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Competitiveness Among Physicians in Japan: A Nationwide Cross-Sectional Study.
Kota Sakaguchi1, Haruka Kobayashi2, Tomoe Otsuka3
1General Medicine Center, Shimane University Hospital, Izumo, JPN.
Cureus
|March 27, 2026
Summary
Physician competitiveness varies by specialty and career stage in Japan, with junior residents showing higher scores and psychiatrists lower scores. Factors like age, gender, and hospital size also influence competitiveness.
Area of Science:
- Medical Education
- Psychology
- Sociology
Background:
- Competitiveness is crucial for medical motivation and development.
- Maladaptive competitiveness is linked to physician burnout.
- Little is known about physician competitiveness in non-Western systems.
Purpose of the Study:
- Examine competitiveness distribution across medical specialties in Japan.
- Identify demographic, professional, and socioeconomic factors associated with physician competitiveness.
Main Methods:
- Nationwide cross-sectional online survey of 5,441 Japanese physicians.
- Used a validated 20-item competitiveness scale (range: 20-140).
- Multivariable linear regression analysis adjusted for covariates.
Main Results:
- Mean competitiveness score was 58.79 (SD: 10.52).
- Junior residents had highest scores; psychiatrists had lowest.
- Higher competitiveness associated with older age, male gender, large hospitals, having children, and higher parental income.
Conclusions:
- Physician competitiveness in Japan is multidimensional, influenced by career stage, culture, and background.
- Specialty differences exist but overall variation is modest.
- Competitiveness appears dynamic, not fixed, informing support systems for well-being and excellence.
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