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Background Ireland has a high rate of doctor emigration. Difficult working conditions, particularly in the hospital sector, are often cited as a driver of doctor emigration. In October 2019, a random sample of Ireland's hospital doctors were invited to participate in an anonymous online survey about their working conditions. Methods The survey was distributed via the national Medical Register (with the assistance of the Medical Council of Ireland). Invitations were sent to 5356 hospital doctors, stratified by registration status (including interns, trainees, those not in training and consultants). An overall response rate of 20% was achieved (N = 1070). This paper focusses on responses to two free-text survey questions: (1) Do you have any other comments about your work-life balance? (N = 314). (2) Do you have any other comments on your working conditions as a hospital doctor? (N = 469). Results Respondent hospital doctors, at all levels of seniority, were struggling to achieve a balance between work and life. Of the free-text responses received, 8/10 were negative, with work-life balance/imbalance and work-overload being the issues arising most frequently. Respondents discussed how long and unpredictable working hours, combined with a high level of work intensity, meant that they often spent their personal time recovering from work. Conclusions Poor work-life balance has become normalised within Irish hospital medicine. The findings call to action to critically reflect on the sustainability of this way of working for the individual doctors, the wider workforce and the Irish health system.

Hospital doctors and the struggle for work-life balance: the case of Ireland