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What do Danish doctors think?

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Page 1: What do Danish doctors think? - selskaberne.dk · Urologi. UNHAPPY SPECIALITES ... Patologisk anatomi og cytologi. Reumatologi. Kirurgi. Diagnostisk radiologi. pathology . rheumatology

What do Danish doctors think?

Page 2: What do Danish doctors think? - selskaberne.dk · Urologi. UNHAPPY SPECIALITES ... Patologisk anatomi og cytologi. Reumatologi. Kirurgi. Diagnostisk radiologi. pathology . rheumatology

Survey of all doctors in DenmarkDecember 2018

• Organization of Danish Medical Societies (thanks to Marie Krabbe)

• Cass Business School, City, University of London

• Department of Business Administration, University of Zurich

Page 3: What do Danish doctors think? - selskaberne.dk · Urologi. UNHAPPY SPECIALITES ... Patologisk anatomi og cytologi. Reumatologi. Kirurgi. Diagnostisk radiologi. pathology . rheumatology

6 Minutes for Danish Health Care

• 4,471 “finished” responses

• 1,668 started responses

• Response rate of 29%

Page 4: What do Danish doctors think? - selskaberne.dk · Urologi. UNHAPPY SPECIALITES ... Patologisk anatomi og cytologi. Reumatologi. Kirurgi. Diagnostisk radiologi. pathology . rheumatology

Job satisfaction

How satisfied are Danish doctors with their work? 4.4 on a 6-point scale

How likely are they to stay in their current job? 3.45 on a 6-point scale

Women and men report the same result

Page 5: What do Danish doctors think? - selskaberne.dk · Urologi. UNHAPPY SPECIALITES ... Patologisk anatomi og cytologi. Reumatologi. Kirurgi. Diagnostisk radiologi. pathology . rheumatology

3,5

3,7

3,9

4,1

4,3

4,5

4,7HAPPY SPECIALTIES ☺

Which specialties are most satisfied with their job?

Page 6: What do Danish doctors think? - selskaberne.dk · Urologi. UNHAPPY SPECIALITES ... Patologisk anatomi og cytologi. Reumatologi. Kirurgi. Diagnostisk radiologi. pathology . rheumatology

Which specialties are least satisfied with their job?

3,5

3,7

3,9

4,1

4,3

4,5

4,7

Lungesygdomme Plastikkirurgi Patologisk anatomi ogcytologi

Urologi

UNHAPPY SPECIALITES 😡😡

pulminary/lung plastic surgery pathology urology

Page 7: What do Danish doctors think? - selskaberne.dk · Urologi. UNHAPPY SPECIALITES ... Patologisk anatomi og cytologi. Reumatologi. Kirurgi. Diagnostisk radiologi. pathology . rheumatology

Which specialties are leastlikely to leave their work place?

Almen medicin = family medicine / general practice (1)

Oftalmologi = ophthalmology (2)

Dermato-venerology = dermatology-venerology (3)

Endokrinolgi = endocrinology (4)

Gynækologi og obstrik = gynecology & obstetrics (5)

Oto-rhino-laryngologi = (6) ear, nose, and throat

Reumatologi = rheumatology (7)

Page 8: What do Danish doctors think? - selskaberne.dk · Urologi. UNHAPPY SPECIALITES ... Patologisk anatomi og cytologi. Reumatologi. Kirurgi. Diagnostisk radiologi. pathology . rheumatology

Which specialties are mostlikely to leave their place of work?

Urologi = urology (1)

Pædiatri = paediatrics (2)

Kardiologi = cardiology (3)

Psykiatri = psychiatry (4)

Anæstesiologi = (5) anaesthesiology/intensive care medicine

Plastikkirurgi = plastic surgery (6)

Page 9: What do Danish doctors think? - selskaberne.dk · Urologi. UNHAPPY SPECIALITES ... Patologisk anatomi og cytologi. Reumatologi. Kirurgi. Diagnostisk radiologi. pathology . rheumatology

Does it matter to the job satisfaction of Danish doctors if their manager is a good clinician?

NB: GPs with their own practices did not see the questions on bosses. There were 780 such respondents in the sample

What about the supervisors’ clinical expertise?

Page 10: What do Danish doctors think? - selskaberne.dk · Urologi. UNHAPPY SPECIALITES ... Patologisk anatomi og cytologi. Reumatologi. Kirurgi. Diagnostisk radiologi. pathology . rheumatology

Expert Clinicians matter

Danish doctors’ also report higher job satisfaction if they perceive their direct supervisor (line manager) to be a good or outstanding clinician

Page 11: What do Danish doctors think? - selskaberne.dk · Urologi. UNHAPPY SPECIALITES ... Patologisk anatomi og cytologi. Reumatologi. Kirurgi. Diagnostisk radiologi. pathology . rheumatology

This holds controlling for position, tenure in position, hours worked per week, satisfaction with life, age and gender of responding doctors

Page 12: What do Danish doctors think? - selskaberne.dk · Urologi. UNHAPPY SPECIALITES ... Patologisk anatomi og cytologi. Reumatologi. Kirurgi. Diagnostisk radiologi. pathology . rheumatology

Supervisors’ clinical expertise influences doctors’ job satisfaction

3,6

3,7

3,8

3,9

4

4,1

4,2

4,3

4,4

4,5

4,6

Supervisor is highlydistin. clinician

Supervisor is distin.clinician

Supervisor is averagelyable clinician

Supervisor is not thatinterested in clinical

work

Average job satisfaction

Page 13: What do Danish doctors think? - selskaberne.dk · Urologi. UNHAPPY SPECIALITES ... Patologisk anatomi og cytologi. Reumatologi. Kirurgi. Diagnostisk radiologi. pathology . rheumatology

■Danish doctors are also much less likely to think about leaving their organization if they perceive their direct supervisor (line manager) to be a good or outstanding clinician

Page 14: What do Danish doctors think? - selskaberne.dk · Urologi. UNHAPPY SPECIALITES ... Patologisk anatomi og cytologi. Reumatologi. Kirurgi. Diagnostisk radiologi. pathology . rheumatology

How keen are Danish doctors to become leaders?

Page 15: What do Danish doctors think? - selskaberne.dk · Urologi. UNHAPPY SPECIALITES ... Patologisk anatomi og cytologi. Reumatologi. Kirurgi. Diagnostisk radiologi. pathology . rheumatology

We asked: “Would you ever consider taking a management or leadership position in your career?

Page 16: What do Danish doctors think? - selskaberne.dk · Urologi. UNHAPPY SPECIALITES ... Patologisk anatomi og cytologi. Reumatologi. Kirurgi. Diagnostisk radiologi. pathology . rheumatology

Leader aspiration: yes (70%)

Leader aspiration: no (30%)

We asked: “Would you ever consider taking a management or leadership position in your career?

Page 17: What do Danish doctors think? - selskaberne.dk · Urologi. UNHAPPY SPECIALITES ... Patologisk anatomi og cytologi. Reumatologi. Kirurgi. Diagnostisk radiologi. pathology . rheumatology

What predicts doctors’ willingness to take on a leadership position?

Page 18: What do Danish doctors think? - selskaberne.dk · Urologi. UNHAPPY SPECIALITES ... Patologisk anatomi og cytologi. Reumatologi. Kirurgi. Diagnostisk radiologi. pathology . rheumatology

When are doctors most likely to take a leadership position?

When they can have a

positive impact

If they receive

leadership training

If they get paid a higher

salary

Out of a sense of

duty

Page 19: What do Danish doctors think? - selskaberne.dk · Urologi. UNHAPPY SPECIALITES ... Patologisk anatomi og cytologi. Reumatologi. Kirurgi. Diagnostisk radiologi. pathology . rheumatology

Why are doctors less likely to take a leadership position?

Because they have less focus on

clinical work

It involves more administration

It means more hours and

more stress

There are not enough

resources

A fear of burnout

Page 20: What do Danish doctors think? - selskaberne.dk · Urologi. UNHAPPY SPECIALITES ... Patologisk anatomi og cytologi. Reumatologi. Kirurgi. Diagnostisk radiologi. pathology . rheumatology

Which specialty is most likely to say “Yes” to a leadership position?

0,77

0,78

0,79

0,8

0,81

0,82

0,83

0,84

0,85

0,86

0,87

Dermato-venerologi Plastikkirurgi Børne- ogungdomspsykiatri

Dermatology/venerology Plastic surgery Child & adolescent psychiatry

Page 21: What do Danish doctors think? - selskaberne.dk · Urologi. UNHAPPY SPECIALITES ... Patologisk anatomi og cytologi. Reumatologi. Kirurgi. Diagnostisk radiologi. pathology . rheumatology

Which specialty is most likely to say “No” to a leadership position?

0,51

0,56

0,61

0,66

0,71

0,76

0,81

0,86

Patologisk anatomi ogcytologi

Reumatologi Kirurgi Diagnostisk radiologi

pathology rheumatology surgery clinical radiology

Page 22: What do Danish doctors think? - selskaberne.dk · Urologi. UNHAPPY SPECIALITES ... Patologisk anatomi og cytologi. Reumatologi. Kirurgi. Diagnostisk radiologi. pathology . rheumatology

I hope the evidence I have presented has convinced you to think about becoming a leader in healthcare (if you are not already)

Patients

Page 23: What do Danish doctors think? - selskaberne.dk · Urologi. UNHAPPY SPECIALITES ... Patologisk anatomi og cytologi. Reumatologi. Kirurgi. Diagnostisk radiologi. pathology . rheumatology

I hope the evidence I have presented has convinced you to think about becoming a leader in healthcare (if you are not already)