Observational studyBMJ open2023
Relationship between COVID-19 care and burnout among postgraduate clinical residents in Japan: a nationwide cross-sectional study.
Observational study in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Organizational interventions to support and promote the mental health of healthcare workers during pandemics and epidemics: a systematic review.BMC health services research · 2025Pooled it
- Development and Validation of the Shorter Versions of the Patient Care Ownership Scale for Use in Japan.JMA journal · 2026Article
- Article
- Current Landscape of Generative AI Use as a Search Engine Among Resident Physicians: Cross-Sectional Study.JMIR AI · 2026Article
- Temporal Trends in Physician Burnout During and After the COVID-19 Pandemic in Japan: A Repeated Cross-Sectional Study.Journal of general and family medicine · 2026Article
- Associations between patient care ownership, burnout, and job satisfaction among medical residents: a nationwide cross-sectional study in Japan.Scientific reports · 2026Article
- Impact of inpatient volume on residents' In-training examination scores and burnout in Japanese community hospitals: a nationwide cross-sectional study.BMC medical education · 2026Article
- Educational environment changes toward resident duty hour restrictions in Japan.Scientific reports · 2025Article
- Five Strategies for Efficient and Effective Training of Japanese Resident Physicians Under the Japanese Work Style Reform.Advances in medical education and practice · 2025Article
- Experience of caring for patients with COVID-19 and educational achievement among Japanese resident physicians: a nationwide survey with general medicine in-training examination.BMC medical education · 2024Article
- Distribution of internal medicine rotations among resident physicians in Japan: a nationwide, multicenter, cross-sectional study.BMC medical education · 2024Article
- The relationship between self-determination and burnout: Mental health outcomes in medical residents.PloS one · 2024Article
- Depressive symptoms, burnout, resilience, and psychosocial support in healthcare workers during the COVID-19 pandemic: A nationwide study in Japan.PCN reports : psychiatry and clinical neurosciences · 2023Article
Corrections and comments
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Authors and funding
13 authors at 11 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe relationship between the care of patients with COVID-19 and mental health among resident physicians in Japan is imperative for ensuring appropriate care of patients with COVID-19 and should be clarified. We herein assessed the relationship between the care of patients with COVID-19 and mental health among postgraduate year 1 (PGY-1) and PGY-2 resident physicians and factors associated with mental health.
designThis nationwide cross-sectional study analysed data obtained using the clinical training environment self-reported questionnaire.
settingAn observational study across Japan among resident physicians (PGY-1 and PGY-2) from 583 teaching hospitals.
participantsExaminees who took the general medicine in-training examination of academic year 2020. PRIMARY AND SECONDARY OUTCOME MEASURES: The Patient Health Questionnaire and Mini-Z 2.0 were used to assess mental health, and experience of caring for patients with COVID-19 was divided into three groups (none, 1-10 and ≥11). The prevalence of mental conditions in the three groups was compared using the 'modified' Poisson generalised estimating equations by adjusting for prefecture-level, hospital-level and resident-level variables.
resultsOf the 5976 participants analysed, 50.9% were PGY-1. The prevalence of burnout was 21.4%. Moreover, 47.0% of all resident physicians had no experience in the care of patients with COVID-19. The well-experienced group accounted for only 7.9% of the total participants. A positive association was found between the number of caring patients with COVID-19 and burnout (prevalence ratio 1.25; 95% CI 1.02 to 1.53). Moreover, the shortage of personal protective equipment was identified as a major contributor to burnout (prevalence ratio 1.60; 95% CI 1.36 to 1.88).
conclusionsResident physicians who experienced more care of patients with COVID-19 had slightly greater burnout prevalence than those who did not. Approximately half of resident physicians did not participate in the care of patients with COVID-19, which posed a challenge from an educational perspective.
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