Table 1. Demographics and Work Conditions Data.

From: Work Style Reform for Pediatric Residents

2019 (n = 37) 2024 (n = 34) p-Value
Age, years 29 (28-31) 28 (27-30) NA
Male 45.9 (17) 44.1 (15) NA
Married 29.7 (11) 29.4 (10) NA
1st year resident 32.4 (12) 32.4 (11) NA
2nd year resident 27.0 (10) 29.4 (10) NA
3rd year resident 29.7 (11) 32.4 (11) NA
PGY, years 4 (3 to 5) 4 (3 to 5) NA
Work time, hours/week 69.0 (63.0-72.0) 64.0 (60.0-69.0) 0.04§
Night or holiday shiftwork,
times/month††
5 (4-5) 4 (4-5) 0.002§
4.8 ± 0.9 4.0 ± 1.2
Off-duty days, days/month†† 4 (3-5) 4 (4-5) 0.07§
4.1 ± 1.1 4.5 ± 0.9
Compliance with daytime off before nightwork 70.3 (26) 85.3 (29) 0.16¶
after nightwork 64.9 (24) 91.2 (31) 0.01¶
Table 2. Mental Wellness and Patient Care Ownership.

From: Work Style Reform for Pediatric Residents

2019 (n = 37) 2024 (n = 34) p-Value
CES-D
Residents with CES-D ≥ 16 21.6 (8) 20.6 (7) 0.55§
CES-D score 10.0 (5.0-14.0) 7.5 (5.3-13.0) 0.55¶
MBI
Emotional exhaustion 12.0 (10.0-14.0) 7.0 (4.0-10.0) <0.001¶
Depersonalization 9.0 (8.0-10.0) 2.0 (1.3-5.0) <0.001¶
Personal accomplishment 17.0 (14.0-19.0) 12.0 (9.3-15.0) <0.001¶
Table 3. Multivariable Regression Analyses with Mental Wellness Scales as Outcome Variables for Participants in 2019 and 2024 (n = 71).

From: Work Style Reform for Pediatric Residents

Outcome variable CES-D MBI-Emotional exhaustion
Explanatory variable β (95% CI) p-Value β (95% CI) p-Value
Investigation year −0.08 (−3.8 to 3.5) 0.97 4.7 (2.7 to 6.7) <0.001
Age 0.4 (−0.6 to 1.4) 0.47 0.3 (−0.3 to 0.9) 0.29
Sex 1.1 (−2.3 to 4.5) 0.52 −0.9 (−2.7 to 1.0) 0.36
Married§ −1.5 (−5.0 to 2.0) 0.39 0.7 (−1.2 to 2.6) 0.48
Resident year 0.5 (−1.7 to 2.7) 0.66 0.5 (−0.7 to 1.7) 0.42
Work time 0.16 (−0.1 to 0.4) 0.15 0.1 (0.0 to 0.2) 0.06
Night or holiday shiftwork 0.1 (−1.5 to 1.7) 0.89 0.5 (−0.4 to 1.4) 0.25
Off-duty days 1.6 (−0.1 to 3.2) 0.06 0.8 (−0.1 to 1.7) 0.09
Daytime off before night work −1.8 (−6.3 to 2.7) 0.43 −0.6 (−3.1 to 1.8) 0.61
Daytime off after nightwork 0.0 (−4.5 to 4.5) 1.00 2.0 (−0.4 to 4.5) 0.10
Outcome variable MBI-Depersonalization MBI-Personal accomplishment
Explanatory variable β (95% CI) p-Value β (95% CI) p-Value
Investigation year 5.9 (43 to 7.5) <0.001 4.8 (2.3 to 7.2) <0.001
Age 0.2 (−0.2 to 0.7) 0.28 −0.2 (−1.0 to 0.5) 0.49
Sex 0.1 (−1.4 to 1.6) 0.89 0.2 (−2.2 to 2.5) 0.89
Married§ −0.1 (−1.6 to 1.4) 0.90 0.3 (−2.0 to 2.7) 0.77
Resident year 0.3 (−0.7 to 1.3) 0.51 0.3 (−1.2 to 1.9) 0.66
Work time 0.0 (−0.1 to 0.1) 0.39 0.0 (−0.2 to 0.1) 0.66
Night or holiday shiftwork 0.2 (−0.5 to 0.9) 0.57 −0.3 (−1.4 to 0.8) 0.62
Off-duty days 0.6 (−0.1 to 1.4) 0.09 −0.4 (−1.5 to 0.8) 0.50
Daytime off before night work 0.8 (−1.2 to 2.7) 0.45 −1.8 (−4.8 to 1.3) 0.25
Daytime off after nightwork 0.8 (−1.2 to 2.7) 0.44 0.1 (−3.0 to 3.1) 0.97
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