ArticleBMJ open2022
Turnover intention and related factors among resident physicians in China under the standardised residency training programme: a cross-sectional survey.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- The integration of clinical pathway and case-based teaching in standardized residency training in the department of endocrinology.BMC medical education · 2026Article
- Ability and utility of the Physician Well-Being Index to identify distress among Chinese physicians.Annals of medicine · 2025Article
- Empowering standardized residency training in China through large language models: problem analysis and solutions.Annals of medicine · 2025Article
- Evolution of physician resources in China (2003-2021): quantity, quality, structure, and geographic distribution.Human resources for health · 2025Article
- Burnout and anxiety among Chinese nurses: the mediating roles of positive coping strategies and interpersonal relationship problems: a cross-sectional study.Frontiers in psychiatry · 2025Article
- Oncology Healthcare Providers' Knowledge, Attitudes, and Practices Regarding Chemotherapy-Induced Myelosuppression in Ovarian Cancer in Haikou, China.Journal of multidisciplinary healthcare · 2025Article
- A study on transition shock among first-year residents in China: survey data based on latent profile analysis.Frontiers in medicine · 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
- Turnover intention and influential factors among primary healthcare workers in Guangdong province, China: a cross-sectional study.BMJ open · 2024Article
- Empathy fatigue among physicians and its influencing factors: a cross-sectional survey from Southwest China.BMC psychiatry · 2024Article
- Factors influencing the turnover intention for disease control and prevention workers in Northeast China: an empirical analysis based on logistic-ISM model.BMC health services research · 2024Article
- A Narrative Review of Burnout Syndrome in Medical Personnel.Diagnostics (Basel, Switzerland) · 2024Review
- Psychological Capital and Turnover Intention: The Mediating Role of Burnout among Healthcare Professionals.International journal of environmental research and public health · 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 role of different educational programs in specialty preference among Chinese medical students: a cross-sectional study.BMC medical education · 2023Article
- The Nurse-Physician Relationship During the COVID-19 Pandemic in Shanghai, China: Cross-sectional Study.JMIR formative research · 2023Article
- The prevalence and factors associated with posttraumatic growth after 3-years outbreak of COVID-19 among resident physicians in China: a cross-sectional study.Frontiers in psychiatry · 2023Article
- Current Occupational Perspective of Total Hip Joint Surgeons in China: A Survey of Members of the Chinese Orthopedic Association.Orthopaedic surgery · 2022Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study aimed at examining the extent of turnover intention among the Chinese resident physicians who entered the newly established national standardised residency training programme (SRTP), and exploring factors associated with their turnover intention.
designCross-sectional survey.
settingTen institutions from five geographical areas in China.
methods1414 residents were surveyed using paper-based questionnaires and scales regarding their demographics, work situation, attitudes towards SRTP, job satisfaction, psychological resilience, burnout and turnover intention in 2017. The turnover intention was described and compared between categorical groups. Linear regressions were used to select the factors associated with turnover intention. The structural equation model was used to capture the potential mediating effects.
resultsThe mean turnover intention score was 12.45 (SD=4.47). Nearly half (47.87%) of the residents had a high and very high level of turnover intention. Psychological resilience (β=0.066), burnout (β=0.141) and job satisfaction (β=0.022) were positively associated with turnover intention, while specialty (β=-0.135), year of training (β=-0.687), career in medicine (β=-2.191), necessity of training (β=-0.695) and satisfaction with income (β=-1.215) had negative associations with turnover intention. Working hours and nightshift interval indirectly were associated with turnover intention through the mediating effects of burnout. Career in medicine, necessity of training, satisfaction with income, and psychological resilience showed direct effects and indirect effects on turnover intention through burnout and job satisfaction as mediators.
conclusionsThe turnover intention among Chinese residents was prevalent and unignorable. Burnout was the major contributing factor, while year of training and positive attitudes towards training were protective factors. Burnout and job satisfaction also served as mediators. Interventions targeting these factors should be incorporated in the training programmes to keep a prosperous physician workforce.
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