Assessing the relation between career satisfaction in psychiatry with lifelong learning and scientific activity

Afonso, Pedro; Ramos, Maria do Rosário; Saraiva, Sérgio Henriques; Moreira, C.A.; Figueira, Maria Luísa

doi:10.1016/j.psychres.2014.03.044

Cited by 19 publications

(18 citation statements)

References 28 publications

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“…As demonstrated by many studies, professionalism is central to the practice of medicine because of its close associations with improvements in physician-patient relationships, patient satisfaction, health care professionals’ career satisfaction, and even healthcare outcomes [4–7]. The core components of medical professionalism require that all medical professionals commit to organize and deliver health care, to implement trust within patients and the public, and to self-monitor and improve in their respective fields [8–11].…”

Section: Introductionmentioning

confidence: 99%

Assessing medical professionalism: A systematic review of instruments and their measurement properties

Ding

Zhang

et al. 2017

PLoS ONE

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BackgroundOver the last three decades, various instruments were developed and employed to assess medical professionalism, but their measurement properties have yet to be fully evaluated. This study aimed to systematically evaluate these instruments’ measurement properties and the methodological quality of their related studies within a universally acceptable standardized framework and then provide corresponding recommendations.MethodsA systematic search of the electronic databases PubMed, Web of Science, and PsycINFO was conducted to collect studies published from 1990–2015. After screening titles, abstracts, and full texts for eligibility, the articles included in this study were classified according to their respective instrument’s usage. A two-phase assessment was conducted: 1) methodological quality was assessed by following the COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN) checklist; and 2) the quality of measurement properties was assessed according to Terwee’s criteria. Results were integrated using best-evidence synthesis to look for recommendable instruments.ResultsAfter screening 2,959 records, 74 instruments from 80 existing studies were included. The overall methodological quality of these studies was unsatisfactory, with reasons including but not limited to unknown missing data, inadequate sample sizes, and vague hypotheses. Content validity, cross-cultural validity, and criterion validity were either unreported or negative ratings in most studies. Based on best-evidence synthesis, three instruments were recommended: Hisar’s instrument for nursing students, Nurse Practitioners’ Roles and Competencies Scale, and Perceived Faculty Competency Inventory.ConclusionAlthough instruments measuring medical professionalism are diverse, only a limited number of studies were methodologically sound. Future studies should give priority to systematically improving the performance of existing instruments and to longitudinal studies.

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Section: Introductionmentioning

confidence: 99%

Assessing medical professionalism: A systematic review of instruments and their measurement properties

Ding

Zhang

et al. 2017

PLoS ONE

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“…It is unclear whether different practice types contribute positively to satisfaction. Rural female physicians in particular report lower job satisfaction than their male or urban counterparts [27] and academic physicians report greater job satisfaction than their non-academic colleagues [11, 28, 29]. The impact of physician satisfaction on patient care has also been investigated [7].…”

Section: Introductionmentioning

confidence: 99%

Canadian family physician job satisfaction - is it changing in an evolving practice environment? An analysis of the 2013 National Physician Survey database

2018

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BackgroundTo explore the determinants of job satisfaction and work-life balance satisfaction of family physicians in Canada.MethodsThis is a secondary analysis of the Canadian 2013 National Physician’s Survey using descriptive statistics and binomial logistic regression. An estimated 34,753 family physicians practicing in Canada at the time of survey administration in 2013 were eligible for the survey. The main outcome measures were respondent satisfaction with professional life and satisfaction with work-life balance.ResultsThe survey had a response rate of 17%. Seventy-two percent of respondents were satisfied with their professional lives, and 49% were satisfied with their work-life balance. Male family physicians had lower odds of satisfaction with their work-life balance than their female counterparts (OR = 0.86, 95% CI 0.82–0.92). Family physicians using an electronic medical record had higher odds of dissatisfaction with their professional lives (OR = 1.13, 95% CI 1.05–1.22) and work-life balance (OR = 1.22, 95% CI 1.15–1.30) than those not using an EMR. Family physicians not in a focused practice had greater odds of dissatisfaction (OR = 1.61, 95% CI 1.50–1.72) with both their professional lives and work-life balance (OR = 1.29, 95% CI 1.22–1.37) compared to their colleagues who have one or more areas of clinical focus.ConclusionsCanadian family physicians are more satisfied with their professional lives than with their work-life balance. Novel findings that family physicians with one or more clinical areas of focus are more satisfied with their work and work-life balance satisfaction, and that family physicians using electronic health records are less satisfied with their work and their work-life balance merit further inquiry.Electronic supplementary materialThe online version of this article (10.1186/s12875-018-0786-6) contains supplementary material, which is available to authorized users.

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“…The second element -'medical professionalism' -is also a complex and broad concept varying over time and within cultural contexts, and can be assessed on several levels: individual, inter-personal, and societal-institutional (36). Professionalism is not only closely associated with a higher quality outcome of health care, but also with increased patient satisfaction, improving physician-patient relationships as well as with a higher career satisfaction (37)(38)(39). Four articles discussing this theme were included; one qualitative study and three opinion articles (28,29,33,40).…”

Section: Achieving Medical Professionalismmentioning

confidence: 99%

The Informal Curriculum of Family Medicine – what does it entail and how is it taught to residents? A systematic review.

Rothlind

Fors

Salminen

et al. 2020

Preprint

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Background The informal curriculum is a seemingly well-explored concept in the realm of medical education. However, it is a concept with multiple definitions and the term "the hidden curriculum" is often used interchangeably. In short, they both refer to the implicit learning taking place outside the formal curriculum, encompassing both a trickling down effect of organizational values and attitudes passed on by a mentor or colleague. While the informal curriculum is a recurrent theme in medical education literature; it is seldom discussed in Family Medicine. As the informal curriculum is likely to be highly influential in the forming of future family practitioners our aim was to explore the area further with respect to the following: which elements of the informal curriculum are applicable in a Family Medicine context and what educational interventions for Family Medicine residents, visualizing the various educational elements of it, have been performed? Methods We conducted a systematic review comprising iterative literature searches and a narrative synthesis of the results. Results 20 articles, published between 2000 and 2019, were included in the analysis which resulted in three partly interrelated themes comprising the informal curriculum in Family Medicine: gaining cultural competence, achieving medical professionalism and dealing with uncertainty. The themes on culturalcompetence and uncertainty seemed to be more contextual than professionalism, the latter being discussed in relation to the informal curriculum across various medical disciplines. Formalized training for Family Medicine residents in aspects of the informal curriculum appeared to be lacking, and in general the quality of the few interventional studies found was low. Conclusions Important aspects of being a family practitioner, such as cultural competence and dealing with uncertainty, are learned through a context-dependent informal curriculum. In order to ensure a more uniform base for all residents and to reduce the impact of the individual supervisor's preferences, complementary formalized training would be beneficial. However, to date there are too few studies published to conclude how to best teach the informal curriculum. BackgroundIn general, post-graduate education for residents in Family Medicine (FM) takes place experientially in the workplace, where learning occurs mainly through practice and interpersonal interactions (1-3).

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Assessing the relation between career satisfaction in psychiatry with lifelong learning and scientific activity

Cited by 19 publications

References 28 publications

Assessing medical professionalism: A systematic review of instruments and their measurement properties

Assessing medical professionalism: A systematic review of instruments and their measurement properties

Canadian family physician job satisfaction - is it changing in an evolving practice environment? An analysis of the 2013 National Physician Survey database

The Informal Curriculum of Family Medicine – what does it entail and how is it taught to residents? A systematic review.

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