Association of off-the-job training with work performance and work–family conflict among physicians: a cross-sectional study in China

Xiaoyu Wang; Hua Qin; Yimei Zhu; Zixin Wang; Beizhu Ye; Xi Zhu; Yuan Liang

doi:10.1136/bmjopen-2021-053280

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Association of off-the-job training with work performance and work–family conflict among physicians: a cross-sectional study in China

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Association of off-the-job training with work performance and work–family conflict among physicians: a cross-sectional study in China

Xiaoyu Wang, Hua Qin, Yimei Zhu, Zixin Wang, Beizhu Ye, Xi Zhu and Yuan Liang

BMJ open, Vol.12(1), pp.e053280-e053280

01/11/2022

DOI: 10.1136/bmjopen-2021-053280

PMCID: PMC8753420

PMID: 35017246

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Abstract

ObjectivesTo determine whether experiences of off-the-job training in domestic (DT) and overseas study (OS) settings are associated with work performance and work–family conflict in physicians.Design, setting and participantsWe conducted a national cross-sectional survey in 77 public hospitals across seven provinces in China between July 2014 and April 2015. Participants were 3182 physicians.ExposureParticipants were categorised into four groups: none, DT only, OS only and DT and OS.Primary outcome measuresWork performance was assessed by work engagement, career attrition and patient-centred care. Work–family conflict was assessed by affecting care for family, feeling guilty towards family and receiving complaints from family.ResultsA total of 25.89% participants had experienced DT only, 8.71% OS only and 8.47% DT and OS. After adjustment for potential confounders, participants who had experiences of DT and OS compared with those with no training were more likely to report positive work performance (pride in work: OR=2.11, 95% CI: 1.43 to 3.10; enjoyment of work: OR=1.67, 95% CI: 1.11 to 2.51; turnover intention: OR=0.54, 95% CI: 0.38 to 0.77; early retirement: OR=0.63, 95% CI: 0.45 to 0.89; and exhaustion: OR=0.66, 95% CI: 0.45 to 0.98) and less work–family conflicts (feeling guilty towards family: OR=0.51, 95% CI: 0.35 to 0.74; and complaints from family: OR=0.66, 95% CI: 0.47 to 0.91). We found no obvious association between DT/OS experience with patient-centred care.ConclusionsPhysicians with DT and OS experiences are more likely to have better work performance and less work–family conflict than those without such experience. Physicians face increasing pressure to pursue continuing education and experience associated distress. Therefore, hospitals and government policy-makers should promote DT and OS.

education & training (see medical education & training)

Health policy

international health services

medical education & training

organisational development

Details

Title: Subtitle: Association of off-the-job training with work performance and work–family conflict among physicians: a cross-sectional study in China
Creators: Xiaoyu Wang - Huazhong University of Science and Technology
Hua Qin - Huazhong University of Science and Technology
Yimei Zhu - University of Leicester
Zixin Wang - Chinese University of Hong Kong
Beizhu Ye - Zhengzhou University
Xi Zhu - Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, California, USA
Yuan Liang - Huazhong University of Science and Technology
Resource Type: Journal article
Publication Details: BMJ open, Vol.12(1), pp.e053280-e053280
DOI: 10.1136/bmjopen-2021-053280
PMID: 35017246
PMCID: PMC8753420
NLM abbreviation: BMJ Open
ISSN: 2044-6055
eISSN: 2044-6055
Publisher: British Medical Journal Publishing Group
Grant note: 71273098 / National Natural Science Foundation of China (http://dx.doi.org/10.13039/501100001809)
Language: English
Date published: 01/11/2022
Academic Unit: Health Management and Policy
Record Identifier: 9984364443902771

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