What do UK doctors in training value in a post? A discrete choice experiment

Cleland, Jennifer; Johnston, Peter; Watson, Verity; Krucien, Nicolas; Skåtun, Diane

doi:10.1111/medu.12896

Cited by 49 publications

(59 citation statements)

References 42 publications

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“…The same DCE carried out amongst final‐year medical students revealed that the relative values of the attributes were similar to those observed among trainee doctors; the most highly valued for both groups was ‘working conditions’ . The authors propose that the findings from these studies will be useful to health care organisations because the job attributes considered are those they are likely to have some control over . Hence, training positions in less popular specialties or geographic areas could be made more attractive by manipulating the attributes under scrutiny.…”

Section: Examples Of Dces From the Literaturementioning

confidence: 65%

“…concerned medical trainees’ preferences for characteristics of a training post. Respondents were asked to choose between two hypothetical posts in which levels of the ‘Potential earnings’ attribute were set at 5%, 10% or 20% above average earnings . Findings from this study revealed that trainees would accept a move from a position with ‘good’ working conditions (defined by ‘rotas, amount of on‐call time, time off, staffing levels, etc.’) to one with ‘poor’ conditions if they were compensated with potential earnings of 49.8% above average earning potential (all other attributes being equal).…”

Section: Why Use a Dce?mentioning

confidence: 98%

“…Cleland et al . conducted a DCE amongst doctors in training posts to establish which characteristics of their jobs they most valued (see above).…”

Section: Examples Of Dces From the Literaturementioning

confidence: 99%

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What can discrete choice experiments do for you?

2018

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Context In everyday life, the choices we make are influenced by our preferences for the alternatives available to us. The same is true when choosing medical education, training and jobs. More often than not, those alternatives comprise multiple attributes and our ultimate choice will be guided by the value we place on each attribute relative to the others. In education, for example, choice of university is likely to be influenced by preferences for institutional reputation, location, cost and course content; but which of these attributes is the most influential? An understanding of what is valued by applicants, students, trainees and colleagues is of increasing importance in the higher education and medical job marketplaces because it will help us to develop options that meet their needs and preferences. Methods In this article, we describe the discrete choice experiment (DCE), a survey method borrowed from economics that allows us to quantify the values respondents place on the attributes of goods and services, and to explore whether and to what extent they are willing to trade less of one attribute for more of another. Conclusions To date, DCEs have been used to look at medical workforce issues but relatively little in the field of medical education. However, many outstanding questions within medical education could be usefully addressed using DCEs. A better understanding of which attributes have most influence on, for example, staff or student satisfaction, choice of university and choice of career, and the extent to which stakeholders are prepared to trade one attribute against another is required. Such knowledge will allow us to tailor the way medical education is provided to better meet the needs of key stakeholders within the available resources.

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Section: Examples Of Dces From the Literaturementioning

confidence: 65%

Section: Why Use a Dce?mentioning

confidence: 98%

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What can discrete choice experiments do for you?

2018

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“…In our earlier study using the DCE methodology, we examined what is important in medical careers decision making to FP and trainee (resident) doctors . That sample encompassed both newly qualified doctors and those nearing the end of training.…”

Section: Introductionmentioning

confidence: 99%

What do UK medical students value most in their careers? A discrete choice experiment

et al. 2017

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Students on the point of completing medical school and starting postgraduate training value good working conditions significantly more than they value desirable geographical location, unit reputation, familiarity with the unit or opportunities for partners or spouses. This intelligence can be used to address the crisis in workforce staffing that has developed in the UK and opens up fruitful areas for future research across contexts and in terms of examining stated preferences versus actual career-related behaviour.

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“…Different trainees will value different locations based on personal and professional circumstances but a location they consider desirable is valued highly by trainees when considering a training post. Being notified well in advance also allows trainees to plan accommodation, employment for a partner and childcare 11. Knowledge of their work schedule more than 1 month in advance was found to be associated with increased satisfaction with life overall in one cohort study of early career paediatricians 12.…”

Section: Configuration Of Specialty Training Programmesmentioning

confidence: 99%