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dc.contributor.authorRoberts, Martin
dc.contributor.authorGale, Thomas
dc.contributor.authorMcGrath, JS
dc.contributor.authorWilson, MR
dc.date.accessioned2016-08-16T11:39:19Z
dc.date.issued2016-05-01
dc.identifier.issn1382-4996
dc.identifier.issn1573-1677
dc.identifier.urihttp://hdl.handle.net/10026.1/5313
dc.description.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.

dc.format.extent323-339
dc.format.mediumPrint-Electronic
dc.languageen
dc.language.isoen
dc.publisherSpringer Science and Business Media LLC
dc.subjectAnaesthesia
dc.subjectChallenge and threat
dc.subjectNon-technical skills
dc.subjectPsychological stress
dc.subjectSpecialty training
dc.titleRising to the challenge: acute stress appraisals and selection centre performance in applicants to postgraduate specialty training in anaesthesia
dc.typejournal-article
dc.typeJournal Article
plymouth.author-urlhttp://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000373085800005&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.issue2
plymouth.volume21
plymouth.publication-statusPublished
plymouth.journalADVANCES IN HEALTH SCIENCES EDUCATION
dc.identifier.doi10.1007/s10459-015-9629-6
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Medical School
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA23 Education
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeNetherlands
dcterms.dateAccepted2015-08-05
dc.rights.embargodate2017-5-1
dc.identifier.eissn1573-1677
dc.rights.embargoperiod12 months
rioxxterms.versionofrecord10.1007/s10459-015-9629-6
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/under-embargo-all-rights-reserved
rioxxterms.licenseref.startdate2016-05-01
rioxxterms.typeJournal Article/Review


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