TY - JOUR
T1 - Motivators of becoming and staying a neurosurgeon in the Netherlands
T2 - a survey and focus group
AU - van BIlsen, Martine WT
AU - van der Burgt, Stéphanie M. E.
AU - Peerdeman, Saskia M.
N1 - Funding Information: We would like to thank C.L.A.M. Vleggeert – Lankamp, JW Grijpma, H.D. Boogaarts, I. Viozzi, R. Nabuurs, H. den Boogert, and V. Volovici for their kind contribution to our manuscript. Publisher Copyright: © 2022, The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.
PY - 2023/1
Y1 - 2023/1
N2 - Objective: The aim of this study was to gain insight in motivators and demotivators of the Dutch neurosurgical residents and neurosurgeons. Methods: A mixed method study was conducted. A survey was sent by the Dutch Neurosurgical Society to all Dutch neurosurgeons and residents in the framework of the yearly national quality conference. The focus groups were held during the Dutch national training days for neurosurgical residents. Baseline statistics were made of all survey data. Focus group recordings were transcribed verbatim and open coded in a constant comparative manner. Results: The survey yielded a response rate of 47.3% of neurosurgeons and 72.5% of residents. 42.5% of residents participated in the focus groups. Overall, motivators according to residents and neurosurgeons were divided between autonomous and controlled motivation. For residents, the motivators to become a neurosurgeon were mostly patient-centered. Neurosurgeons had the same general motivators as residents. Around one-third of neurosurgeons considered ending their career as a neurosurgeon. Among residents, 9.5% considered quitting residency. Neurosurgeons and residents indicated that no time for their family life, increased administrative burden and non-patient-related tasks were reasons to consider leaving the profession. Also, less perceived respect from patients and society was a reason to consider ending their career as a neurosurgeon. Conclusion: Neurosurgeons and residents in neurosurgery are mostly motivated by intrinsic motivators. Factors such as administrative burden, less perceived respect from patients and society, and increase in non-patient-related tasks are large demotivators for both neurosurgeons and residents.
AB - Objective: The aim of this study was to gain insight in motivators and demotivators of the Dutch neurosurgical residents and neurosurgeons. Methods: A mixed method study was conducted. A survey was sent by the Dutch Neurosurgical Society to all Dutch neurosurgeons and residents in the framework of the yearly national quality conference. The focus groups were held during the Dutch national training days for neurosurgical residents. Baseline statistics were made of all survey data. Focus group recordings were transcribed verbatim and open coded in a constant comparative manner. Results: The survey yielded a response rate of 47.3% of neurosurgeons and 72.5% of residents. 42.5% of residents participated in the focus groups. Overall, motivators according to residents and neurosurgeons were divided between autonomous and controlled motivation. For residents, the motivators to become a neurosurgeon were mostly patient-centered. Neurosurgeons had the same general motivators as residents. Around one-third of neurosurgeons considered ending their career as a neurosurgeon. Among residents, 9.5% considered quitting residency. Neurosurgeons and residents indicated that no time for their family life, increased administrative burden and non-patient-related tasks were reasons to consider leaving the profession. Also, less perceived respect from patients and society was a reason to consider ending their career as a neurosurgeon. Conclusion: Neurosurgeons and residents in neurosurgery are mostly motivated by intrinsic motivators. Factors such as administrative burden, less perceived respect from patients and society, and increase in non-patient-related tasks are large demotivators for both neurosurgeons and residents.
KW - Motivation
KW - Residents
KW - Surgeons
UR - http://www.scopus.com/inward/record.url?scp=85144208882&partnerID=8YFLogxK
U2 - https://doi.org/10.1007/s00701-022-05439-9
DO - https://doi.org/10.1007/s00701-022-05439-9
M3 - Article
C2 - 36534184
SN - 0001-6268
VL - 165
SP - 1
EP - 10
JO - Acta neurochirurgica
JF - Acta neurochirurgica
IS - 1
ER -