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Table 3 Characteristics of low and increased Perceived Mastery of Clinical Work between 10th and 20th PGY

From: Factors associated with low vs increased perceived mastery of clinical work over ten years of practice: a prospective study of Norwegian doctors

 

Characteristics (measured as mean) of low PMCWa

Characteristics (measured as change) of increased PMCWb

 

Unadjusted

Adjusted

Unadjusted

Adjusted

OR

CI 95%

OR

CI 95%

OR

CI 95%

OR

CI 95%

Demographic factorsc:

 Age

1.00

0.88 to 1.13

e

 

1.00

0.87 to 1.15

  

 Gender

1.49

0.86 to 2.60

e

 

0.98

0.49 to 1.96

  

Workplace factorsd:

 Job demands

1.12

0.80 to 1.57

  

0.64*

0.45 to 0.92

0.66*

0.45 to 0.98

 Job autonomy

0.85

0.53 to 1.36

  

1.40

0.87 to 2.26

  

 Job stress: Emotional pressure

1.03

0.95 to 1.12

  

1.05

0.97 to 1.15

  

 Fear of complaints

1.04

0.96 to 1.13

  

1.03

0.95 to 1.11

  

 Time pressure

1.00

0.90 to 1.09

  

0.94

0.86 to 1.04

  

 Work-home interference

1.03

0.92 to 1.16

  

0.92

0.83 to 1.02

  

 Collegial support

0.69***

0.58 to 0.82

e

 

1.05

0.91 to 1.22

  

 Working hours

0.96

0.91 to 1.01

  

0.97

0.94 to 1.00

e

 

 Leading position

0.49

0.16 to 1.54

  

2.00

0.98 to 4.09

3.04*

1.31 to 7.07

Non-workplace factorsd:

 Social support

0.77***

0.68 to 0.88

0.78**

0.66 to 0.91

1.00

0.88 to 1.14

  

 Alcohol to cope with stress

1.67

0.58 to 4.77

  

1.75

0.62 to 4.92

  

 Medicine to cope with stress

2.95

0.65 to 13.51

  

0.56

0.16 to 1.92

  

Medical school factorsc:

 Perceived medical recording skills

0.90**

0.84 to 0.96

e

 

1.01

0.94 to 1.10

  

 Identification with the role of doctor

0.87***

0.81 to 0.93

e

 

1.01

0.93 to 1.09

  

 Alcohol to cope with stress

3.36**

1.44 to 7.85

2.66*

1.03 to 6.85

1.26

0.45 to 3.56

  

Personalityc:

 Vulnerability

1.32***

1.16 to 1.50

1.30***

1.12 to 1.50

0.94

0.81 to 1.10

  

 Intensity

0.88*

0.78 to 0.98

e

 

1.03

0.90 to 1.19

  

 Control

0.99

0.86 to 1.14

  

1.06

0.90 to 1.25

  

 Reality weakness

1.36**

1.11 to 1.67

  

1.00

0.79 to 1.27

  
  1. OR: Odds Ratio, *: p = < 0.05, **: p = < 0.01, ***: p = < 0.001, a: Cox&Snell R2: .18, Nagelkerke R2: .26, b: Cox&Snell R2: .07, Nagelkerke R2: .12, c: measured at T1, d: measured by mean value of all measuring points in each time period in analysis on low PMCW and measured as change between T2 and T4 in analysis on increased PMCW, e: Variables included in the adjusted model due to p = < 0.1, but removed through stepwise backward elimination