Assessing the mental wellbeing of next generation general practitioners: a cross-sectional survey

Lindemann, Fanny; Rozsnyai, Zsofia; Zumbrunn, Brigitta; Laukenmann, Julia; Kronenberg, Regula; Streit, Sven

doi:10.3399/bjgpopen19x101671

Cited by 10 publications

(6 citation statements)

References 31 publications

(44 reference statements)

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“…Our survey may have addressed and activated more students with an affinity to human medicine than other students. Third, three quarters of the respondents were young women, an overrepresentation that is often found in similar surveys [2,55]. We have taken account of this by looking at certain gender differences.…”

Section: Limitation and Strengthsmentioning

confidence: 94%

Motivation and personality factors of Generation Z high school students aspiring to study human medicine

et al. 2022

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Background A new generation of medical students, Generation Z (Gen Z), is becoming the predominant population in medical schools and will join the workforce in a few years’ time. Medicine has undergone serious changes in high-income countries recently. Therefore, it is unclear how attractive the medical profession still is for high school students of Gen Z. The aim of this study was to investigate what motivation leads Gen Z students in their choice to study human medicine, and how they see their professional future. Our study was guided by motivation theory and the influence of personality traits and other personal factors on students’ choice of university major. Methods In a cross-sectional online survey, we included third- and fourth-year high school students in Northern Switzerland. We examined the importance of criteria when choosing a university major: personality traits, career motivation, life goals, and other considerations influencing the choice of human medicine versus other fields of study. Results Of 1790 high school students, 456 (25.5%) participated in the survey (72.6% women, mean age 18.4 years); 32.7% of the respondents aspired to major in medicine at university. For all respondents, the foremost criterion for selecting a field of study was ‘interest in the field,’ followed by ‘income’ and ‘job security.’ High school students aiming to study human medicine attached high importance to ‘meaningful work’ as a criterion; supported by 36.2% of those students answering that helping and healing people was a core motivation to them. They also scored high on altruism (p < 0.001 against all groups compared) and intrinsic motivation (p < 0.001) and were highly performance- (p < 0.001) and career-minded (p < 0.001). In contrast, all the other groups except the law/economics group had higher scores on extraprofessional concerns. Conclusions Swiss Gen Z students aspiring to study human medicine show high intrinsic motivation, altruism, and willingness to perform, sharing many values with previous generations. Adequate work-life balance and job security are important issues for Gen Z. Regarding the current working conditions, the ongoing shortage of physicians, and recent findings on physicians’ well-being, the potential for improvement and optimization is high.

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Section: Limitation and Strengthsmentioning

confidence: 94%

Motivation and personality factors of Generation Z high school students aspiring to study human medicine

et al. 2022

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“…To the best of the authors' knowledge, there were no studies on residents' perceptions of workload and organizational support in OOH FM in Croatia. However, a recent Swiss study reported that residents in general practice "… indicated not having enough time for a private life", they also had higher risk of burnout, and lower mental wellbeing in comparison to physicians (22). Comparing SAQ sub-scales, all job position groups assessed teamwork climate with the highest average scores, and Organization climate with the lowest average scores.…”

Section: Discussionmentioning

confidence: 96%

Variation in perception of safety culture in out-of-hours family medicine service in Croatia

Mesarić

Šimić

Deilkås

et al. 2021

Slovenian Journal of Public Health

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Introduction The Safety Attitudes Questionnaire (SAQ) is among the most frequently cited tools for measuring safety culture in healthcare settings. Its ambulatory version was used in this study. The aim was to assess safety culture in out-of-hours (OOH) family medicine service and its variation across job positions, regions, and respondents’ demographic characteristic. Methods A cross-sectional observational study was carried out targeting 358 health professionals working in the 29 largest Croatian healthcare centres providing out-of-hours family medicine service. The response rate was 51.7% (185 questionnaires). The questionnaire comprised 62 Likert items with 5 responses (fully disagree to fully agree). Scores of negatively worded items were reversed before analysis. Scores on the total scale and subscales were calculated as additive scores. The study included demographic data on gender, age, working experience, and job position. Repeated measurement analysis of variance was used to assess variation of Safety Attitudes Questionnaire – Ambulatory Version (SAQ-AV) sub-scales. Results Nurses assessed safety culture higher than did physicians and residents. Teamwork climate had higher scores than Ambulatory process of care and Organizational climate. Stress recognition and Perceptions of workload had the lowest overall scores. Variation across gender, age, working experience, and region was not statistically significant. Conclusions SAQ-AV can be used to identify areas for improvement in patient safety at OOH GPs. There is a need to improve staffing and support for OOH GP residents. Further research is needed in order to gain better understanding of factors influencing observed variations among job positions.

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“…For instance, in 2019, Swiss general medicine residents reported a mean Wellbeing score of 51 (SD = 7.6) which is quite similar to that found in our study. Moreover, Swiss residents reported stress factors such as the lack of time for private life, heavy workload, including administrative work, and high perceived professional demands ( Lindemann et al, 2019 ). Moreover, the prevalence of high psychological distress in BASIL is comparable to the prevalence of depressive symptoms identified in 12% of the French population aged between 25 and 34 ( Hazo et al, 2022 ).…”

Section: Discussionmentioning

confidence: 99%

Occupational, academic, and personal determinants of wellbeing and psychological distress in residents: results of a survey in Lyon, France

Nohales,

Fort,

Pelloux

et al. 2024

Front. Psychol.

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IntroductionThe mental health of residents is a growing significant concern, particularly with respect to hospital and university training conditions. Our goal was to assess the professional, academic, and psychological determinants of the mental health status of all residents of the academy of Lyon, France.Materials and methodsThe Health Barometer of Lyon Subdivision Residents (BASIL) is an initiative which consists in proposing a recurrent online survey to all residents in medicine, pharmacy, and dentistry, belonging to the Lyon subdivision. The first of these surveys was conducted from May to July 2022. Participants should complete a series of validated questionnaires, including the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS), and the Kessler Psychological Distress Scale (K6), respectively, and ad-hoc questions assessing their global health and hospital and academic working conditions. A Directed Acyclic Graph (DAG) analysis was conducted prior to multivariable analyses, to explore the determinants associated with low wellbeing (WEMWBS <43) and high psychological distress (K6 ≥ 13).ResultsA total of 904 residents (response rate: 46.7%) participated in the survey. A low level of wellbeing was observed in 23% of participants, and was significantly associated to job strain (OR = 2.18; 95%CI = [1.32–3.60]), low social support (OR = 3.13; 95%CI = [2.05–4.78]) and the experience of very poor university teaching (OR = 2.51; 95%CI = [1.29–4.91]). A high level of psychological distress was identified for 13% of participants, and associated with low social support (OR = 2.41; 95%CI = [1.48–3.93]) and the experience of very poor university teaching (OR = 2.89, 95%CI = [1.16–7.21]).ConclusionHospital working conditions, social support, and the perception of teaching quality, were three major determinants of wellbeing and psychological distress among health profession residents. Demographic determinants, personal life and lifestyle habits were also associated. This supports a multilevel action in prevention programs aiming to enhance wellbeing and reduce mental distress in this specific population and local organizational specificities.

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Assessing the mental wellbeing of next generation general practitioners: a cross-sectional survey

Cited by 10 publications

References 31 publications

Motivation and personality factors of Generation Z high school students aspiring to study human medicine

Motivation and personality factors of Generation Z high school students aspiring to study human medicine

Variation in perception of safety culture in out-of-hours family medicine service in Croatia

Occupational, academic, and personal determinants of wellbeing and psychological distress in residents: results of a survey in Lyon, France

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