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Table 4 Factor arraysa

From: Disciplinary boundaries and integrating care: using Q-methodology to understand trainee views on being a good doctor

# 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
  1. aThe scores in the factor columns correspond to the ranked placement of the statement for each group, from most disagree (−4) to most agree (4)