Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
4500 participants
OBSERVATIONAL
2014-10-31
2015-09-30
Brief Summary
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Detailed Description
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To evaluate the impact of workplace changes on what motivates physician to deliver good patient care, this study aims to develop an accurate measure of physician work motivation. Simultaneously, the investigators plan to test hypotheses on the role of various workplace and psychological factors in physicians' work motivation. Namely, the investigators hypothesize that:
20 to 25% of the variance in work motivation is explained by psychological needs satisfaction; 5 to 10% of the variance in self-reported overall health status and depression is explained by work motivation; 5% of the variation in work motivation is explained by work that is seen as a calling; and 5 to 10% of the variation in medicine viewed as a calling is explained by the learning environment.
Conditions
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Study Design
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COHORT
CROSS_SECTIONAL
Study Groups
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physicians
Nationally-representative sample of physicians in all specialties who have direct or indirect patient care responsibilities
No intervention employed. Study is based on a cross-sectional observational design.
resident physicians
Nationally-representative of resident physicians in all specialties
No intervention employed. Study is based on a cross-sectional observational design.
medical students
Nationally-representative sample of 4th year medical students in all US allopathic medical schools.
No intervention employed. Study is based on a cross-sectional observational design.
Interventions
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No intervention employed. Study is based on a cross-sectional observational design.
Eligibility Criteria
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Inclusion Criteria
* resident physicians in all medical specialties
* fourth year medical students in US allopathic medical schools
Exclusion Criteria
* resident physicians without an active medical license.
* fourth year medical students in US osteopathic medical schools
21 Years
90 Years
ALL
Yes
Sponsors
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American Medical Group Association
OTHER
Illinois Institute of Technology
OTHER
Advocate Physician Partners
UNKNOWN
University of California, San Francisco
OTHER
University of Rochester
OTHER
Johns Hopkins University
OTHER
American Medical Association
OTHER
Responsible Party
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Audiey Kao, MD, PhD
Vice President, Ethics
Principal Investigators
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Audiey Kao, MD, PhD
Role: PRINCIPAL_INVESTIGATOR
American Medical Association
References
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Shearer DA. Management styles and motivation. Radiol Manage. 2012 Sep-Oct;34(5):47-52.
Wright SM, Beasley BW. Motivating factors for academic physicians within departments of medicine. Mayo Clin Proc. 2004 Sep;79(9):1145-50. doi: 10.4065/79.9.1145.
Williams GC, Rodin GC, Ryan RM, Grolnick WS, Deci EL. Autonomous regulation and long-term medication adherence in adult outpatients. Health Psychol. 1998 May;17(3):269-76. doi: 10.1037//0278-6133.17.3.269.
Williams GC, Deci EL. Internalization of biopsychosocial values by medical students: a test of self-determination theory. J Pers Soc Psychol. 1996 Apr;70(4):767-79. doi: 10.1037//0022-3514.70.4.767.
Williams GC, Wiener MW, Markakis KM, Reeve J, Deci EL. Medical students' motivation for internal medicine. J Gen Intern Med. 1994 Jun;9(6):327-33. doi: 10.1007/BF02599180.
Cerasoli CP, Nicklin JM, Ford MT. Intrinsic motivation and extrinsic incentives jointly predict performance: a 40-year meta-analysis. Psychol Bull. 2014 Jul;140(4):980-1008. doi: 10.1037/a0035661. Epub 2014 Feb 3.
Gonzalez MG, Swanson DP, Lynch M, Williams GC. Testing satisfaction of basic psychological needs as a mediator of the relationship between socioeconomic status and physical and mental health. J Health Psychol. 2016 Jun;21(6):972-82. doi: 10.1177/1359105314543962. Epub 2014 Aug 7.
Murayama K, Matsumoto M, Izuma K, Matsumoto K. Neural basis of the undermining effect of monetary reward on intrinsic motivation. Proc Natl Acad Sci U S A. 2010 Dec 7;107(49):20911-6. doi: 10.1073/pnas.1013305107. Epub 2010 Nov 15.
Wrzesniewski A, Schwartz B, Cong X, Kane M, Omar A, Kolditz T. Multiple types of motives don't multiply the motivation of West Point cadets. Proc Natl Acad Sci U S A. 2014 Jul 29;111(30):10990-5. doi: 10.1073/pnas.1405298111. Epub 2014 Jun 30.
Other Identifiers
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AMAHSA0901
Identifier Type: -
Identifier Source: org_study_id
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