5%) responded that they would not choose to be an emergency physician; no statistical analysis of satisfaction was carried out. To our knowledge, this is the first study to investigate satisfaction with residency training and work among emergency medicine residents in Japan. I-BET-762
Previous studies have examined career satisfaction among hospitalists as well as internists; however, none has focused on emergency residents in Japan. This study examined 67 emergency medicine residents using a questionnaire. In a survey conducted in 2007, it was estimated that there were over 415 emergency physicians and 112 emergency medicine residents enrolled in Anglo-American model emergency medicine residency programs in Japan. The absolute number of emergency medicine residents remains small; therefore, the number of Anglo-American model emergency medicine residents studied in our investigation was relatively high. We found that the residents with high levels of career satisfaction were less likely to have an intention to change their specialty (P?<?0.01). In contrast, we observed no significant association with a high residency satisfaction and the intention to change specialty (P?=?0.33), suggesting that residency satisfaction in the absence of career satisfaction <a href="http://www.selleckchem.com/products/Trichostatin-A.html
">check details may lead residents to gravitate away from emergency medicine. Studies in the USA have revealed that physicians with lower career satisfaction tend to retire earlier in their career;[6-11] Landon et?al. demonstrated that this tends to be two or three times more likely than in those with a higher career satisfaction. Thus, improving career satisfaction appears to be an important issue for the continuing emergency physician retention problem. The stress reduction factor was a significant predictor for career satisfaction, suggesting that a low-stress working environment is important. The factor loading for ��relationships with physicians from other specialties�� from the stress reduction factor was found to be high (0.914). This may be due to the many stressors present, such as difficulties in obtaining consultations and disagreements in management between emergency physicians and other specialists. As the Anglo-American model of emergency medicine involves patient management in cooperation with many Selleck Sorafenib
specialists, an environment where obtaining that support is difficult, unsurprisingly, results in susceptibility to stress and can harm career satisfaction. These issues cannot be resolved through the efforts of residents alone but require intervention through management policies and by senior administrators of emergency services in hospitals. Furthermore, the stress reduction factor was a significant factor in residency satisfaction; therefore, an improvement of this factor could be important in enhancing satisfaction. Univariate analysis of respondent attributes indicated that marital status might affect satisfaction.