ArticleMedical education online2022
High prevalence and risk factors of dropout intention among Chinese medical postgraduates.
Article in Medical education online, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- Global prevalence of anxiety and depression among medical students during the COVID-19 pandemic: a systematic review and meta-analysis.BMC psychology · 2024Pooled it
- Global prevalence and trend of anxiety among graduate students: A systematic review and meta-analysis.Brain and behavior · 2023Pooled it
- The prevalence and risk factors of mental problems in medical students during COVID-19 pandemic: A systematic review and meta-analysis.Journal of affective disorders · 2023Pooled it
- Effectiveness of Neurofeedback-Assisted and Conventional 6-Week Web-Based Mindfulness Interventions on Mental Health of Chinese Nursing Students: Randomized Controlled Trial.Journal of medical Internet research · 2025Trial
- Digital addiction comorbidity patterns and their differential links to internalizing symptoms, suicidal behaviors and non-suicidal self-injury in vocational high school students.BMC psychology · 2026Article
- Factors associated with university dropout intention among health sciences students: the mediating role of academic burnout and satisfaction with education.BMC medical education · 2026Observational
- Narratives of quitting and quests for teaching reform: an affective event perspective on Chinese doctoral students' intentions to drop out.Frontiers in psychology · 2026Article
- Prevalence, pattern, and predictors of WPV against medical interns in Southwest Nigeria: a cross-sectional study.Annals of medicine · 2025Article
- Ability and utility of the Physician Well-Being Index to identify distress among Chinese physicians.Annals of medicine · 2025Article
- Emotion regulation as a mediator between stress and burnout in dental postgraduate students: a South China cross-sectional study.BMC medical education · 2025Article
- Understanding resilience in medical interns through ecological momentary assessments, predictive modelling, and topic analysis.Communications medicine · 2025Article
- Article
- Tutor-postgraduate interaction and dropout intention among Chinese medical postgraduates: multiple mediating roles of emotional regulatory self-efficacy and burnout.Frontiers in psychology · 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
- Article
- When can we identify the students at risk of failure in the national medical licensure examination in Japan using the predictive pass rate?BMC medical education · 2024Article
- Establishment and validation of a nomogram for dropout intention in Chinese early year medical undergraduates.BMC medical education · 2024Article
- Prevalence and influencing factors of sleep disorders in medical students after the COVID-19 pandemic.BMC psychiatry · 2024Article
- Medical Professionalism and Its Association with Dropout Intention in Peruvian Medical Students during the COVID-19 Pandemic.Behavioral sciences (Basel, Switzerland) · 2024Article
- A cross-sectional study on turnover intention of nurses in eastern China.BMC health services research · 2024Article
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Authors and funding
23 authors at 7 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA high attrition rate in medical students has exacerbated the physician shortage in China. However, few studies have explored the risk factors of dropout intention in medical postgraduates. This study compared the prevalence of dropout intention and mental distress between medical and non-medical postgraduates in China and investigated risk factors for dropout intention. This study also explored the impact of medical postgraduates' perception of the Chinese healthcare environment on their mental status and dropout intention.
methodsThis cross-sectional study was conducted using online questionnaires from October 2020 to April 2021. Convenience sampling was used to recruit postgraduates in different majors. Outcomes included dropout intention and potential risk factors, including mental distress, quality of life, and fatigue. Medical postgraduates were additionally assessed for healthcare environment satisfaction, burnout, career choice regret, and experiences of workplace violence. A logistic regression model was constructed to evaluate the association between dissatisfaction, mental distress, and turnover intention.
resultsA total of 740 medical and 670 non-medical postgraduates participated in the survey. The rates of depression symptoms (33.8% vs. 39.0%, p < 0.001), anxiety symptoms (22.2% vs. 32.4%, p < 0.001), and somatic symptoms (34.7% vs. 42.4%, p = 0.004) were lower in medical postgraduates, while more medical postgraduates (58.4% vs. 48.4%, p < 0.001) reported dropout intention. Dissatisfaction with the healthcare environment (odds ratio [OR]: 1.65; 95% confidence interval [CI]: 1.17-2.34, p = 0.005), career choice regret (OR: 6.23; 95% CI: 4.42-8.78, p < 0.001), and high perceived stress (OR: 2.74; 95%CI: 1.90-3.94, p < 0.001) remained independently associated with turnover intention.
conclusionsMental distress is common among postgraduates, calling for timely interventions. Medical postgraduates reported higher turnover intention. Healthcare environment perception also affected the mental health and dropout intentions of medical students. A decent future income, reduced workload, shorter duration medical training, and better doctor-patient relationships are urgently needed.
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