Zeng Zixuan, Lu Zhanghong, Zeng Xiaoping, Gan Yong, Jiang Jiahui, Chen You, Huang Lei
Department of Psychiatry, Tongji Hospital, School of Medicine, Tongji University, Shanghai, China.
Teaching Office, Renmin Hospital of Wuhan University, Wuhan, China.
Front Med (Lausanne). 2024 Aug 29;11:1413126. doi: 10.3389/fmed.2024.1413126. eCollection 2024.
Shortage and high turnover intention rate of physicians are concerning problems in China. Professional identity has been shown as an influential factor for physicians' turnover intention. Enhancing physicians' professional identity in their early phase of career, standardized residency training program (SRTP), may help reduce the turnover rate. This study aimed to investigate the current status of professional identity and explore its associated psychosocial factors among Chinese SRTP trainees, hoping to provide evidence in strengthening the available medical human resources in China.
The final sample was comprised of 2,267 Chinese SRTP trainees in this cross-sectional survey conducted from 9 March to 20 March in 2023. Descriptive statistics were calculated. Bivariate analyses and hierarchical multiple linear regression were used to analyze potential associated factors of Chinese SRTP trainees' professional identity.
The average score of respondents' professional identity was 47.68 (standard deviation, SD = 8.61). Results from hierarchical multiple linear regression analysis showed that being married ( = 0.066, < 0.01), having work experience before SRTP ( = 0.036, < 0.05), being satisfied with annual income ( = 0.062, < 0.01), psychological distress ( = -0.144, < 0.001), depersonalization ( = -0.053, < 0.05), emotional exhaustion ( = -0.380, < 0.001) and resilience ( = 0.169, < 0.001) were associated with professional identity ( = 114.301, < 0.001). All associated factors can explain 41.1% of the variance in professional identity, and individual psychological variables make up a substantial portion (28.6%) of this influence.
Individual psychological variables are strongly associated with professional identity. Helping SRTP trainees reduce psychological distress, alleviate burnout and enhance resilience may be effective ways to promote the formation of their professional identity.
医生短缺和高离职意愿率是中国令人担忧的问题。职业认同感已被证明是影响医生离职意愿的一个因素。在医生职业生涯早期强化其职业认同感的标准化住院医师培训项目（SRTP），可能有助于降低离职率。本研究旨在调查中国SRTP学员的职业认同感现状，并探索其相关的社会心理因素，希望为加强中国现有的医疗人力资源提供依据。
在2023年3月9日至3月20日进行的这项横断面调查中，最终样本包括2267名中国SRTP学员。计算描述性统计量。采用双变量分析和分层多元线性回归分析中国SRTP学员职业认同感的潜在相关因素。
受访者职业认同感的平均得分为47.68（标准差，SD = 8.61）。分层多元线性回归分析结果显示，已婚（β = 0.066，p < 0.01）、在SRTP之前有工作经验（β = 0.036，p < 0.05）、对年收入满意（β = 0.062，p < 0.01）、心理困扰（β = -0.144，p < 0.001）、去人格化（β = -0.053，p < 0.05）、情感耗竭（β = -0.380，p < 0.001）和心理韧性（β = 0.169，p < 0.001）与职业认同感相关（F = 114.301，p < 0.001）。所有相关因素可解释职业认同感变异的41.1%，个体心理变量在这一影响中占很大比例（28.6%）。
个体心理变量与职业认同感密切相关。帮助SRTP学员减轻心理困扰、缓解职业倦怠并增强心理韧性可能是促进其职业认同感形成的有效途径。
