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A cross-sectional study of aggression levels in physicians and orthopaedic surgeons : impact on speciality selection and training?
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Barlow, Timothy, Wight, A. and Barlow, David (2012) A cross-sectional study of aggression levels in physicians and orthopaedic surgeons : impact on speciality selection and training? JRSM Short Reports, 3 (12). ISSN 2042-5333.
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Official URL: http://dx.doi.org/10.1258/shorts.2012.012074
Abstract
Objectives:
To determine if current validated psychometric evaluations could determine a difference in basic behavioural characteristics between surgical and medical specialties.
Design:
Cross-sectional study.
Setting:
Two district general hospitals and one University teaching hospital in England, UK.
Participants:
Internal medicine (16) and trauma and orthopaedic (20) consultants.
Main Outcome Measures:
Aggression levels as assessed by the Buss and Warren questionnaire. The self-administered questionnaire assesses aggression in terms of physical, verbal, anger, hostility, indirect hostility and an overall assessment of aggression.
Results:
All participants had aggression scores below the population average. We found a significant difference (P < 0.01) in total level of aggression, with orthopaedic consultants scoring a mean of 61.1 (standard deviation [SD] 9.2) and physicians 51.3 (SD 9.5). When analysis of the five different subtypes of aggression was carried out, orthopaedic surgeons scored significantly higher in terms of verbal aggression (P = 0.005), hostility (P = 0.002) and indirect hostility (P = 0.03).
Conclusion:
This study joins a growing evidence base for aspects of behaviour indicative of a given specialty. Aggression is a relatively stable behavioural characteristic from adolescence, and as such this is the first study of its type to suggest that the differences in behavioural characteristics seen between specialties are inherent, rather than learned. It is unclear if the differences observed represent an attraction of that specialty to the personality type or is required for success within the given specialty. Whether this can be used in terms of selection into higher specialty training, or influence training within specialties, requires further work.
| Item Type: | Journal Article | ||||||
|---|---|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | JRSM Short Reports | ||||||
| Publisher: | Royal Society of Medicine Press Ltd. | ||||||
| ISSN: | 2042-5333 | ||||||
| Official Date: | December 2012 | ||||||
| Dates: |
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| Volume: | 3 | ||||||
| Number: | 12 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Restricted or Subscription Access |
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