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      Professional identity, career choices, and working conditions of future and young dentists in Germany – study design and methods of a nationwide comprehensive survey

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          Abstract

          Background

          Little is known regarding young and future dentists’ career choices, professional identity, and working conditions in Germany. While the dental healthcare environment and demands in treatment are changing, it remains unclear what job perceptions young dentists have developed at the beginning of their work life and if and how these perceptions change during the subsequent years. The aim of this study was to survey future and young dentists regarding their professional identity, planned career paths, and working conditions and strains to understand career decisions and choices and enable policy makers to include future dentists‘ views and expectations in their decisions.

          Methods/design

          This study is a longitudinal nationwide survey over a time span of 4 years of dental students and young dentists in Germany and is comprised of three waves. The first wave focuses on dental students in their final year before the state examination and is composed of a qualitative pre-study in the form of focus groups and a quantitative main survey in the form of a questionnaire. The end points were established to analyse (1) the professional identity of the young future dentists; (2) their career paths, preparation for a career, and basic career conditions; and (3) perceived conditions and strains. The aim of the overall survey was to depict the development of these three aspects during the first years of work life. All of the questions were evaluated with a descriptive univariate analysis. The analysed subgroups were grouped according to gender, target working condition (employed/self-employed), and primary socialisation (parents dentists/parents not dentists).

          Discussion

          To our knowledge, this is the only study which focuses on career choices, professional identity, and working conditions of future and young dentists in Germany. The longitudinal observation provides information that is essential for professional and purposive dental health care planning, and to meet the oral health demands and needs of the German population appropriately over the long term.

          Trial registration

          German Health Services Research Data Bank VfD_Y-Dent_14_003759.

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          Most cited references38

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          Screening psychischer Störungen mit dem “Gesundheitsfragebogen für Patienten (PHQ-D)“

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            Two alternative job stress models and the risk of coronary heart disease.

            This study examined the association between two alternative job stress models-the effort-reward imbalance model and the job strain model-and the risk of coronary heart disease among male and female British civil servants. The logistic regression analyses were based on a prospective cohort study (Whitehall II study) comprising 6895 men and 3413 women aged 35 to 55 years. Baseline measures of both job stress models were related to new reports of coronary heart disease over a mean 5.3 years of follow-up. The imbalance between personal efforts (competitiveness, work-related overcommitment, and hostility) and rewards (poor promotion prospects and a blocked career') was associated with a 2.15-fold higher risk of new coronary heart disease. Job strain and high job demands were not related to coronary heart disease; however, low job control was strongly associated with new disease. The odds ratios for low job control were 2.38 and 1.56 for self-reported and externally assessed job control, respectively. Work characteristics were simultaneously adjusted and controlled for employment grade level, negative affectivity, and coronary risk factors. This is apparently the first report showing independent effects of components of two alternative job stress models-the effort-reward imbalance model and the job strain model (job control only)-on coronary heart disease.
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              Dental students' motivations and perceptions of dental professional career in India.

              Students' motivations in choosing a career in the health professions are of great interest for educators and admission committees, particularly in the field of dentistry. This study conducted in four private dental institutions in India was designed to investigate dental students' motivations in their choice of dentistry as a career and their perceptions regarding dentistry in India. A total of 400 questionnaires were distributed, and 369 students responded in a combination of selected responses to the questions, for a response rate of 92.3 percent. In the results, 53.7 percent of the students reported pursuing dentistry because it offers stable work (p<0.002); 38.7 percent because the profession is highly paid; and 7.6 percent due to the ease in finding a regular job in dental schools or hospitals. The survey also found that 44.4 percent of the students pursued dentistry because they can determine their own hours of work and 36.6 percent said they liked to be their own boss. Among these students, 64.5 percent said they were content to be joining dentistry as a professional course, but 35.5 percent were discontented (p<0.001). Regarding the specialties, 79.1 percent said they want to become specialists in the field of dentistry (p<0.001); oral surgery was the leading choice followed by orthodontics. Only 11.7 percent reported wanting to pursue dentistry for research purposes. Overall, this study found that financial and professional factors were the chief criteria for students' pursuing dentistry in India; however, the strongest influence in the choice of dentistry was the students' parents or family.
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                Author and article information

                Contributors
                n.kettler@idz-koeln.de
                n.frenzel@idz-koeln.de
                dr.wolfgang.micheelis@gmx.de
                d.klingenberger@idz-koeln.de
                r.jordan@idz-koeln.de
                Journal
                BMC Oral Health
                BMC Oral Health
                BMC Oral Health
                BioMed Central (London )
                1472-6831
                18 October 2017
                18 October 2017
                2017
                : 17
                : 127
                Affiliations
                Institute of German Dentists (IDZ), Universitaetsstrasse 73, 50931 Cologne, Germany
                Author information
                http://orcid.org/0000-0001-5614-1484
                Article
                417
                10.1186/s12903-017-0417-y
                5648425
                29047349
                25d1193c-a477-4b9e-a62d-6b2d323e076e
                © The Author(s). 2017

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 1 February 2017
                : 26 September 2017
                Funding
                Funded by: Bundeszahnärztekammer and Kassenzahnärztliche Bundesvereinigung
                Award ID: 6.2/2014
                Categories
                Study Protocol
                Custom metadata
                © The Author(s) 2017

                Dentistry
                professional identity,career choices,working conditions,dental professional’s research,workforce,dental students

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