Views of senior UK doctors about working in medicine: questionnaire survey

Lambert, Trevor W; Smith, Fay; Goldacre, Michael J

doi:10.1177/2054270414554049

Cited by 5 publications

(4 citation statements)

References 11 publications

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“…It involves assessment of practice and of theoretical knowledge and can be examined through observation, written examination, interview and colleague/client feedback. Practitioner report also indicates the importance of practical experience in building the skills and knowledge of an expert practitioner (Lambert et al, 2014).…”

Section: Resultsmentioning

confidence: 99%

The cry for professional intimacy: A UK study of changes in the working lives of expert practitioners in health and education during the early 21st century

2020

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This paper reports on factors affecting the working lives of practitioners in health and education in the UK. The context is the increasing evidence of low recruitment, low retention rates and a high incidence of stress amongst expert practitioners in these two public institutions. Similar patterns of practitioner response indicate the systemic nature of the problems besetting these two public institutions. What emerges from the data is a cross-sector phenomenon identified here as a "cry for professional intimacy", formed as these practitioners give voice to a strong desire to be allowed to refocus on the relational aspects of their work.

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Section: Resultsmentioning

confidence: 99%

The cry for professional intimacy: A UK study of changes in the working lives of expert practitioners in health and education during the early 21st century

2020

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“…It still is unclear what the special demands of female medical doctors and what are the implications on creating an accepted and more employee-orientated working environment in hospitals. The poor adaptation of working conditions in hospitals to demands and expectation of medical staff as already led to an increased level of part-time work ( 53 ), work-related stress ( 54 ), dissatisfaction with working hours, career perspectives and remuneration ( 55 ), and—finally—escape from curative activities ( 56 ). In summary, the gap between demand for top medical services and readily available capacities and competence of physicians is constantly widening.…”

Section: Discussion Of Resultsmentioning

confidence: 99%

Growing Pains at Hospitals: Opportunities and Issues of Service Expansion in Maximum Care

et al. 2017

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PurposeDue to the demographic change morbidity raises the demand for medical hospital services as well as a need for medical specialization, while economic and human resources are diminishing. Unlike other industries hospitals do not have sufficient data and adequate models to relate growing demands and increasing performance to growth in staff capacity and to increase in staff competences.MethodBased on huge medical data sample covering the years from 2010 to 2014 with more than 150,000 operations of the Department for Anesthesiology at the University Hospital Muenster, Germany, comparisons are drawn between the development of medical services and the development of personnel capacity and expertise.ResultsThe numbers of surgical operations increased by 21% and “skin incision to closure” time by 17%. Simultaneously, personnel capacity grew by 16% largely resting upon recruiting first-time employees. Expertise measured as “years of professional experience” dwindled from 10 years to 5.4 years on average and staff turnover accelerated.ConclusionStatic benchmark data collected at fixed reference dates do not sufficiently reflect the nexus between capacity and competence and do not reflect the dynamic changes in a hospital’s requirements for expertise and specialization, at all. Staff turnover leads to a loss of experience, which jeopardizes patient safety and hampers medical specialization. In consequence of the dramatic shortage of medical specialists, drop-off rates must be reduced and retention rates must be increased. To that end, working conditions need to be fundamentally converted for a multigeneration, multicultural, and increasingly female workforce.

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“…Government agencies tasked with delivering public health services face the continuing challenge of retaining their staff in order to meet current and future targets [ 40 ]. As work-related stress correlates strongly with levels of job satisfaction and morale amongst staff [ 2 , 41 ], factors that ultimately influence staff retention rates [ 4 , 31 ], identifying ways to minimise stress and improve job satisfaction for new trainee doctors is critical [ 27 ]. This study has revealed that the provision of effective institutional support for new foundation doctors may promote increased job enjoyment and more positive attitudes towards work and thus could help safeguard the long-term retention of junior doctors.…”

Section: Discussionmentioning

confidence: 99%

Associations between perceived institutional support, job enjoyment, and intentions to work in the United Kingdom: national questionnaire survey of first year doctors

2016

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BackgroundIdentifying factors that improve job satisfaction of new doctors and ease the difficult transition from student to doctor is of great interest to public health agencies. Studies to date have focused primarily on the value of changes to medical school curricula and induction processes in this regard, but have overlooked the extent to which institutional support can influence new doctors’ enjoyment of and attitude to work. Here, we examine variation in the perceived level of support received by new medical graduates in the United Kingdom (UK) from their employer and whether this influences enjoyment of and attitudes to the first postgraduate year, and whether doctors who perceived a lower level of support were less inclined to intend a long term career in medicine in the UK.MethodsAll UK medical graduates of 2012 were surveyed in 2013 in a cross-sectional study, towards the end of their first post-graduate year (the ‘F1’ year of the 2-year Foundation Training Programme for new UK doctors). We used linear regression to assess whether the level of support doctors reported receiving from their employing Trust (Very Good, Good, Adequate, Poor, or Very Poor) was associated with the extent to which they enjoyed their F1 year. Similarly, we assessed the strength of associations between self-reported level of Trust support and doctors’ responses to 12 statements about fundamental aspects of their working lives, each assessed on a 5-point scale of agreement. Using χ2 tests we examined whether doctors’ intentions to practise medicine in the UK varied with the level of support they reported receiving from their Trust.ResultsThe response rate was 45 % (2324/5171). Of 2324 responding junior doctors, 63.8 % reported receiving ‘Very Good’ (23.6 %) or ‘Good’ (40.2 %) initial support from their Trust, while a further 27.4 % stated they received ‘Adequate’ support. ‘Poor’ support was reported by 5.8 % and ‘Very Poor’ support by 2.2 %. We found very strong positive associations between the institutional support doctors reported receiving and their enjoyment of the F1 year and their self-expressed attitudes to aspects of their first year of work. Crucially, doctors who reported receiving lower levels of support (‘Poor’ or ‘Very Poor’) were significantly less likely to express intentions to continue practising medicine in the UK.ConclusionsThe provision of effective institutional support for graduate doctors may promote workplace satisfaction and could help safeguard the long-term retention of junior doctors.Electronic supplementary materialThe online version of this article (doi:10.1186/s12909-016-0673-6) contains supplementary material, which is available to authorized users.

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Views of senior UK doctors about working in medicine: questionnaire survey

Cited by 5 publications

References 11 publications

The cry for professional intimacy: A UK study of changes in the working lives of expert practitioners in health and education during the early 21st century

The cry for professional intimacy: A UK study of changes in the working lives of expert practitioners in health and education during the early 21st century

Growing Pains at Hospitals: Opportunities and Issues of Service Expansion in Maximum Care

Associations between perceived institutional support, job enjoyment, and intentions to work in the United Kingdom: national questionnaire survey of first year doctors

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