title: [Career satisfaction of German medical residents after four years of training].
abstract: OBJECTIVE
  To evaluate German residents' career satisfaction and its dependency on intrinsic and extrinsic factors after four years of postgraduate training. Gender, parental status, training conditions and specialty choice were of particular interest.
  
  
  METHODS
  Postal questionnaires were sent to medical graduates from seven different German faculties annually, starting in 2009. This paper presents cross-sectional data of domestic, working and training conditions four years after graduation. We used descriptive statistics and t-tests. In order to identify factors with an impact on career satisfaction, multiple regression analyses were calculated.
  
  
  RESULTS
  Male residents who have children tended to be more satisfied with their career than residents without children. For female residents, however, having children was associated with lower career satisfaction. Those who chose training in general surgery or orthopedic surgery were less satisfied with their career progress. Residents with prolonged specialty training showed lower career satisfaction. Junior doctors who rated the quality of their residency training higher were more satisfied with their career. Those who perceived their job as particularly demanding were less satisfied. Concerning intrinsic factors, occupational self-efficacy and overall satisfaction with life were significantly associated with career satisfaction.
  
  
  CONCLUSIONS
  Residents in general are quite satisfied with their career after four years of training. Opportunities to work part-time during residency as well as structured training programs should be implemented in order to overcome parenthood as a career obstacle for female residents. The quality of specialty training is particularly important for career satisfaction and has to be ensured across specialties.
authors.affiliation: Institut für Allgemeinmedizin, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland.
authors.forename: Farina
authors.initials: F
authors.lastname: Römer
authors.affiliation: Institut für Allgemeinmedizin, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland.
authors.forename: Stine
authors.initials: S
authors.lastname: Ziegler
authors.affiliation: Institut für Allgemeinmedizin, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland.
authors.forename: Martin
authors.initials: M
authors.lastname: Scherer
authors.affiliation: Institut für Allgemeinmedizin, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland. Electronic address: bussche@uke.de.
authors.forename: Hendrik
authors.initials: H
authors.lastname: van den Bussche
mesh_terms: D002321:Career Choice; D003430:Cross-Sectional Studies; D005260:Female; D005858:Germany; D006801:Humans; D007396:Internship and Residency; D007588:Job Satisfaction; D008297:Male; D013337:Students, Medical / Q000523:psychology*; D011795:Surveys and Questionnaires
keywords: Facharztausbildung; Qualität der Weiterbildung; Wahl der Fachdisziplin; Zufriedenheit mit Berufsverlauf/Karriere; career choice; career satisfaction; postgraduate education; quality of postgraduate training; residency; Ärztliche Weiterbildung