To stay or go? A mixed methods study of psychiatry trainees’ intentions to leave training

Asta Medisauskaite*, Kirsty Alexander, Antonia Rich, Laura Knight, Oluseyi Adesalu, Milou E.W.M. Silkens

*Corresponding author for this work

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This mixed methods research study aimed to test a tailored version of the job demands-resources (JD-R) model to uncover what factors contribute to psychiatry trainees’ intentions to leave their training and how. A Web-based survey measured psychiatry trainees’ work conditions, well-being, occupational commitment, and intentions to leave training. The results were analyzed using structural equation modeling featuring validated constructs. Narrative interviews were analyzed using thematic analysis following the tailored JD-R model. Of 159 current London trainees who completed the questionnaire, 22.1% were thinking a lot about leaving training. Trainees with higher job demands, fewer resources, and less ability to detach from their work experienced higher burnout levels. More engaged and less burned-out trainees were more committed to their occupation and less inclined to leave training. The interviews identified that trainees’ decision to leave was not linear and took time to make. Trainees found their work environment challenging and reported reduced well-being and rethinking their career paths. The JD-R model is a useful tool to understand how medical trainees’ job demands and resources need to be balanced to maintain their well-being and, in turn, how this affects their commitment to the occupation and training.

Original languageEnglish
Pages (from-to)48-66
Number of pages19
JournalJournal of Workplace Behavioral Health
Issue number1
Early online date1 Jun 2023
Publication statusPublished - 2024

Bibliographical note

This work was supported by the Royal College of Psychiatry and Health Education
England (Award No. 179756).

Publisher Copyright:
© 2023 The Author(s). Published with license by Taylor & Francis Group, LLC.


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