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Strategies that aim to improve work situations and decrease occupational stress are necessary to reduce burnout, including health education, health promotion, and occupational training programs.īurnout is defined as “a syndrome of exhaustion, cynicism and low professional efficacy”. These findings suggest that occupational stress is strongly related to burnout among hospital doctors in China. Variables that predicted a low perceived professional efficacy included: high psychological job demands, low coworker support, high extrinsic effort, low decision authority, low reward, and dissatisfaction with doctor-patient relationship. Variables that predicted a high level of cynicism included: high extrinsic effort, low reward, dissatisfaction with doctor-patient relationship, high overcommitment, low decision authority, low supervisor support, and low skill discretion. In descending order of standardized estimates, variables that predicted a high level of emotional exhaustion included: high extrinsic effort, dissatisfaction with doctor-patient relationship, high overcommitment, working >40 h per week, low reward, and high psychological job demands. The burnout mean scores were 11.46 (7.51) for emotional exhaustion, 6.93 (5.15) for cynicism, and 24.07 (9.50) for professional efficacy. A general linear regression model was applied to analyze the factors associated with burnout. Of the doctors solicited for enrollment, 1,202 returned the completed questionnaire (555 men, 647 women), giving a response rate of 74.3%. Data were collected on the respondents’ demographic characteristics and work situations. Occupational stress was measured using the Chinese versions of the Job Content Questionnaire and the Effort-Reward Imbalance Questionnaire. Burnout was measured using the Chinese version of the Maslach Burnout Inventory-General Survey. The study population consisted of 1,618 registered hospital doctors from Liaoning province of China. Investigation of these factors is important to improve the health of doctors and the quality of healthcare services in China. However, there is a paucity of research exploring the factors related to burnout among Chinese doctors. In reflecting these FY2s’ thoughts, we highlight what aspects of supervision are important to them and detail aspects which were well favoured.ĭata were collected from focus groups to generate key themes of supervision which were then used to formulate a questionnaire.Burnout has been a major concern in the field of occupational health. Our work captured the experiences and opinions of UK trainee doctors in their second year of training (Foundation year 2 (FY2)) who had experience of working in internal medicine. There is however limited information on the views of junior doctors on what works best in practice, which could inform administrators. 3 The pragmatics of supervision delivery are currently determined by the supervisors administering it who tend to be senior doctors with significant time commitments and therefore a knowledge of trainee preferences is useful when allocating time and effort. 1 2 Though the principles of good supervision are well described, 3 4 there is some uncertainty expressed by doctors as to the purpose of supervision and how its objectives should be achieved. Junior doctor supervision is vitally important for trainee development and best patient care.