SHM Converge Scientific Abstract ePoster Gallery-Spontaneous Case Sharing Among Residents: A Protective Factor Against Burnout and Predictor of Clinical Competence

Spontaneous Case Sharing Among Residents: A Protective Factor Against Burnout and Predictor of Clinical Competence

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This study examined whether spontaneous peer-to-peer case sharing among Japanese medical residents is associated with less burnout and better clinical competence. The authors noted that, under Japan’s stricter work-hour regulations, resident education must become more efficient and low-resource learning methods are increasingly important.<br /><br />The analysis included 6,063 PGY-1 and PGY-2 residents from 633 teaching hospitals who took the 2022 General Medicine In-Training Exam and completed a survey. Hospitals were mostly rural (67.5%), and the sample was mostly male (68.1%). The main exposure was whether residents reported spontaneous case sharing with peers. Outcomes were burnout, measured by the Japanese Mini-Z Single-Item Burnout Scale, and clinical competence, measured by GM-ITE scores. Multivariable regression adjusted for demographic, workload, and institutional factors.<br /><br />Spontaneous case sharing was common and was independently associated with lower burnout and higher GM-ITE scores. It was also more likely among female residents, residents who studied 60–90 minutes per day, and those with around 60 duty hours per week. It was less common in urban hospitals and university hospitals.<br /><br />The authors conclude that informal case discussion among residents may be an effective, low-cost educational strategy. Encouraging spontaneous case sharing alongside traditional case conferences could help reduce burnout while preserving or improving educational quality, especially in rural or non-academic settings.

Asset Subtitle

Kazuteru Murakoshi

Meta Tag

Author List Kazuteru Murakoshi, Taiju Miyagami, Toshio Naito, Yasuharu Tokuda, Yuji Nishizaki

Category Research

Concept Spontaneous Peer-to-Peer Case Sharing

Concept Clinician Burnout

Concept Legal Competency

Concept GM-ITE Score

Distinguished Non-Finalist

Presenter Organization Juntendo University Hospital

Presenting Author Kazuteru Murakoshi

Track Communication

Keywords

spontaneous case sharing

resident burnout

clinical competence

Japanese medical residents

peer-to-peer learning

General Medicine In-Training Exam

resident education

low-resource learning

rural hospitals

work-hour regulations

Spontaneous Peer-to-Peer Case Sharing

Clinician Burnout

Legal Competency

GM-ITE Score