Challenges of residency training and early career doctors in Nigeria study (charting study): A protocol paper

Kanmodi, Kehinde Kazeem; Ekundayo, Oladeji; Adebayo, Oladimeji; Efuntoye, Oluwafemi; Ogunsuji, Oluwaseyi; Ibiyo, Morohunmubo; Tanimowo, Adekiite; Buowari, Dabota Yvonne; Ibrahim, Yahya Abdulmajid; Grillo, Elizabeth O.; Amoo, Abimbola; Omololu, Ayanfe; Adeniyi, Adebayo Makinde; Kpuduwei, Selekeowei Peter Kespi; Olaopa, Olusegun; Igbokwe, Martin; Okoro-Ocheme, Chidi; Oduyemi, Ibiyemi; Egbuchulem, I.K.; Agbogidi, Joshua Martins; Babalola, Ronke; Egwu, Onuwabuchi; Aigbomian, Ehiosun; Fagbule, Omotayo Francis; Tobin-West, Charles; Durowade, Kabir Adekunle; Ilesanmi, Olayinka Stephen; Atilola, Olayinka

doi:10.4103/1115-2613.278584

Cited by 14 publications

(3 citation statements)

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“…Similar to CHARTING I Study [ 1 ] the data collection tools included purpose-designed, structured questionnaires [ 3 ].…”

Section: Methodsmentioning

confidence: 99%

“…Early Career Doctors (ECDs) are medical doctors in the cadre of pre-registration House Officers, Medical/Dental Officers below the rank of Principal Medical/Dental Officer (PMO/PDO), and Resident Doctors (RDs) in Nigeria [ 1 , 2 ]. Being a heterogenous group of medical practitioners in this low-middle income country, ECDs are faced with a lot of demographic, workplace-related and psychosocial problems [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

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Health, well-being, and burnout amongst Early Career Doctors in Nigeria

Bernard Ubom,

Adebayo,

Adeoye

et al. 2023

PLoS ONE

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Background Early Career Doctors (ECDs) in Nigeria are faced with many individual and systemic problems, which consequently adversely affect their health, well-being, patient care and safety. Objective This study, the second phase of the Challenges of Residency Training and Early Career Doctors in Nigeria (CHARTING II) Study, sought to examine the risk factors and contributors to the health, well-being and burnout amongst Nigerian ECDs. Methods This was a study of health, well-being and burnout amongst Nigerian ECDs. Outcome variables included burnout, depression, and anxiety, which were respectively assessed using the Copenhagen Burnout Inventory (CBI) and Oldenburg Burnout Inventory (OLBI), Patient Health Questionnaire (PHQ-9) depression scale, and Generalized Anxiety Disorder (GAD-7) scale. The quantitative data obtained was analysed using the IBM SPSS, version 24. Associations between categorical outcome and independent variables were assessed using chi square, with level of significance set at < 0.05. Results The mean body mass index (BMI), durations of smoking and alcohol consumption of the ECDs were 25.64 ± 4.43 kg/m2 (overweight range), 5.33 ± 5.65 years and 8.44 ± 6.43 years respectively. Less than a third (157, 26.9%) of the ECDs exercised regularly. The most common disease conditions affecting the ECDs were musculoskeletal (65/470, 13.8%) and cardiovascular diseases (39/548, 7.1%). Almost a third (192, 30.6%) of the ECDs reported experiencing anxiety. Male and lower cadre ECDs were more likely than female and higher cadre ECDs to report anxiety, burnout and depression. Conclusion There is an urgent need to prioritize the health and well-being of Nigerian ECDs, so as to optimize patient care and improve Nigeria’s healthcare indices.

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“…Similar to CHARTING I Study [ 1 ] the data collection tools included purpose-designed, structured questionnaires [ 3 ].…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Health, well-being, and burnout amongst Early Career Doctors in Nigeria

Bernard Ubom,

Adebayo,

Adeoye

et al. 2023

PLoS ONE

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“…A total of 24 (72.7%) of the studies were done in the Americas (13) and Europe ( 11), other continents with relevant studies were Asia (5), Australia (5) and Africa (1). The strongest predictors of work-life balance were having some control over schedule and hours worked followed by total weekly hours worked.…”

Section: Demographymentioning

confidence: 99%

Systematic Review of Work-life Balance among Early Career Doctors

Soneye OY,

Ogundipe HD,

Ayowole D

et al. 2023

Ibom Med J

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Background: Early Career Doctors (ECDs) are medical doctors who are in their internship, postgraduate specialist training and medical/dental officers below the rank of principal medical/dental officers. The long hours of work, staff-shortage and various expectations at this formative stage expose ECDs to potential negative outcomes including poor work-life balance. Methods: This systematic review included all available original articles on the work-life balance among ECDs world-wide between 2006 and 2020. PubMED, Google Scholar and African Journals Online (AJOL) databases were searched, and the review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results: The literature search yielded 145 articles, and after screening 33 articles were included in this review. Twenty (87.9%) of the studies were cross sectional studies, 5 (15.2%) were prospective cohort studies and 1 (3%) was an interventional study, sample size ranged from 21 to 4,581 ECDs with a mean age range 24-35±7yrs. Positive work-life balance was reported among ECDs in 4.7% Karachi, 21% Ireland, 23% USA, 27% Australia; major determining factors include work-load and burn-out, female gender, specialty and location of practice, flexibility of work schedule; and the impacts are burn-out and reduced career satisfaction. Interpretation: Work-life balance among ECDs is poor worldwide, and is worse amongst the more junior cadre and female gender. It is recommended that reduction in work hours, improved wages, social and organizational support could improve the quality of work-life balance among ECDs.

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Profile and determinants of intention to migrate by early career doctors in Nigeria: A report from CHARTING study

Adeniyi

Efuntoye

Popoola

et al. 2022

Health Planning & Management

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Introduction Recently, there has been an upsurge in the migration of medical personnel, especially early career doctors (ECDs) from low‐ and middle‐income countries, Nigeria inclusive, to high‐income countries with wide‐ranging consequences on the social and economic systems of the donor countries. This study assessed the profile and determinants of intention to emigrate by ECDs in Nigeria. Methods A cross‐sectional study conducted among Nigerian ECDs from nine tertiary hospitals. Socio‐demographic characteristics, intention & reasons to emigrate and willingness to return were collected using a self‐administered semi‐structured questionnaire. Data were analysed using Statistical Package for Social Sciences (SPSS) version 23. Results A total number of 763 ECDs participated in the study. The majority (88.2%) were less than 40 years of age and the male to female ratio was 2:1. Majority of the participants (69.4%) received monthly income ≤833 US Dollar. About two‐thirds of ECDs had plans to emigrate and most to developed countries. Common reasons for intention to migrate were better quality of postgraduate training, improved quality of life and better remuneration. Conclusion High proportion of Nigerian ECDs has intention to emigrate out with potential adverse effect on the fragile health system in the country.

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Challenges of residency training and early career doctors in Nigeria study (charting study): A protocol paper

Cited by 14 publications

References 0 publications

Health, well-being, and burnout amongst Early Career Doctors in Nigeria

Health, well-being, and burnout amongst Early Career Doctors in Nigeria

Systematic Review of Work-life Balance among Early Career Doctors

Profile and determinants of intention to migrate by early career doctors in Nigeria: A report from CHARTING study

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