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Factors Or Reasons Influencing The Choice Of Psychiatry As A Medical Speciality Among Postgraduate Psychiatry Trainees

Home  »  Coursework Example • Examples • Undergraduate   »   Factors Or Reasons Influencing The Choice Of Psychiatry As A Medical Speciality Among Postgraduate Psychiatry Trainees
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Introduction

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

 

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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

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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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