Sukh Que Park, Hyung Ki Park, Soo-Bin Im, Seok Mann Yoon, and Bum-Tae Kim.
• Department of Neurosurgery, Soonchunhyang University Seoul Hospital, Seoul, South Korea.
• World Neurosurg. 2019 Nov 1; 131: e329-e338.

BackgroundIn South Korea, special legislation was introduced in December 2016 to limit residents' training time to a maximum of 80 hours per week. The aim of this study was to survey the current training system and environment of neurosurgical residents and to find ways to improve the quality of neurosurgical training.MethodsThe questionnaire survey included 373 neurosurgical residents at 66 training hospitals nationwide, who were members of the Korean Neurosurgical Society. The survey method included a questionnaire link through a text message and was carried out anonymously. The survey was conducted for 7 days and targeted a total of 106 residents (28.4%).ResultsMost respondents selected "excessive training time" as a reason for dissatisfaction with the training environment (n = 61, 57.5%), followed by "limited number of opportunities for surgery" (n = 50, 47.2%), and "little experience for research" (n = 42, 39.6%). Respondents still believe that they have to work excessively longer, even after 80 hours of training per week.ConclusionsThe major reason that neurosurgical residents are dissatisfied with the current training system and environment is the excessive time spent on it. These survey results are expected to be used as the basis for improvement of the residents' training system and work environment in South Korea.Copyright © 2019 Elsevier Inc. All rights reserved.

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