The system of values and styles of success in the medical career: A longitudinal study

Abstract

Objectives: The purpose of the study was to investigate the relation between system values during medical education and styles of success in the medical career. Material and Methods: The participants were first examined when they applied to the medical school. Questionnaires were given to these students each academic year. Medical doctors who had participated in the first phase of the study completed a questionnaire 4 years after their graduation, too. The baseline questionnaire measured the system values. The follow-up questionnaire included measures of quality of life, work stress and burnout, satisfaction with medicine as a career and professional competency. Results: The identified 3 groups of students representing 3 types of careers had been different regarding their preferred terminal values and instrumental values. Out of 3 groups, 2 presented a high risk of burnout. What is more the life goals (terminal values) are relatively stable, but preferable modes of behavior (instrumental values) are likely to change. The most important differences between students who may suffer from burnout later as doctors and those who are at a lower risk are e.g., family security, freedom, happiness, mature love, self-respect, social recognition and wisdom. Conclusions: The Rokeach Value Survey may be applied to identify specific tendencies in the development of medical career. The obtained results may be used by the medical school admission officers as well as resident selection committees in order to identify candidates who may be at risk of professional difficulties. Authors can identify during medical education which student will be at risk of professional burnout after studies. Thus there could be a selection of interventions directed toward differentiated groups of students, e.g.: supplying them with proper coping vs. guiding them, to increase life satisfaction and productivity. Int J Occup Med Environ Health 2018;31(6):823 -835

Occupational Burnout Syndrome in Polish Physicians: A Systematic Review

“…In an series of publications on the type of careers the authors identified three types of medical careers: "Committed-satisfied with career", which are physicians committed to their work the most with the highest level of work stress; "Clever-satisfied with life", the least committed to their work, but deriving the most benefit from it; and "Bright-competent", which are the most competent, but with problems managing their lives. The "Committed" type proved to be at the highest risk of BS, whereas "Clever" at the lowest [46][47][48][49][50]. Other papers in our review have also identified individual character or personality traits as potentially significant factors.…”

“…Series: [46][47][48][49][50] 2011: low level of the sense of comprehensibility in the 6th, high level of "trait" anxiety in the 4th, high level of depression in the 3rd, low need for social approval in the 3rd year of medical school 2012: -type of career "Committed-satisfied with career"-the most committed to their work with the highest level of work stress 2012: -type of career "Clever-satisfied with life"-the least committed to their work, but deriving the most benefit from it -well-being and life satisfaction 2014: -high sense of coherence at medical studies 2016: -taking actions and dealing directly with the problem at medical studies 2018: -family, freedom, happiness, mature love, self-respect, social recognition and wisdom [8] -negative assessment of healthcare, -poor relationships between healthcare professionals -positive assessment of conditions offered to in-patients -positive patients' attitude toward physicians -negative patients' attitude toward nurses -seniority -positive general assessment of healthcare, -negative assessment of patients' attitude toward physicians -proper relationship between healthcare professionals [55] -high level of perceived stress -large number of duties per month -seniority -frequent use of annual leave…”

“…From personal resources, the protective role against BS has been proven for, among others, satisfaction with social and family life, freedom, happiness, mature love, self-respect and a high level of support provided by superiors and co-workers [42,[45][46][47][48][49][50].…”

Well-being, life satisfaction and burnout in employees of anesthesiology and intensive care departments in Russia

“…Authors can identify during medical education which students will be at risk of professional burnout after studies. The most important differences between students who can have burnout later as doctors and those at lower risk are family security, freedom, happiness, mature love, self-respect, social recognition, and wisdom 29 .…”