Evidence map›Paper›PMID 40786454›Full record

ArticleJMA journal2025

Work Style Reform for Pediatric Residents.

Hiro Nakao, Osamu Nomura, Naoya Tonegawa, Mitsuru Kubota, Akira Ishiguro

Abstract read
In one paragraph

Article in JMA journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Hiro NakaoDepartment of General Pediatrics and Interdisciplinary Medicine, National Center for Child Health and Development, Tokyo, Japan.
Osamu NomuraCenter for Postgraduate Education and Training, National Center for Child Health and Development, Tokyo, Japan.
Naoya TonegawaCenter for Postgraduate Education and Training, National Center for Child Health and Development, Tokyo, Japan.
Mitsuru KubotaDepartment of General Pediatrics and Interdisciplinary Medicine, National Center for Child Health and Development, Tokyo, Japan.
Akira IshiguroCenter for Postgraduate Education and Training, National Center for Child Health and Development, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Work style reform has affected pediatric residents' balance between adequate training and wellness. This study aimed to investigate the impact of work style reform among pediatric trainees at the National Center for Child Health and Development (NCCHD), where several work style amendments were implemented from 2019 to 2024. Methods: We conducted a questionnaire-based cross-sectional survey of pediatric trainees in 2024 and compared the data with a previous survey from 2019 to evaluate the impact of work style reform. The questionnaire included demographic and work condition data, the Center for Epidemiologic Studies Depression Scale, and the Maslach Burnout Inventory (MBI). Results: Participants included 37 trainees (94.9%) in 2019 and 34 trainees (81.0%) in 2024. Median work hours per week (69.0-64.0, p = 0.04) and the frequency of night or holiday shift work (5-4 times/month, p = 0.002) decreased significantly in 2024. Compliance with daytime rest after night work also increased significantly (64.9%-91.2%, p = 0.01). All subscales of the MBI showed improvements, which remained significant after adjusting for demographics and work conditions (p < 0.001 for all). Conclusions: Work style reform has improved work conditions and wellness in pediatric training at NCCHD. Further reports from other medical specialties are awaited to assess the broader impact of work style reform on physicians.

Indexed as

burnoutpediatric residentresidentwellnesswork style reform

Identifiers

PMID40786454
PMCPMC12328924

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.