ArticleBMC medical education2014
The impact of training and working conditions on junior doctors' intention to leave clinical practice.
Article in BMC medical education, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed.
- Satisfaction with Job Transfer Training Among Physicians Transitioning to Psychiatric Practice in Guangdong Province, China.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026Article
- Training experience across UK medicine: deanery differences versus site variation-General Medical Council National Training Survey 2025 analysis.Frontiers in medicine · 2026Article
- Article
- Revamping the educational environment and engagement: How ACGME-I accreditation transforming training programs in Qatar.BMC medical education · 2025Article
- Factors associated with medical students' career choice in different specialties: a multiple cross-sectional questionnaire study at a German medical school.BMC medical education · 2024Article
- Developing a model describing voluntary residency attrition: a qualitative study.BMC medical education · 2024Article
- In the shoes of junior doctors: a qualitative exploration of job performance using the job-demands resources model.Frontiers in psychology · 2024Article
- Some residents drop out of specialty training. How important is prior clinical experience? A survey among residents in the Netherlands.GMS journal for medical education · 2023Article
- Development and evaluation of an extra-curricular programme focussing on high impact career opportunities for medical professionals.PloS one · 2023Article
- Tools for measuring medical internship experience: a scoping review.Human resources for health · 2021Article
- Explaining Job Satisfaction Among Residents in Standardized Residency Training Programs: A Serial Multiple Mediation Model.Risk management and healthcare policy · 2021Article
- User experiences on implementation of patient reported outcome measures (PROMs)in a Haematological outpatient clinic.Journal of patient-reported outcomes · 2020Article
- Work analysis tool for higher education: Development and validation of the german student measure WA-S Screening.Work (Reading, Mass.) · 2020Article
- Article
- Does perceived organisational support influence career intentions? The qualitative stories shared by UK early career doctors.BMJ open · 2018Article
- Training demands on clerk burnout: determining whether achievement goal motivation orientations matter.BMC medical education · 2016Article
- Associations of psychosocial working conditions and working time characteristics with somatic complaints in German resident physicians.International archives of occupational and environmental health · 2016Article
- Web-Based Immersive Virtual Patient Simulators: Positive Effect on Clinical Reasoning in Medical Education.Journal of medical Internet research · 2015Article
- A qualitative interview study on the positive well-being of medical school faculty in their teaching role: job demands, job resources and role interaction.BMC research notes · 2015Article
- Effects of coaching supervision, mentoring supervision and abusive supervision on talent development among trainee doctors in public hospitals: moderating role of clinical learning environment.BMC medical education · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe shortage of physicians is an evolving problem throughout the world. In this study we aimed to identify to what extent junior doctors' training and working conditions determine their intention to leave clinical practice after residency training.
methodsA prospective cohort study was conducted in 557 junior doctors undergoing residency training in German hospitals. Self-reported specialty training conditions, working conditions and intention to leave clinical practice were measured over three time points. Scales covering training conditions were assessed by structured residency training, professional support, and dealing with lack of knowledge; working conditions were evaluated by work overload, job autonomy and social support, based on the Demand-Control-Support model. Multivariate ordinal logistic regression analyses with random intercept for longitudinal data were applied to determine the odds ratio of having a higher level of intention to leave clinical practice.
resultsIn the models that considered training and working conditions separately to predict intention to leave clinical practice we found significant baseline effects and change effects. After modelling training and working conditions simultaneously, we found evidence that the change effect of job autonomy (OR 0.77, p = .005) was associated with intention to leave clinical practice, whereas for the training conditions, only the baseline effects of structured residency training (OR 0.74, p = .017) and dealing with lack of knowledge (OR 0.74, p = .026) predicted intention to leave clinical practice.
conclusionsJunior doctors undergoing specialty training experience high workload in hospital practice and intense requirements in terms of specialty training. Our study indicates that simultaneously improving working conditions over time and establishing a high standard of specialty training conditions may prevent junior doctors from considering leaving clinical practice after residency training.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.