Open AccessResidency and career satisfaction among A nglo‐ A merican model emergency medicine residents in Japan
Author(s) -
Hagiwara Yusuke,
Hasegawa Kohei,
Chiba Takuyo,
Watase Hiroko
Publication year - 2014
Publication title -
acute medicine and surgery
Language(s) - English
Resource type - Journals
ISSN - 2052-8817
DOI - 10.1002/ams2.12
Subject(s) - odds ratio , logistic regression , medicine , confidence interval , family medicine , emergency department , demography , emergency medicine , nursing , sociology
Aim The number of institutions providing A nglo‐ A merican model emergency medicine has increased with the rise in its social demand in Japan. The ER C ommittee of the J apanese A ssociation for A cute M edicine has introduced a residency model for use in Japanese hospitals that have adopted the A nglo‐ A merican emergency medicine model. Despite the critical importance of its quality, no studies have examined J apanese emergency medicine residents' level of satisfaction with their training. This study investigated their residency and career satisfaction, and factors associated with satisfaction. Methods We developed a cross‐sectional, anonymous survey. Data were obtained from 67 A nglo‐ A merican model emergency medicine residents in J apan in F ebruary 2010. Data were analyzed with factor analysis and multivariable analysis with a logistic regression model. Results Response rate was 100% ( n = 67). Overall, 50.7% and 67.2% of residents reported high residency and career satisfaction, respectively. Factor analysis derived four factors: working conditions; stress reduction; training systems; education. Logistic regression analysis revealed that the training system factor was significantly associated with high residency satisfaction (odds ratio [ OR ], 2.9; 95% confidence interval [ CI ], 1.2–8.4) and the stress reduction factor was significantly associated with high career satisfaction ( OR, 3.0; 95% CI, 1.2–8.4). A total of 28.8% reported intentions to switch specialties. The intention was not significantly associated with low residency satisfaction ( OR, 1.7; 95% CI , 0.6–5.0), but was associated with low career satisfaction ( OR , 5.1; 95% CI , 1.6–16.0). Conclusion Improvements in training systems and stress reduction may increase residency and career satisfaction of emergency medicine residents, respectively. This study suggested that high career satisfaction was required to secure future emergency physicians.