<p>Knowledge on case sharing among healthcare professionals, its determinants, and its association with clinical competence and burnout among Japanese resident physicians remains limited. We compared background characteristics between resident physicians who did and who did not share voluntarily their own clinical cases and examined the associations between case sharing with burnout and clinical competence—based on the General Medicine In-Training Examination [GM-ITE<sup>®</sup>] score. The presence or absence of case sharing was assessed using a questionnaire item, asking, “Do you share your own clinical cases with resident colleagues for learning or educational purposes?” Participants responded YES or NO. Of the 6,063 resident physicians, 4,635 (76.4%) reported sharing their cases. The case-sharing group tended to be women and had more emergency department duties and longer daily study times. The overall burnout prevalence was 17.8% and was significantly lower in the case-sharing group; furthermore, GM-ITE<sup>®</sup> scores were slightly higher in the case-sharing group. Residents who engaged in case sharing also reported greater clinical and educational engagement. While causal relationships cannot be inferred, these findings highlight the potential relevance of informal peer-to-peer case sharing during residency training.</p>

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Background characteristics and burnout of Japanese resident physicians who did and did not share voluntary clinical cases

  • Taiju Miyagami,
  • Yuji Nishizaki,
  • Miwa Sekine,
  • Amane Endo,
  • Taro Shimizu,
  • Yu Yamamoto,
  • Kiyoshi Shikino,
  • Kohta Katayama,
  • Kazuya Nagasaki,
  • Hiroyuki Kobayashi,
  • Katie Raffel,
  • Takashi Watari,
  • Toshio Naito,
  • Yasuharu Tokuda

摘要

Knowledge on case sharing among healthcare professionals, its determinants, and its association with clinical competence and burnout among Japanese resident physicians remains limited. We compared background characteristics between resident physicians who did and who did not share voluntarily their own clinical cases and examined the associations between case sharing with burnout and clinical competence—based on the General Medicine In-Training Examination [GM-ITE®] score. The presence or absence of case sharing was assessed using a questionnaire item, asking, “Do you share your own clinical cases with resident colleagues for learning or educational purposes?” Participants responded YES or NO. Of the 6,063 resident physicians, 4,635 (76.4%) reported sharing their cases. The case-sharing group tended to be women and had more emergency department duties and longer daily study times. The overall burnout prevalence was 17.8% and was significantly lower in the case-sharing group; furthermore, GM-ITE® scores were slightly higher in the case-sharing group. Residents who engaged in case sharing also reported greater clinical and educational engagement. While causal relationships cannot be inferred, these findings highlight the potential relevance of informal peer-to-peer case sharing during residency training.