Some of the questions in this version of the questionnaire have been retracted as they may have copyright problems. Please contact me directly for further information. Chris McManus i.mcmanus@ucl.ac.uk 1990 Cohort Study of Doctors: 2002/2003 follow-up How would you describe your current job? If not employed, tick here G and describe your most recent post. Sessions (half-days) Level Speciality per week 1. Main Medical post Subsidiary Medical post(s) Non-medical post IF YOU ARE ENTIRELY IN A NON-MEDICAL JOB, PLEASE COMPLETE AS MANY OF THE REMAINING QUESTIONS AS POSSIBLE. Not working Other non-medical Other medical Medical work abroad GP Principal GP Assistant GP Registrar Other hospital grades Trust doctor Staff grade Consultant Assistant Specialist Lecturer/Researcher SpR SHO PRHO Please describe the posts you have held from 1995 until the present day. For each half year put a tick to indicate the level of post you held. (Do not worry about being too precise; for instance, if an SHO post was from Aug 96 until Feb 97 then just put a tick under the second half of 1996). If you were working in several categories then tick them all. Student 2. If parttime, tick here Speciality (e.g. General & Gastro-intestinal Surgery) 1995 - i 1995 - ii 1996 - i 1996 - ii 1997 - i 1997 - ii 1998 - i 1998 - ii 1999 - i 1999 - ii 2000 - i 2000 - ii 2001 - i 2001 - ii 2002 - i 2002 - ii 3. 4. 5. 6. 7. Would you like to work part-time in the future? No / Yes If Yes, a) will this be: During training only / When training is completed / During and after training ? b) what is the main reason: Research / Illness or disability /Private or social life /Other _____________ Are you on the Flexible Training Scheme? : No / Yes If Yes, when did you join it? __________ Have you been awarded a CCST ? No / Yes If Yes, when was it awarded? ____________ If No, do you have a CCST date? No / Yes ____________ Have you completed GP training? No / Yes If Yes, when did you complete training? If No, do you expect to complete GP training? No / Yes (when?)____ How attractive would be each of these eleven broad areas of medical practice to you as a career: Extremely attractive Anaesthetics General Practice Hospital medicine Medical administration Obstetrics and Gynaecology Pathology (inc. Microbiology, Haematology, etc.) Paediatrics & Child Health Psychiatry / Mental health Public Health / Community Medicine Radiology / Radiotherapy Research Surgery (inc A&E and Ophthalmology) Very attractive Fairly attractive Fairly unattractive Very unattractive 8. What post-graduate examinations such as Degrees, Memberships, Fellowships, Diplomas, and Certificates have you obtained? For Memberships or Fellowships taken in several parts, please describe each part separately. Part Year Qualification Part Year Qualification Part Year Qualification 9. Since qualification have you spent any time as a researcher? No / Yes If Yes, How long did you spend? ____months _____ years ? Was it full-time or part-time? Full-time / Part-time (if so, what percentage? ______) Are you presently registered for a research degree? No / Yes (MD / PhD / Other) If No, do you intend to register? Definitely No / Probably No / Probably Yes/ Definitely Yes How many peer-reviewed research papers have you published? None / 1-2 / 3-5 / 6-10 / 11-20 / 21-50 / 51-100 / 100+ Did you publish any peer-reviewed research papers as an undergraduate? None / 1-2 / 3-5 / 6+ Is your husband / wife / partner qualified as a doctor? No / Yes Is your husband / wife / partner qualified as a non-medical health-care professional? No / Yes Is your husband / wife / partner working at present? Full-time / Part-time / Not working How many children do you have? _____ What years were they born? ____________________________________ How many patients do you see in a typical week? Emergency admissions _______ Routine admissions ________ Day care ________ Out-Patient Department _______ General Practice _________ Other ________ How well do the following statements describe your approach to patient care? 10. 11. 12. 13. 14. 15. 16. 17. 18. Does not apply at all Applies a little Applies somewhat Applies quite Applies a a bit great deal I find the uncertainty involved in patient care is disconcerting When I am uncertain of a diagnosis I should share that information with patients I worry that other doctors would doubt my ability if they knew about my mistakes in patient care I find not being sure of what is best for a patient is one of the most stressful parts of being a doctor I am frustrated when I do not know a patient's diagnosis I never tell other doctors about mistakes I have made in patient care If I shared my uncertainties with my patients then they would lose confidence in me I have chosen a speciality that minimises the uncertainties of patient care 19. How well do the following statements describe your work style? i. At work I find it difficult to organise my time effectively ii. I find that studying new things can often be really exciting iii. When I have something to do at work, I like to know precisely what is expected iv. Some of the issues that crop up at work are so interesting that I pursue them though they are not part of my job v. My habit of putting off work leaves me with far too much catching up to do vi. I prefer the work I am doing to be clearly structured vii. I like to play around with ideas of my own even if they don’t get me very far viii. Although I generally remember facts and details, I find it difficult to fit them together into an overall picture ix. I think it’s important to look at problems rationally and logically without making intuitive jumps x. I spend a good deal of my spare time learning about things related to my work xi. Often I have to read things without having a chance to really understand them xii. When I learn something new at work I put a lot of effort into memorising important facts xiii. There is a real opportunity in my job for me to choose the particular things I work on xiv. My work colleagues really try hard to get to know one another xv. My work load is too heavy xvi. I have a lot of choice about the work I do xvii. The non-medical people I work with make a real effort to understand the difficulties doctors have with their work xiii. My job requires me to do too many different things ix. I pretty much decide how to do my work xx. My coworkers are supportive and friendly towards me xxi. There seems to be too much work to get through in my job Definitely disagree Somewhat disagree Somewhat Definitely agree agree 20. How often do the following statements describe the way you feel about working as a doctor? Every day 21. 22. A few times a week Once a week A few Once a A few times a month or times a month less year Never How has your health been in general over the past few weeks. Have you recently: Better than usual Same as usual Less than usual Much less than usual Not at all No more than usual Rather more than usual Much more than usual More so than usual Same as usual Less useful than usual Much less useful More so than usual Same as usual Less so than usual Much less capable Not at all No more than usual Rather more than usual Much more than usual Not at all No more than usual Rather more than usual Much more than usual More so than usual Same as usual Less so than usual Much less than usual More so than usual Same as usual Less able than usual Much less able Not at all No more than usual Rather more than usual Much more than usual Not at all No more than usual Rather more than usual Much more than usual Not at all No more than usual Rather more than usual Much more than usual More so than usual About same as usual Less so than usual Much less than usual Please indicate how well each of the following statements describes you: Describes me very badly Describes Describes Describes me very me fairly me well well poorly i. I day dream and fantasise with some regularity about things that might happen to me ii. I sometimes find it difficult to see things from another person's point of view iii. Sometimes I don't feel very sorry for other people when they are having problems iv. In emergency situations I feel apprehensive and ill-at-ease v. I try to look at everybody's side of a disagreement before I make a decision vi. Becoming extremely involved in a good book or movie is somewhat rare for me vii. Other people's misfortunes do not usually disturb me a great deal viii. Being in a tense, emotional situation scares me ix. I am usually pretty effective in dealing with emergencies x. I would describe myself as a pretty soft-hearted person xi. I really get involved with the feelings of the characters in a novel xii. Before criticising somebody I try to imagine how I would feel if I were in their place xiii. I'm always willing to admit it when I make a mistake xiv. No matter who I'm talking to, I'm always a good listener xv. I sometimes feel resentful when I don't get my way xvi. I am able to do things as well as most other people xvii. I feel useless at times xviii. I take a positive attitude towards myself xix. At times I am inclined to feel that I am a failure 23. Each pair of phrases describes two behaviours. Each of us is somewhere between the two extremes. Put a mark between the two to best describe yourself. +++ ++ + - + ++ +++ Not at all independent Very independent Not at all emotional Very emotional Very rough Very gentle Not at all competitive Very competitive Not at all kind Very kind Not at all aware of feelings of others Very aware of feelings of others Gives up very easily Never gives up easily Not at all self confident Very self confident 24. Do you agree with the way these statements describe you as a person? Strongly Disagree Disagree Neutral Agree Strongly agree 25. Think about your chosen career speciality. Briefly describe a particular event that helped convince you that the career was right for you. Was there an event that nearly put you off this career? Please briefly describe it. 26. Think about a career that you might have chosen but didn’t. Briefly describe a particular event which convinced you it was not right for you. Was there an event that nearly made you regret your decision not to enter this career? Please briefly describe it. 27. Have you ever regretted your decision to become a doctor? Never / Occasionally / Moderately often / Very often Whatever your answer, what is your main reason? 28. Do you think that you have had a successful career so far? Definitely Yes / Probably Yes/ Probably No / Definitely No Whatever your answer, what is your main reason? 29. How long did it take you to complete this questionnaire? ___________minutes Thank you for completing this detailed questionnaire and helping with the survey. This questionnaire is entirely for the purposes of research. Both for your own reassurance and as a normal part of research ethics, we would be grateful if you would acknowledge the declaration by initialling it. DECLARATION: This questionnaire is entirely for the purposes of educational research, its contents will be kept strictly confidential, will not be made known to anyone outside of the research study, and will not otherwise be disclosed or published except in an aggregated form in which individuals cannot be identified. I C McManus MA MD PhD FRCP Please acknowledge by initialling: ______(Initials) ___/___/ 200____