Systematic Review of Work-life Balance among Early Career Doctors

Background: Early Career Doctors (ECDs) are medical doctors who are in their internship, postgraduate specialist training and medical/dental officers below the rank of principal medical/dental officers. The long hours of work, staff-shortage and various expectations at this formative stage expose E...

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Main Authors: Soneye OY, Ogundipe HD, Ayowole D, Umar SS, Osasona EO, Adebayo O, Enebeli UU, Ishaya DG, Isma’il SA, Kabir MS
Format: Article
Language:English
Published: Nigerian Medical Association, Akwa Ibom State Branch 2023-01-01
Series:Ibom Medical Journal
Subjects:
Online Access:https://ibommedicaljournal.org/index.php/imjhome/article/view/285
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author Soneye OY
Ogundipe HD
Ayowole D
Umar SS
Osasona EO
Adebayo O
Enebeli UU
Ishaya DG
Isma’il SA
Kabir MS
author_facet Soneye OY
Ogundipe HD
Ayowole D
Umar SS
Osasona EO
Adebayo O
Enebeli UU
Ishaya DG
Isma’il SA
Kabir MS
author_sort Soneye OY
collection DOAJ
description Background: Early Career Doctors (ECDs) are medical doctors who are in their internship, postgraduate specialist training and medical/dental officers below the rank of principal medical/dental officers. The long hours of work, staff-shortage and various expectations at this formative stage expose ECDs to potential negative outcomes including poor work-life balance. Methods: This systematic review included all available original articles on the work-life balance among ECDs world-wide between 2006 and 2020. PubMED, Google Scholar and African Journals Online (AJOL) databases were searched, and the review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results: The literature search yielded 145 articles, and after screening 33 articles were included in this review. Twenty (87.9%) of the studies were cross sectional studies, 5 (15.2%) were prospective cohort studies and 1 (3%) was an interventional study, sample size ranged from 21 to 4,581 ECDs with a mean age range 24-35±7yrs. Positive work-life balance was reported among ECDs in 4.7% Karachi, 21% Ireland, 23% USA, 27% Australia; major determining factors include work-load and burn-out, female gender, specialty and location of practice, flexibility of work schedule; and the impacts are burn-out and reduced career satisfaction. Interpretation: Work-life balance among ECDs is poor worldwide, and is worse amongst the more junior cadre and female gender. It is recommended that reduction in work hours, improved wages, social and organizational support could improve the quality of work-life balance among ECDs.
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spelling doaj.art-e3ecc295704045ef94bb8723d94f6fcb2024-03-06T11:55:36ZengNigerian Medical Association, Akwa Ibom State BranchIbom Medical Journal1597-71882735-99642023-01-0116110.61386/imj.v16i1.285Systematic Review of Work-life Balance among Early Career DoctorsSoneye OY0Ogundipe HD1Ayowole D2Umar SS3Osasona EO4Adebayo O5Enebeli UU6Ishaya DG7Isma’il SA8Kabir MS9Department of Surgery, University College Hospital, IbadanDepartment of Surgery, University College Hospital, IbadanDepartment of Internal Medicine, Federal Medical Centre, OwoDepartment of Radiotherapy and Oncology Department, Ahmadu Bello University Teaching Hospital, ZariaDepartment of Internal Medicine, Ekiti State University Teaching Hospital, Ado-Ekiti.Department of Medicine, University College Hospital, IbadanDepartment of Community Medicine, University of Port Harcourt Teaching Hospital, Port HarcourtDepartment of Internal Medicine, Abubakar Tafawa Balewa University Teaching Hospital, BauchiDepartment of Family Medicine, Abubakar Tafawa Balewa University Teaching Hospital, BauchiDepartment of Family Medicine, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi Background: Early Career Doctors (ECDs) are medical doctors who are in their internship, postgraduate specialist training and medical/dental officers below the rank of principal medical/dental officers. The long hours of work, staff-shortage and various expectations at this formative stage expose ECDs to potential negative outcomes including poor work-life balance. Methods: This systematic review included all available original articles on the work-life balance among ECDs world-wide between 2006 and 2020. PubMED, Google Scholar and African Journals Online (AJOL) databases were searched, and the review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results: The literature search yielded 145 articles, and after screening 33 articles were included in this review. Twenty (87.9%) of the studies were cross sectional studies, 5 (15.2%) were prospective cohort studies and 1 (3%) was an interventional study, sample size ranged from 21 to 4,581 ECDs with a mean age range 24-35±7yrs. Positive work-life balance was reported among ECDs in 4.7% Karachi, 21% Ireland, 23% USA, 27% Australia; major determining factors include work-load and burn-out, female gender, specialty and location of practice, flexibility of work schedule; and the impacts are burn-out and reduced career satisfaction. Interpretation: Work-life balance among ECDs is poor worldwide, and is worse amongst the more junior cadre and female gender. It is recommended that reduction in work hours, improved wages, social and organizational support could improve the quality of work-life balance among ECDs. https://ibommedicaljournal.org/index.php/imjhome/article/view/285Work-life balanceearly career doctorsjunior doctorsresident doctors
spellingShingle Soneye OY
Ogundipe HD
Ayowole D
Umar SS
Osasona EO
Adebayo O
Enebeli UU
Ishaya DG
Isma’il SA
Kabir MS
Systematic Review of Work-life Balance among Early Career Doctors
Ibom Medical Journal
Work-life balance
early career doctors
junior doctors
resident doctors
title Systematic Review of Work-life Balance among Early Career Doctors
title_full Systematic Review of Work-life Balance among Early Career Doctors
title_fullStr Systematic Review of Work-life Balance among Early Career Doctors
title_full_unstemmed Systematic Review of Work-life Balance among Early Career Doctors
title_short Systematic Review of Work-life Balance among Early Career Doctors
title_sort systematic review of work life balance among early career doctors
topic Work-life balance
early career doctors
junior doctors
resident doctors
url https://ibommedicaljournal.org/index.php/imjhome/article/view/285
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