title: [Career Satisfaction of Medical Residents in Portugal].
abstract: BACKGROUND
  The satisfaction with the medical profession has been identified as an essential factor for the quality of care, the wellbeing of patients and the healthcare systems' stability. Recent studies have emphasized a growing discontent of physicians, mainly as a result of changes in labor relations.
  
  
  OBJECTIVE
  To assess the perception of Portuguese medical residents about: correspondence of residency with previous expectations; degree of satisfaction with the specialty, profession and place of training; reasons for dissatisfaction; opinion regarding clinical practice in Portugal and emigration intents.
  
  
  METHODS
  Cross-sectional study. Data collection was conducted through the "Satisfaction with Specialization Survey", created in an online platform, designed for this purpose, between May and August 2014.
  
  
  RESULTS
  From a total population of 5788 medical residents, 804 (12.25 %) responses were obtained. From this sample, 77% of the responses were from residents in the first three years. Results showed that 90% of the residents are satisfied with their specialty, 85% with the medical profession and 86% with their place of training. Nevertheless, results showed a decrease in satisfaction over the final years of residency. The overall assessment of the clinical practice scenario in Portugal was negative and 65% of residents have plans to emigrate after completing their residency.
  
  
  CONCLUSIONS
  Portuguese residents revealed high satisfaction levels regarding their profession. However, their views on Portuguese clinical practice and the results concerning the intent to emigrate highlight the need to take steps to reverse this scenario.
authors.affiliation: Faculdade de Psicologia e Ciências da Educação. Universidade de Coimbra. Coimbra. Portugal.
authors.forename: Maria João
authors.initials: MJ
authors.lastname: Martins
authors.affiliation: Serviço de Oftalmologia. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal. Faculdade de Medicina da Universidade de Coimbra. Coimbra. Portugal.
authors.forename: Inês
authors.initials: I
authors.lastname: Laíns
authors.affiliation: Serviço de Cardiologia. Centro Hospitalar do Porto. Porto. Portugal.
authors.forename: Bruno
authors.initials: B
authors.lastname: Brochado
authors.affiliation: Serviço de Cardiologia A. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.
authors.forename: Manuel
authors.initials: M
authors.lastname: Oliveira-Santos
authors.affiliation: Serviço de Cardiologia. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.
authors.forename: Pedro Pinto
authors.initials: PP
authors.lastname: Teixeira
authors.affiliation: Serviço de Oncologia Médica. Instituto Português de Oncologia Francisco Gentil. Porto. Portugal.
authors.forename: Mariana
authors.initials: M
authors.lastname: Brandão
authors.affiliation: Serviço de Cirurgia Cardiotorácica. Centro Hospitalar São João. Porto. Portugal. Departamento de Fisiologia e Cirurgia Cardiotorácica. Faculdade de Medicina da Universidade do Porto. Porto. Portugal.
authors.forename: Rui João
authors.initials: RJ
authors.lastname: Cerqueira
authors.affiliation: Serviço de Cirurgia Vascular. Centro Hospitalar de São João. Porto. Portugal.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Castro-Ferreira
authors.affiliation: Serviço de Gastroenterologia. Hospital de Santo António dos Capuchos. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.
authors.forename: Carlos
authors.initials: C
authors.lastname: Bernardes
authors.affiliation: Serviço de Cardiologia. Hospital de Santa Maria. Centro Hospitalar de Lisboa Norte. Lisboa. Portugal.
authors.forename: Miguel Nobre
authors.initials: MN
authors.lastname: Menezes
authors.affiliation: Serviço de Medicina. Hospital da Luz. Lisboa. Portugal.
authors.forename: Bernardo Soares
authors.initials: BS
authors.lastname: Baptista
authors.affiliation: Serviço de Cardiologia. Centro Hospitalar de Vila Nova de Gaia/Espinho. Vila Nova de Gaia. Portugal. Unidade de Investigação Cardiovascular. Faculdade de Medicina. Universidade do Porto. Porto. Portugal.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Ladeiras-Lopes
authors.affiliation: Serviço de Neurologia. Centro Hospitalar Entre o Douro e Vouga. Santa Maria da Feira. Portugal.
authors.forename: Mariana Cruz
authors.initials: MC
authors.lastname: Rei
authors.affiliation: Serviço de Medicina Interna. Centro Hospitalar de São João. Porto. Portugal.
authors.forename: Gilberto Pires da
authors.initials: GP
authors.lastname: Rosa
authors.affiliation: Serviço de Cardiologia. Centro Hospitalar do Baixo Vouga. Aveiro. Portugal.
authors.forename: José Luís
authors.initials: JL
authors.lastname: Martins
authors.affiliation: Serviço de Dermatologia. Hospital de Santa Maria. Centro Hospitalar de Lisboa Norte. Lisboa. Portugal.
authors.forename: Maria
authors.initials: M
authors.lastname: Mendonça Sanches
authors.affiliation: Serviço de Cirurgia Cardiotorácica. Centro Hospitalar São João. Porto. Portugal. Serviço de Oncologia Cirúrgica. Instituto Português de Oncologia Francisco Gentil. Porto. Portugal.
authors.forename: Manuel J
authors.initials: MJ
authors.lastname: Ferreira-Pinto
authors.affiliation: Serviço de Dermatovenerologia. Hospital Distrital de Santarém. Santarém. Portugal.
authors.forename: Margarida
authors.initials: M
authors.lastname: Rato
authors.affiliation: Serviço de Dermatovenerologia. Centro Hospitalar de São João. Porto. Portugal.
authors.forename: Miguel
authors.initials: M
authors.lastname: Costa e Silva
authors.affiliation: Departamento de Ginecologia e Obstetrícia. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa. Portugal.
authors.forename: Catarina
authors.initials: C
authors.lastname: Policiano
authors.affiliation: Departamento de Oftalmologia. Centro Hospitalar de São João. Porto. Portugal.
authors.forename: João
authors.initials: J
authors.lastname: Beato
authors.affiliation: Departamento de Oftalmologia. Centro Hospitalar de São João. Porto. Portugal.
authors.forename: João
authors.initials: J
authors.lastname: Barbosa-Breda
authors.affiliation: Serviço de Urologia. Hospital de Braga. Braga. Portugal. Instituto de Ciências da Vida e da Saúde. Universidade do Minho. Braga. Portugal.
authors.forename: João Pimentel
authors.initials: JP
authors.lastname: Torres
authors.affiliation: Departamento de Ãâtica e Deontologia Médica. Faculdade de Medicina de Lisboa. Lisboa. Portugal. Serviço de Oftalmologia. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa. Portugal.
authors.forename: Inês
authors.initials: I
authors.lastname: Leal
authors.affiliation: Serviço de Gastroenterologia. Hospital de Santo António dos Capuchos. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.
authors.forename: Sílvia Aguiar
authors.initials: SA
authors.lastname: Rosa
authors.affiliation: Serviço de Ginecologia/Obstetrícia. Hospital de Braga. Braga. Portugal.
authors.forename: Bárbara Carvalho
authors.initials: BC
authors.lastname: Ribeiro
authors.affiliation: Serviço de Radiologia. Hospital de São João. Porto. Portugal.
authors.forename: Francisco Rego
authors.initials: FR
authors.lastname: Costa
authors.affiliation: Serviço de Gastroenterologia. Hospital Beatriz ÃÇngelo. Loures. Portugal.
authors.forename: Carolina
authors.initials: C
authors.lastname: Palmela
authors.affiliation: Serviço de Gastroenterologia. Centro Hospitalar do Alto Ave. Guimarães. Portugal.
authors.forename: Tiago Cúrdia
authors.initials: TC
authors.lastname: Gonçalves
authors.affiliation: Serviço de Cardiologia. Centro Hospitalar do Porto. Porto. Portugal.
authors.forename: Luis
authors.initials: L
authors.lastname: Morais
authors.affiliation: Department of Psychosis Studies. Institute of Psychiatry, Psychology and Neuroscience. KingÂ´s College. London. United Kingdom.
authors.forename: Tiago Reis
authors.initials: TR
authors.lastname: Marques
mesh_terms: D003430:Cross-Sectional Studies; D006801:Humans; D007396:Internship and Residency; D007588:Job Satisfaction; D008511:Medicine; D011174:Portugal; D057566:Self Report