ArticleBMC medical education2022
Association between patient care ownership and personal or environmental factors among medical trainees: a multicenter cross-sectional study.
Article in BMC medical education, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Development and Validation of the Shorter Versions of the Patient Care Ownership Scale for Use in Japan.JMA journal · 2026Article
- The Transition to Independence: A Longitudinal Qualitative Study on Drivers of Burnout in Japanese Early-Career Physicians.Journal of general and family medicine · 2026Article
- Comparison of Workplace Social Capital between the Pre- and Post-Restriction Eras of Physician Working Hours: A Nationwide Repeated Cross-Sectional Study.JMA journal · 2026Article
- Associations between patient care ownership, burnout, and job satisfaction among medical residents: a nationwide cross-sectional study in Japan.Scientific reports · 2026Article
- Supervising physicians' perceptions on physician work-hour regulations in Japan: a nationwide cross-sectional study.BMC medical education · 2025Article
- Article
- Association between residents' work hours and patient care ownership: a nationwide cross-sectional study in Japan.BMC medical education · 2025Article
- Association of clinical knowledge with patient care ownership among resident physicians: a nationwide cross-sectional study in Japan.BMC medical education · 2025Article
- Postgraduate Year Two Medical Residents' Awareness of Personal Development as a Physician during the Management of Inpatients: A Qualitative Study.Healthcare (Basel, Switzerland) · 2024Article
- Translating, adapting, and validating the medical student version of the patient care ownership scale for use in Japan.BMC medical education · 2024Article
- Development and evaluation of virtual simulation games to increase the confidence and self-efficacy of healthcare learners in vaccine communication, advocacy, and promotion.BMC medical education · 2024Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient care ownership (PCO) is crucial to enhancing accountability, clinical skills, and medical care quality among medical trainees. Despite its relevance, there is limited information on the association of personal or environmental factors with PCO, and thus, authors aimed to explore this association.
methodsIn 2021, the authors conducted a multicentered cross-sectional study in 25 hospitals across Japan. PCO was assessed by using the Japanese version of the PCO Scale (J-PCOS). To examine the association between personal (level of training, gender, and department) or environmental factors (hospital size, hospital type, medical care system, number of team members, number of patients receiving care, mean working hours per week, number of off-hour calls per month, and perceived level of the workplace as a learning environment) and PCO after adjusting for clustering within hospitals, the authors employed a linear mixed-effects model.
resultsThe analysis included 401 trainees. After adjusting for clustering within hospitals, it was confirmed that the senior residents had significantly better J-PCOS total scores (adjusted mean difference: 8.64, 95% confidence interval [CI]: 6.18-11.09) than the junior residents and the perceived level of the workplace as a learning environment had a positive association with J-PCOS total scores (adjusted mean difference per point on a global rating of 0-10 points: 1.39, 95% CI: 0.88-1.90). Trainees who received calls after duty hours had significantly higher J-PCOS total scores than those who did not (adjusted mean difference: 2.51, 95% CI: 0.17-4.85). There was no clear trend in the association between working hours and PCO.
conclusionsSeniority and the perceived level of the workplace as a learning environment are associated with PCO. An approach that establishes a supportive learning environment and offers trainees a reasonable amount of autonomy may be beneficial in fostering PCO among trainees. The study findings will serve as a useful reference for designing an effective postgraduate clinical training program for PCO development.
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