title: Key factors in work engagement and job motivation of teaching faculty at a university medical centre.
abstract: This study reports about teacher motivation and work engagement in a Dutch University Medical Centre (UMC). We examined factors affecting the motivation for teaching in a UMC, the engagement of UMC Utrecht teaching faculty in their work, and their engagement in teaching compared with engagement in patient care and research. Based on a pilot study within various departments at the UMCU, a survey on teaching motivation and work engagement was developed and sent to over 600 UMCU teachers. About 50 % responded. Work engagement was measured by the Utrecht Work Engagement Scale, included in this survey. From a list of 22 pre-defined items, 5 were marked as most motivating: teaching about my own speciality, noticeable appreciation for teaching by my direct superior, teaching small groups, feedback on my teaching performance, and freedom to determine what I teach. Feedback on my teaching performance showed the strongest predictive value for teaching engagement. Engagement scores were relatively favourable, but engagement with patient care was higher than with research and teaching. Task combinations appear to decrease teaching engagement. Our results match with self-determination theory and the job demands-resources model, and challenge the policy to combine teaching with research and patient care.
authors.affiliation: Department of Educational Development and Training, Faculty of Social and Behavioural Sciences, Utrecht University, Heidelberglaan 1, 3584 CS, Utrecht, the Netherlands. b.a.m.vandenberg@uu.nl.
authors.forename: B A M
authors.initials: BAM
authors.lastname: van den Berg
authors.affiliation: Department of Work and Organizational Psychology, Erasmus University Rotterdam, Rotterdam, the Netherlands.
authors.forename: Arnold B
authors.initials: AB
authors.lastname: Bakker
authors.affiliation: Center for Research and Development of Education, University Medical Center Utrecht, Utrecht, the Netherlands.
authors.forename: Th J
authors.initials: TJ
authors.lastname: Ten Cate
references.citation: Bakker AB. Flow among music teachers and their students: the crossover of peak experiences. J Vocat Behav. 2005;66:26–44.
references.citation: Lowenstein SR, Fernandez G, Crane LA. Medical school faculty discontent: prevalence and predictors of intent to leave academic careers. BMC Med Educ. 2007;7:37. doi: 10.1186/1472-6920-7-37 .
references.pmid: 17935631
references.citation: DaRosa DA, Skeff K, Friedland JA, et al. Barriers to effective teaching. Acad Med. 2011;86:453–9.
references.pmid: 21346500
references.citation: Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol. 2000;55(1):68–78. doi: 10.1037/0003-066X.55.1.68 .
references.citation: ten Cate TJ, Kusurkar RA, Williams GC. How self-determination theory can assist our understanding of the teaching and learning processes in medical education. AMEE guide no. 59. Med Teach. 2011;33:961–73.
references.pmid: 22225433
references.citation: Van den Broeck A, Vansteenkiste M, Witte H, Lens W. Explaining the relationships between job characteristics, burnout, and engagement: the role of basic psychological need satisfaction. Work Stress. 2008;22:277–94.
references.citation: Bakker AB, Demerouti E. The job demands–resources model: state of the art. J Manag Psychol. 2007;22:309–28.
references.citation: Christian MS, Garza AS, Slaughter JE. Work engagement: a quantitative review and test of its relations with task and contextual performance. Pers Psychol. 2011;64:89–136.
references.citation: Da Silva Campos Costa NM. Career satisfaction among medical school professors: a case study in Brazil. Revista Brasileira de Educação Medica. 2009;33:339–48. doi: 10.1590/S0100-55022009000300004 .
references.citation: Schaufeli WB, Salanova M, Gonzélez-Romá V, Bakker AB. The measurement of engagement and burnout: a confirmative analytic approach. J Happiness Stud. 2002;3:71–92.
references.citation: Schaufeli W, Bakker A, Salanova M. The measurement of work engagement with a short questionnaire. A cross-national study. Educ Psychol Meas. 2006;66:701–16.
references.citation: Hof H, Tombrock-Hofmeijer MC, Bakker AB. Bevlogenheid en prestaties van leraren en leerlingen [Engagement and performance among teachers and their students], MA Thesis. Zaltbommel, the Netherlands: Schouten & Nelissen; 2007.
references.citation: Prins JT, Hoekstra-Weebers JEHM, Gazendam-Donofrio SM, et al. Burnout and engagement among resident doctors in the Netherlands: a national study. Med Educ. 2010;44:236–47.
references.pmid: 20444054
references.citation: Schaufeli W, Bakker AB. Job demands, job resources, and their relationship with burnout and engagement: a multi-sample study. J Organ Behav. 2004;25:293–315.
references.citation: Bunton SA, Corrice AM, Pollart SM, et al. Predictors of workplace satisfaction for U.S. medical school faculty in an era of change and challenge. Acad Med. 2012;87:574–81.
references.pmid: 22450175
references.citation: Gerrity MS, Pathman DE, Linzer M, Steiner BD, Winterbottom LM, Sharp MC. Career satisfaction and clinical-educators—the rewards and challenges of teaching. J Gen Intern Med. 1997;12:S90–7.
references.pmid: 9127250
references.citation: Kusurkar RA, Croiset G, Mann KV, Custers E, ten Cate OTJ. Have motivation theories guided the development and reform of medical education curricula? A review of the literature. Acad Med. 2012;87:735–43.
references.pmid: 22534597