Physicians’ perceived mastery of work: predictors and clinical consequences: A 20-year longitudinal study of a nationwide cohort
Appears in the following Collection
AbstractThis thesis is based on three papers and examines predictors and factors associated with perceived mastery of clinical work among doctors. Important findings are that perceived recording skills at medical school predicted high perceived mastery of clinical work later in the doctors’ careers, while taking up leading positions were associated with increased perceived mastery. The risky avoidant behavior of using alcohol to cope with stress during medical school and vulnerable personality traits, on the other hand, predicted low perceived mastery. In addition, physicians with high levels of vulnerable personality traits counselled less often about physical activity. However, when they themselves were physically active, they counselled more often on exercise. Vulnerability personality traits consists of items such as fear of being criticized. The findings indicate the importance of giving support to students and young doctors about handling stressful situations, such as meeting critics. Interventions that promote learning of new skills, challenging oneself in new demanding situations could help them to develop better coping strategies and higher perceived mastery in stressful situations.
List of papers
|Paper I: Belfrage A, Grotmol KS, Lien L, Moum T, Wiese RV, Tyssen R. Medical school predictors of later perceived mastery of clinical work among Norwegian doctors: a cohort study with 10-year and 20-year follow-up. BMJ Open. 2017 Sep 24;7(9):e014462. doi: 10.1136/bmjopen-2016-014462. The article is included in the thesis. Also available at: https://doi.org/10.1136/bmjopen-2016-014462|
|Paper II: Belfrage A, Grotmol KS, Tyssen R, Moum T, Lien L. Factors associated with low vs increased perceived mastery of work: a 20-year cohort study of Norwegian doctors. BMC Med Educ. 2018 May 29;18(1):116. doi: 10.1186/s12909-018-1236-9. The article is included in the thesis. Also available in DUO: http://urn.nb.no/URN:NBN:no-64386|
|Paper III: Belfrage ASV, Grotmol KS, Tyssen R, Moum T, Finset A, Isaksson Rø K. Lien L. Factors influencing doctors’ counselling on patients’ lifestyle habits: a cohort study. BJGP Open. 2018;2(3): bjgpopen18X101607. doi: 10.3399/bjgpopen18X101607. The article is included in the thesis. Also available in DUO: http://urn.nb.no/URN:NBN:no-75680|