[Subjectively Experienced Workload during Continuing Education in General Medicine and Demands on a Competence Center: A Cross-Sectional Study from Saxony-Anhalt]. / Subjektiv erlebte Arbeitsbelastung in der Weiterbildung Allgemeinmedizin und Anforderungen an ein Kompetenzzentrum ­ eine Querschnittsstudie aus Sachsen-Anhalt.

AIM OF THE STUDY: The expectations of trainees in training at Centers of Excellence are still partly unclear. Recent studies demonstrated the negative impact of high workload and stress on young doctors' mental health, a problem since the start of their careers. From trainees' point of view, are there differences in subjective occupational stress between inpatient and outpatient care sectors? How does a high subjective workload of general medicine trainees affect the demands made on the Centers of Excellence? METHOD: Design: cross-sectional study from March to June 2017 in Saxony-Anhalt Sample: every general medicine trainee registered with the KOSTA (n=221) Questionnaire: self-developed; content: demands on a Center of Excellence, sociodemographic parameters, biography of qualification, evaluation of previous postgraduate training in inpatient and outpatient care sectors, questionnaire about effort-reward-imbalance (ERI). RESULTS: In total, 73 responses from the trainees were received (33.0%). Every single response was included in the analysis. Occupational stress was specified on an averaging index from 1 (lowest) to 4 (highest). Higher workload was reported in the inpatient care sector (inpatient: 2.8 vs. outpatient: 2.1, p<0.01). The subjective workload was significantly increased by the amount of overtime work (inpatient: η²=18.3%, p=0.02, outpatient: η²=28.3%, p<0.01). Persons with above-average occupational stress tended to express a higher need for complete planning of qualification (percentage difference d%=0.31), mentoring (d%=0.15) and informal exchange with colleagues (d%=0.19). Trainees' feeling of occupational stress was proved to be independent of personal and demographic characteristics. CONCLUSION: General practice trainees need more mentoring with higher levels of occupational stress. This has to be considered when individual consulting is offered.