Evidence map›Paper›PMID 41735953›Full record

ArticleBMC medical education2026

The burden of choice: decision regret in subspecialty selection among young and middle-aged doctors.

Peixuan Guan, Maosha Fu, Feng Wu, Liru Hou, Weiyu Zhang

Abstract read
In one paragraph

Article in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Peixuan Guan *Department of Continuing Education, Peking University People's Hospital, Beijing, China.
Maosha Fu *Department of Human Resources, Peking University People's Hospital, Beijing, China.
Feng WuChinese PLA center for disease control and prevention, Beijing, China.
Liru HouDepartment of Continuing Education, Peking University People's Hospital, Beijing, China.
Weiyu ZhangDepartment of Urology, Peking University People's Hospital, Beijing, China. zhangweiyu@pku.edu.cn.

Funding

Peking University People's Hospital Scientific Research Development Funds RDE2024-17
6 · The paper itself

Abstract

backgroundSubspecialty choice plays a pivotal role in physicians' career satisfaction and professional trajectory. However, decision regret regarding subspecialty selection has been underexplored, despite its potential impact on well-being and retention.

methodsA cross-sectional study was conducted among 615 young and middle-aged physicians (aged 25-55) from secondary and tertiary hospitals in China. Participants completed an online questionnaire including the Decision Regret Scale (DRS), a simplified Maslach Burnout Inventory (MBI), Minnesota Satisfaction Questionnaire (MSQ), and Connor-Davidson Resilience Scale (CD-RISC). Statistical analyses involved ANOVA, Spearman's correlation, and multivariate linear regression to identify factors associated with decision regret.

resultsAmong participants, 9.4% reported high regret, 37.6% moderate regret, and 53.0% low regret. Higher regret was significantly associated with male gender (P = 0.039), younger age (P = 0.019), and higher professional title (P = 0.003). Regression analysis revealed that greater burnout (B = 1.521, P < 0.001) predicted higher regret, while higher job satisfaction (B = - 0.339, P < 0.001) and resilience (B = - 0.588, P = 0.001) were protective factors.

conclusionNearly one in five young and middle-aged Chinese physicians experience high regret in subspecialty choice, influenced by gender, age, burnout, satisfaction, and resilience. Targeted interventions addressing these factors may mitigate regret and enhance physician well-being and retention.

Indexed as

Career ChoiceDecision MakingEmotionsPhysiciansSpecializationAdultAge FactorsBurnout, ProfessionalChinaCross-Sectional StudiesFemaleHumansJob SatisfactionMaleMiddle AgedSurveys and QuestionnairesBurnoutDecision regretJob satisfactionPsychological resilienceSubspecialty selection

Identifiers

PMID41735953
PMCPMC13037031

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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.