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

Medisauskaite, A., Alexander, K., Rich, A. , Knight, L., Adesalu, O. & Silkens, M. ORCID: 0000-0001-8279-1341 (2023). To stay or go? A mixed methods study of psychiatry trainees’ intentions to leave training. Journal of Workplace Behavioral Health, 39(1), pp. 48-66. doi: 10.1080/15555240.2023.2210286


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.

Publication Type: Article
Additional Information: ©2023 The Author(s). Published with license by Taylor & Francis Group, LLC.This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, providedthe original work is properly cited. The terms on which this article has been published allow the posting of the AcceptedManuscript in a repository by the author(s) or with their consent.JOURNAL OF WORKPLACE BEHAVIORAL HEALTH
Publisher Keywords: Burnout; intentions toleave; job demands andresources; professionalcommitment; psychiatry
Subjects: B Philosophy. Psychology. Religion > BF Psychology
H Social Sciences > HD Industries. Land use. Labor
L Education > LB Theory and practice of education
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Departments: School of Health & Psychological Sciences > Healthcare Services Research & Management
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Available under License Creative Commons: Attribution International Public License 4.0.

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