Stress and its association with working efficiency of junior doctors during three postgraduate residency training programs

Figures & data

Table 1 Demographic information of participants (resident trainees)

Participants	n (%)
Sex
Male	191 (60.1)
Female	127 (39.9)
Marital status
Unmarried	151 (47.5)
Married	167 (52.5)
Specialties
Emergency medicine	41 (12.9)
Family medicine	114 (35.8)
Internal medicine	163 (51.3)
Residency years (levels)
Year 1 (R-1)	102 (32.1)
Year 2 (R-2)	82 (25.8)
Year 3 (R-3)	85 (26.7)
Year 4 (R-4)	49 (15.4)
Stress level
No	94 (29.6)
Mild	87 (27.4)
Moderate	65 (20.4)
Severe	72 (22.6)

Table 2 Overall stress level in medical residency trainees

Participants	No n (%)	Yes n (%)	χ^2 P-value
Sex
Male	59 (30.9)	132 (69.1)	0.52
Female	35 (27.6)	92 (72.4)	0.406
Marital status
Unmarried	40 (26.5)	111 (73.5)	1.30
Married	54 (32.3)	113 (67.7)	0.254
Specialties
Emergency medicine	8 (19.5)	33 (80.5)	6.42
Family medicine	43 (37.7)	71 (62.3)	0.040
Internal medicine	43 (26.4)	120 (73.6)
Residency years (levels)
Year 1 (R-1)	15 (14.7)	87 (85.3)	26.25
Year 2 (R-2)	20 (24.4)	62 (75.6)	0.0001
Year 3 (R-3)	35 (41.2)	50 (58.8)
Year 4 (R-4)	24 (49.0)	25 (51.0)

Table 3 Associations between stress levels and different variables

Categories	No stress (%)	Mild stress (%)	OR (95% CI)	P-value	Moderate stress (%)	OR (95% CI)	P-value	Severe stress (%)	OR (95% CI)	P-value
Sex
Male	59 (30.9)	48 (25.1)	1		38 (19.9)	1		46 (24.1)	1.05 (0.56–1.98)	0.882
Female	35 (27.6)	39 (30.7)	1.37 (0.76–2.48)	0.300	27 (21.3)	1.20 (0.63–2.28)	0.585	26 (20.5)	1
Marital status
Unmarried	40 (26.5)	41 (27.2)	1.20 (0.67–2.16)	0.537	31 (20.5)	1.23 (0.66–2.32)	0.522	39 (25.8)	1.60 (0.86–2.96)	0.139
Married	54 (32.3)	46 (27.5)	1		34 (20.4)	1		33 (19.8)	1
Specialties
Emergency medicine	8 (19.5)	4 (9.8)	1		9 (22.0)	2.55 (0.85–7.60)	0.094	20 (48.8)	5.57 (2.12–15.10)	0.001
Family medicine	43 (37.7)	3 (28.9)	1.53 (0.42–5.54)	0.513	19 (16.7)	1		19 (16.7)	1
Internal medicine	43 (26.4)	50 (30.7)	2.33 (0.65–8.26)	0.190	37 (22.7)	1.95 (0.97–3.90)	0.061	33 (20.2)	1.74 (0.86–3.52)	0.125
Residency levels
R-1	15 (14.7)	22 (21.6)	3.20 (1.21–8.44)	0.019	22 (21.6)	5.87 (2.93–17.79)	0.002	43 (42.2)	11.15 (4.35–28.51)	0.000
R-2	20 (24.4)	27 (32.9)	2.95 (1.17–7.38)	0.021	23 (28.0)	4.60 (1.56–13.50)	0.006	12 (14.6)	2.33 (0.84–6.50)	0.105
R-3	35 (41.2)	27 (31.8)	1.68 (0.70–4.02)	0.240	14 (16.5)	1.60 (0.53–4.75)	0.397	9 (10.6)	1
R-4	24 (49.0)	11 (22.4)	1		6 (12.2)	1		8 (16.3)	1.30 (0.44–3.84)	0.639

Abbreviations: OR, odds ratio; CI, confidence interval.

Table 4 Stress level and its associations with working efficiency and general health problem

Parameters	No (%)	Stress level		χ^2 P-value
		Mild (%)	. mild (%)
Inefficient day activities
0 day	57 (43.8)	40 (30.8)	33 (25.4)	42.62
1–3 days	36 (21.7)	45 (27.1)	85 (51.2)	<0.0001
4–6 days	0 (0.0)	2 (15.4)	11 (84.6)
≥7 days	0 (0.0)	1 (11.1)	8 (88.9)
Absent days from workplace
0 day	15 (50.0)	10 (33.3)	5 (16.7)	49.63
1–3 days	65 (40.6)	43 (26.9)	52 (32.5)	<0.0001
4–6 days	12 (15.8)	21 (27.6)	43 (56.6)
≥7 days	2 (3.8)	13 (25.0)	37 (71.2)
General health problems
None of the time	23 (52.3)	11 (25.0)	10 (22.7)	52.90
Little of the time	61 (39.9)	40 (26.1)	52 (34.0)	<0.0001
Some of the time	9 (9.2)	32 (32.7)	57 (58.2)
Most of the time	1 (4.3)	4 (17.4)	18 (78.3)