ArticleBMC health services research2020
Risk and protective factors for burnout among physicians from standardized residency training programs in Shanghai: a cross-sectional study.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.
- Burnout before and during COVID: A systematic review and meta-analysis of 48 698 trainees.Medical education · 2025Pooled it
- An observation of the peer-assisted learning (PAL) method in the clinical teaching of vertigo/dizziness-related diseases for standardized residency training (SRT) students in China: a randomized, controlled, multicenter study.BMC medical education · 2021Trial
- Article
- "You are not allowed to break down": psychological safety and the hidden curriculum of psychiatry training in China.Frontiers in psychology · 2026Article
- Burnout in Japanese Internists and Primary Care Physicians in 2024: The Prevalence and Risk Factors Using Structural Equation Modeling.Internal medicine (Tokyo, Japan) · 2025Article
- Empowering standardized residency training in China through large language models: problem analysis and solutions.Annals of medicine · 2025Article
- Prevalence and correlates of perceived stress and psychological health among residents receiving standardized training: a multicenter cross-sectional survey study in China.BMC public health · 2025Article
- Association between burnout and physiological-psychological-social health domains among Chinese resident physicians: a network analysis approach.BMC health services research · 2025Article
- Physicians' Overwork Impacts Patient Satisfaction via Physician-Nurse Collaboration and Patients' Medical Risk Perception in China.Risk management and healthcare policy · 2025Article
- The association between adverse practice experiences and residency trainee occupational burnout.Frontiers in public health · 2025Article
- A study on transition shock among first-year residents in China: survey data based on latent profile analysis.Frontiers in medicine · 2025Article
- Prevalence and correlates of depression, anxiety, and burnout among physicians and postgraduate medical trainees: a scoping review of recent literature.Frontiers in public health · 2025Article
- Interrelationships of stress, burnout, anxiety, depression, quality of life and suicidality among Chinese residents under Standardized Residency Training: a network analysis.Annals of medicine · 2024Article
- Satisfaction survey on graduates of standardised training for resident doctors in Guizhou Province, China.BMJ open · 2024Article
- Importance of multimodal resident education curriculum for general surgeons: perspectives of trainers and trainees.BMC medical education · 2024Article
- Physical work environment and burnout among primary care physicians in Israel: a cross-sectional study.BMC primary care · 2024Article
- Burnout among family medicine residents: a cross-sectional nationwide study.Israel journal of health policy research · 2024Article
- Latinas in medicine: evaluating and understanding the experience of Latinas in medical education: a cross sectional survey.BMC medical education · 2024Article
- Professional identity and its associated psychosocial factors among physicians from standardized residency training programs in China: a national cross-sectional study.Frontiers in medicine · 2024Article
- The association of sleep quality and burnout among Chinese medical residents under standardized residency training in a tertiary hospital.Sleep & breathing = Schlaf & Atmung · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundHigh burnout has been reported in physician populations. Although the standardized residency training (SRT) in China includes components that might put residents at a higher risk for burnout, the burnout of Chinese medical residents is unknown. This study aimed to evaluate the prevalence of burnout and the associated risk and protective factors for medical residents in the SRT program in Shanghai, China.
methodsThis study was a prospective cross-sectional design. A random sampling strategy was used to recruit 330 resident physicians from four SRT sites in Shanghai, and 318 completed questionnaires were returned. Respondents completed a self-made questionnaire including demographic and work characteristics, four burnout and wellness-specific surveys. Bivariate analyses and hierarchical multiple regression models were used to analyze factors associated with three sub-scales of burn out separately.
resultsThe overall burnout rate was 71.4%. Low level rate of personal accomplishment (PA) was extremely high at 69.5%. Night shift experience, high occupational stress, and low social support were significant predictors, which explained 49.1% variance of emotional exhaustion (EE) (F = 26.528, P < 0.01). Factors that significantly predicted depersonalization (DP) included male gender, senior residents, night shift experience, high occupational stress, and low psychological empathy, which explained 51.5% variance totally (F = 29.004, P < 0.01). Senior residents, high income, low occupational stress, and high empathy were also significant predictors of decreased personal achievement (PA), which explained 18.4% variance totally (F = 12.897, P < 0.01).
conclusionsThere was a high burnout rate among SRT residents in Shanghai. Occupational stress and several work-related factors were significant and strong risk factors for burnout, while empathy and social support were mild protective factors. Decreased work-related demands and increased access to resources could assist residents in reducing their work stress and improving their well-being.
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.