PMID- 36076223
OWN - NLM
STAT- MEDLINE
DCOM- 20220912
LR  - 20221017
IS  - 1472-6920 (Electronic)
IS  - 1472-6920 (Linking)
VI  - 22
IP  - 1
DP  - 2022 Sep 9
TI  - Association between patient care ownership and personal or environmental factors 
      among medical trainees: a multicenter cross-sectional study.
PG  - 666
LID - 10.1186/s12909-022-03730-y [doi]
LID - 666
AB  - BACKGROUND: Patient care ownership (PCO) is crucial to enhancing accountability, 
      clinical skills, and medical care quality among medical trainees. Despite its 
      relevance, there is limited information on the association of personal or 
      environmental factors with PCO, and thus, authors aimed to explore this 
      association. METHODS: In 2021, the authors conducted a multicentered 
      cross-sectional study in 25 hospitals across Japan. PCO was assessed by using the 
      Japanese version of the PCO Scale (J-PCOS). To examine the association between 
      personal (level of training, gender, and department) or environmental factors 
      (hospital size, hospital type, medical care system, number of team members, 
      number of patients receiving care, mean working hours per week, number of 
      off-hour calls per month, and perceived level of the workplace as a learning 
      environment) and PCO after adjusting for clustering within hospitals, the authors 
      employed a linear mixed-effects model. RESULTS: The analysis included 401 
      trainees. After adjusting for clustering within hospitals, it was confirmed that 
      the senior residents had significantly better J-PCOS total scores (adjusted mean 
      difference: 8.64, 95% confidence interval [CI]: 6.18-11.09) than the junior 
      residents and the perceived level of the workplace as a learning environment had 
      a positive association with J-PCOS total scores (adjusted mean difference per 
      point on a global rating of 0-10 points: 1.39, 95% CI: 0.88-1.90). Trainees who 
      received calls after duty hours had significantly higher J-PCOS total scores than 
      those who did not (adjusted mean difference: 2.51, 95% CI: 0.17-4.85). There was 
      no clear trend in the association between working hours and PCO. CONCLUSIONS: 
      Seniority and the perceived level of the workplace as a learning environment are 
      associated with PCO. An approach that establishes a supportive learning 
      environment and offers trainees a reasonable amount of autonomy may be beneficial 
      in fostering PCO among trainees. The study findings will serve as a useful 
      reference for designing an effective postgraduate clinical training program for 
      PCO development.
CI  - (c) 2022. The Author(s).
FAU - Fujikawa, Hirohisa
AU  - Fujikawa H
AD  - Department of Medical Education Studies, International Research Center for 
      Medical Education, Graduate School of Medicine, The University of Tokyo, 7-3-1 
      Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan. hirohisa.fujikawa@gmail.com.
FAU - Son, Daisuke
AU  - Son D
AD  - Department of Medical Education Studies, International Research Center for 
      Medical Education, Graduate School of Medicine, The University of Tokyo, 7-3-1 
      Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
AD  - Department of Community-Based Family Medicine, Faculty of Medicine, Tottori 
      University, Yonago, Tottori, Japan.
FAU - Aoki, Takuya
AU  - Aoki T
AD  - Division of Clinical Epidemiology, The Jikei University School of Medicine, 
      Minato-ku, Tokyo, Japan.
AD  - Section of Clinical Epidemiology, Department of Community Medicine, Graduate 
      School of Medicine, Kyoto University, Sakyo-ku, Kyoto, Japan.
FAU - Eto, Masato
AU  - Eto M
AD  - Department of Medical Education Studies, International Research Center for 
      Medical Education, Graduate School of Medicine, The University of Tokyo, 7-3-1 
      Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20220909
PL  - England
TA  - BMC Med Educ
JT  - BMC medical education
JID - 101088679
SB  - IM
MH  - Cross-Sectional Studies
MH  - Humans
MH  - *Internship and Residency
MH  - Ownership
MH  - Patient Care
PMC - PMC9461127
OTO - NOTNLM
OT  - Duty hour regulation
OT  - Duty hour restriction
OT  - Environmental factors
OT  - Learning environment
OT  - Patient care ownership
OT  - Patient ownership
OT  - Personal factors
OT  - Working hour
OT  - Workplace
COIS- The authors declare no conflict of interest in association with the present 
      study.
EDAT- 2022/09/09 06:00
MHDA- 2022/09/14 06:00
PMCR- 2022/09/09
CRDT- 2022/09/08 23:38
PHST- 2022/03/09 00:00 [received]
PHST- 2022/08/31 00:00 [accepted]
PHST- 2022/09/08 23:38 [entrez]
PHST- 2022/09/09 06:00 [pubmed]
PHST- 2022/09/14 06:00 [medline]
PHST- 2022/09/09 00:00 [pmc-release]
AID - 10.1186/s12909-022-03730-y [pii]
AID - 3730 [pii]
AID - 10.1186/s12909-022-03730-y [doi]
PST - epublish
SO  - BMC Med Educ. 2022 Sep 9;22(1):666. doi: 10.1186/s12909-022-03730-y.