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To stay or go? A mixed methods study of psychiatry trainees’ intentions to leave training

Medisauskaite, Asta; Alexander, Kirsty; Rich, Antonia; Knight, Laura; Adesalu, Oluseyi; Silkens, Milou EWM; (2023) To stay or go? A mixed methods study of psychiatry trainees’ intentions to leave training. Journal of Workplace Behavioral Health 10.1080/15555240.2023.2210286. Green open access

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Abstract

This mixed methods research study aimed to test a tailored version of the job demands-resources (JD-R) model to uncover what factors contribute to psychiatry trainees’ intentions to leave their training and how. A Web-based survey measured psychiatry trainees’ work conditions, well-being, occupational commitment, and intentions to leave training. The results were analyzed using structural equation modeling featuring validated constructs. Narrative interviews were analyzed using thematic analysis following the tailored JD-R model. Of 159 current London trainees who completed the questionnaire, 22.1% were thinking a lot about leaving training. Trainees with higher job demands, fewer resources, and less ability to detach from their work experienced higher burnout levels. More engaged and less burned-out trainees were more committed to their occupation and less inclined to leave training. The interviews identified that trainees’ decision to leave was not linear and took time to make. Trainees found their work environment challenging and reported reduced well-being and rethinking their career paths. The JD-R model is a useful tool to understand how medical trainees’ job demands and resources need to be balanced to maintain their well-being and, in turn, how this affects their commitment to the occupation and training.

Type: Article
Title: To stay or go? A mixed methods study of psychiatry trainees’ intentions to leave training
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/15555240.2023.2210286
Publisher version: https://doi.org/10.1080/15555240.2023.2210286
Language: English
Additional information: � 2023 The Author(s). Published with license by Taylor & Francis Group, LLC. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http:// creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.
Keywords: Burnout; intentions to leave; job demands and resources; professional commitment; psychiatry
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > UCL Medical School
URI: https://discovery.ucl.ac.uk/id/eprint/10171278
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