Survey results of job status of residents in a standardized residency training program

Abstract

Background The history of standardized residency training programs (SRTP) in China is not long. As one of the top medical colleges in China, Peking Union Medical College Hospital (PUMCH) has the history and experience of the oldest SRTP in the country. Understanding the job status of PUMCH residents would be conducive to a better development of the national resident training in the future. Methods This study analyzed the demographic information, job burnout scale, working time, and job status of postgraduate year 1–3 residents that took part in the SRTP of the Department of Internal Medicine of PUMCH in August 2017. Results The survey data of 159 residents (including PUMCH residents, local-resident-trainees, and clinical postgraduates) were collected. The average working time was 11.38 ± 1.55 h per day and 83.28 ± 8.80 h per week. The average night shift frequency was 4.74 ± 0.59 days. There were 100 residents (62.2%) with symptoms of job burnout, which had a certain correlation with working time ( p < 0.05). The self-evaluation of the clinical postgraduates about their working quality of life was lower than that of other residents ( p < 0.05). There were various reasons for long working-time, great work pressure, and job burnout. Job burnout was independently associated with the average working time per day (OR = 2.35, 95% CI: 1.47–3.75, P < 0.001) and average length of duty period (OR = 1.52, 95% CI: 1.26–1.84, P < 0.001). Conclusion The job burnout of residents that took part in SRTP at the PUMCH could not be ignored, which had a certain correlation with work time and early training background. Electronic supplementary material The online version of this article (10.1186/s12909-019-1718-4) contains supplementary material, which is available to authorized users.

Risk and protective factors for burnout among physicians from standardized residency training programs in Shanghai: a cross-sectional study

“…As a result, it is difficult to directly compare burnout rates among studies. However, another study on Chinese SRT residents showed a burnout rate of 62.2% [41], higher than a study conducted with residents pre-SRT (54.99%) with the same scale [15]. Although it is challenging to determine if the burnout rates for Chinese residents increased following SRT implementation, the high burnout rates in our current study suggest a concerning issue that may be unaddressed in many residents and training programs.…”

“…Because of this, it is critical to collect new data from studies to understand the burnout of residents' in the SRT programs accordingly. Most of the studies on the burnout of Chinese residents in SRT programs often utilized convenience sampling with respondents from only one training site [41] or one specialty [42]. Demographic and work-related predictive factors were usually discussed [43] but the use of multiple standardized instruments as predictive factors were limited.…”

“…Demographic and work-related predictive factors were usually discussed [43] but the use of multiple standardized instruments as predictive factors were limited. Furthermore, previous studies focused on the risk factors for burnout [41,44,45], while largely failing protective factors, including social support and empathy were not discussed in the previous studies on physicians in the SRT program. To fill this research gap, our study tried to enroll two protective factors to comprehensively predict burnout outcomes of residents from the SRT program.…”

High rate of burnout among residents under standardized residency training in a tertiary teaching hospital of middle China

“…The aim of residency training is to cultivate medical graduates with practical skills and the ability to work independently; the long work hours and high pressure during such training might be related to burnout. [ 5 ] Burnout among residents under SRT should not be ignored. In this early stage of doctors careers, burnout might overwhelm residents and push them to discontinue training, perhaps even to switch to another job.…”

Surgery simulation teaching based on real reconstruction aid versus traditional surgical live teaching in the acquisition of an adult total hip arthroplasty surgical technique for developmental dysplasia of the hip: a randomized comparative study

“…degree [1]. In addition, resident training and the medical education system are in the early stages of development in this country [2,3]. Therefore, continuing education of Chinese clinicians who work in basic hospitals, or in hospitals that are not highly rated, is critical [4,5].…”