1
|
Morita T, Muroya S, Takahashi O, Ohde S. Factors Associated with Intention to Resign among Medical Residents during the COVID-19 Pandemic in Japan: A Cross-sectional Study. JMA J 2023; 6:292-299. [PMID: 37560358 PMCID: PMC10407254 DOI: 10.31662/jmaj.2023-0004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Accepted: 04/12/2023] [Indexed: 08/11/2023] Open
Abstract
INTRODUCTION The coronavirus disease 2019 (COVID-19) pandemic has significantly affected healthcare workers' mental health worldwide, leading to the intention to resign. Japanese medical residents were no exception to the impact of COVID-19. This study aimed to illustrate how the COVID-19 pandemic affected medical residents' intention to resign. METHODS A cross-sectional study was conducted for Postgraduate Year (PGY)1-5 medical residents in Japan using an internet survey from March 11 to March 18, 2021. During this survey, the Japanese government declared a second-time state of emergency on January 7, 2021, and all restrictions were expanded nationwide until March 21, 2021. Medical residents were categorized into two groups (intention to resign group [IR] or no intention to resign group [NIR]) based on their intention to resign. Multivariate logistic regression analysis was conducted to elucidate the risk factors for the intention to resign. RESULTS 354 medical residents were enrolled in this study (response rate: 40.2%). Ninety-two medical residents (26.0 %) were categorized into IR and 262 (74.0%) into NIR. According to multivariate logistic regression analysis, those who did not have mental support at their hospital had 2.95 times greater chance of intending to resign (Adjusted odds ratio [AOR] = 2.95, 95% confidence interval (CI) [1.42-6.15]). Medical residents who engaged in patients with COVID-19 (AOR = 2.13, 95% Cl [1.08-4.18]) and PGY5 (AOR = 3.38, 95% Cl [1.51-7.56]) had a higher likelihood of intending to resign among residents in all PGY. CONCLUSIONS One in four medical residents intended to resign during the COVID-19 pandemic. Particularly, PGY5 and medical residents who treated patients with COVID-19 were found at risk of having the intention to resign. At times of crisis, such as the COVID-19 epidemic, establishing a mental health support system that targets high-risk residents is critical.
Collapse
Affiliation(s)
- Takako Morita
- Graduate School of Public Health and Clinical Epidemiology St. Luke's International University, Tokyo, Japan
| | - Saki Muroya
- Graduate School of Public Health and Clinical Epidemiology St. Luke's International University, Tokyo, Japan
| | - Osamu Takahashi
- Graduate School of Public Health and Clinical Epidemiology St. Luke's International University, Tokyo, Japan
| | - Sachiko Ohde
- Graduate School of Public Health and Clinical Epidemiology St. Luke's International University, Tokyo, Japan
| |
Collapse
|
2
|
Valladares-Garrido MJ, Zapata-Castro LE, Picón-Reategui CK, Mesta-Pintado AP, Picón-Reategui RA, Huaman-Garcia M, Pereira-Victorio CJ, Valladares-Garrido D, Failoc-Rojas VE. Association between Working Time and Burnout Syndrome in Peruvian Military during the Second Epidemic Wave of COVID-19. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13614. [PMID: 36294208 PMCID: PMC9602622 DOI: 10.3390/ijerph192013614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Revised: 10/09/2022] [Accepted: 10/13/2022] [Indexed: 06/16/2023]
Abstract
There is scant evidence on the impact of the COVID-19 pandemic on burnout in front-line military personnel and how working time may influence on this condition. We aimed to determine the association between working time and Burnout syndrome in military personnel. A cross-sectional study was conducted using secondary data among 576 military personnel from Lambayeque, Peru during the second wave of COVID-19 in 2021. We used the Maslach Burnout Inventory instrument to measure Burnout Syndrome. We evaluated its association with work time, measured as the number of months that the military member worked during the pandemic. The prevalence of burnout syndrome was 9%. Of the total sample, 39.1% and 10.3% presented depersonalization and emotional exhaustion, respectively. Military personnel working for more than 18 months had a 104% higher prevalence of Burnout syndrome (PR: 2.04, 95%CI: 1.02-4.10). Exposure to a prolonged work time during the pandemic increased the prevalence of Burnout syndrome in military personnel. This information helps to understand the potential effects of the pandemic on this population and provides insight into the time the military members would need rest to prevent Burnout syndrome.
Collapse
Affiliation(s)
- Mario J. Valladares-Garrido
- South American Center for Education and Research in Public Health, Universidad Norbert Wiener, Lima 15046, Peru
- Oficina de Epidemiología, Hospital Regional Lambayeque, Chiclayo 14012, Peru
| | - Luis Eduardo Zapata-Castro
- Escuela de Medicina, Universidad Nacional de Piura, Piura 20002, Peru
- Scientific Society of Medical Students, Universidad Nacional de Piura, Piura 20002, Peru
| | | | | | | | | | | | - Danai Valladares-Garrido
- Escuela de Medicina, Universidad Cesar Vallejo, Piura 13001, Peru
- Unidad de Epidemiología y Salud Ambiental, Hospital de Apoyo II Santa Rosa, Piura 20008, Peru
| | - Virgilio E. Failoc-Rojas
- Research Unit for Generation and Synthesis Evidence in Health, Universidad San Ignacio de Loyola, Lima 15024, Peru
| |
Collapse
|
3
|
The Impact of Burnout on Police Officers’ Performance and Turnover Intention: The Moderating Role of Compassion Satisfaction. ADMINISTRATIVE SCIENCES 2022. [DOI: 10.3390/admsci12030092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Burnout should be seen as an important phenomenon influencing the services provided by police forces, due to its high exposure to stressful events. The study sought to examine the impact of burnout on performance and turnover intention of Portuguese police forces, as well as to analyze the moderating effect of compassion satisfaction (CS) on this relationship. Data were collected in 2021 from 1.682 Portuguese police officers, using individual surveys. The results showed that (1) burnout is negatively related to performance; (2) burnout is positively related to turnover intention; (3) CS, although it has a positive effect on performance, does not assume a moderating role, as expected, in the relationship between burnout and performance; (4) CS assumes a moderating role in the relationship between burnout and turnover intention. That is, when a person who still suffers from burnout feels CS, it decreases the intention to leave the organization. The implications and the bearings of this study are discussed and presented regarding the theoretical, empirical and practical perspectives in order to better support both the comprehension of burnout in police officers and offer the best practical recommendations.
Collapse
|
4
|
Nagasaki K, Nishizaki Y, Shinozaki T, Shimizu T, Yamamoto Y, Shikino K, Fukui S, Nishiguchi S, Kurihara M, Kataoka K, Tokuda Y, Kobayashi H. Association between mental health and duty hours of postgraduate residents in Japan: a nationwide cross-sectional study. Sci Rep 2022; 12:10626. [PMID: 35739229 PMCID: PMC9218701 DOI: 10.1038/s41598-022-14952-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Accepted: 06/15/2022] [Indexed: 11/11/2022] Open
Abstract
The new duty hour (DH) limit for doctors in Japan will begin in 2024, setting the maximum DHs for postgraduate residents at approximately 80 h weekly. To set appropriate limits, understanding the association between DHs and psychological health is necessary. Thus, we assessed the relationship between residents' psychological health and DHs. We conducted a cross-sectional study involving examinees of the General Medicine In-training Examination 2020. Mental health outcomes were measured dichotomously using the Patient Health Questionnaire-2 for depression and Mini-Z 2.0, for burnout, stress, and satisfaction. Weekly DHs were measured in seven categories at 10-h intervals. The prevalence ratios (PRs) between the DH categories were estimated for each outcome. Of the 6045 residents who provided data on DHs and psychological outcomes, 37.3% showed signs of depression, 21.6% experienced burn out, and 39.2% were highly stressed. In contrast, 62.3% were highly satisfied with their training. Proportions of burnout were higher among residents in Category 6 (≥ 90 and < 100 h; PR 1.36; 95% CI 1.11-1.66) and Category 7 (≥ 100 h; PR 1.36; 95% CI 1.10-1.68) compared with residents in Category 3 (≥ 60 and < 70 h; reference). The results partially support the weekly 80-h DH limit in terms of resident well-being.
Collapse
Affiliation(s)
- Kazuya Nagasaki
- Department of Internal Medicine, Mito Kyodo General Hospital, University of Tsukuba, 3-2-7, Miyamachi, Mito, Ibaraki, 310-0015, Japan
| | - Yuji Nishizaki
- Division of Medical Education, Juntendo University School of Medicine, Tokyo, Japan
| | - Tomohiro Shinozaki
- Department of Information and Computer Technology, Faculty of Engineering, Tokyo University of Science, Tokyo, Japan
| | - Taro Shimizu
- Department of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Tochigi, Japan
| | - Yu Yamamoto
- Division of General Medicine, Center for Community Medicine, Jichi Medical University, Tochigi, Japan
| | - Kiyoshi Shikino
- Department of General Medicine, Chiba University Hospital, Chiba, Japan
| | - Sho Fukui
- Immuno-Rheumatology Center, St. Luke's International Hospital, Tokyo, Japan
| | - Sho Nishiguchi
- Department of General Internal Medicine, Shonan Kamakura General Hospital, Kamakura, Japan
| | - Masaru Kurihara
- Department of Patient Safety, Nagoya University Hospital, Aichi, Japan
| | - Koshi Kataoka
- Division of Medical Education, Juntendo University School of Medicine, Tokyo, Japan
| | | | - Hiroyuki Kobayashi
- Department of Internal Medicine, Mito Kyodo General Hospital, University of Tsukuba, 3-2-7, Miyamachi, Mito, Ibaraki, 310-0015, Japan.
| |
Collapse
|
5
|
Xu Q, Wang M, Wu Y, Qin K, Li Y, You X, Ji M. Linkage of calling and burnout among Chinese airline pilots: The role of psychological capital and organizational identification. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2022; 29:902-910. [PMID: 35659499 DOI: 10.1080/10803548.2022.2086756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Objectives. The burnout of airline pilots has an extremely adverse impact on their physical and mental state, work efficiency, and the safe operation of airlines, and is thus an important issue in occupational safety and health. Therefore, it is crucial to identify the factors that may reduce burnout among airline pilots. Drawing on conservation of resources theory, the present study investigates the relationships between calling, psychological capital, organizational identification and burnout in order to understand the mechanisms underlying pilot burnout. Method. A cross-sectional survey was conducted to measure calling, psychological capital, organizational identification and burnout among a sample consisting of 242 Chinese commercial airline pilots (Mage = 31.60 years, SDage = 6.44). Correlation analysis, mediation analysis and moderated analysis were conducted. Results. The results showed that calling has a direct and negative effect on pilot burnout, and an indirect effect on burnout through influencing psychological capital. Moreover, organizational identification was found to positively moderate the negative relationship between calling and pilot burnout. Conclusion. This study contributes to deepening the theoretical research on burnout, and provides empirical evidence for effective intervention in the burnout of airline pilots, which is beneficial to reduce pilot human error and ensure flight safety. Future research directions are also discussed.
Collapse
Affiliation(s)
- Quan Xu
- School of Psychology, Shaanxi Normal University, Xi'an, Shaanxi 710062, China.,Shaanxi Provincial Key Laboratory of Behavior and Cognitive Neuroscience, Xi'an, Shaanxi 710062, China
| | - Mengyun Wang
- School of Psychology, Shaanxi Normal University, Xi'an, Shaanxi 710062, China.,Shaanxi Provincial Key Laboratory of Behavior and Cognitive Neuroscience, Xi'an, Shaanxi 710062, China
| | - Yaoliang Wu
- School of Psychology, Shaanxi Normal University, Xi'an, Shaanxi 710062, China.,Shaanxi Provincial Key Laboratory of Behavior and Cognitive Neuroscience, Xi'an, Shaanxi 710062, China.,Flight Department, China Eastern Airline Ltd. Anhui Branch, Hefei, Anhui 230031, China
| | - Kuiyuan Qin
- School of Psychology, Shaanxi Normal University, Xi'an, Shaanxi 710062, China.,Shaanxi Provincial Key Laboratory of Behavior and Cognitive Neuroscience, Xi'an, Shaanxi 710062, China
| | - Yuan Li
- School of Psychology, Shaanxi Normal University, Xi'an, Shaanxi 710062, China.,Shaanxi Provincial Key Laboratory of Behavior and Cognitive Neuroscience, Xi'an, Shaanxi 710062, China
| | - Xuqun You
- School of Psychology, Shaanxi Normal University, Xi'an, Shaanxi 710062, China.,Shaanxi Provincial Key Laboratory of Behavior and Cognitive Neuroscience, Xi'an, Shaanxi 710062, China
| | - Ming Ji
- School of Psychology, Shaanxi Normal University, Xi'an, Shaanxi 710062, China.,Shaanxi Provincial Key Laboratory of Behavior and Cognitive Neuroscience, Xi'an, Shaanxi 710062, China
| |
Collapse
|
6
|
Kreuzfeld S, Felsing C, Seibt R. Teachers' working time as a risk factor for their mental health - findings from a cross-sectional study at German upper-level secondary schools. BMC Public Health 2022; 22:307. [PMID: 35164735 PMCID: PMC8845294 DOI: 10.1186/s12889-022-12680-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Accepted: 01/31/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The work of teachers has changed due to an increase in the range of tasks. However, there is a lack of current information on working hours, task distribution and the possible health effects. METHODS For the first time for Germany as a whole, a cross-sectional survey determined how long teachers at upper-level secondary schools work per week, what influences their working hours and how different recording methods affect the total working hours. To this end, 6,109 full-time teachers estimated their working hours based on twelve categories and then documented these daily over 4 weeks. Afterwards, the effects of long working hours on teachers' ability to recover and emotional exhaustion were analysed. RESULTS The article shows the large interindividual variance in the working hours of teachers and a significant influence of sex, age, and subject profile. Self-reported working hours varied substantially by method used to record working time with work time reported via daily diaries totaling 2 h per week more than hours recorded by a single estimation. A substantial proportion of the teachers (36%) work longer per week than European guidelines allow (> 48 h); 15% work even more than 55 h per week. Teachers who work more than 45 h per week suffer more often from inability to recover (46%) and emotional exhaustion (32%) than teachers who work less than 40 h per week (26% and 22% respectively). CONCLUSIONS Taking professional experience and teaching subjects into account could in future contribute to a fairer distribution of workload among teachers. This could protect individual teachers from long working hours, ensure sufficient recovery and also reduce the risk of emotional exhaustion. In order to identify teachers whose health is at risk at an early stage, voluntary preventive care offers would be considerably helpful.
Collapse
Affiliation(s)
- Steffi Kreuzfeld
- Institute for Preventive Medicine of the Rostock University Medical Center, St.-Georg-Str. 108, D-18055, Rostock, Germany.
| | - Christoph Felsing
- Institute for Preventive Medicine of the Rostock University Medical Center, St.-Georg-Str. 108, D-18055, Rostock, Germany
| | - Reingard Seibt
- Institute for Preventive Medicine of the Rostock University Medical Center, St.-Georg-Str. 108, D-18055, Rostock, Germany
| |
Collapse
|
7
|
Paradis KC, Ryan KA, Schmid S, Moran JM, Laucis A, Chapman CH, Bott-Kothari T, Prisciandaro JI, Simiele S, Balter JM, Matuszak MM, Narayana V, Jagsi R. A qualitative investigation of resilience and well-being among medical physics residents. J Appl Clin Med Phys 2022; 23:e13554. [PMID: 35128786 PMCID: PMC8906227 DOI: 10.1002/acm2.13554] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2021] [Revised: 11/11/2021] [Accepted: 01/19/2022] [Indexed: 11/11/2022] Open
Abstract
Purpose Medical physics residents (MPRs) will define and shape the future of physics in medicine. We sought to better understand the residency experience, as related to resilience and well‐being, through the lens of current MPRs and medical physicists (MPs) working with residents. Methods and materials From February–May 2019, we conducted 32, 1‐h, confidential, semi‐structured interviews with MPs either currently enrolled in an accredited residency (n = 16) or currently employed by a department with an accredited residency (n = 16). Interviews centered on the topics of mentorship, work/life integration, and discrimination. Qualitative analysis methods were used to derive key themes from the interview transcripts. Results With regard to the medical physics residency experience, four key themes emerged during qualitative analysis: the demanding nature of medical physics residencies, the negative impacts of residency on MPRs during training and beyond, strategies MPRs use to cope with residency stress, and the role of professional societies in addressing residency‐related change. Conclusions Residency training is a stress‐inducing time in the path to becoming a board‐certified MP. By uncovering several sources of this stress, we have identified opportunities to support the resiliency and well‐being of MPs in training through recommendations by professional societies, programmatic changes, and interventions at the department and residency program director level for residency programs, as well as strategies that MPRs themselves can use to support well‐being on their career journey.
Collapse
Affiliation(s)
- Kelly C Paradis
- Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan, USA
| | - Kerry A Ryan
- Center for Bioethics and Social Science in Medicine, University of Michigan, Ann Arbor, Michigan, USA
| | - Spencer Schmid
- Center for Bioethics and Social Science in Medicine, University of Michigan, Ann Arbor, Michigan, USA
| | - Jean M Moran
- Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York City, New York, USA
| | - Anna Laucis
- Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan, USA
| | - Christina H Chapman
- Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan, USA
| | - Terri Bott-Kothari
- Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan, USA
| | - Joann I Prisciandaro
- Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan, USA
| | - Samantha Simiele
- Department of Radiation Physics, MD Anderson Cancer Center, University of Texas, Houston, Texas, USA
| | - James M Balter
- Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan, USA
| | - Martha M Matuszak
- Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan, USA
| | - Vrinda Narayana
- Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan, USA
| | - Reshma Jagsi
- Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan, USA.,Center for Bioethics and Social Science in Medicine, University of Michigan, Ann Arbor, Michigan, USA
| |
Collapse
|
8
|
Tejero LMS, Seva RR, Fadrilan-Camacho VFF. Factors Associated With Work-Life Balance and Productivity Before and During Work From Home. J Occup Environ Med 2021; 63:1065-1072. [PMID: 34560760 PMCID: PMC8630924 DOI: 10.1097/jom.0000000000002377] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
OBJECTIVES Considering the prevailing work from home (WFH) arrangement globally due to COVID-19, this paper aims to compare job-related and psychosocial factors before and during WFH setup; and to determine the relationship of these factors to work-life balance (WLB) and productivity. METHODS A total 503 employees from 46 institutions answered the online questionnaire, 318 of whom met the inclusion criteria. Paired t test and structural equation modeling (SEM) with multigroup analysis were used for the statistical analyses. RESULTS Psychological detachment (PD), sleep, stress, social support (SS), WLB, and productivity declined during WFH. SEM showed that PD significantly influenced stress and sleep, subsequently affecting productivity. SS significantly helped the participants maintain WLB. CONCLUSION The key to increasing productivity and WLB during WFH is to foster PD and SS among employees.
Collapse
Affiliation(s)
- Lourdes Marie S Tejero
- Technology Transfer and Business Development Office, University of the Philippines Manila (UPM) (Dr Tejero); UPM College of Nursing (Dr Tejero); Industrial and Systems Engineering, Gokongwei College of Engineering, De La Salle University (Dr Seva); Department of Environmental and Occupational Health, College of Public Health (Dr Fadrilan-Camacho), University of the Philippines Manila, Manila, Philippines
| | | | | |
Collapse
|
9
|
Tecklenburg J, Meyer R, Krey I, Schlegelberger B. Career satisfaction of German human genetics residents. MED GENET-BERLIN 2021; 33:343-351. [PMID: 38835436 PMCID: PMC11006326 DOI: 10.1515/medgen-2021-2103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2024]
Abstract
Objectives The aim of this survey was to investigate the career satisfaction of human genetics residents in Germany and to analyse the influence of intrinsic and extrinsic factors. Methods We developed an online survey for the evaluation of a broad range of factors concerning the situation of human genetics residents in Germany using validated questionnaires and adding human genetics specific items to them. Human genetics residents working at institutions with an authorization for specialist training were asked to participate in the online survey. To analyse the situation of specialist training in human genetics and the influence of multiple factors on career satisfaction, descriptive statistics, mean descriptive statistics and comparisons of mean values as well as multiple linear regression analyses were carried out. Results Of the 71 institutions contacted, 41 (58 %) provided feedback and reported the number of 114 residents in human genetics. In total, 58 residents completed the questionnaire (50.9 %). Overall career satisfaction was high with a mean score of 30.8 (scale ranging from 8-40). Factors significantly influencing career satisfaction were general life satisfaction, occupational self-efficacy expectations and content with the doctors entitled to the specialty training. Except for the reduced perception to achieve their professional goals expressed by women with children, career satisfaction was influenced by neither gender nor parental status, other sociodemographic factors, variables concerning the personal professional life and the residency in general, the subjective perceived workload nor the site of specialist training. Participation in research activities differed significantly between male and female residents. The residents' assessment of their own professional prospects and the prospects of the subject were consistently positive, even though residents consider the current requirement planning by the GB-A for human geneticists as inappropriate and believe that human genetics is not yet firmly anchored as a specialist discipline in the consciousness of other medical colleagues and the general public. Conclusions Career satisfaction of German human genetics residents is generally high and mainly influenced by life satisfaction, occupational self-efficacy expectations and quality of the specialist training. In contrast to other specialties career satisfaction seems to be independent from gender or parental status even though male residents were significantly more often involved in research activities. In order to keep human genetics residents in the specialty, measures that enable balanced professional and care work as well as continuous improvement of specialist education, e. g. through the implementation of structured curricula and continuing education of the doctors entitled to specialist training, is of great importance.
Collapse
Affiliation(s)
- Johanna Tecklenburg
- Institut für Humangenetik, Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1, 30625 Hannover, Germany
| | - Robert Meyer
- Institut für Humangenetik, Universitätsklinikum Aachen, Pauwelsstraße 30, 52074 Aachen, Germany
| | - Ilona Krey
- Institut für Humangenetik, Universitätsklinikum Leipzig, Philipp-Rosenthal-Str. 55, 04103 Leipzig, Germany
| | - Brigitte Schlegelberger
- Institut für Humangenetik, Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1, 30625 Hannover, Germany
| |
Collapse
|