Top

BMC Health Services Research

Published in:

Open Access 01-12-2017 | Research article

Satisfaction of doctors with their training: evidence from UK

Authors: Simon Gregory, Chiara Demartini

Published in: BMC Health Services Research | Issue 1/2017

Abstract

Background

This study considers the primary training environment factors affecting the satisfaction of doctors in training with their training.

Methods

An OLS multiple regression analysis was performed on responses given by doctors in training (trainees) to General Medical Council (UK) National Trainee Survey annually from 2012 to 2015. Two different research models investigate the determinant of trainee doctor satisfaction. The first model includes clinical supervision, feedback, workload, and gender as explanatory variables. The second model adds supportive environment to the first model.

Results

The GMC survey response rate is 97%. Our analysis shows the key factors that determine trainee satisfaction are strong clinical supervision, frequent and useful feedback meetings, an adequate workload and a supportive environment.

Conclusions

It is suggested focus on clinical supervision, feedback, workload and supportive environment would increase trainee satisfaction, improve the quality of training and morale, and hopefully, therefore, the quality of care patients receive.

Available only for authorised users

Baruch-Feldman C, Brondolo E, Ben-Dayan D, Schwartz J. Sources of social support and burnout, job satisfaction, and productivity. J Occup Health Psychol. 2002;7(1):84–93. doi: 10.1037/1076-8998.7.1.84.CrossRefPubMed

Brouns JW, Berkenbosch L, Ploemen-Suijker FD, Heyligers I, Busari JO. Medical residents perceptions of the need for management education in the postgraduate curriculum: a preliminary study. Int J Med Educ. 2010;1:76–82. doi:10.5116/ijme.4cd8.43f1.CrossRef

Bruckel J, Carballo V, Kalibatas O, Soule M, Wynne KE, Ryan MP, Shaw T, Co JPT. Use of spaced education to deliver a curriculum in quality, safety and value for postgraduate medical trainees: trainee satisfaction and knowledge. Postgrad Med J. 2016a; doi:10.1136/postgradmedj-2015-133446.

Buddeberg-Fischer B, Dietz C, Klaghofer R, Buddeberg C. Swiss residents’ arguments for and against a career in medicine. BMC Health Serv Res. 2006;6(1):98.CrossRefPubMedPubMedCentral

Care Quality Commission. The state of health care and adult social care in England 2015/16. 2016. Available online at: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/561731/State_of_Care_15-16_print.pdf (Accessed 8 Feb 2017).

Datta ST, Davies SJ. Training for the future NHS: training junior doctors in the United Kingdom within the 48-hour European working time directive. BMC Med Educ. 2014;14(Suppl 1):S12. doi:10.1186/1472-6920-14-S1-S12.CrossRefPubMedPubMedCentral

Datta S, Roland D, Chatterjee J, Fitzgerald JE, and Sowden D. The European working time directive: time to change? BMJ Careers. 2011. http://careers.bmj.com/careers/advice/view-article.html?id=20004482.

Desai SV, Feldman L, Brown L, Dezube R, Yeh HC, Punjabi N, Afshar K, et al. Effect of the 2011 vs 2003 duty hour regulation-compliant models on sleep duration, trainee education, and continuity of patient care among internal medicine house staff: a randomized trial. JAMA Intern Med. 2013a;173(8):649–55. doi: 10.1001/jamainternmed.2013.2973.CrossRefPubMed

10.

Egan TM, Yang B, Bartlett KR. The effects of organizational learning culture and job satisfaction on motivation to transfer learning and turnover intention. Hum Resour Dev Q. 2004;15(3):279–301. doi: 10.1002/hrdq.1104.CrossRef

11.

Fabrigar LR, Wegener DT, MacCallum RC, Strahan EJ. Evaluating the use of exploratory factor analysis in psychological research. Psychol Methods. 1999;4(3):272–99. https://doi.org/10.1037/1082-989X.4.3.272.CrossRef

12.

Fila MJ, Paik LS, Griffeth RW, Allen D. Disaggregating job satisfaction: effects of perceived demands, control, and support. J Bus Psychol. 2014;29(4):639–49. doi:10.1007/s10869-014-9358-5.CrossRef

13.

General Medical Council (GMC). National training survey. Key findings from the pilot survey. 2015 Available at: http://www.gmc-uk.org/NTS_2015_pilot_trainers_survey_report.pdf_61187899.pdf (Accessed 8 Feb 2017).

14.

General Medical Council (GMC). The state of medical education and practice in the UK. 2016 Available at: http://www.gmc-uk.org/static/documents/content/SOMEP_2016_Full_Report_Lo_Res.pdf_68139324.pdf (Accessed 3 Feb. 2017).

15.

Goh Z, Ilies R, Wilson KS. Supportive supervisors improve employees’ daily lives: the role supervisors play in the impact of daily workload on life satisfaction via work-family conflict. J Vocat Behav. 2015;89:65–73. doi:10.1016/j.jvb.2015.04.009.CrossRef

16.

Health Education England. Improving junior doctors working lives. 2017 Available at https://www.hee.nhs.uk/sites/default/files/documents/Enhancing%20junior%20doctors’%20working%20lives%20-%20a%20progress%20report_0.pdf (Accessed 4 Nov 2017).

17.

Herzberg F. Work and the nature of man. Fifth Printing edition. London: World Publishing 1971.

18.

Himle DP, Srinika J, Thyness PA. The buffering effects of four types of supervisory support on work stress. Adm Soc Work. 1989;13(1):19–34. doi:10.1300/J147v13n01_02.CrossRef

19.

Hori S, Suzuki M, Yamazaki M, Aikawa N, Yamazaki N. Cardiopulmonary resuscitation training in schools: a comparison of trainee satisfaction among different age groups. Keio J Med. 2016;65(3):49–56. doi:10.2302/kjm.2015-0009-OA.CrossRefPubMed

20.

Hunter S. Junior doctors. The new deal. BMJ. 1991;303:840–1.CrossRefPubMedPubMedCentral

21.

Kaiser HF. The application of electronic computers to factor analysis. Educ Psychol Meas. 1960;20(1):141–51. doi:10.1177/001316446002000116.CrossRef

22.

Lizzio A, Wilson K, Simons R. University students’ perceptions of the learning environment and academic outcomes: implications for theory and practice. Stud High Educ. 2002;27(1):27–52. doi: 10.1080/03075070120099359.CrossRef

23.

Mascioli KJ, Robertson CJ, Douglass AB. Comparison of the number of supervisors on medical student satisfaction during a child and adolescent psychiatry rotation. Adv Med Educ Prac. 2016;7:243–6. doi:10.2147/AMEP.S102081.CrossRef

24.

Micklewright J, Schnepf SV, Skinner C. Non-response biases in surveys of schoolchildren: the case of the English Programme for international student assessment (PISA) samples. Journal of the Royal Statistical Society: Series A (Statistics in Society). 2012;175(4):915–38. doi:10.1111/j.1467-985X.2012.01036.x.CrossRef

25.

Nunnally JC. Psychometric theory. New York: McGraw-Hill; 1978.

26.

O’Sullivan KE, Byrne JS, Walsh TN. Basic surgical training in Ireland: the impact of operative experience, training program allocation and mentorship on trainee satisfaction. Ir J Med Sci. 2013;182(4):687–92. doi:10.1007/s11845-013-0956-4.CrossRefPubMed

27.

Rafferty AM, Phillipou J, Fitzpatrick JM, Ball J. Culture of care barometer report to NHS England. London: King’s College; 2015. https://www.england.nhs.uk/wp-content/uploads/2015/03/culture-care-barometer.pdf

28.

van de Ridder JM, Peters CM, Stokking KM, de Ru JA, Ten Cate OT. Framing of feedback impacts Student’s satisfaction, self-efficacy and performance. Adv Health Sci Educ. 2015;20(3):803–16. doi:10.1007/s10459-014-9567-8.CrossRef

29.

Royal College of Physicians of London. Being a junior doctor. Experiences from the front line of the NHS. 2016 Available at: https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=0ahUKEwjcleCF3oDSAhUL1RoKHbccBdEQFggcMAA&url=https%3A%2F%2Fwww.rcplondon.ac.uk%2Ffile%2F5197%2Fdownload%3Ftoken%3DIJtxOD6Q&usg=AFQjCNEcUDUceLv74QUCAPB_wk1bo-BDVw&sig2=LoFoZrU1csx7p1LoyuWSTw (Accessed 8 Feb 2017).

30.

Milicevic S, Milena M, Bjegovic-Mikanovic VM, Terzic-Supic ZJ, Vasic V. Competencies gap of management teams in primary health care. Eur J Pub Health. 2011;21(2):247–53. doi:10.1093/eurpub/ckq010.CrossRef

31.

Siddique, Haroon. 2015. System Failure of NHS Mental Health Services Puts Pressure on A&E Wards. The Guardian, May 6, sec. Society. https://www.theguardian.com/society/2015/may/06/system-failure-nhs-mental-health-services-pressure-ae-wards-crisis-care-concordat. Accessed 6 Dec 2017.

32.

Singh P, Aggarwal R, Pucher PH, Duisberg AL, Arora S, Darzi A. Defining quality in surgical training: perceptions of the profession. Am J Surg. 2014;207(4):628–36. doi:10.1016/j.amjsurg.2013.07.044.CrossRefPubMed

33.

Smith BD. Job retention in child welfare: effects of perceived organizational support, supervisor support, and intrinsic job value. Child Youth Serv Rev. 2005;27(2):153–69. doi: 10.1016/j.childyouth.2004.08.013.CrossRef

34.

Social Research Association. Ethical guidelines. London: UK Social Research Association; 2003. Available at: http://the-sra.org.uk/wp-content/uploads/ethics03.pdf

35.

Tepeci M, Bart Bartlett AL. The hospitality industry culture profile: a measure of individual values, organizational culture, and person–organization fit as predictors of job satisfaction and behavioral intentions. Int J Hosp Manag. 2002;21(2):151–70. doi:10.1016/S0278-4319(01)00035-4.CrossRef

36.

Verma P, Ford JA, Stuart A, Howe A, Everington S, Steel N. A systematic review of strategies to recruit and retain primary care doctors. BMC Health Serv Res. 2016;16(1):126.CrossRefPubMedPubMedCentral

37.

Wall D, Goodyear H, Singh B, Whitehouse A, Hughes E, Howes J. A new tool to evaluate postgraduate training posts: the job evaluation survey tool (JEST). BMC Med Educ. 2014;14 doi: 10.1186/1472-6920-14-210.

38.

Westbrook D, Sedgwick-Taylor A, Bennett-Levy J, Butler G, McManus F. A pilot evaluation of a brief CBT training course: impact on trainees’ satisfaction, clinical skills and patient outcomes. Behav Cogn Psychother. 2008;36(5):569–79. doi:10.1017/S1352465808004608.CrossRef

39.

Yoon JY, Appleton T, Cecchini MJ, Correa RJ, Ram VD, Wang X, Ng E, Speechley M, Wilcox JT. It begins with the right supervisor: importance of mentorship and clinician-investigator trainee satisfaction levels in Canada. Clin Invest Med. 2013;36(6):269–76.CrossRef

Title: Satisfaction of doctors with their training: evidence from UK
Authors: Simon Gregory
Chiara Demartini
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: BMC Health Services Research / Issue 1/2017
Electronic ISSN: 1472-6963
DOI: https://doi.org/10.1186/s12913-017-2792-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Satisfaction of doctors with their training: evidence from UK

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 1/2017

Sex differences in healthcare expenditures among adults with diabetes: evidence from the medical expenditure panel survey, 2002–2011

Costs of major intracranial, gastrointestinal and other bleeding events in patients with atrial fibrillation – a nationwide cohort study

Avoidable costs of stenting for aortic coarctation in the United Kingdom: an economic model

Agility assessment using fuzzy logic approach: a case of healthcare dispensary

Quality of care in family planning services in Senegal and their outcomes

GPs’ and dentists’ experiences and expectations of interprofessional collaboration: findings from a qualitative study in Germany