TY - JOUR
T1 - The transition to hospital consultant and the influence of preparedness, social support, and perception: A structural equation modelling approach
AU - Westerman, Michiel
AU - Teunissen, Pim W.
AU - Fokkema, Joanne P. I.
AU - Van der Vleuten, Cees P. M.
AU - Scherpbier, Albert J. J. A.
AU - Siegert, Carl E. H.
AU - Scheele, Fedde
PY - 2013
Y1 - 2013
N2 - 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.
AB - 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.
U2 - 10.3109/0142159X.2012.735381
DO - 10.3109/0142159X.2012.735381
M3 - Article
C2 - 23527864
SN - 0142-159X
VL - 35
SP - 320
EP - 327
JO - Medical Teacher
JF - Medical Teacher
IS - 4
ER -