Rising to the challenge: acute stress appraisals and selection centre performance in applicants to postgraduate specialty training in anaesthesia.

2.50
Hdl Handle:
http://hdl.handle.net/11287/596666
Title:
Rising to the challenge: acute stress appraisals and selection centre performance in applicants to postgraduate specialty training in anaesthesia.
Authors:
Roberts, M J; Gale, T C E; McGrath, John S; Wilson, M R
Abstract:
The ability to work under pressure is a vital non-technical skill for doctors working in acute medical specialties. Individuals who evaluate potentially stressful situations as challenging rather than threatening may perform better under pressure and be more resilient to stress and burnout. Training programme recruitment processes provide an important opportunity to examine applicants' reactions to acute stress. In the context of multi-station selection centres for recruitment to anaesthesia training programmes, we investigated the factors influencing candidates' pre-station challenge/threat evaluations and the extent to which their evaluations predicted subsequent station performance. Candidates evaluated the perceived stress of upcoming stations using a measure of challenge/threat evaluation-the cognitive appraisal ratio (CAR)-and consented to release their demographic details and station scores. Using regression analyses we determined which candidate and station factors predicted variation in the CAR and whether, after accounting for these factors, the CAR predicted candidate performance in the station. The CAR was affected by the nature of the station and candidate gender, but not age, ethnicity, country of training or clinical experience. Candidates perceived stations involving work related tasks as more threatening. After controlling for candidates' demographic and professional profiles, the CAR significantly predicted station performance: 'challenge' evaluations were associated with better performance, though the effect was weak. Our selection centre model can help recruit prospective anaesthetists who are able to rise to the challenge of performing in stressful situations but results do not support the direct use of challenge/threat data for recruitment decisions.
Citation:
Rising to the challenge: acute stress appraisals and selection centre performance in applicants to postgraduate specialty training in anaesthesia. 2016 May;21(2):323-39. Epub 2015 Aug 14
Publisher:
Springer
Journal:
Advances in health sciences education : theory and practice
Issue Date:
14-Aug-2015
URI:
http://hdl.handle.net/11287/596666
DOI:
10.1007/s10459-015-9629-6
PubMed ID:
26271681
Additional Links:
http://dx.doi.org/10.1007/s10459-015-9629-6
Type:
Journal Article
Language:
en
ISSN:
1573-1677
Appears in Collections:
2015 RD&E publications; Anaesthetics; HeSRU publications

Full metadata record

DC FieldValue Language
dc.contributor.authorRoberts, M Jen
dc.contributor.authorGale, T C Een
dc.contributor.authorMcGrath, John Sen
dc.contributor.authorWilson, M Ren
dc.date.accessioned2016-02-18T15:50:35Zen
dc.date.available2016-02-18T15:50:35Zen
dc.date.issued2015-08-14en
dc.identifier.citationRising to the challenge: acute stress appraisals and selection centre performance in applicants to postgraduate specialty training in anaesthesia. 2016 May;21(2):323-39. Epub 2015 Aug 14en
dc.identifier.issn1573-1677en
dc.identifier.pmid26271681en
dc.identifier.doi10.1007/s10459-015-9629-6en
dc.identifier.urihttp://hdl.handle.net/11287/596666en
dc.description.abstractThe ability to work under pressure is a vital non-technical skill for doctors working in acute medical specialties. Individuals who evaluate potentially stressful situations as challenging rather than threatening may perform better under pressure and be more resilient to stress and burnout. Training programme recruitment processes provide an important opportunity to examine applicants' reactions to acute stress. In the context of multi-station selection centres for recruitment to anaesthesia training programmes, we investigated the factors influencing candidates' pre-station challenge/threat evaluations and the extent to which their evaluations predicted subsequent station performance. Candidates evaluated the perceived stress of upcoming stations using a measure of challenge/threat evaluation-the cognitive appraisal ratio (CAR)-and consented to release their demographic details and station scores. Using regression analyses we determined which candidate and station factors predicted variation in the CAR and whether, after accounting for these factors, the CAR predicted candidate performance in the station. The CAR was affected by the nature of the station and candidate gender, but not age, ethnicity, country of training or clinical experience. Candidates perceived stations involving work related tasks as more threatening. After controlling for candidates' demographic and professional profiles, the CAR significantly predicted station performance: 'challenge' evaluations were associated with better performance, though the effect was weak. Our selection centre model can help recruit prospective anaesthetists who are able to rise to the challenge of performing in stressful situations but results do not support the direct use of challenge/threat data for recruitment decisions.en
dc.languageENGen
dc.language.isoenen
dc.publisherSpringeren
dc.relation.urlhttp://dx.doi.org/10.1007/s10459-015-9629-6en
dc.rightsArchived with thanks to Advances in health sciences education : theory and practiceen
dc.subjectWessex Classification Subject Headings::Surgery::Anaesthesiaen
dc.titleRising to the challenge: acute stress appraisals and selection centre performance in applicants to postgraduate specialty training in anaesthesia.en
dc.typeJournal Articleen
dc.identifier.journalAdvances in health sciences education : theory and practiceen
dc.type.versionIn press (epub ahead of print)en
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