Qualitative research for searching for the stressor of junior resident in Japan

概要

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In Europe and America, it is reported that residents develops burnout syndrome or depression by their stress, and these are connected with dropouts from their training program and undesirable outcomes of the patients such as unethical practice. Recently, though resident's poor working conditions and death from overwork, etc. become problems also in Japan.But, Japanese resident's stressor is uncertain. 1) Focus group interview was executed for 25 junior residents in 10 facilities, and their stressor were explored. 2) As a result, three cateogories ; physiological stressor as one human being, stressor as a new member of society, and stressor as a trainee doctor and beginner novice doctor was extracted. 3) Three stressors were named the life gap, the society gap, and the profession gap respectively. The stressor of junior resident was described as the product what was born by the gap of medical student and becoming a doctor. 4) Japanese residents have various stressors. Stressor as a trainee doctor was a stressor peculiar to Japanese junior residents. 5) Stress management should be done considering such a stressor in the light of safety and effective clinical training.
日本医学教育学会の論文