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The following research has aimed to evaluate the influential factors that affect the decision of opting for psychiatry as a medical speciality. The research underpinned the case of post-graduate trainees residing in Scotland and to serve the purpose, the questionnaire was sent to 278 participants, however, only 83 responded to the assertion. Hence, the response rate has been calculated to be 30%.
Considering this aspect, the following section is dedicated to a meticulous analysis of the factors. The analysis includes an assessment of the reliability of the variables using Cronbach Alpha. It also includes descriptive statistics for the comprehension of the general characteristics along with demographic variables. In furtherance, to evaluate the most influential factors in each category including financial, family, psychiatry as an interesting subject, rewarding aspects of working in psychiatry, societal factors and personality factors, chi-square testing has been conducted which helped to evaluate the difference based on different categorical variables.
Reliability Testing
Since the questions related to all the factors were based on the Likert scale, therefore, Cronbach Alpha has been used to determine the reliability of the 5-point Likert scale. The result of all the factors except for personality factors has been mentioned as follows:
Table 1: Reliability Analysis- 1
Concerning the results in Table 1, it has been found that the Cronbach Alpha statistics is computed to be 0.765. The study carried out by Leech, Barrett and Morgan (2016) asserted that the minimum acceptable value is 0.7. Therefore, the results in Table 1 are acceptable as they are above the threshold. Considering the personality factors, the Cronbach Alpha is computed to be 0.907 which is presented in Table 2. It depicts the extreme reliability of the factors based on the 5-point Likert scale.
Table 2: Reliability Testing-2
Demographic Characteristics
In this section, the general characteristics have been analysed, for instance, gender, age, place of medical qualification and others. In terms of Table 3, most of the respondents fall in the age group ranging from 20 to 34 years with 53% concentration. Concerning gender, the results of Table 4 illustrate that 62.2% of females participated in this study.
Moreover, Table 5 is illustrating that 91.6% of the participants acquired their primary medical qualification from the UK while 3.6% acquired it from Asia. In addition, Table 7 illustrates that 62.7% of the respondents hold MRCP while 37.3% did not. Moreover, according to Table 8, 74.7% of the respondents work full time. Table 9 depicts that 55.4% are at the core psychiatry training stage. According to Table 10, 71.7% had psychiatry training in the first foundation year. However, in terms of the decision-making stage, 43.4% decided in the foundation stage to opt for psychiatry as a medical speciality and the results are depicted in Table 11.
Table 3: Age of the Respondents
Table 4: Gender of the Respondents
Table 5: Place of Primary Medical Education
Table 6: Membership of MRCP
Table 7: Work Type
Table 8: Training Stage
Table 9: Psychiatry Placement
Table 10: Decision Stage
Descriptive Statistics
In descriptive statistics, mean and standard deviation has been computed with respect to each factor. In terms of financial or personal factors, the results have been depicted in Table 11. Here, the data is coded where 1 represents very important; 2: quite important; 3: Neutral; 4: quite unimportant and 5 represents completely unimportant whereas, Don’t know has been recorded as 6. Most of the responses are inclined towards quite important to quite unimportant because the values are near 3 and approaching 4 while the standard deviation is minimal. This shows responses are heading from neutral to quite unimportant responses. However, some of the responses are found to be inclined towards importance, for instance, 13.2 in Table 11.
Table 11: Financial Factors
Descriptive Statistics | Mean | Std. Deviation |
13.1. Expenses or costs associated with psychiatry training (being reasonably manageable) | 3.59 | 1.159 |
13.2. Psychiatry offers satisfactory opportunities regarding research, teaching and medical education | 2.17 | 0.908 |
13.3. After the completion of training securing a post is easier due to low competition in psychiatry than in other medical specialities | 2.96 | 1.46 |
13.4. Psychiatry offers a smooth and less complex career progression | 2.92 | 1.425 |
13.5. Recruitment to a training post in Psychiatry (being less challenging than in other medical or surgical specialities) | 3.27 | 1.499 |
13.6. Psychiatry offers structured training with satisfactory (clinical and educational) supervision and support | 1.66 | 0.757 |
13.7. Psychiatry offers training of comparatively shorter duration than certain other medical specialities before obtaining CCT | 3.9 | 1.47 |
13.8. Psychiatry offers a variety of speciality and sub-speciality training/ work opportunities including dual CCT | 2.14 | 0.939 |
13.9. Progression within psychiatry training is easily manageable (e.g. passing examinations and ARCP, absence of an exit examination at the end of higher training) | 3.29 | 1.486 |
13.10. Positive and supportive supervisors, mentors or role models in previous posts or rotations (e.g. as FY2) changed your mind towards choosing psychiatry | 1.9 | 1.358 |
Concerning the results obtained in Table 12, it has been found that mean values near 4 and 5 are indicating unimportant responses, the values near 3 are indication neutral in the case of family or personal factors. The values near 2 are indicating the importance of that specific factor, for instance, 14.1.
Table 12: Family/ Personal Factors
Descriptive Statistics | Mean | Std. Deviation |
14.1. Psychiatry training posts being available near family or preferred geographical area/ location | 2.11 | 1.19 |
14.2. Peer pressure, influence or advice | 4.2 | 1.575 |
14.3. Parent/ family pressure, influence or advice | 4.64 | 1.574 |
14.4. Parents/ family members in the same medical field (in Psychiatry/ mental health) | 5.3 | 1.295 |
14.5. Opportunities/ availability of Flexible working hours in psychiatry | 2.46 | 1.355 |
14.6. A medical disorder or disability meant that you could manage to work in psychiatry better than when you had to train/ work in other medical specialities | 5.28 | 1.408 |
14.7. A mental disorder affecting yourself, your family or people in your close circle led you to develop an interest in Psychiatry | 4.16 | 1.89 |
Table 13 illustrates that most of the responses are near 2 which is indicating that they are quite important. Even in the case of factors associated with psychiatry as a subject, the standard deviation is minimal. Hence, psychiatry based factors are more important to the participants than financial for family-based factors.
Table 13: Factors associated with Psychiatry Subject
Descriptive Statistics | Mean | Std. Deviation |
15.1. The opportunity of a long-term therapeutic relationship with patients in psychiatric practice | 1.58 | 0.767 |
15.2. Personal and innate interest in psychiatry and psychiatric disorders | 1.55 | 1.14 |
15.3. Appraisal of own aptitude and skills (being more suitable for psychiatry) | 1.57 | 0.719 |
15.4. An overlap between psychiatry, neuroscience and neurological medicine (makes psychiatry favourable speciality) | 2.23 | 1.119 |
15.5. A desire to contribute to psychiatry (e.g. via therapeutic interventions or involvement in research) as mental health has not been given due attention | 2.01 | 1.132 |
15.6. A (unique) person-centred approach focussing on the patient as a person in psychiatry | 1.41 | 0.733 |
15.7. You developed an interest in psychiatry after having a good experience of assessment techniques and therapeutic models used in this speciality (in your previous training/ work, e.g. medical school placement, and placement or foundation year rotation in psychiatry) | 2.27 | 1.49 |
15.8. Psychiatric practice utilises bio-psycho-social model focusing on a holistic approach to determine the biological, psychological and social factors in disease causation and care planning | 1.55 | 0.703 |
Table 14 illustrates that most of the responses are near 2 which is indicating that they are quite important. Even in the case of factors associated with rewarding, the standard deviation is computed to be lower. This indicates that the respondents consider rewarding factors to be important.
Table 14: Factors associated with Rewarding
Descriptive Statistics | Mean | Std. Deviation |
16.1. Assessment and care provision involves multidisciplinary teamwork in psychiatry | 1.59 | 0.733 |
16.2. Psychiatry offers a sense of satisfaction and achievement when people with chronic mental health conditions report improvement or recovery | 2.57 | 1.483 |
16.3. The utilisation of evidence-based approaches regarding treatment and care in psychiatry | 2.16 | 0.848 |
16.4. Absence of regular onsite on-call work as higher trainee or consultant in psychiatry | 2.29 | 1.293 |
16.5. On-call work as a psychiatry trainee or psychiatry consultant is easier to handle than in other medical or surgical specialities | 2.73 | 1.539 |
16.6. Psychiatry is a financially rewarding speciality | 3.77 | 1.533 |
16.7. Day to day work in psychiatry is considerably less demanding (e.g. workload pressure) than in certain other medical or surgical specialities | 3.19 | 1.557 |
16.8. Good work-life balance in psychiatry | 2.52 | 1.517 |
16.9. Less emergency work and an absence of complex procedural work in psychiatry | 2.58 | 1.407 |
The social factors are found to be seemingly less important than other factors on the basis of mean values as depicted in Table 15. Besides, in terms of interest, it has been found that the respondents consider it has important because the value is near 2 which indicates ‘quite important’.
Table 15: Social Factors
Descriptive Statistics | Mean | Std. Deviation |
17.1. Psychiatry is a medical speciality of high public repute | 2.51 | 1.485 |
17.2. Opportunities to work abroad after the completion of psychiatry training | 3.72 | 1.564 |
17.3. Influence of media, such as a film, TV programme, or a book (on your decision to choose psychiatry) | 4.43 | 1.571 |
17.4. Psychiatry involves an interest in people and their unique life stories | 1.43 | 0.736 |
In terms of Table 16, most of the respondents were inclined to state that personality factors are important as most of the respondents agreed to the asked notion. It has been inferred because the mean value is near 2. Here, 1 indicates strongly agree, 2: agree, 3: neutral, 4: disagree and 5 indicates strongly disagree. In this case, the deviation is minimal as found in other cases as well.
Table 16: Personality Factors
Descriptive Statistics | Mean | Std. Deviation |
18.1. I carry out a thorough analysis while investigating and interpreting patients’ physical or mental health problems/ symptoms | 1.65 | 0.633 |
18.2. I like utilising my intellectual skills to solve complex problems | 1.67 | 0.704 |
18.3. I consider myself as friendly | 1.48 | 0.549 |
18.4. I have good communication skills | 1.51 | 0.527 |
18.5. I have good interpersonal and social skills | 1.55 | 0.61 |
18.6. I feel sympathy for and express empathy towards my patients while diagnosing and managing their health problems | 1.55 | 0.569 |
18.7. I understand patient’s feelings and emotions in the context of their difficulties and health problems | 1.61 | 0.514 |
18.8. I listen to and pay attention to my patients' viewpoints | 1.48 | 0.549 |
18.9. Colleagues and patients describe me as cooperative person | 1.51 | 0.592 |
18.10. I have reasonable imaginative and creative skills to interpret patients and their unique ideas (e.g. their belief system) in the context of their personality and health problems | 1.72 | 0.704 |
18.11. I spend time on reflecting on events in my personal and professional life | 1.6 | 0.78 |
Evaluation of Financial Factors
To evaluate the differences in the notion concerning financial factors based on gender, membership of MRCPsych, psychiatry rotation and training stage, chi-square testing has been conducted. The significance level is considered to be 5% (0.05) and this implies that the p-value< 0.05 will be deemed as statistically significant. According to Table 17, the notion of male and female respondents significantly differs regarding the psychiatry offering a variety of speciality training and dual CCT (p-value= 0.019< 0.05). In this context, females consider it as more important than males. Besides, managing the progress with psychiatry training is easy according to most females and this perception differs significantly from males (p-value= 0.011< 0.05).
Table 17: Evaluation based on Gender
| Important (%) |
|
| |
| Male | Female | Chi-Square | p-value |
Expenses or costs associated with psychiatry training (being reasonably manageable) | 22.60% | 15.70% | 7.036 | 0.134 |
Psychiatry offers satisfactory opportunities regarding research, teaching and medical education | 61.30% | 80.30% | 5.596 | 0.231 |
After the completion of training securing a post is easier due to low competition in psychiatry than in other medical specialities | 51.60% | 45.10% | 2.646 | 0.754 |
Psychiatry offers a smooth and less complex career progression | 45.20% | 49.10% | 5.18 | 0.394 |
Recruitment to a training post in Psychiatry (being less challenging than in other medical or surgical specialities) | 45.20% | 29.40% | 2.748 | 0.739 |
Psychiatry offers structured training with satisfactory (clinical and educational) supervision and support | 93.50% | 94.00% | 3.97 | 0.41 |
Psychiatry offers training of comparatively shorter duration than certain other medical specialities before obtaining CCT | 12.90% | 15.70% | 13.213 | 0.021 |
Psychiatry offers a variety of speciality and sub-speciality training/ work opportunities including dual CCT | 58.10% | 80.40% | 11.748 | 0.019 |
Progression within psychiatry training is easily manageable (e.g. passing examinations and ARCP, absence of an exit examination at the end of higher training) | 29.00% | 39.20% | 14.95 | 0.011 |
Positive and supportive supervisors, mentors or role models in previous posts or rotations (eg as FY) changed your mind towards choosing psychiatry | 77.40% | 86.30% | 8.934 | 0.112 |
In terms of having membership of MRCPsych, the respondents who did not possess membership believed that expenses with psychiatry training are manageable as compared to those who possess membership (p-value= 0.012< 0.05). The results have been depicted in Table 18. In addition, concerning psychiatry offering smooth career progression, both MRCPsych holders and non-holders have the same notion pertaining to its importance, however, the difference is found in the category who do not deem it as important or the ones who have no idea (p-value= 0.032< 0.05).
Table 18: Evaluation based on MRCPsych
| Important (%) |
|
| ||
| Yes | No | Chi-Square | p-value | |
Expenses or costs associated with psychiatry training (being reasonably manageable) | 7.70% | 38.70% | 12.931 | 0.012 | |
Psychiatry offers satisfactory opportunities regarding research, teaching and medical education | 73.10% | 74.20% | 2.137 | 0.711 | |
After the completion of training securing a post is easier due to low competition in psychiatry than in other medical specialities | 48.10% | 48.40% | 3.561 | 0.614 | |
Psychiatry offers a smooth and less complex career progression | 48.10% | 48.40% | 12.219 | 0.032 | |
Recruitment to a training post in Psychiatry (being less challenging than in other medical or surgical specialities) | 32.60% | 38.70% | 6.5 | 0.261 | |
Psychiatry offers structured training with satisfactory (clinical and educational) supervision and support | 94.10% | 93.50% | 3.817 | 0.431 | |
Psychiatry offers training of comparatively shorter duration than certain other medical specialities before obtaining CCT | 11.50% | 19.40% | 7.78 | 0.169 | |
Psychiatry offers a variety of speciality and sub-speciality training/ work opportunities including dual CCT | 78.80% | 61.30% | 3.298 | 0.509 | |
Progression within psychiatry training is easily manageable (eg passing examinations and ARCP, absence of an exit examination at the end of higher training) | 36.50% | 35.50% | 4.057 | 0.541 | |
Positive and supportive supervisors, mentors or role models in previous posts or rotations (e.g. as FY) changed your mind towards choosing psychiatry | 86.50% | 77.40% | 7.517 | 0.185 | |
Concerning psychiatry rotation, the respondents who did not have psychiatry placement in foundation year believed that expenses with psychiatry training are manageable as compared to those who did not have a placement (p-value= 0.013< 0.05). The respondents who answered in negation concerning the placement in foundation year also deem psychiatry training as manageable and important than those who had placement (p-value= 0.024< 0.05). The results are presented in Table 19.
Table 19: Evaluation based on Psychiatry Rotation
| Important (%) | |||
| Yes | No | Chi-Square | p-value |
Expenses or costs associated with psychiatry training (being reasonably manageable) | 12.50% | 44.40% |
12.703 | 0.013 |
Psychiatry offers satisfactory opportunities regarding research, teaching and medical education | 70.40% | 83.40% | 1.819 | 0.769 |
After the completion of training securing a post is easier due to low competition in psychiatry than in other medical specialities | 42.20% | 66.60% | 8.456 | 0.133 |
Psychiatry offers a smooth and less complex career progression | 45.30% | 55.60% | 1.439 | 0.920 |
Recruitment to a training post in Psychiatry (being less challenging than in other medical or surgical specialities) | 28.20% | 55.60% | 6.925 | 0.226 |
Psychiatry offers structured training with satisfactory (clinical and educational) supervision and support | 92.10% | 100.00% | 3.047 | 0.55 |
Psychiatry offers training of comparatively shorter duration than certain other medical specialities before obtaining CCT | 9.40% | 33.40% | 10.684 | 0.058 |
Psychiatry offers a variety of speciality and sub-speciality training/ work opportunities including dual CCT | 71.90% | 72.20% | 2.151 | 0.708 |
Progression within psychiatry training is easily manageable (e.g. passing examinations and ARCP, absence of an exit examination at the end of higher training) | 32.80% | 44.40% | 12.926 | 0.024 |
Positive and supportive supervisors, mentors or role models in previous posts or rotations (e.g., as FY) changed your mind towards choosing psychiatry | 87.50% | 66.60% | 7.226 | 0.204 |
In the context of the psychiatry training stage, the respondents who had core psychiatry training believed that expenses with psychiatry training are manageable as compared to those who had higher psychiatry training (p-value= 0.036< 0.05). The results are depicted in Table 20.
Table 20: Evaluation based on Training Stage/ Grade
| Important (%) |
|
| |
| Higher Psychiatry Training | Core Psychiatry Training | Chi-Square | p-value |
Expenses or costs associated with psychiatry training (being reasonably manageable) | 10.80% | 26.10% | 10.255 | 0.036 |
Psychiatry offers satisfactory opportunities regarding research, teaching and medical education | 73.00% | 73.90% | 3.829 | 0.430 |
After the completion of training securing a post is easier due to low competition in psychiatry than in other medical specialities | 51.30% | 45.60% | 8.635 | 0.125 |
Psychiatry offers a smooth and less complex career progression | 40.50% | 54.30% | 8.085 | 0.152 |
Recruitment to a training post in Psychiatry (being less challenging than in other medical or surgical specialities) | 32.40% | 36.90% | 9.362 | 0.095 |
Psychiatry offers structured training with satisfactory (clinical and educational) supervision and support | 94.40% | 93.50% | 4.929 | 0.295 |
Psychiatry offers training of comparatively shorter duration than certain other medical specialities before obtaining CCT | 10.80% | 17.40% | 9.637 | 0.086 |
Psychiatry offers a variety of speciality and sub-speciality training/ work opportunities including dual CCT | 78.40% | 67.40% | 4.072 | 0.396 |
Progression within psychiatry training is easily manageable (eg passing examinations and ARCP, absence of an exit examination at the end of higher training) | 37.80% | 34.80% | 2.675 | 0.750 |
Positive and supportive supervisors, mentors or role models in previous posts or rotations (eg as FY) changed your mind towards choosing psychiatry | 86.50% | 80.50% | 4.953 | 0.422 |
Evaluation of Family or Personal Factors
In this section, the family or personal factors have been evaluated based on gender, membership of MRCPsych, psychiatry rotation and training stage. The results in Table 21 indicate differences based on gender. It has been found that females having close friends with mental disorder generated their interest in psychiatry than male respondents and they deemed as a more important factor (p-value= 0.044< 0.05).
Table 21: Evaluation based on Gender
| Important (%) |
|
| |
| Male | Female | Chi-Square | p-value |
Psychiatry training posts being available near family or preferred geographical area/ location | 74.20% | 80.40% | 6.340 | 0.175 |
Peer pressure, influence or advice | 9.70% | 23.50% | 6.061 | 0.300 |
Parent/ family pressure, influence or advice | 3.20% | 17.60% | 4.490 | 0.481 |
Parents/ family members in the same medical field (in Psychiatry/ mental health) | 3.20% | 5.90% | 3.745 | 0.587 |
Opportunities/ availability of Flexible working hours in psychiatry | 51.60% | 66.70% | 9.437 | 0.093 |
A medical disorder or disability meant that you could manage to work in psychiatry better than when you had to train/ work in other medical specialities | 6.50% | 7.80% | 10.195 | 0.070 |
A mental disorder affecting yourself, your family or people in your close circle led you to develop an interest in Psychiatry | 25.80% | 31.40% | 11.395 | 0.044 |
In the context of having membership of MRCPsych, the respondents who did not possess membership are found to have a similar opinion regarding the importance of family-based factors as compared to those who possessed membership. The results are presented in Table 22.
Table 22: Evaluation based on MRCPsych
| Important (%) |
|
| |
| Yes | No | Chi-Square | p-value |
Psychiatry training posts being available near family or preferred geographical area/ location | 78.80% | 74.20% | 0.386 | 0.984 |
Peer pressure, influence or advice | 21.10% | 12.90% | 2.288 | 0.808 |
Parent/ family pressure, influence or advice | 9.60% | 16.10% | 1.043 | 0.959 |
Parents/ family members in the same medical field (in Psychiatry/ mental health) | 7.70% | 0.00% | 4.580 | 0.469 |
Opportunities/ availability of Flexible working hours in psychiatry | 61.50% | 61.30% | 1.333 | 0.931 |
A medical disorder or disability meant that you could manage to work in psychiatry better than when you had to train/ work in other medical specialities | 5.70% | 9.70% | 4.544 | 0.474 |
A mental disorder affecting yourself, your family or people in your close circle led you to develop an interest in Psychiatry | 27.00% | 32.30% | 7.259 | 0.202 |
Concerning psychiatry rotation, the respondents who did not have psychiatry placement in foundation year believed parents and family influenced their decision than those who had a placement in their foundation year (p-value= 0.028< 0.05). The case with parents/ family member associated with medical field is similar (p-value= 0.046< 0.05). Moreover, those who did not have placement consider that they could manage psychiatry better than any other medical field (p-value= 0.018< 0.05). The results have been depicted in Table 23.
Table 23: Evaluation based on Psychiatry Rotation
| Important (%) |
|
| |
| Yes | No | Chi-Square | p-value |
Psychiatry training posts being available near family or preferred geographical area/ location | 73.40% | 88.90% | 6.381 | 0.172 |
Peer pressure, influence or advice | 15.70% | 27.80% | 3.331 | 0.649 |
Parent/ family pressure, influence or advice | 6.30% | 33.40% | 12.510 | 0.028 |
Parents/ family members in the same medical field (in Psychiatry/ mental health) | 1.60% | 16.70% | 11.277 | 0.046 |
Opportunities/ availability of Flexible working hours in psychiatry | 59.40% | 66.60% | 6.324 | 0.276 |
A medical disorder or disability meant that you could manage to work in psychiatry better than when you had to train/ work in other medical specialities | 4.70% | 16.70% | 13.648 | 0.018 |
A mental disorder affecting yourself, your family or people in your close circle led you to develop an interest in Psychiatry | 28.20% | 33.30% | 3.858 | 0.570 |
In the context of family factors, the notion of respondents having high psychiatry training is found to be similar to those who had core psychiatry training. The results have been depicted in Table 24.
Table 24: Evaluation based on Training Stage/ Grade
| Important (%) |
|
| |
| Higher Psychiatry Training | Core Psychiatry Training | Chi-Square | p-value |
Psychiatry training posts being available near family or preferred geographical area/ location | 75.60% | 78.30% | 2.683 | 0.612 |
Peer pressure, influence or advice | 21.60% | 15.20% | 4.943 | 0.423 |
Parent/ family pressure, influence or advice | 10.80% | 13.10% | 3.330 | 0.649 |
Parents/ family members in the same medical field (in Psychiatry/ mental health) | 8.10% | 2.20% | 5.730 | 0.333 |
Opportunities/ availability of Flexible working hours in psychiatry | 56.70% | 65.20% | 2.696 | 0.747 |
A medical disorder or disability meant that you could manage to work in psychiatry better than when you had to train/ work in other medical specialities | 8.10% | 6.50% | 2.622 | 0.758 |
A mental disorder affecting yourself, your family or people in your close circle led you to develop an interest in Psychiatry | 21.60% | 34.80% | 6.484 | 0.262 |
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Evaluation of Psychiatry Factors
Concerning psychiatry based factors, the stance of male respondents is found to be similar to those females possessed (Table 25). In addition, the notion of MRCPsych members did not differ in the context of the significance of psychiatry factors from the non-members (Table 26). The results concerning psychiatry rotation and training stage are also similar (Table 27 and Table 28). This inference has been drawn because none of the p-values is found to be below 5% (0.05).
Table 25: Evaluation based on Gender
| Important (%) |
|
| |
| Male | Female | Chi-Square | p-value |
The opportunity of a long-term therapeutic relationship with patients in psychiatric practice | 87.10% | 94.10% | 3.556 | 0.469 |
Personal and innate interest in psychiatry and psychiatric disorders | 80.60% | 84.40% | 1.178 | 0.758 |
Appraisal of own aptitude and skills (being more suitable for psychiatry) | 87.10% | 90.20% | 1.135 | 0.769 |
An overlap between psychiatry, neuroscience and neurological medicine (makes psychiatry favourable speciality) | 74.20% | 56.90% | 3.004 | 0.557 |
A desire to contribute to psychiatry (e.g. via therapeutic interventions or involvement in research) as mental health has not been given due attention | 74.20% | 76.40% | 3.523 | 0.620 |
A (unique) person-centred approach focusing on the patient as a person in psychiatry | 96.80% | 92.10% | 8.180 | 0.085 |
You developed an interest in psychiatry after having a good experience of assessment techniques and therapeutic models used in this speciality (in your previous training/ work, e.g. medical school placement, A&E placement or foundation year rotation in psychiatry) | 67.80% | 62.70% | 10.005 | 0.075 |
The psychiatric practice utilises bio-psycho-social model focusing on a holistic approach to determine the biological, psychological and social factors in disease causation and care planning | 90.40% | 90.20% | 3.518 | 0.318 |
Table 26: Evaluation based on MRCPsych
| Important (%) |
|
| |
| Yes | No | Chi-Square | p-value |
The opportunity of a long-term therapeutic relationship with patients in psychiatric practice | 96.10% | 83.90% | 5.224 | 0.265 |
Personal and innate interest in psychiatry and psychiatric disorders | 84.60% | 77.40% | 2.172 | 0.537 |
Appraisal of own aptitude and skills (being more suitable for psychiatry) | 90.30% | 87.10% | 2.064 | 0.559 |
An overlap between psychiatry, neuroscience and neurological medicine (makes psychiatry favourable speciality) | 65.40% | 61.30% | 0.317 | 0.989 |
A desire to contribute to psychiatry (e.g. via therapeutic interventions or involvement in research) as mental health has not been given due attention | 75.00% | 77.40% | 5.425 | 0.366 |
A (unique) person-centred approach focussing on the patient as a person in psychiatry | 94.30% | 93.60% | 6.483 | 0.166 |
You developed an interest in psychiatry after having a good experience of assessment techniques and therapeutic models used in this speciality (in your previous training/ work, e.g. medical school placement, A&E placement or foundation year rotation in psychiatry) | 67.30% | 61.30% | 5.573 | 0.350 |
The psychiatric practice utilises bio-psycho-social model focusing on a holistic approach to determine the biological, psychological and social factors in disease causation and care planning | 94.20% | 83.90% | 3.295 | 0.348 |
Table 27: Evaluation based on Psychiatry Rotation
| Important (%) |
|
| |
| Yes | No | Chi-Square | p-value |
The opportunity of a long-term therapeutic relationship with patients in psychiatric practice | 92.20% | 88.90% | 1.578 | 0.813 |
Personal and innate interest in psychiatry and psychiatric disorders | 84.40% | 72.30% | 3.210 | 0.360 |
Appraisal of own aptitude and skills (being more suitable for psychiatry) | 85.90% | 100.00% | 6.084 | 0.108 |
An overlap between psychiatry, neuroscience and neurological medicine (makes psychiatry favourable speciality) | 62.50% | 72.20% | 2.623 | 0.623 |
A desire to contribute to psychiatry (e.g. via therapeutic interventions or involvement in research) as mental health has not been given due attention | 79.70% | 61.10% | 4.669 | 0.458 |
A (unique) person-centred approach focussing on the patient as a person in psychiatry | 95.40% | 88.90% | 4.176 | 0.383 |
You developed an interest in psychiatry after having a good experience of assessment techniques and therapeutic models used in this speciality (in your previous training/ work, e.g. medical school placement, A&E placement or foundation year rotation in psychiatry) | 68.80% | 55.60% | 5.772 | 0.329 |
The psychiatric practice utilises bio-psycho-social model focusing on a holistic approach to determine the biological, psychological and social factors in disease causation and care planning | 93.80% | 77.80% | 6.497 | 0.090 |
Table 28: Evaluation based on Training Stage/ Grade
| Important (%) |
|
| |
| Higher Psychiatry Training | Core Psychiatry Training | Chi-Square | p-value |
The opportunity of a long-term therapeutic relationship with patients in psychiatric practice | 94.60% | 89.10% | 2.861 | 0.581 |
Personal and innate interest in psychiatry and psychiatric disorders | 81.10% | 82.60% | 1.006 | 0.800 |
Appraisal of own aptitude and skills (being more suitable for psychiatry) | 89.10% | 89.20% | 2.369 | 0.499 |
An overlap between psychiatry, neuroscience and neurological medicine (makes psychiatry favourable speciality) | 70.20% | 58.70% | 3.098 | 0.542 |
A desire to contribute to psychiatry (e.g. via therapeutic interventions or involvement in research) as mental health has not been given due attention | 72.90% | 78.30% | 9.197 | 0.101 |
A (unique) person-centred approach focussing on the patient as a person in psychiatry | 94.60% | 93.40% | 3.752 | 0.441 |
You developed an interest in psychiatry after having a good experience of assessment techniques and therapeutic models used in this speciality (in your previous training/ work, e.g. medical school placement, A&E placement or foundation year rotation in psychiatry) | 70.20% | 60.90% | 2.251 | 0.814 |
The psychiatric practice utilises bio-psycho-social model focusing on a holistic approach to determine the biological, psychological and social factors in disease causation and care planning | 97.30% | 84.80% | 3.761 | 0.288 |
Evaluation of Rewarding Factors
In terms of rewarding factors, the stance of male respondents is found to be similar to those females possessed (Table 29). Besides, the notion of MRCPsych members did not differ in terms of the significance of rewarding factors from the non-members (Table 30). The results concerning psychiatry rotation and training stage are also similar (Table 31 and Table 31). This has been inferred because none of the p-values is found to be below 5% (0.05).
Table 29: Evaluation based on Gender
| Important (%) |
|
| |
| Male | Female | Chi-Square | p-value |
Assessment and care provision involves multidisciplinary teamwork in psychiatry | 96.80% | 86.30% | 6.103 | 0.107 |
Psychiatry offers a sense of satisfaction and achievement when people with chronic mental health conditions report improvement or recovery | 41.90% | 53.00% | 2.009 | 0.571 |
The utilisation of evidence-based approaches regarding treatment and care in psychiatry | 67.70% | 70.50% | 1.922 | 0.750 |
Absence of regular onsite on-call work as higher trainee or consultant in psychiatry | 67.70% | 70.60% | 7.642 | 0.177 |
On-call work as a psychiatry trainee or psychiatry consultant is easier to handle than in other medical or surgical specialities | 54.90% | 56.90% | 3.520 | 0.620 |
Psychiatry is a financially rewarding speciality | 12.90% | 23.60% | 4.563 | 0.471 |
Day to day work in psychiatry is considerably less demanding (e.g. workload pressure) than in certain other medical or surgical specialities | 48.40% | 43.10% | 7.743 | 0.171 |
Good work-life balance in psychiatry | 42.00% | 58.90% | 7.410 | 0.116 |
Less emergency work and an absence of complex procedural work in psychiatry | 58.00% | 68.70% | 11.088 | 0.050 |
Table 30: Evaluation based on MRCPsych
| Important (%) |
|
| |
| Yes | No | Chi-Square | p-value |
Assessment and care provision involves multidisciplinary teamwork in psychiatry | 94.20% | 83.90% | 4.365 | 0.225 |
Psychiatry offers a sense of satisfaction and achievement when people with chronic mental health conditions report improvement or recovery | 42.30% | 58.00% | 4.083 | 0.253 |
The utilisation of evidence-based approaches regarding treatment and care in psychiatry | 67.30% | 74.20% | 1.716 | 0.788 |
Absence of regular onsite on-call work as higher trainee or consultant in psychiatry | 71.10% | 67.70% | 4.270 | 0.511 |
On-call work as a psychiatry trainee or psychiatry consultant is easier to handle than in other medical or surgical specialities | 55.80% | 58.00% | 7.168 | 0.208 |
Psychiatry is a financially rewarding speciality | 19.20% | 22.60% | 4.134 | 0.530 |
Day to day work in psychiatry is considerably less demanding (e.g. workload pressure) than in certain other medical or surgical specialities | 44.20% | 48.40% | 4.068 | 0.540 |
Good work-life balance in psychiatry | 51.90% | 51.70% | 0.962 | 0.916 |
Less emergency work and an absence of complex procedural work in psychiatry | 57.70% | 74.20% | 3.421 | 0.635 |
Table 31: Evaluation based on Psychiatry Rotation
| Important (%) |
|
| |
| Yes | No | Chi-Square | p-value |
Assessment and care provision involves multidisciplinary teamwork in psychiatry | 90.60% | 88.90% | 1.960 | 0.581 |
Psychiatry offers a sense of satisfaction and achievement when people with chronic mental health conditions report improvement or recovery | 46.90% | 50.00% | 0.972 | 0.808 |
The utilisation of evidence-based approaches regarding treatment and care in psychiatry | 67.20% | 77.80% | 2.329 | 0.675 |
Absence of regular onsite on-call work as higher trainee or consultant in psychiatry | 67.20% | 77.70% | 4.076 | 0.539 |
On-call work as a psychiatry trainee or psychiatry consultant is easier to handle than in other medical or surgical specialities | 60.90% | 44.50% | 5.204 | 0.391 |
Psychiatry is a financially rewarding speciality | 23.40% | 11.20% | 11.904 | 0.036 |
Day to day work in psychiatry is considerably less demanding (e.g. workload pressure) than in certain other medical or surgical specialities | 43.80% | 55.50% | 3.187 | 0.671 |
Good work-life balance in psychiatry | 46.90% | 72.20% | 9.388 | 0.052 |
Less emergency work and an absence of complex procedural work in psychiatry | 64.10% | 61.10% | 6.555 | 0.256 |
Table 32: Evaluation based on Training Stage/ Grade
| Important (%) |
|
| |
| Higher Psychiatry Training | Core Psychiatry Training | Chi-Square | p-value |
Assessment and care provision involves multidisciplinary teamwork in psychiatry | 100.00% | 82.70% | 7.493 | 0.058 |
Psychiatry offers a sense of satisfaction and achievement when people with chronic mental health conditions report improvement or recovery | 43.20% | 52.10% | 3.007 | 0.391 |
The utilisation of evidence-based approaches regarding treatment and care in psychiatry | 70.20% | 69.60% | 1.437 | 0.838 |
Absence of regular onsite on-call work as higher trainee or consultant in psychiatry | 70.20% | 69.60% | 7.988 | 0.157 |
On-call work as a psychiatry trainee or psychiatry consultant is easier to handle than in other medical or surgical specialities | 56.70% | 56.50% | 11.240 | 0.047 |
Psychiatry is a financially rewarding speciality | 16.20% | 23.90% | 7.320 | 0.198 |
Day to day work in psychiatry is considerably less demanding (e.g. workload pressure) than in certain other medical or surgical specialities | 35.10% | 54.40% | 4.963 | 0.420 |
Good work-life balance in psychiatry | 51.30% | 52.10% | 1.460 | 0.834 |
Less emergency work and an absence of complex procedural work in psychiatry | 51.30% | 73.90% | 6.184 | 0.289
|
Evaluation of Societal Factors
According to societal factors, the perception of male respondents is found to be similar to those females possessed (Table 33). In addition, the notion of MRCPsych members did not differ in the context of the importance of societal factors from the non-members (Table 34). The results concerning psychiatry rotation and training stage are also similar (Table 35 and Table 36). This inference has been drawn because none of the p-values is found to be below 5% (0.05).
Table 33: Evaluation based on Gender
| Important (%) |
|
| |
| Male | Female | Chi-Square | p-value |
Psychiatry is a medical speciality of high public repute | 74.20% | 66.70% | 4.996 | 0.288 |
Opportunities to work abroad after the completion of psychiatry training | 29.00% | 17.60% | 13.215 | 0.021 |
Influence of media, such as a film, TV programme, or a book (on your decision to choose psychiatry) | 19.40% | 9.80% | 10.711 | 0.057 |
Psychiatry involves an interest in people and their unique life stories | 90.40% | 98.00% | 6.461 | 0.167 |
Table 34: Evaluation based on MRCPsych
| Important (%) |
|
| |
| Yes | No | Chi-Square | p-value |
Psychiatry is a medical speciality of high public repute | 73.00% | 64.50% | 2.577 | 0.631 |
Opportunities to work abroad after the completion of psychiatry training | 15.30% | 35.50% | 8.545 | 0.129 |
Influence of media, such as a film, TV programme, or a book (on your decision to choose psychiatry) | 7.70% | 22.60% | 6.199 | 0.287 |
Psychiatry involves an interest in people and their unique life stories | 96.20% | 90.40% | 4.247 | 0.374 |
Table 35: Evaluation based on Psychiatry Rotation
| Important (%) |
|
| |
| Yes | No | Chi-Square | p-value |
Psychiatry is a medical speciality of high public repute | 71.90% | 66.70% | 7.383 | 0.117 |
Opportunities to work abroad after the completion of psychiatry training | 23.50% | 22.20% | 5.506 | 0.357 |
Influence of media, such as a film, TV programme, or a book (on your decision to choose psychiatry) | 14.10% | 11.20% | 13.660 | 0.018 |
Psychiatry involves an interest in people and their unique life stories | 93.80% | 94.40% | 1.211 | 0.876 |
Table 36: Evaluation based on Training Stage/ Grade
| Important (%) |
|
| |
| Higher Psychiatry Training | Core Psychiatry Training | Chi-Square | p-value |
Psychiatry is a medical speciality of high public repute | 75.60% | 65.30% | 5.568 | 0.234 |
Opportunities to work abroad after the completion of psychiatry training | 8.10% | 34.80% | 9.985 | 0.078 |
Influence of media, such as a film, TV programme, or a book (on your decision to choose psychiatry) | 8.10% | 17.40% | 3.409 | 0.637 |
Psychiatry involves an interest in people and their unique life stories | 94.60% | 93.40% | 2.639 | 0.620 |
References
Leech, N.L., Barrett, K.C. and Morgan, G.A., 2014. IBM SPSS for intermediate statistics: Use and interpretation. Routledge.
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