Table 4 Factor arraysa
# | Statement | Factor A | Factor B | Factor C |
|---|---|---|---|---|
1 | Having a particular mind-set. | −3 | − 3 | −3 |
2 | Focussing on how my specialty can help the patient. | 0 | 0 | 3 |
3 | Keeping abreast of medical developments across different related specialties. | 0 | 0 | 1 |
4 | Having a depth of medical knowledge in my specialty. | 0 | 3 | 0 |
5 | Having a breadth of medical knowledge. | 4 | 1 | 1 |
6 | Paying attention to the overall wellbeing of individuals. | 3 | 4 | 0 |
7 | Bending the rules when necessary. | −1 | −2 | −3 |
8 | Mastering specific skills. | −3 | 2 | 2 |
9 | Knowing how to care for patients with complex care needs. | 2 | 2 | 1 |
10 | Consulting with others when I don’t have the answer. | 1 | 3 | 3 |
11 | Making appropriate referrals. | 2 | 0 | −1 |
12 | Making clinical decisions on a case-by-case basis. | 2 | 2 | 1 |
13 | Empowering patients to make decisions regarding their treatment. | 1 | 1 | 1 |
14 | Acting on the individual needs of my patients. | 2 | 3 | 2 |
15 | Understanding the community to which my patient belongs. | 1 | 0 | −2 |
16 | Adapting to changes in the NHS. | 0 | −1 | −1 |
17 | Orchestrating care for patients with multiple conditions. | 3 | 1 | −2 |
18 | Re-training if necessary to match service demand. | −3 | −2 | −3 |
19 | Understanding the links between specialties. | −1 | 0 | −1 |
20 | Reaching consultant/partner status. | −2 | −3 | − 2 |
21 | Understanding the limitations faced by those working in other specialties. | −1 | −1 | −2 |
22 | Being open to ideas about doing things differently. | 0 | 1 | 2 |
23 | Focussing exclusively on my specialty at an early stage in my training. | −3 | −3 | −4 |
24 | Thinking about the overlaps between different specialties. | −2 | −1 | 0 |
25 | Understanding how medical conditions outside my own specialty impact on my patients. | −2 | 1 | 0 |
26 | Being able to deal with diagnostic uncertainty. | 3 | 0 | 3 |
27 | Being able to isolate the issue at hand. | 1 | −1 | 0 |
28 | Taking the lead. | 0 | −1 | −1 |
29 | Having a good work-life balance. | 1 | −2 | 4 |
30 | Acting confidently even when I am unsure. | −1 | −3 | −3 |
31 | Being well remunerated. | −1 | −4 | −1 |
32 | Being respected by others. | −2 | −2 | 0 |
33 | Having the final say in the multidisciplinary team. | −4 | −4 | − 4 |
34 | Acknowledging the expertise of others in the multidisciplinary team. | 1 | 2 | 2 |
35 | Being an expert. | −4 | −1 | −1 |
36 | Prioritising my NHS practice over private work. | −2 | −2 | −2 |
37 | Having excellent communication skills. | 4 | 4 | 3 |
38 | Acting with compassion. | 3 | 3 | 4 |
39 | Constantly challenging myself. | −1 | 1 | 2 |
40 | Attending to the emotional aspects of my patients’ experiences. | 2 | 2 | 1 |