The following is a summary of “Factors in the turnover intention of cardiothoracic surgery residents,” published in the November 2023 issue of Cardiology by Yu et al.

The escalating trend of cardiothoracic surgery residents prematurely leaving their training programs necessitates an in-depth investigation into the factors contributing to this turnover intention. This study delves into the interplay between the training environment and individual psychological aspects influencing turnover intentions among 57 Korean cardiothoracic surgery residents. The research variables encompassed depression, anxiety, grit, empathy, working conditions, the presence of supportive discussions, burnout, and turnover intention.

Employing descriptive statistical analysis, correlation analysis, and structural equation modeling, the study revealed compelling insights. Foremost, burnout emerged as the most pivotal factor significantly linked to turnover intention. Furthermore, burnout exerted a mediating effect, intricately intertwined with depression, sustained interest (grit), and working conditions, influencing turnover intention. Additionally, empathy and the availability of supportive discussions exhibited direct impacts on turnover intention. Notably, grit and work satisfaction indirectly influenced turnover intention through their association with burnout.

Identifying individual and systemic determinants for fostering an optimal training milieu is imperative to mitigate cardiothoracic surgery residents’ inclination to leave their residency programs. The study emphasizes the significance of addressing personal and organizational aspects to enhance residents’ contentment with their career choices. Implementing tailored human resource development programs geared towards alleviating negative emotions such as burnout and depression while fostering empathy among residents is recommended.

Furthermore, the pivotal role of program directors is underscored, emphasizing the necessity for their comprehensive education and training to proficiently oversee residents’ education and welfare and act as mentors and role models within the training program. Such initiatives are pivotal in curbing turnover intentions and bolstering satisfaction among cardiothoracic surgery residents in their chosen career paths.

Source: nature.com/articles/s41598-023-46588-w