Original Article
Religion, Sense of Calling, and the Practice of Medicine: Findings from a National Survey of Primary Care Physicians and Psychiatrists
Abstract
Objectives: A sense of calling is a concept with religious and theological roots; however, it is unclear whether contemporary physicians in the United States still embrace this concept in their practice of medicine. This study assesses the association between religious characteristics and endorsing a sense of calling among practicing primary care physicians (PCPs) and psychiatrists.Methods: In 2009, we surveyed a stratified random sample of 2016 PCPs and psychiatrists in the United States. Physicians were asked whether they agreed with the statement, ‘‘For me, the practice of medicine is a calling.’’ Primary predictors included demographic and self-reported religious characteristics, (eg, attendance, affiliation, importance of religion, intrinsic religiosity) and spirituality.
Results: Among eligible respondents, the response rate was 63% (896/1427) for PCPs and 64% (312/487) for psychiatrists. A total of 40% of PCPs and 42% of psychiatrists endorsed a strong sense of calling. PCPs and psychiatrists who were more spiritual and/or religious as assessed by all four measures were more likely to report a strong sense of calling in the practice of medicine. Nearly half of Muslim (46%) and Catholic (45%) PCPs and the majority of evangelical Protestant PCPs (60%) report a strong sense of calling in their practice, and PCPs with these affiliations were more likely to endorse a strong sense of calling than those with no affiliation (26%, bivariate P < 0.001). We found similar trends for psychiatrists.
Conclusions: In this national study of PCPs and psychiatrists, we found that PCPs who considered themselves religious were more likely to report a strong sense of calling in the practice of medicine. Although this cross-sectional study cannot be used to make definitive causal inferences between religion and developing a strong sense of calling, PCPs who considered themselves religious are more likely to embrace the concept of calling in their practice of medicine.
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References
1. Strobel H. Retaining and reclaiming the call of medicine. In: Cole T, Goodrich T, Gritz E, eds. Faculty Health in Academic Medicine: Totowa, NJ: Humana Press; 2009:157-164.
2. Cochran L. The Sense of Vocation: A Study of Career and Life Development. Albany: State University of New York Press; 1990.
3. Stock HT. A Life and a Living [by] Harry Thomas Stock. New York: Abingdon Press; 1936.
4. Duffy RD, Manuel RS, Borges NJ, et al. Calling, vocational development, and well being: a longitudinal study of medical students. J Vocat Behav 2011;79:361-366.
5. Duffy RD, Allan BA, Bott EM. Calling and life satisfaction among undergraduate students: investigating mediators and moderators. J Happiness Stud 2012;13:469-479.
6. Borges NJ, Manuel RS, Duffy RD. Speciality interests and career calling to medicine among first-year medical students. Perspect Med Educ 2013;2:14-17.
7. Goodin JB, Duffy RD, Borges NJ, et al. Medical students with low self-efficacy bolstered by calling to medical speciality. Perspect Med Educ 2014;3:89-100.
8. Rasinski KA, Lawrence RE, Yoon JD, et al. A sense of calling and primary care physicians’ satisfaction in treating smoking, alcoholism, and obesity. Arch Intern Med 2012;172:1423-1424.
9. Curlin FA, Dugdale LS, Lantos JD, et al. Do religious physicians disproportionately care for the underserved? Ann Fam Med 2007;5:353-360.
10. Siberski JR. Medicine: vocation or job? America 1996;175:22-24.
11. Gustafson JM. Professions as "callings." Soc Serv Rev 1982;56:501-515.
12. Sevensky RL. The religious physician. J Relig Health 1982;21:254-263.
13. Dik BJ, Duffy RD. Calling and vocation at work: definitions and prospects for research and practice. Couns Psychol 2009;37:424-450.
14. Hunter I, Dik BJ, Banning JH. College students’ perceptions of calling in work and life: A qualitative analysis. J Vocat Behav 2010;76:178-186.
15. University of Chicago Program on Medicine and Religion. Physician responses to common mental behavioral health concerns. http://pmr.uchicago.edu/page/physician-responses-common-mental-and-behavioral-health-concerns. Published 2014. Accessed October 22, 2014.
16. Lauderdale DS. Birth outcomes for Arabic-named women in California before and after September 11. Demography 2006;43:185-201.
17. Lauderdale DS. Asian American ethnic identification by surname. Pop Res Policy Rev 2000;19:283-300.
18. Sheskin IM. A methodology for examining the changing size and spatial distribution of a Jewish population: a Miami case study. Shofar 1998;17:97-114.
19. Curlin FA, Odell SV, Lawrence RE, et al. The relationship between psychiatry and religion among U.S. physicians. Psychiatr Serv 2007;58:1193-1198.
20. Hatch RL, Burg MA, Naberhaus DS, et al. The Spiritual Involvement and Beliefs Scale. Development and testing of a new instrument. J Fam Pract 1998;46:476-486.
21. Ammerman NT. Spiritual but not religious? Beyond binary choices in the study of religion. J Sci Study Relig 2013;52:258-278.
22. Hoge DR. Validated Intrinsic Religious Motivation Scale. J Sci Study Relig 1972;11:369-376.
23. Groves RM. Survey Methodology. New York: Wiley; 2004.
24. Davidson JC, Caddell DP. Religion and the meaning of work. J Sci Study Relig 1994;33:135-147.
25. Dalton JC. Career and calling: finding a place for the spirit in work and community. New Directions Stud Serv 2001;2001:17-25.
26. Brody IA. The decision to study medicine. N Engl J Med 1955;252:130-134.
27. Curlin FA. Commentary: a case for studying the relationship between religion and the practice of medicine. Acad Med 2008;83:1118-1120.
28. Curlin FA, Serrano KD, Baker MG, et al. Following the call: how providers make sense of their decisions to work in faith-based and secular urban community health centers. J Health Care Poor Underserved 2006;17:944-957.
29. Kinghorn WA, McEvoy MD, Michel A, et al. Professionalism in modern medicine: does the emperor have any clothes? Acad Med 2007;82:40-45.
30. Tilburt J, Geller G. Viewpoint: the importance of worldviews for medical education. Acad Med 2007;82:819-822.
31. Neiswanger Institute for Bioethics, Loyola University Chicago. The Physicians’ Vocation Program. http://hsd.luc.edu/bioethics/vocation. Accessed February 9, 2014.
32. Hall DT, Chandler DE. Psychological success: when the career is a calling. J Organ Behav 2005;26:155-176.
