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The association between adverse practice experiences and residency trainee occupational burnout
Qiaoying Wei1, Hewei Xiao1, Shenglin Liang1
1People's Hospital of Guangxi Zhuang Autonomous Region and Guangxi Academy of Medical Sciences, Nanning, Guangxi, China.
Adverse Practice Experiences (APEs) like verbal and emotional abuse are common among Chinese residency trainees, significantly increasing occupational burnout. Addressing APEs is crucial for improving trainee well-being and training quality.
Area of Science:
- Medical Education
- Occupational Health
- Psychology
Background:
- Occupational burnout is highly prevalent among residency trainees in China's Standardized Resident Training Program.
- Adverse Practice Experiences (APEs) are frequently encountered by trainees.
- Understanding the link between APEs and burnout is essential for improving training.
Purpose of the Study:
- To investigate the prevalence of APEs among residency trainees in China.
- To examine the association between APEs and occupational burnout.
- To propose strategies for mitigating burnout and enhancing training quality.
Main Methods:
- A cross-sectional online survey was conducted with 1,328 residency trainees from 18 training bases in Guangxi, China.
- Multi-stage stratified random sampling was employed.
- Analysis of variance and multiple linear regression were used to analyze the data.
Main Results:
- The prevalence of occupational burnout was 70.48%.
- 68.37% of trainees reported experiencing at least one APE, most commonly verbal abuse (51.51%).
- Exposure to APEs, particularly physical and emotional abuse, was significantly associated with higher occupational burnout scores.
Conclusions:
- A significant association exists between APEs and occupational burnout in residency trainees.
- While causation is not established, findings highlight the impact of APEs on trainee well-being.
- Collaboration among management, training bases, and trainees is recommended to create a safer training environment.
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