Introduction
Materials and methods
Survey strategy
Questionnaire domains
-
Socio-demographic information such as gender, country of work, workplace, specialty as previously explained and marital status;
-
Parenthood issues during training, with a subjective assessment of the way the training rules fit with their parental needs (five-point Likert scale, 1 = completely dissatisfied, 5 = completely satisfied);
-
The presence of trainees’ representative(s) on the board(s) wherein training policies are discussed and the regular implementation of meetings of trainees with their mentors and heads of department;
-
Self-assessment of the quality of the training work environment, whether it is stimulating or not;
-
Leisure time, namely favourite activities (e.g. fitness/sports, family, cinema/theatre, reading/taking courses, other) and the possibility to perform physical exercise as well as volunteer work;
-
Problems in carrying out daily job-related tasks, consisting of three items (three-point Likert scale, 1 = does not present a problem, 3 = this presents a big problem) about unfriendly colleagues, too many management commitments, too many working hours, increasing computerisation, low salary and hostile patients;
-
Mobbing experience (yes/no), namely exposure to threats to professional status and to personal standing (such as motiveless menaces to be downgraded or to be rejected at the final exams), isolation and destabilisation [10];
-
Burnout (defined as a pathological syndrome in which emotional depletion and maladaptive detachment occur because of prolonged occupational stress), consisting of four items (five-point Likert scale, 1 = never, 5 = very often) upon how often respondents feel they are achieving less than deserved, frustrated, misunderstood/unappreciated, worn out [11];
-
Alcohol consumption, meaning how frequently a glass of alcohol is consumed (Likert scale 0–4, 0 = never, 4 = 4 glasses or more a week);
-
Subjective assessment of overall QoL, namely the necessity to work during free time to fulfil work demands (0–4 Likert scale, 0 = never, 4 = nearly every day), whether the workload fits with social and family commitments (0–3 Likert scale, 0 = not very well, 3 = well) and whether respondents regret the specialty they have chosen.
Statistical analysis
Results
Category | Absolute numbers and percentages (%) | |
---|---|---|
Gender | Males | 157 (37.7) |
Females | 259 (62.3) | |
Country (not of origin but where respondents work) | NWE | 146 (35.1) |
SEE | 236 (56.7) | |
EEU | 34 (8.2) | |
Speciality | ID t/ys | 155 (37.3) |
CM t/ys | 191 (45.9) | |
ID/CM t/ys | 44 (10.6) | |
Other | 26 (6.3) | |
Workplace | University centre | 319 (76.7) |
Non-university centre | 97 (23.3) |
Parenthood
Parenthood leave, no. (% yes) | Satisfaction, mean (SD) | Satisfaction univariate analysis* | |||
---|---|---|---|---|---|
F
|
p
| Partial η2
| |||
Gender | |||||
Male (n = 45) | 23 (51.1) | 3.47 (0.99) | (1,126) |
0.038
| 0.034 |
Female (n = 83) | 64 (77.1) | 3.05 (1.13) | 4.38 | ||
p
|
0.003
| ||||
Country of work | |||||
NWE (n = 58) | 47 (81) | 3.24 (1.08) | (1,125) | 0.826 | 0.003 |
SEE (n = 60) | 36 (60) | 3.13 (1.13) | 0.19 | ||
EEU (n = 10) | 4 (40) | 3.30 (1.06) | |||
p
|
0.007
| ||||
Workplace | |||||
University centre (n = 101) | 69 (68.3) | 3.13 (1.11) | (1,126) | 0.184 | 0.014 |
Non-university centre (n = 27) | 18 (66.7) | 3.34 (1.01) | 1.78 | ||
p
| 0.870 | ||||
Speciality | |||||
ID t/ys (n = 50) | 37 (74) | 3.00 (0.99) | (1,124) | 0.219 | 0.035 |
CM t/ys (n = 60) | 41 (68.3) | 3.40 (1.11) | 1.497 | ||
ID/CM t/ys (n = 8) | 3 (37.5) | 3.25 (1.17) | |||
Other (n = 10) | 6 (60) | 2.90 (1.37) | |||
p
| 0.209 |
Representation and work environment
Representation, yes (%) | Meetings with mentors/HD, yes (%) | Stimulating environment, yes (%) | Physical activity, yes (%) | Volunteer work, yes (%) | Mobbing experience, yes (%) | |
---|---|---|---|---|---|---|
Gender | ||||||
Male (n = 157) | NA | NA | 115 (73.7) | 106 (40.2) | 55 (35.0) | 28 (17.8) |
Female (n = 259) | 173 (66.8) | 158 (61.0) | 80 (30.9) | 63 (24.3) | ||
p
| 0.138 | 0.181 | 0.382 | 0.121 | ||
Country of work | ||||||
NWE (n = 146) | 85 (58.2) | 85 (58.2) | 131 (89.7) | 114 (78.1) | 38 (26.0) | 19 (13.0) |
SEE (n = 236) | 74 (31.4) | 82 (34.7) | 130 (55.1) | 129 (54.7) | 77 (32.8) | 68 (28.8) |
EEU (n = 34) | 17 (50.0) | 25 (73.5) | 27 (79.4) | 21 (61.8) | 20 (58.8) | 4 (11.8) |
p
|
<0.001
|
<0.001
|
<0.001
|
<0.001
|
0.001
|
<0.001
|
Workplace | ||||||
University centre (n = 319) | 142 (44.5) | 151 (47.3) | 223 (69.9) | 206 (64.6) | 98 (30.8) | 74 (23.2) |
Non-university centre (n = 97) | 34 (35.1) | 41 (42.3) | 65 (67.7) | 58 (59.8) | 37 (38.1) | 17 (17.5) |
p
| 0.102 | 0.416 | 0.682 | 0.392 | 0.220 | 0.237 |
Speciality | ||||||
ID t/ys (n = 155) | 61 (39.4) | 60 (38.7) | 104 (67.1) | 93 (60.0) | 53 (34.2) | 35 (22.6) |
CM t/ys (n = 191) | 88 (46.1) | 97 (50.8) | 138 (72.6) | 129 (67.5) | 58 (30.4) | 35 (18.3) |
ID/CM t/ys (n = 44) | 17 (38.6) | 19 (43.2) | 30 (68.2) | 28 (63.6) | 12 (27.3) | 16 (36.4) |
Other (n = 26) | 10 (38.5) | 16 (61.5) | 16 (61.5) | 14 (53.8) | 12 (46.2) | 5 (19.2) |
p
| 0.559 | 0.052 | 0.550 | 0.361 | 0.340 | 0.073 |
Leisure time
Mobbing experience
Burnout
Category | No. | Achieving less than deserved | Frustration | Feeling unappreciated | Feeling worn out | |
---|---|---|---|---|---|---|
Gender | Male | 157 | 2.67 (0.99) | 2.94 (1.07) | 2.40 (1.00) | 2.67 (0.99) |
Female | 259 | 2.95 (0.96) | 2.99 (1.00) | 2.55 (0.98) | 2.95 (0.96) | |
Country of work | NWE | 146 | 2.88 (0.94) | 2.74 (0.93) | 2.08 (0.83) | 2.55 (0.85) |
SWE | 236 | 3.43 (1.11) | 3.15 (1.06) | 2.72 (1.01) | 3.03 (1.00) | |
EEU | 34 | 2.85 (1.05) | 2.71 (0.97) | 2.70 (0.85) | 2.79 (1.04) | |
Workplace | University centre | 319 | 3.27 (1.07) | 3.04 (1.01) | 2.56 (1.01) | 2.88 (0.97) |
Non-university centre | 97 | 2.95 (1.08) | 2.73 (1.04) | 2.28 (0.87) | 2.71 (0.99) | |
Speciality | ID t/ys | 155 | 3.41 (1.12) | 3.21 (1.07) | 2.64 (1.07) | 3.02 (1.02) |
CM t/ys | 91 | 3.13 (1.05) | 2.79 (0.93) | 2.39 (0.91) | 2.67 (0.91) | |
ID/CM t/ys | 44 | 2.82 (1.04) | 2.77 (1.03) | 2.32 (0.88) | 2.77 (0.94) | |
Other | 26 | 3.00 (0.89) | 3.23 (1.11) | 2.65 (1.19) | 3.19 (1.02) | |
Total | 416 | 3.19 (1.08) | 2.97 (1.02) | 2.49 (0.99) | 2.84 (0.98) |
Alcohol consumption
Category | No. | Alcohol consumption, mean (SD) | Univariate analysis | |||
---|---|---|---|---|---|---|
F
|
p
| Partial η2
| ||||
Gender | Male | 157 | 1.87 (1.16) | (1,414) 6.05 |
0.014
| 0.014 |
Female | 259 | 1.60 (1.00) | ||||
Country of work | NWE | 146 | 2.02 (1.03) | (1,413) 12.46 |
<0.001
| 0.057 |
SWE | 236 | 1.58 (1.01) | ||||
EEU | 34 | 1.21 (1.27) | ||||
Workplace | University centre | 319 | 1.76 (1.06) | (1,414) 3.46 | 0.063 | 0.008 |
Non-university centre | 97 | 1.53 (1.06) | ||||
Speciality | ID t/ys | 155 | 1.81 (1.03) | (1,412) 1.497 | 0.283 | 0.009 |
CM t/ys | 91 | 1.61 (1.06) | ||||
ID/CM t/ys | 44 | 1.64 (1.12) | ||||
Other | 26 | 1.85 (1.23) | ||||
Total | 416 | 1.70 (1.07) |
Subjective assessment of overall quality of life
Category | No. | Work during free time, mean (SD) | Univariate analysis | Impact of work on personal commitment, mean (SD) | Univariate analysis | |||||
---|---|---|---|---|---|---|---|---|---|---|
F
|
p
| Partial η2
|
F
|
p
| Partial η2
| |||||
Gender | Male | 157 | 2.64 (1.12) | (1,414) 0.05 | 0.831 | 0.000 | 2.29 (1.05) | (1,414) 1.04 | 0.309 | 0.003 |
Female | 259 | 2.62 (1.22) | 2.19 (1.04) | |||||||
Country of work | NWE | 146 | 2.59 (1.10) | (1,413) 0.70 | 0.496 | 0.003 | 2.39 (0.99) | (1,413) 6.59 |
0.002
| 0.031 |
SWE | 236 | 2.62 (1.25) | 2.07 (1.05) | |||||||
EEU | 34 | 2.85 (1.05) | 2.59 (1.08) | |||||||
Workplace | University centre | 319 | 2.70 (1.15) | (1,414) 4.04 |
0.032
| 0.011 | 2.18 (1.03) | (1,414) 2.81 | 0.094 | 0.007 |
Non-university centre | 97 | 2.40 (1.25) | 2.38 (1.09) | |||||||
Speciality | ID t/ys | 155 | 2.97 (1.01) | (1,412) 1.497 |
<0.001
| 0.057 | 1.88 (0.95) | (1,412) 10.92 |
<0.001
| 0.074 |
CM t/ys | 91 | 2.38 (1.21) | 2.50 (1.01) | |||||||
ID/CM t/ys | 44 | 2.41 (1.32) | 2.34 (1.08) | |||||||
Other | 26 | 2.813 (1.23) | 2.08 (1.20) | |||||||
Total | 416 | 3.20 (1.09) | 2.23 (1.05) |