Faculty's work engagement in patient care: impact on job crafting of the teacher tasks

Joost W. van den Berg*, Christel P. M. Verberg, Albert J. J. A. Scherpbier, A. Debbie C. Jaarsma, Onyebuchi A. Arah, Kiki M. J. M. H. Lombarts

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


BackgroundHigh levels of work engagement protect against burnout. This can be supported through the work environment and by faculty themselves when they try to improve their work environment. As a result, they can become more engaged and better performers. We studied the relationship between adaptations by physicians to improve their teaching work environment, known as job crafting, and their energy levels, or work engagement, in their work as care provider and teacher. Job crafting encompasses seeking social (i) and structural (ii) resources and challenges (iii) and avoiding hindrances (iv).MethodsWe established a cross-sectional questionnaire survey in a cohort of physicians participating in classroom and clinical teaching. Job crafting and work engagement were measured separately for physicians' clinical and teaching activities. We analyzed our data using structural equation modelling controlling for age, gender, perceived levels of autonomy and participation in decision making.Results383 physicians were included. Physicians' work engagement for patient care was negatively associated with two job crafting behaviors in the teaching roles: seeking structural resources (classroom teaching: ss=-0.220 [95% CI: -0.319 to -0.129]; clinical teaching: ss=-0.148 [95% CI: -0.255 to -0.042]); seeking challenges (classroom teaching: ss=-0.215 [95% CI: -0.317 to -0.113]; clinical teaching:, ss=-0.190 [95% CI: -0.319 to -0.061]). Seeking social resources and avoiding hindrances were unaffected by physicians' work engagement for patient care.ConclusionsHigh engagement for teaching leads to job crafting in teaching. High engagement for patient care does not lead to job crafting in teaching.
Original languageEnglish
Article number312
Number of pages12
JournalBMC Medical Education
Publication statusPublished - 19 Dec 2018


  • Work engagement
  • Job crafting
  • Career development
  • Faculty development
  • Clinical teaching

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