Literature DB >> 23527864

The transition to hospital consultant and the influence of preparedness, social support, and perception: A structural equation modelling approach.

Michiel Westerman1, Pim W Teunissen, Joanne P I Fokkema, Cees P M van der Vleuten, Albert J J A Scherpbier, Carl E H Siegert, Fedde Scheele.   

Abstract

BACKGROUND: Insight into the transition from specialist registrar to hospital consultant is needed to better align specialty training with starting as a consultant and to facilitate this transition. AIMS: This study investigates whether preparedness regarding medical and generic competencies, perceived intensity, and social support are associated with burnout among new consultants.
METHOD: A population-based study among all 2643 new consultants in the Netherlands (all specialties) was conducted in June 2010. A questionnaire covering preparedness for practice, intensity of the transition, social support, and burnout was used. Structural equation modelling was used for statistical analysis.
RESULTS: Data from a third of the population were available (32% n = 840) (43% male/57% female). Preparation in generic competencies received lower ratings than in medical competencies. A total of 10% met the criteria for burnout and 18% scored high on the emotional exhaustion subscale. Perceived lack of preparation in generic competencies correlated with burnout (r = 0.15, p < 0.001). No such relation was found for medical competencies. Furthermore, social support protected against burnout.
CONCLUSIONS: These findings illustrate the relevance of generic competencies for new hospital consultants. Furthermore, social support facilitates this intense and stressful stage within the medical career.

Mesh:

Year:  2013        PMID: 23527864     DOI: 10.3109/0142159X.2012.735381

Source DB:  PubMed          Journal:  Med Teach        ISSN: 0142-159X            Impact factor:   3.650


  23 in total

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2.  The transition to consultant: Identifying gaps in higher specialist training.

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4.  Understanding the Influence of the Junior Attending Role on Transition to Practice: A Qualitative Study.

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5.  Overcoming Barriers to Women's Career Transitions: A Systematic Review of Social Support Types and Providers.

Authors:  Tomika W Greer; Autumn F Kirk
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Authors:  Michiel Westerman
Journal:  Perspect Med Educ       Date:  2014-04

Review 8.  Supervisor leadership in relation to resident job satisfaction.

Authors:  Martha A van der Wal; Johanna Schönrock-Adema; Fedde Scheele; Nienke R Schripsema; A Debbie C Jaarsma; Janke Cohen-Schotanus
Journal:  BMC Med Educ       Date:  2016-08-01       Impact factor: 2.463

9.  The impact of training and working conditions on junior doctors' intention to leave clinical practice.

Authors:  Christiane Degen; Matthias Weigl; Jürgen Glaser; Jian Li; Peter Angerer
Journal:  BMC Med Educ       Date:  2014-06-18       Impact factor: 2.463

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

Authors:  Shelly Lachish; Michael J Goldacre; Trevor Lambert
Journal:  BMC Med Educ       Date:  2016-05-23       Impact factor: 2.463

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