Resident stress in the new postgraduate clinical training system
- VernacularTitle:新臨床研修制度における研修医のストレス
- Author:
Tetsuhiro MAENO
;
Asumi NAKAMURA
;
Takami MAENO
;
Makiko OZAKI
;
Takuma KIMURA
;
Eriko TOMITA
;
Shin-ichiro SASAHARA
;
Ichiyo MATSUZAKI
- Publication Type:Journal Article
- Keywords:
resident;
job stressor;
buffer factor;
stress reaction;
depression
- From:Medical Education
2008;39(3):175-182
- CountryJapan
- Language:Japanese
-
Abstract:
Postgraduate residents face formidable stress. Unfortunately, many residents withdraw from training programs because of reactions to stress, such as depression. We performed a comprehensive study to examine the working conditions and stress of residents to improve the conditions of resident-training programs and reduce levels of stress.
1) The study examined 548 first-year residents starting postgraduate clinical training at 41 hospitals in Japan. A selfadministered questionnaire, which included questions about working conditions, job stressors, buffer factors, and stress reactions, was answered before and 2 months after the start of training.
2) A total of 318 subjects completed the survey.Of these subjects, 80 (25.2%) had depression after the start of training.
3) Job stress patterns of residents were characterized by high workload and extremely low “reward from work” and “Job control.”
4) Many residents had depression after the start of training.To improve residency programs, program directors should recognize the specific characteristics of residents' job stress and focus on buffer factors.
