Outcome of career expectancies and early professional burnout among newly qualified dentists.
OBJECTIVE
To measure burnout development, outcome of expectations with regard to dental career and feelings of being unprepared for practice among newly graduated general dental practitioners.


METHODS
In 1997, 50 dentists were approached to fill in the Maslach Burnout Inventory, Dutch version (UBOS) and some additional variables between six months and one year after graduation at the Academic Centre for Dentistry Amsterdam (ACTA) (76% response). Six years later, in 2003, the same 50 dentists, plus another 60 who had graduated in the same period at ACTA, were approached (78% response).


RESULTS
Using Repeated Measures analysis, mean scores of dentists for whom two measurements were available on the three UBOS subscales (N=24) showed no statistically significant changes over six years on Emotional Exhaustion, Depersonalisation, or Personal Accomplishment. The same was true for group means of all in 1997 (N=33) compared with all in 2003 (N=82). However, according to manual criteria, varying percentages (7.2% - 24.4%) of dentists showed an unfavourable level on either one of the UBOS dimensions. Factors most frequently mentioned to be responsible for being unprepared for practice were: law and insurance matters (61.2%), practice organisation (56.6%) and staff management (55.2%). Most frequently reported factors that came out (much) worse than expected were: stressfulness of work (45.1%), and staff management (43.4%).


CONCLUSIONS
Burnout appears no threat for the average newly qualified dentist. However, some individuals report alarmingly high burnout scores at an early professional stage. Practice management is the professional aspect about which young professionals worry most. It is recommended that dental schools pay attention to practice management skills and the stressfulness of work in the curriculum. Also, longitudinal monitoring of dental students and newly qualified dentists on burnout development is strongly advocated.
Gorter
R C
RC
Department of Social Dentistry & Behavioural Sciences, Academic Centre for Dentistry Amsterdam, Universiteit van Amsterdam/Vrije Universiteit, The Netherlands. R.Gorter@acta.nl
Storm
M K
MK
te Brake
J H M
JH
Kersten
H W
HW
Eijkman
M A J
MA
D000124:Achievement; D000328:Adult; D001291:Attitude of Health Personnel; D002055:Burnout, Professional / Q000523:psychology*; D003797:Dental Staff / Q000458:organization & administration; D003815:Dentists / Q000523:psychology*; D003861:Depersonalization / Q000523:psychology; D004497:Education, Dental; D005260:Female; D005500:Follow-Up Studies; D005792:General Practice, Dental / Q000193:education; D006801:Humans; D007347:Insurance, Dental; D008297:Male; D009426:Netherlands; D009784:Occupational Diseases / Q000523:psychology; D010559:Personnel Management / Q000379:methods; D011215:Practice Management, Dental / Q000331:legislation & jurisprudence / Q000458:organization & administration; D013315:Stress, Psychological / Q000523:psychology