Satisfaction of doctors with their training: evidence from UK

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

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.

Electronic supplementary material

The online version of this article (10.1186/s12913-017-2792-0) contains supplementary material, which is available to authorized users.

Related collections

Most cited references 22

Record: found
Abstract: found
Article: found

Is Open Access

A systematic review of strategies to recruit and retain primary care doctors

Puja Verma, John A. Ford, Arabella Stuart … (2016)

Background There is a workforce crisis in primary care. Previous research has looked at the reasons underlying recruitment and retention problems, but little research has looked at what works to improve recruitment and retention. The aim of this systematic review is to evaluate interventions and strategies used to recruit and retain primary care doctors internationally. Methods A systematic review was undertaken. MEDLINE, EMBASE, CENTRAL and grey literature were searched from inception to January 2015. Articles assessing interventions aimed at recruiting or retaining doctors in high income countries, applicable to primary care doctors were included. No restrictions on language or year of publication. The first author screened all titles and abstracts and a second author screened 20 %. Data extraction was carried out by one author and checked by a second. Meta-analysis was not possible due to heterogeneity. Results Fifty-one studies assessing 42 interventions were retrieved. Interventions were categorised into thirteen groups: financial incentives (n = 11), recruiting rural students (n = 6), international recruitment (n = 4), rural or primary care focused undergraduate placements (n = 3), rural or underserved postgraduate training (n = 3), well-being or peer support initiatives (n = 3), marketing (n = 2), mixed interventions (n = 5), support for professional development or research (n = 5), retainer schemes (n = 4), re-entry schemes (n = 1), specialised recruiters or case managers (n = 2) and delayed partnerships (n = 2). Studies were of low methodological quality with no RCTs and only 15 studies with a comparison group. Weak evidence supported the use of postgraduate placements in underserved areas, undergraduate rural placements and recruiting students to medical school from rural areas. There was mixed evidence about financial incentives. A marketing campaign was associated with lower recruitment. Conclusions This is the first systematic review of interventions to improve recruitment and retention of primary care doctors. Although the evidence base for recruiting and care doctors is weak and more high quality research is needed, this review found evidence to support undergraduate and postgraduate placements in underserved areas, and selective recruitment of medical students. Other initiatives covered may have potential to improve recruitment and retention of primary care practitioners, but their effectiveness has not been established.

0 comments Cited 67 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

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.

Sanjay V Desai, Leonard S Feldman, Lorrel Brown … (2013)

On July 1, 2011, the Accreditation Council for Graduate Medical Education implemented further restrictions of its 2003 regulations on duty hours and supervision. It remains unclear if the 2003 regulations improved trainee well-being or patient safety. To determine the effects of the 2011 Accreditation Council for Graduate Medical Education duty hour regulations compared with the 2003 regulations concerning sleep duration, trainee education, continuity of patient care, and perceived quality of care among internal medicine trainees. Crossover study design in an academic research setting. Medical house staff. General medical teams were randomly assigned using a sealed-envelope draw to an experimental model or a control model. We randomly assigned 4 medical house staff teams (43 interns) using a 3-month crossover design to a 2003-compliant model of every fourth night overnight call (control) with 30-hour duty limits or to one of two 2011-compliant models of every fifth night overnight call (Q5) or a night float schedule (NF), both with 16-hour duty limits. We measured sleep duration using actigraphy and used admission volumes, educational opportunities, the number of handoffs, and satisfaction surveys to assess trainee education, continuity of patient care, and perceived quality of care. RESULTS The study included 560 control, 420 Q5, and 140 NF days that interns worked and 834 hospital admissions. Compared with controls, interns on NF slept longer during the on call period (mean, 5.1 vs 8.3 hours; P = .003), and interns on Q5 slept longer during the postcall period (mean, 7.5 vs 10.2 hours; P = .05). However, both the Q5 and NF models increased handoffs, decreased availability for teaching conferences, and reduced intern presence during daytime work hours. Residents and nurses in both experimental models perceived reduced quality of care, so much so with NF that it was terminated early. Compared with a 2003-compliant model, two 2011 duty hour regulation-compliant models were associated with increased sleep duration during the on-call period and with deteriorations in educational opportunities, continuity of patient care, and perceived quality of care.

0 comments Cited 52 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: not found
Article: not found

Job retention in child welfare: Effects of perceived organizational support, supervisor support, and intrinsic job value

Brenda D. Smith (2005)

0 comments Cited 32 times – based on 0 reviews      Review now

Bookmark

All references

Author and article information

Contributors

Simon Gregory: 0044 121 695 2428 , sg641@cam.ac.uk

Chiara Demartini:

ORCID: http://orcid.org/0000-0003-0017-0926

0039 382 986147 , mariachiara.demartini@unipv.it

Journal

Journal ID (nlm-ta): BMC Health Serv Res

Journal ID (iso-abbrev): BMC Health Serv Res

Title: BMC Health Services Research

Publisher: BioMed Central (London )

ISSN (Electronic): 1472-6963

Publication date (Electronic): 29 December 2017

Publication date PMC-release: 29 December 2017

Publication date Collection: 2017

Volume: 17

Electronic Location Identifier: 851

Affiliations

[1 ]GRID grid.57981.32, Health Education England, ; London, England

[2 ]ISNI 0000000121885934, GRID grid.5335.0, Homerton College, ; Hills Road, Cambridge, CB2, 8PH England

[3 ]ISNI 0000 0004 1762 5736, GRID grid.8982.b, Department of Economics and Management, , University of Pavia, ; Via S. Felice, 5/7, 27100 Pavia, Italy

Author information

Chiara Demartini http://orcid.org/0000-0003-0017-0926

Article

Publisher ID: 2792

DOI: 10.1186/s12913-017-2792-0

PMC ID: 5747190

PubMed ID: 29284467

SO-VID: 81b1158b-d87e-4ada-9a71-1f8b83e6baa8

License:

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

Date received : 8 February 2017

Date accepted : 12 December 2017

Custom metadata

ScienceOpen disciplines: Health & Social care

Keywords: training satisfaction,workload,supervision,feedback,supportive environment,nhs

Data availability:

ScienceOpen disciplines: Health & Social care

Keywords: training satisfaction, workload, supervision, feedback, supportive environment, nhs

Satisfaction of doctors with their training: evidence from UK

Read this article at

Abstract

Background

Methods

Results

Conclusions

Electronic supplementary material

Related collections

Tobacco Prevention & Cessation

Most cited references 22

A systematic review of strategies to recruit and retain primary care doctors

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.

Job retention in child welfare: Effects of perceived organizational support, supervisor support, and intrinsic job value

Author and article information

Contributors

Journal

Affiliations

Author information

Article

History

Categories

Custom metadata

Comments

Comment on this article

Similar content 113

Cited by 10

Most referenced authors 373