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Relationship between burnout and career choice regret among Chinese neurology postgraduates

机译:中国神经内科研究生的倦怠与择业后悔的关系

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In China, the shortage of doctors leads to stressful clinical work and increasing turnover. Medical students undergoing postgraduate specialty training will be the country’s medical workforce in the coming decades, but are also subject to high workloads and academic pressure. This may have significant implications for burnout and career choice regret. Despite the importance of burnout and career choice regret, the status and relationship of these aspects in Chinese neurology postgraduates are largely unexplored, and associated factors remain unknown. This study investigated the prevalence of and factors influencing burnout and career choice regret among neurology postgraduates in China. We conducted a national cross-sectional study of Chinese neurology postgraduates. Data were collected using a self-administered questionnaire that covered demographic information, the Maslach Burnout Inventory, and additional item to assess career choice regret. Of 4902 neurology postgraduates, 2008 returned completed questionnaires (response rate 41%). After excluding incomplete questionnaires, data for 1814 participants were analyzed. In total, 83.6% of participants had experienced symptoms of burnout, and 46.6% reported career choice regret. Binary logistic regression analysis showed postgraduate entrance examination scores, marital status, and having children were associated with burnout (all P? 0.05). Career choice regret was the strongest risk factor for burnout (odds ratio [OR]?=?3.17, 95% confidence interval [CI] 2.33–4.32). Multiple logistic regression showed postgraduates with shorter work or study hours per week (OR?=?0.64, 95% CI 0.47–0.88) had a low risk for career choice regret, whereas married participants (OR?=?1.54, 95% CI 1.07–2.20) had a high risk for career choice regret. No symptoms of burnout (OR?=?0.33, 95% CI 0.24–0.45) was also associated with a low risk for career choice regret. Burnout symptoms and career choice regret are prevalent among neurology postgraduates in China. Career choice regret is an important predictor of burnout. Further research on reducing burnout and career choice regret among neurology postgraduates is needed.
机译:在中国,医生的短缺导致临床工作压力大,营业额增加。接受研究生专业培训的医学生将在未来几十年成为该国的医疗队伍,但也将承受高工作量和学术压力。这可能会对倦怠和职业选择后悔产生重大影响。尽管倦怠和职业选择后悔的重要性,但这些方面在中国神经病学研究生中的地位和关系尚待探索,相关因素仍然未知。本研究调查了中国神经病学研究生职业倦怠和职业选择后悔的发生率及其影响因素。我们对中国神经病学研究生进行了国家横断面研究。使用自我管理的调查表收集数据,该调查表涵盖人口统计信息,Maslach倦怠量表以及评估职业选择遗憾的其他项目。在4902名神经科研究生中,2008年返回了已完成的问卷(答复率为41%)。排除不完整的问卷后,对1814名参与者的数据进行了分析。总计83.6%的参与者经历了倦怠症状,而46.6%的参与者报告了职业选择后悔。二元逻辑回归分析显示研究生入学考试成绩,婚姻状况以及生孩子与倦怠有关(所有P <0.05)。职业选择后悔是职业倦怠的最强危险因素(几率[OR]?=?3.17,95%置信区间[CI] 2.33–4.32)。多元逻辑回归表明,每周工作或学习时间较短的研究生(OR?=?0.64,95%CI 0.47–0.88)的职业选择后悔风险低,而已婚参与者(OR?=?1.54,95%CI 1.07) –2.20)对于职业选择感到后悔的风险很高。没有倦怠症状(OR≥0.33,95%CI 0.24–0.45)也与职业选择后悔的低风险相关。职业倦怠症状和职业选择后悔在中国神经内科研究生中很普遍。职业选择后悔是倦怠的重要预测指标。需要进一步研究以减少神经病学研究生的倦怠和职业选择后悔。

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