ArticleBMC medical education2025
Association between residents' work hours and patient care ownership: a nationwide cross-sectional study in Japan.
Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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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.
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Who cites it
6 citing papers in PubMed.
- Development and Validation of the Shorter Versions of the Patient Care Ownership Scale for Use in Japan.JMA journal · 2026Article
- Educational Impact of Artificial Intelligence-Navigation Surgery on Anatomical Landmark Recognition in Medical Students.Annals of gastroenterological surgery · 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
- Supervising physicians' perceptions on physician work-hour regulations in Japan: a nationwide cross-sectional study.BMC medical education · 2025Article
- Article
- Optimal Working Hours in the 2024 Physician Work Reform: Insights from a Residency Program Director.Advances in medical education and practice · 2025Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
purposeIn the current era of physician work-hour regulations, patient care ownership (PCO) has received considerable attention. The aim of the study was to investigate the association between working hours and PCO.
methodsThis was a nationwide cross-sectional study. The study recruited residents who completed the General Medicine In-Training Examination. The primary outcome was PCO, assessed using the Japanese version of the PCO Scale (J-PCOS). The secondary outcomes were the four dimensions of the J-PCOS (i.e., assertiveness, sense of ownership, diligence, and being the "go-to" person). The explanatory variable was weekly working hours. We examined the association using multivariable linear regression analysis.
results1836 participants were included in the analysis. After adjustment for possible confounders, residents working ≥ 70 to < 90 h/week had greater PCO than those working ≥ 60 to < 70 h/week. Working ≥ 70 to < 90 h/week was also associated with assertiveness and being the "go-to" person. No clear trend was seen in the relationship between working hours and sense of ownership or diligence.
conclusionWhile determining appropriate resident work hours requires comprehensive consideration of a number of factors, in terms of PCO training, the working hours of 80-90 h/week may be an option.
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