Residency and career satisfaction among ER-style emergency medicine residents in Japan

DOI 1 Citations 22 References
  • Hagiwara Yusuke
    School of Public Health, The University of Tokyo Japanese Emergency Medicine Research Alliance (JEMRA)
  • Hasegawa Kohei
    Massachusetts General Hospital, Brigham & Women's Hospital, Harvard Affiliated Emergency Medicine Residency Japanese Emergency Medicine Research Alliance (JEMRA)
  • Watase Hiroko
    Oregon Master of Public Health, Epidemiology and Bipstatistics Japanese Emergency Medicine Research Alliance (JEMRA)
  • Chiba Takuyo
    Department of Emergency Medicine, Obama Municipal Hospital Japanese Emergency Medicine Research Alliance (JEMRA)

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  • ＥＲ型救急医を目指す救急後期研修医の職業・研修満足度調査

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Background & Purpose: The number of institutions providing ER-style emergency medicine has increased with the rise in its social demand. The ER Committee of the Japanese Association for Acute Medicine then presented a residency model of ER-style emergency medicine. Despite the critical importance of its quality, no studies have examined Japanese emergency medicine residents' satisfaction in their training. This study investigated their residency and career satisfaction, and factors associated with satisfaction.<BR>Objectives & Methods: We developed a cross-sectional, anonymous survey. Data were obtained from 67 ER-style emergency medicine residents in Japan in February 2010. Data were analyzed with factor analysis and multivariable analysis with a logistic regression model.<BR>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 4 factors (working condition factor, stress reducing factor, training system factor, education factor). Logistic regression analysis revealed that training system factors were significantly associated with high residency satisfaction (odds ratio (OR) 2.9, 95% confidence interval (CI) 1.2-8.4) and stress reducing factors were significantly associated with high career satisfaction (OR 3.0, 95%CI 1.2-8.4). 28.8% reported intentions to switch the specialty. The intention was not significantly associated with low residency satisfaction (OR 1.7, 95%CI 0.6-5.0), but associated with low career satisfaction (OR 5.1, 95%CI 1.6-16.0).<BR>Conclusion: Interventions on training system and stress 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.

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