Table 2 summarizes the prevalence of burnout and career choice regret. In general, 83.6% of participants had symptoms of burnout (high emotional exhaustion or depersonalization scores). In terms of career choice regret, 46.6% said that they would not choose to be doctor again, and 18.1% were unsure. Half of the participants with symptoms of burnout had career choice regret (Fig. 1). In addition, 7.3% of participants said they did not want to be a doctor when they graduated and 17.6% had thought about dropping out at least once. Only 2.9% thought that the current medical environment was good. In Table 1, burnout was associated with postgraduate entrance examination score, hours worked or studied per week, marital status, and having children (all P < 0.05). In the univariate analysis (Table 3), career choice regret was associated with academic year, degree type, family income, hours slept per day, and marital status (all P < 0.05).
The multicollinearity analysis indicated there was no collinearity for burnout (Additional file 1). Table 4 summarizes the factors associated with burnout and career choice regret. Model 1, in which demographic variables were entered, showed factors independently associated with burnout were gender, postgraduate entrance examination score, hours worked or studied per week, marital status, and having children (all P < 0.05). Women were at higher risk for burnout than men (odds ratio [OR] = 0.74, 95% confidence interval [CI] 0.56–0.99). Married postgraduates (OR = 0.56, 95% CI 0.39–0.80) and those without children (OR = 0.55, 95% CI 0.40–0.77) were less likely to show symptoms of burnout. Model 2 (including career choice regret) showed career choice regret was independently associated with burnout (P < 0.05). In Model 3 (both demographic variables and career choice regret), being married and without children were protective factors. Career choice regret was the strongest risk factor for burnout (OR = 3.17, 95% CI 2.33–4.32).
Multiple logistic regression study displayed postgraduates with smaller instances worked or studied each week (Otherwise = 0.64, 95% CI 0.47–0.88) got a minimal exposure to own occupation alternatives feel dissapointed about, whereas postgraduates who were partnered (Or = step 1.54, 95% CI step 1.07–2.20) got a top risk. Being instead of outward indications of burnout (Otherwise = 0.33, 95% CI 0.24–0.45) was also with the a minimal risk getting profession solutions be sorry for (Table 5).
Talk
That it nationwide research utilized a questionnaire survey to assess burnout and profession solutions be sorry for in Chinese neurology postgraduates. We located a high incidence regarding burnout and community alternatives regret certainly players, having burnout becoming closely linked to occupation possibilities be sorry for. To our education, this research is the very first to look at this issue within this population.
Prevalence and you can predictors from burnout
The brand new prevalence out of burnout certainly Chinese neurology postgraduates was 83.6%, that was higher than claimed with other specialities global. Instance, extremely previous education recommended that Chinese scientific postgraduates exhibited reasonable membership off burnout lumenapp profile examples . With other systematic postgraduates in numerous nations, stated burnout cost was basically 63% to possess interior medicine, 60% for ophthalmology, and you can forty% getting standard procedures . The latest incidence of burnout among us scientific pupils was 76% . The newest high prevalence off burnout in our test can be attributable into difficulty off prognosis and you may treatment for neurological diseases and the fresh ruthless and lower profession satisfaction from the which specialization [20, 31]. Our study indicated that doing work long hours is actually a primary risk factor to own burnout, which had been in line with earlier in the day results . But not, a study of Dutch owners indicated that even when its operating days was in fact limited to forty eight h each week, of several physicians nonetheless suffered with burnout, which implies one to factors other than performing circumstances may also be crucial .