Swiss residents' arguments for and against a career in medicine

Buddeberg-Fischer, Barbara; Dietz, Claudia; Klaghofer, Richard; Buddeberg, Claus

doi:10.1186/1472-6963-6-98

Cited by 28 publications

(34 citation statements)

References 31 publications

(19 reference statements)

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“…Dissatisfaction among doctors may be caused by the decreased appreciation of the medical profession by the society in the last years (Buddeberg-Fischer et al 2006); furthermore physicians experience less autonomy in practising medicine (Edwards et al 2002), and complain about their low income compared to the workload and compared to other academics (Buddeberg-Fischer et al 2006). Well-being and life satisfaction among doctors is known to ensure good patient care, and is an important issue to keep doctors in patient care (Williams E et al 2007;Williams ES et al 2007).…”

Section: Introductionmentioning

confidence: 99%

Development of life satisfaction in young physicians: results of the prospective SwissMedCareer Study

Klaghofer

Stamm

Buddeberg

et al. 2010

Int Arch Occup Environ Health

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Results Life satisfaction in physicians of both genders is lower compared to a representative sample. Over the 8-year period of residency the course of life satisfaction seems to be rather unstable and domain-specific. Female physicians are more satisfied with life than their male counterparts. Depressive symptoms and stress experience are highly negatively associated with life satisfaction in multivariate analysis.Conclusions To study the development of life satisfaction over time it is more appropriate to use a domainspecific life satisfaction questionnaire than a total score. Furthermore, it is a matter of concern that -compared to a representative sample -physicians in residency show lower life satisfaction at all measurement points.Depressive symptoms and chronic stress are found to diminish life satisfaction. This could keep some physicians from staying in the medical profession. Senior physicians should be aware of the negative impact of chronic stress on life satisfaction.

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Section: Introductionmentioning

confidence: 99%

Development of life satisfaction in young physicians: results of the prospective SwissMedCareer Study

Klaghofer

Stamm

Buddeberg

et al. 2010

Int Arch Occup Environ Health

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“…Sixthyear students and younger medical students obviously like to care for people and to combine intellectual knowledge and practical skills for the patients' treatment. The intention "Helping people" is one of four generic motivation factors described by McManus et al which was already found in the very beginning of one's career in medicine, among medical school applicants [24], and which remains stable throughout the residency [4]. Therefore, it seems that these positive statements are not necessarily typical for Primary Care, but statements which apply to any speciality in medicine.…”

Section: Discussionmentioning

confidence: 98%

“…The Swiss Health Observatory is anticipating a huge gap for outpatient consultations coverage, forecasting non-coverage of 40 per cent of outpatient consultations (9.3 million) in 2030 [2]. There are several publications concerning the reasons for the declining interest in a career in medicine, especially in Primary Care [3][4][5][6], some of which parallel reasons for the drop in medical school graduates in Switzerland during the past years, concurrent with a relatively unchanging number of medical students since 1980. One problem may be that medical students are given relatively little exposure to lectures on Primary Care and one-on-one tutorials in basic medical education [7].…”

Section: Introductionmentioning

confidence: 99%

“…However, to date, studies on the interest in a career in Primary Care among medical students in Switzerland have been scarce. Some have investigated the interest of fourth-year residents to become a PCP [21,22], or more generally, whether or not the original decision to become a physician persists throughout medical school [4]. Studies in which medical students express their concerns about a career in Primary Care in an openended fashion are lacking in the current scientific literature.…”

Section: Introductionmentioning

confidence: 99%

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Swiss Student’s Arguments in Favour and against a Career in Primary Care

Burghardt¹,

Dreisbach²,

Shahla³

2012

Primary Health Care: Open Access

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“…empathy with patients and high technological skills, time-pressure, coping with life-threatening situations, and compatibility with other demands, e.g. work-home interference (Buddeberg-Fischer, Dietz, Klaghofer, & Buddeberg, 2006;. According to Siegrist's Effort-Reward Imbalance model (Siegrist, 1996), we hypothesize that jobs characterized by a perceived imbalance between high effort and low rewards elicit stress.…”

Section: Introductionmentioning

confidence: 99%

Chronic stress experience in young physicians: impact of person- and workplace-related factors

Buddeberg-Fischer

Stamm

Buddeberg

et al. 2009

Int Arch Occup Environ Health

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OBJECTIVES: The objectives of the present study are to investigate and compare the relative impact of workplace-related factors and personal characteristics on chronic psychosocial stress experience in young physicians. METHODS: In a prospective study, a cohort of Swiss medical school graduates was followed up, beginning in 2001. In their fourth and eighth year after graduation, 443 physicians assessed their workplace conditions, the experienced effort-reward imbalance, the received professional and emotional support as well as their personal characteristics. The chronic stress experience was measured by the Trier Inventory for the Assessment of Chronic Stress-Screening Subscale of Chronic Stress (TICS-SCSS), 7 years after graduation. The model of influencing factors on chronic stress experience was tested with a hierarchical regression analysis. RESULTS: The mean in chronic stress (TICS-SCSS) in our study sample is significantly higher (p < 0.001) compared to an age-matched population representative sample. In the prediction of chronic stress, the workplace-related factor effort-reward imbalance as well as the personal characteristic overcommitment turned out to be the most important risk factors. Stress protective are high satisfaction with career support, sense of coherence and occupational self-efficacy. The whole set of variables used in the regression model explains 51% of the variance of chronic stress experience. In the prediction of chronic stress, gender has no significant moderator effect. CONCLUSIONS: It is a matter of concern that young physicians report to feel chronically stressed early in their professional career. Actions have to be taken to reduce the stress level mainly in regard to re-establish reciprocity between perceived effort invested and rewards received, in the form of esteem, monetary gain and career opportunities including job security. Results: The mean in Chronic Stress (TICS-SCSS) in our study sample is significantly higher (p < 0.001) compared to an age-matched population representative sample. In the prediction of chronic stress, the workplace-related factor effort-reward imbalance as well as the personal characteristic overcommitment turned out to be the most important risk factors.Stress protective are high satisfaction with career support, sense of coherence and occupational self-efficacy. The whole set of variables used in the regression model explains 51% of the variance of chronic stress experience. In the prediction of chronic stress, gender has no significant moderator effect. Conclusions:It is a matter of concern that young physicians report to feel chronically stressed early in their professional career. Actions have to be taken to reduce the stress level mainly in regard to re-establish reciprocity between perceived effort invested and rewards received, in the form of esteem, monetary gain, and career opportunities including job security.-2 --3 -

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Swiss residents' arguments for and against a career in medicine

Cited by 28 publications

References 31 publications

Development of life satisfaction in young physicians: results of the prospective SwissMedCareer Study

Development of life satisfaction in young physicians: results of the prospective SwissMedCareer Study

Swiss Student’s Arguments in Favour and against a Career in Primary Care

Chronic stress experience in young physicians: impact of person- and workplace-related factors

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