{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T16:15:43Z","timestamp":1760890543738,"version":"3.28.2"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,11,26]],"date-time":"2024-11-26T00:00:00Z","timestamp":1732579200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,11,26]],"date-time":"2024-11-26T00:00:00Z","timestamp":1732579200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med Educ"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>To examine the satisfaction rates and burnout feelings amongst residents physicians in different specialties and to examine associated affecting factors.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Method<\/jats:title>\n                <jats:p>Clalit Health Services (CHS) is the largest health maintenance provider in Israel. A survey was designed by an interdisciplinary team with questions addressing residency and the balance between residency and personal life, as well as the balance between residency and personal life, and was sent to all residents of CHS via personal email from March to May 2022.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Four hundred sixty seven residents completed the survey. The mean satisfaction rate from the residency was 7.4 (\u00b1\u20091.93, 2\u201310). The highest satisfaction rate from residency was amongst anesthetics, psychiatrists and ophthalmologists ( 8.6, 8.1 and 8.0, respectively) while the lowest was among general surgeons, oncologists, plastic surgeons and orthopedic surgeons (6.8, 6.8, 6.7, 6.1, respectively). There was no correlation between satisfaction rates and monthly working hours or number of overnight shifts. Seventy four percent feel frequent burnout due to high workload and 68% feel frequent burnout due to high number of administrative tasks. Seventy three percent chose the work environment in their department as most influential of their residency experience, 61% chose relations between attending physicians and residents as most significant, and 60% chose the education during the residency as most influential during their residency training.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Satisfaction rates from the residency training require improvement, with differences between the residencies. Number of working hours and number of overnight shifts did not correlate with the satisfaction rates. The factor that influences the most between satisfactory rate and less burnout is the relationship with colleagues and good training programs. Major efforts should be done to improve these factors.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12909-024-06331-z","type":"journal-article","created":{"date-parts":[[2024,11,26]],"date-time":"2024-11-26T14:38:10Z","timestamp":1732631890000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["What really makes residents tick or burn out? Insights from a National survey"],"prefix":"10.1186","volume":"24","author":[{"given":"Ofira","family":"Zloto","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maxim","family":"Henenfeld","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orly","family":"Weinstein","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,11,26]]},"reference":[{"key":"6331_CR1","unstructured":"Tolkien JRR. Oxford english dictionary. 1973."},{"key":"6331_CR2","unstructured":"Department of Health UK D of HU. What is the European working time directive? http:\/\/webarchive.nationalarchives.gov.uk\/+\/www.dh.gov.uk\/en\/Managingyourorganisation\/Workforce\/Workforceplanninganddevelopment\/Europeanworkingtimedirective\/DH_077304."},{"key":"6331_CR3","unstructured":"JG T. Time for training: a review of the impact of the European working time directive on the quality of training. London: Department of Health; 2010."},{"key":"6331_CR4","unstructured":"Accreditation council for graduate medical education. Common program requirements. The ACGME. 2024. https:\/\/www.acgme.org\/programs-and-institutions\/programs\/common-program-requirements\/."},{"key":"6331_CR5","unstructured":"Ministry of Justice R. Notification of an amendment to the general permit for work during weekly rest periods and overtime in medical facilities and institutions for the care of the elderly or children (temporary provision). COMMISSION STAFF WORKING PAPER."},{"issue":"5","key":"6331_CR6","doi-asserted-by":"publisher","first-page":"690","DOI":"10.1097\/ACM.0000000000003940","volume":"96","author":"R Quirk","year":"2021","unstructured":"Quirk R, Rodin H, Linzer M. Targeting causes of burnout in residency: an innovative approach used at Hennepin healthcare. Acad Med. 2021;96(5):690\u20134. https:\/\/doi.org\/10.1097\/ACM.0000000000003940.","journal-title":"Acad Med"},{"key":"6331_CR7","doi-asserted-by":"publisher","first-page":"129","DOI":"10.5116\/ijme.5caf.53ad","volume":"10","author":"Y Nishimura","year":"2019","unstructured":"Nishimura Y, Miyoshi T, Obika M, Ogawa H, Kataoka H, Otsuka F. Factors related to burnout in resident physicians in Japan. Int J Med Educ. 2019;10:129\u201335. https:\/\/doi.org\/10.5116\/ijme.5caf.53ad.","journal-title":"Int J Med Educ"},{"issue":"1136","key":"6331_CR8","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1136\/postgradmedj-2019-137314","volume":"96","author":"C Ferguson","year":"2020","unstructured":"Ferguson C, Low G, Shiau G. Resident physician burnout: insights from a Canadian multispecialty survey. Postgrad Med J. 2020;96(1136):331\u20138. https:\/\/doi.org\/10.1136\/postgradmedj-2019-137314.","journal-title":"Postgrad Med J"},{"key":"6331_CR9","unstructured":"Education. AC for GM. Improving physician well-being, restoring meaning in medicine. https:\/\/psnet.ahrq.gov\/issue\/physician-well-being."},{"key":"6331_CR10","unstructured":"Frank JR, Snell LS SJ. Draft CanMEDS 2015: physician competency framework\u2014Series II. Canada R Coll Physicians Surg Canada. Royal College of Physicians and Surgeons of Canada."},{"key":"6331_CR11","unstructured":"AAMC. AAMC Careers in Medicine. https:\/\/careersinmedicine.aamc.org\/."},{"issue":"1","key":"6331_CR12","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1186\/1472-6920-9-77","volume":"9","author":"S Fazel","year":"2009","unstructured":"Fazel S, Ebmeier KP. Specialty choice in UK junior doctors: is psychiatry the least popular specialty for UK and international medical graduates? BMC Med Educ. 2009;9(1):77. https:\/\/doi.org\/10.1186\/1472-6920-9-77.","journal-title":"BMC Med Educ"},{"issue":"9","key":"6331_CR13","doi-asserted-by":"publisher","first-page":"1369","DOI":"10.2169\/internalmedicine.5872-20","volume":"60","author":"T Matsuo","year":"2021","unstructured":"Matsuo T, Takahashi O, Kitaoka K, Arioka H, Kobayashi D. Resident burnout and work environment. Intern Med. 2021;60(9):1369\u201376. https:\/\/doi.org\/10.2169\/internalmedicine.5872-20.","journal-title":"Intern Med"},{"key":"6331_CR14","doi-asserted-by":"publisher","first-page":"w20255","DOI":"10.4414\/smw.2020.20255","volume":"150","author":"B Zumbrunn","year":"2020","unstructured":"Zumbrunn B, Stalder O, Limacher A, et al. The well-being of Swiss general internal medicine residents. Swiss Med Wkly. 2020;150: w20255. https:\/\/doi.org\/10.4414\/smw.2020.20255.","journal-title":"Swiss Med Wkly"},{"key":"6331_CR15","unstructured":"YNET. The struggle of the interns.\u00a0https:\/\/www.ynet.co.il\/topics\/\u05de\u05d0\u05d1\u05e7_\u05d4\u05de\u05ea\u05de\u05d7\u05d9\u05dd16.Shumfalvi.\u00a0Accessed 2 Aug 2022."},{"key":"6331_CR16","unstructured":"Shumfalvi A. Representative of the interns: \"We will have to enter another round of struggle.\" Ynet. Published online April 14, 2022. https:\/\/www.ynet.co.il\/health\/article\/rjcqdvhnc.\u00a0Accessed 2 Aug 2022."},{"key":"6331_CR17","doi-asserted-by":"crossref","unstructured":"Health at a Glance 2021. OECD; 2021. https:\/\/doi.org\/10.1787\/ae3016b9-en.","DOI":"10.1787\/ae3016b9-en"},{"issue":"6","key":"6331_CR18","doi-asserted-by":"publisher","first-page":"980","DOI":"10.2478\/s13382-014-0324-2","volume":"27","author":"Y Saijo","year":"2014","unstructured":"Saijo Y, Chiba S, Yoshioka E, et al. Effects of work burden, job strain and support on depressive symptoms and burnout among Japanese physicians. Int J Occup Med Environ Health. 2014;27(6):980\u201392. https:\/\/doi.org\/10.2478\/s13382-014-0324-2.","journal-title":"Int J Occup Med Environ Health"}],"container-title":["BMC Medical Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12909-024-06331-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12909-024-06331-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12909-024-06331-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,26]],"date-time":"2024-11-26T16:11:56Z","timestamp":1732637516000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcmededuc.biomedcentral.com\/articles\/10.1186\/s12909-024-06331-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,26]]},"references-count":18,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["6331"],"URL":"https:\/\/doi.org\/10.1186\/s12909-024-06331-z","relation":{},"ISSN":["1472-6920"],"issn-type":[{"value":"1472-6920","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,26]]},"assertion":[{"value":"25 April 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 November 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 November 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was approved by the IRB ofClalit health service.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The manuscript has not been published elsewhere, has not been evaluated for publication previously by another journal, and was not submitted simultaneously for publication elsewhere.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1377"}}