Clinical trial NCT02263521: Understanding Physician Work Motivation
Official title: Physician Work Motivation: A Measure Validation Study
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Physician Work Motivation
Lead sponsor: American Medical Association
Sponsor class: OTHER
Collaborators: name: American Medical Group Association
name: Illinois Institute of Technology
name: Advocate Physician Partners
name: University of California, San Francisco
name: University of Rochester
name: Johns Hopkins University
First posted: 2014-10-13
Enrollment: 4500
Sex: ALL
Minimum age (years): 21
Maximum age (years): 90
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: CROSS_SECTIONAL
Sampling method: PROBABILITY_SAMPLE
Study population: Population #1 includes practicing physicians in all medical specialties. Population #2 includes resident physicians in all medical specialties. Population #3 includes fourth year medical students in all US allopathic medical schools.

Brief summary: Development and validation of a measure of physician work motivation.

Detailed description: Not that long ago, most physicians were solo practitioners. Today, more physicians are working in large, integrated delivery systems, and many are employed by hospitals and multispecialty group practices. These dramatic changes in the physician work environment raise important questions on how evolving physician payment and care delivery models support or undermine your motivation and ability to deliver high-quality patient care.

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.

Eligibility criteria: Inclusion Criteria:

* practicing physicians in all medical specialties
* resident physicians in all medical specialties
* fourth year medical students in US allopathic medical schools

Exclusion Criteria:

* physicians without an active medical license.
* resident physicians without an active medical license.
* fourth year medical students in US osteopathic medical schools

Primary outcomes:
measure: Internalization of work motivation (self-reported)
timeFrame: Up to 4 months
Secondary outcomes:
measure: Psychological needs satisfaction at work (self-reported)
timeFrame: Up to 4 months
measure: Overall health status (self-reported)
timeFrame: Up to 4 months
measure: Depression (self-reported)
timeFrame: Up to 4 months
measure: Medicine as a calling
timeFrame: Up to 4 months
measure: Medical learning environment that supports professionalism
timeFrame: Up to 4 months
Other outcomes:
Locations:
Study officials:
affiliation: American Medical Association
name: Audiey Kao, MD, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Shearer DA. Management styles and motivation. Radiol Manage. 2012 Sep-Oct;34(5):47-52.
citation: 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.
citation: 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.
citation: 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.
citation: 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.
citation: 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.
citation: 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.
citation: 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.
citation: 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.