Table 1. Demographic Characteristics of the Resident Physicians
Variable Time 1 (n = 39) Time 2 (n = 27) Time 3 (n = 21)
Mean Age (SD) 26.0 (2.2) 26.6 (2.6) 27.4 (2.7)
  n (%) n (%) n (%)
Levels of training      
  PGY1 24 (61.5) 18 (66.7) 12 (57.1)
PGY2 15 (38.5) 9 (33.3) 9 (42.9)
Sex PGY1 PGY2 PGY1 PGY2 PGY1 PGY2
  Male 9 (37.5) 10 (66.7) 3 (16.7) 6 (66.7) 1 (8.3) 7 (77.8)
Female 15 (62.5) 5 (33.3) 15 (83.3) 3 (33.3) 11 (91.7) 2 (22.2)
Graduating school            
OU 16 (66.7) 6 (40.0) 12 (66.7) 3 (33.3) 9 (75.0) 5 (55.6)
  Others 8 (33.3) 9 (60.0) 6 (33.3) 6 (66.7) 3 (25.0) 4 (44.4)
Living environment            
Alone 14 (58.3) 12 (80.0) 10 (55.6) 8 (88.9) 5 (41.7) 7 (77.8)
Alone with relatives nearby 4 (16.7) 0 4 (22.2) 0 4 (33.3) 0
  Together with someone 6 (25.0) 3 (20.0) 4 (22.2) 1 (11.1) 3 (25.0) 2 (22.2)
Marital Status            
Single 20 (83.3) 15 (100) 15 (83.3) 9 (100) 9 (75.0) 1 (11.1)
  Married 4 (16.7) 0 3 (16.7) 0 3 (25.0) 8 (88.9)
Department of Training            
Internal Medicine, OU 12 (50.0) 1 (6.7) 4 (22.2) 0 4 (33.3) 0
Surgery and ED, OU 3 (12.5) 1 (6.7) 1 (5.6) 0 2 (16.7) 1 (11.1)
Others, OU 9 (37.5) 4 (26.7) 6 (33.3) 2 (22.2) 1 (8.3) 4 (44.4)
Internal Medicine, Away 0 2 (13.3) 3 (16.7) 5 (55.6) 1 (8.3) 1 (11.1)
Surgery and ED, Away 0 3 (20.0) 2 (11.1) 0 3 (25.0) 1 (11.1)
  Others, Away 0 4 (26.7) 2 (11.1) 2 (22.2) 1 (8.3) 2 (22.2)
Training Facility            
OUH 24 (100) 6 (40.0) 11 (61.1) 2 (22.2) 6 (50.0) 5 (55.6)
Community Hospital, Okayama 0 9 (60.0) 7 (38.9) 4 (44.4) 5 (41.7) 1 (11.1)
  Community Hospital, Others 0 0 0 3 (33.3) 1 (8.3) 3 (33.3)
Preferred Specialty            
Internal Medicine 4 (16.7) 3 (20.0) 2 (11.1) 2 (22.2) 0 3 (33.3)
Surgery 0 3 (20.0) 0 2 (22.2) 0 4 (44.4)
Others 8 (33.3) 4 (26.7) 7 (38.9) 3 (33.3) 6 (50.0) 2 (22.2)
  Not Determined 12 (50.0) 5 (33.3) 9 (50.0) 2 (22.2) 6 (50.0) 0
Burnout            
Positive 4 (16.7) 3 (20.0) 4 (22.2) 2 (22.2) 5 (41.7) 2 (22.2)
Negative 20 (83.3) 12 (80.0) 14 (77.8) 7 (77.8) 7 (58.3) 7 (78.8)
Average working hours per week [95% CI] 57.8 [54.7, 61.0] 60.9 [54.1, 67.7] 59.7 [53.7, 65.6] 61.7 [49.7, 73.6] 55.9 [48.5, 63.4] 55.7 [46.8, 64.8]
Average hours of sleep [95% CI] 6.08 [5.84, 6.32] 6.20 [5.61, 6.79] 6.06 [5.76, 6.35] 5.89 [5.32, 6.46] 6.08 [5.48, 6.69] 6.22 [5.75, 6.70]
PHQ-9 [95% CI] 4.04 [2.81, 5.28] 4.40 [1.91, 6.89] 5.67 [3.40, 7.93] 5.67 [0.64, 10.7] 5.58 [2.95, 8.22] 4.56 [0.31, 8.80]
MBI-HSS [95% CI]            
Emotional Exhaustion (EE) 14.0 [10.3, 17.6] 16.1 [11.3, 21.0] 19.2 [13.5, 25.0] 18.6 [11.3, 25.8] 22.2 [15.5, 28.8] 15.9 [9.05, 22.7]
Depersonalization (DP) 2.25 [0.91, 3.59] 5.00 [2.08, 7.92] 4.56 [2.77, 6.34] 5.00 [1.78, 8.22] 7.25 [3.30, 11.2] 4.67 [2.46, 6.87]
    Personal Accomplishment (PA) 25.9 [22.2, 29.5] 29.2 [24.3, 34.1] 25.6 [20.5, 30.6] 30.9 [23.6, 38.2] 28.1 [22.3, 33.9] 26.0 [18.6, 33.4]
JSE [95% CI] 116 [111, 120] 112 [102, 121] Not assessed Not assessed

Time 1, April 2017; Time 2, October 2017; Time 3, March 2018 SD: standard deviation; OU: Okayama University; ED: Emergency Department; OUH: Okayama University Hospital; PHQ-9: Patient Health Questionnaire-9; MBI-HSS: Maslach Burnout Inventory-Human Services Survey; EE: Emotional Exhaustion; DP: Depersonalization; PA: Personal Accomplishment; JSE: Jefferson Scale of Empathy

Int J Med Educ. 2019; 10:129-135; doi: 10.5116/ijme.5caf.53ad