The well-being of Swiss general internal medicine residents

Zumbrunn, Brigitta; Stalder, Odile; Limacher, Andreas; Ballmer, Peter E.; Bassetti, Stefano; Battegay, Edouard; Beer, Jürg H.; Brändle, Michael; Genné, Daniel; Hayoz, Daniel; Henzen, Christoph; Huber, Lars Chistian; Petignat, Pierre-Auguste; Reny, Jean‐Luc; Vollenweider, Péter; Aujesky, Drahomir

doi:10.4414/smw.2020.20255

Cited by 18 publications

(25 citation statements)

References 70 publications

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“…Sharp et al revealed 32% of fellows with positive results for either burnout depressive symptoms had positive results for burnout symptoms and 23% for both burnout and depressive symptoms 18. In contrast, the other three studies indicated no significant association between the use of EMRs and burnout symptoms or reduced well-being 26 30 35. Shanafelt et al showed that the use of EMRs was not associated with burnout in models adjusted for computerised physician order entry and other factors in a group of 6375 participants 26.…”

Section: Resultsmentioning

confidence: 98%

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Electronic medical record-related burnout in healthcare providers: a scoping review of outcomes and interventions

Parpia

Sriharan

et al. 2022

BMJ Open

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ObjectiveHealthcare provider (HCP) burnout is on the rise with electronic medical record (EMR) use being cited as a factor, particularly with the rise of the COVID-19 pandemic. Burnout in HCPs is associated with negative patient outcomes, and, therefore, it is crucial to understand and address each factor that affects HCP burnout. This study aims to (a) assess the relationship between EMR use and burnout and (b) explore interventions to reduce EMR-related burnout.MethodsWe searched MEDLINE (Ovid), CINAHL and SCOPUS on 29 July 2021. We selected all studies in English from any publication year and country that discussed burnout in HCPs (physicians, nurse practitioners and registered nurses) related to EMR use. Studies must have reported a quantitative relationship to be included. Studies that implemented an intervention to address this burnout were also included. All titles and abstracts were screened by two reviewers, and all full-text articles were reviewed by two reviewers. Any conflicts were addressed with a third reviewer and resolved through discussion. Quality of evidence of all included articles was assessed using the Quality Rating Scheme for Studies and Other Evidence.FindingsThe search identified 563 citations with 416 citations remaining after duplicate removal. A review of abstracts led to 59 studies available for full-text assessment, resulting in 25 studies included in the scoping review. Commonly identified associations between EMR-related burnout in HCPs included: message and alert load, time spent on EMRs, organisational support, EMR functionality and usability and general use of EMRs. Two articles employed team-based interventions to improve burnout symptoms without significant improvement in burnout scores.Conclusions and relevanceCurrent literature supports an association between EMR use and provider burnout. Very limited evidence exists for burnout-reducing interventions that address factors such as time spent on EMRs, organisational support or EMR design.

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Section: Resultsmentioning

confidence: 98%

“…Eight included studies conducted cross-sectional surveys wherein burnout association with general use of EMRs was investigated 7 18 24–26 29 30 35. Five of the studies showed a positive association between burnout symptoms and EMR use 7 18 24 25 29.…”

Section: Resultsmentioning

confidence: 99%

Electronic medical record-related burnout in healthcare providers: a scoping review of outcomes and interventions

Parpia

Sriharan

et al. 2022

BMJ Open

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“…The next generation of physicians is urgently needed [1]. Many residents of the current generation (Generation Y, or Millennials, born 1980 to 1995) are not satisfied with their work-life balance, and they seem to be a vulnerable population regarding mental well-being, burnout, and quitting patient care, as found by various Swiss [2][3][4] and international studies [5][6][7]. A new generation of students, Generation Z (Gen Z, born 1995 to 2010), is becoming the predominant population at university and will join the workforce in a few years' time [8].…”

Section: Introductionmentioning

confidence: 99%

Motivation and personality factors of Generation Z high school students aspiring to study human medicine

et al. 2022

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Background A new generation of medical students, Generation Z (Gen Z), is becoming the predominant population in medical schools and will join the workforce in a few years’ time. Medicine has undergone serious changes in high-income countries recently. Therefore, it is unclear how attractive the medical profession still is for high school students of Gen Z. The aim of this study was to investigate what motivation leads Gen Z students in their choice to study human medicine, and how they see their professional future. Our study was guided by motivation theory and the influence of personality traits and other personal factors on students’ choice of university major. Methods In a cross-sectional online survey, we included third- and fourth-year high school students in Northern Switzerland. We examined the importance of criteria when choosing a university major: personality traits, career motivation, life goals, and other considerations influencing the choice of human medicine versus other fields of study. Results Of 1790 high school students, 456 (25.5%) participated in the survey (72.6% women, mean age 18.4 years); 32.7% of the respondents aspired to major in medicine at university. For all respondents, the foremost criterion for selecting a field of study was ‘interest in the field,’ followed by ‘income’ and ‘job security.’ High school students aiming to study human medicine attached high importance to ‘meaningful work’ as a criterion; supported by 36.2% of those students answering that helping and healing people was a core motivation to them. They also scored high on altruism (p < 0.001 against all groups compared) and intrinsic motivation (p < 0.001) and were highly performance- (p < 0.001) and career-minded (p < 0.001). In contrast, all the other groups except the law/economics group had higher scores on extraprofessional concerns. Conclusions Swiss Gen Z students aspiring to study human medicine show high intrinsic motivation, altruism, and willingness to perform, sharing many values with previous generations. Adequate work-life balance and job security are important issues for Gen Z. Regarding the current working conditions, the ongoing shortage of physicians, and recent findings on physicians’ well-being, the potential for improvement and optimization is high.

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“… 45 When comparing internationally, the percentage was higher than that among general surgery residents in Canada (32.0%) 46 and in the USA (20.0%), 47 and general internal medicine residents in Switzerland (21.0%). 48 Though the percentage-wise prevalence seemed to be higher for our sample than other physician populations, these studies differed in methodology and study period, which could compromise the direct comparability. ‘Low income’ was the most selected (46.11%) major reason chosen for turnover, which was unsurprising given that 75.60% of residents reported annual income level less than 50 000 RMB.…”

Section: Discussionmentioning

confidence: 76%

Turnover intention and related factors among resident physicians in China under the standardised residency training programme: a cross-sectional survey

Sun

Zhang

et al. 2022

BMJ Open

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ObjectivesThis study aimed at examining the extent of turnover intention among the Chinese resident physicians who entered the newly established national standardised residency training programme (SRTP), and exploring factors associated with their turnover intention.DesignCross-sectional survey.SettingTen institutions from five geographical areas in China.Methods1414 residents were surveyed using paper-based questionnaires and scales regarding their demographics, work situation, attitudes towards SRTP, job satisfaction, psychological resilience, burnout and turnover intention in 2017. The turnover intention was described and compared between categorical groups. Linear regressions were used to select the factors associated with turnover intention. The structural equation model was used to capture the potential mediating effects.ResultsThe mean turnover intention score was 12.45 (SD=4.47). Nearly half (47.87%) of the residents had a high and very high level of turnover intention. Psychological resilience (β=0.066), burnout (β=0.141) and job satisfaction (β=0.022) were positively associated with turnover intention, while specialty (β=−0.135), year of training (β=−0.687), career in medicine (β=−2.191), necessity of training (β=−0.695) and satisfaction with income (β=−1.215) had negative associations with turnover intention. Working hours and nightshift interval indirectly were associated with turnover intention through the mediating effects of burnout. Career in medicine, necessity of training, satisfaction with income, and psychological resilience showed direct effects and indirect effects on turnover intention through burnout and job satisfaction as mediators.ConclusionsThe turnover intention among Chinese residents was prevalent and unignorable. Burnout was the major contributing factor, while year of training and positive attitudes towards training were protective factors. Burnout and job satisfaction also served as mediators. Interventions targeting these factors should be incorporated in the training programmes to keep a prosperous physician workforce.

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The well-being of Swiss general internal medicine residents

Cited by 18 publications

References 70 publications

Electronic medical record-related burnout in healthcare providers: a scoping review of outcomes and interventions

Electronic medical record-related burnout in healthcare providers: a scoping review of outcomes and interventions

Motivation and personality factors of Generation Z high school students aspiring to study human medicine

Turnover intention and related factors among resident physicians in China under the standardised residency training programme: a cross-sectional survey

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