Workplace resources, mentorship, and burnout in early career physician-scientists: a cross sectional study in Japan

Abstract Background Physician-scientists are a vital segment of the healthcare workforce, but they may face significant challenges balancing and integrating clinical responsibilities, scientific research, and domestic responsibilities. This study investigates factors associated with burnout among hi...

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Main Authors: Chithra R. Perumalswami, Shinichi Takenoshita, Ayumi Tanabe, Ranka Kanda, Haruko Hiraike, Hiroko Okinaga, Reshma Jagsi, Kyoko Nomura
Format: Article
Language:English
Published: BMC 2020-06-01
Series:BMC Medical Education
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12909-020-02072-x
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author Chithra R. Perumalswami
Shinichi Takenoshita
Ayumi Tanabe
Ranka Kanda
Haruko Hiraike
Hiroko Okinaga
Reshma Jagsi
Kyoko Nomura
author_facet Chithra R. Perumalswami
Shinichi Takenoshita
Ayumi Tanabe
Ranka Kanda
Haruko Hiraike
Hiroko Okinaga
Reshma Jagsi
Kyoko Nomura
author_sort Chithra R. Perumalswami
collection DOAJ
description Abstract Background Physician-scientists are a vital segment of the healthcare workforce, but they may face significant challenges balancing and integrating clinical responsibilities, scientific research, and domestic responsibilities. This study investigates factors associated with burnout among highly successful early career physician-researchers in Japan. Method Among 1790 physician awardees of Grant-in-Aid for Young Scientists by the Japanese Ministry in 2014–2015, 490 participated in this cross-sectional survey in 2016 (usable response rate 23.8%). The primary outcome was psychological burnout, measured by the Copenhagen Burnout Inventory (i.e., personal burnout, work-related burnout, and patient-related burnout). “Workplace resources” in our study refers to the presence of career education in the workplace, promotion of gender equity, well-being consultation services on “career and work,” “research,” “harassment,” and/or “mental health,” as well as the presence of a role model in the workplace who has perceived good work-life balance. Results Among 408 physician-researchers (75% male, mean age 37 yrs), personal burnout scores were slightly higher in women than in men (mean score, 41.9 points vs. 36.7 points, difference, 5.2, 95% confidence interval, 0.5–9.9, p = 0.029), but work-related and patient-related burnout scores did not differ significantly between genders. Over half of women (64%) and men (58%) had a mentor (p = 0.374). In multivariable general linear regression models, personal burnout scores were higher for women (β = 4.98, p = 0.045), and lower among those who had a mentor (β = − 5.82, p = 0.010) and whose workplaces had well-being consultation services (β = − 0.79, p = 0.022). Work-related burnout scores were lower among those with larger amounts of grant funding (β = − 4.70, p = 0.013), a mentor (β = − 6.12, p = 0.002), well-being consultation services (β = − 0.78, p = 0.008) and a role model with a perceived good work-life balance (β = − 4.00, p = 0.038). Patient-related burnout scores were higher among physician-scientists aged older than 37 years (β = 6.25, p = 0.002) and those who had board certification (β = 9.01, p = 0.017), while these scores were lower among those had larger amounts of funding (β = − 5.01, p = 0.006) or a mentor (β = − 5.35, p = 0.006). Conclusions Workplace resources and mentorship appear to be associated with lower levels of psychological burnout for both men and women early career physician-scientists.
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spelling doaj.art-649bca14a7db4b69bc12f0d2985711ed2022-12-21T23:09:43ZengBMCBMC Medical Education1472-69202020-06-0120111010.1186/s12909-020-02072-xWorkplace resources, mentorship, and burnout in early career physician-scientists: a cross sectional study in JapanChithra R. Perumalswami0Shinichi Takenoshita1Ayumi Tanabe2Ranka Kanda3Haruko Hiraike4Hiroko Okinaga5Reshma Jagsi6Kyoko Nomura7Center for Bioethics and Social Sciences in Medicine, University of Michigan Medical SchoolDepartment of Public Health, Teikyo University School of MedicineDepartment of Preventive Medicine and Public Health, Keio University School of MedicineDepartment of Obstetrics and Gynecology, Teikyo University School of MedicineDepartment of Obstetrics and Gynecology, Teikyo University School of MedicineSupport Center for women physicians and researchersCenter for Bioethics and Social Sciences in Medicine, University of Michigan Medical SchoolDepartment of Public Health, Teikyo University School of MedicineAbstract Background Physician-scientists are a vital segment of the healthcare workforce, but they may face significant challenges balancing and integrating clinical responsibilities, scientific research, and domestic responsibilities. This study investigates factors associated with burnout among highly successful early career physician-researchers in Japan. Method Among 1790 physician awardees of Grant-in-Aid for Young Scientists by the Japanese Ministry in 2014–2015, 490 participated in this cross-sectional survey in 2016 (usable response rate 23.8%). The primary outcome was psychological burnout, measured by the Copenhagen Burnout Inventory (i.e., personal burnout, work-related burnout, and patient-related burnout). “Workplace resources” in our study refers to the presence of career education in the workplace, promotion of gender equity, well-being consultation services on “career and work,” “research,” “harassment,” and/or “mental health,” as well as the presence of a role model in the workplace who has perceived good work-life balance. Results Among 408 physician-researchers (75% male, mean age 37 yrs), personal burnout scores were slightly higher in women than in men (mean score, 41.9 points vs. 36.7 points, difference, 5.2, 95% confidence interval, 0.5–9.9, p = 0.029), but work-related and patient-related burnout scores did not differ significantly between genders. Over half of women (64%) and men (58%) had a mentor (p = 0.374). In multivariable general linear regression models, personal burnout scores were higher for women (β = 4.98, p = 0.045), and lower among those who had a mentor (β = − 5.82, p = 0.010) and whose workplaces had well-being consultation services (β = − 0.79, p = 0.022). Work-related burnout scores were lower among those with larger amounts of grant funding (β = − 4.70, p = 0.013), a mentor (β = − 6.12, p = 0.002), well-being consultation services (β = − 0.78, p = 0.008) and a role model with a perceived good work-life balance (β = − 4.00, p = 0.038). Patient-related burnout scores were higher among physician-scientists aged older than 37 years (β = 6.25, p = 0.002) and those who had board certification (β = 9.01, p = 0.017), while these scores were lower among those had larger amounts of funding (β = − 5.01, p = 0.006) or a mentor (β = − 5.35, p = 0.006). Conclusions Workplace resources and mentorship appear to be associated with lower levels of psychological burnout for both men and women early career physician-scientists.http://link.springer.com/article/10.1186/s12909-020-02072-xBurnoutWorkplace resourcesMentorPhysician-scientistGrants
spellingShingle Chithra R. Perumalswami
Shinichi Takenoshita
Ayumi Tanabe
Ranka Kanda
Haruko Hiraike
Hiroko Okinaga
Reshma Jagsi
Kyoko Nomura
Workplace resources, mentorship, and burnout in early career physician-scientists: a cross sectional study in Japan
BMC Medical Education
Burnout
Workplace resources
Mentor
Physician-scientist
Grants
title Workplace resources, mentorship, and burnout in early career physician-scientists: a cross sectional study in Japan
title_full Workplace resources, mentorship, and burnout in early career physician-scientists: a cross sectional study in Japan
title_fullStr Workplace resources, mentorship, and burnout in early career physician-scientists: a cross sectional study in Japan
title_full_unstemmed Workplace resources, mentorship, and burnout in early career physician-scientists: a cross sectional study in Japan
title_short Workplace resources, mentorship, and burnout in early career physician-scientists: a cross sectional study in Japan
title_sort workplace resources mentorship and burnout in early career physician scientists a cross sectional study in japan
topic Burnout
Workplace resources
Mentor
Physician-scientist
Grants
url http://link.springer.com/article/10.1186/s12909-020-02072-x
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