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Table 3 Prospective associations between training and working conditions and intention to leave clinical practice after residency training

From: The impact of training and working conditions on junior doctors’ intention to leave clinical practice

 

Model 1

Model 2

Model 3

 

OR

(95% CI)

OR

(95% CI)

OR

(95% CI)

Covariates

      

Intention to leave t1

4.01***

(3.17–5.08)

4.20***

(3.29–5.37)

4.08***

(3.21–5.19)

Age t1

1.03

(0.84–1.26)

1.05

(0.84–1.31)

1.05

(0.85–1.30)

Gender

0.95

(0.65–1.39)

0.95

(0.63–1.43)

0.94

(0.63–1.40)

Year of Residency t1

1.08

(0.89–1.31)

1.14

(0.93–1.40)

1.10

(0.90–1.34)

Training conditions

      

baseline training conditions (between effect)

      

Structured residency training t1

0.72**

(0.57–0.92)

  

0.74*

(0.58–0.95)

Professional support t1

0.95

(0.74–1.23)

  

1.01

(0.76–1.36)

Dealing with lack of knowledge t1

0.69**

(0.54–0.88)

  

0.74*

(0.57–0.97)

change of training conditions (within effect)

      

Structured residency training

0.84*

(0.70–0.99)

  

0.87

(0.72–1.04)

Professional support

0.82*

(0.68–0.98)

  

0.91

(0.74–1.10)

Dealing with lack of knowledge

0.76**

(0.64–0.90)

  

0.84

(0.70–1.01)

Working conditions

      

baseline working conditions (between effect)

      

Job autonomy t1

  

0.82

(0.64–1.04)

0.89

(0.70–1.14)

Social support t1

  

0.70**

(0.55–0.90)

0.85

(0.65–1.11)

Work overload t1

  

1.11

(0.86–1.42)

1.02

(0.78–1.33)

change of working conditions (within effect)

      

Job autonomy

  

0.75**

(0.62–0.90)

0.77**

(0.64–0.92)

Social support

  

0.76**

(0.64–0.91)

0.88

(0.73–1.07)

Work overload

  

1.25*

(1.05–1.50)

1.17

(0.98–1.41)

Log Likelihood (LL)

−889.2

 

−887.4

 

−879.4

 

Akaike information criterion (AIC)

1808.4

 

1804.8

 

1800.8

 
  1. Observations = 1004; doctors = 557; 95% CI = 95% confidence interval; OR = odds ratio; *p < .05, **p < .01, ***p < .001.