Health care management competencies: identifying the GAPs.

This study examines issues around health care management competencies, as perceived by senior managers. A combination of questionnaire survey, focus group and in-depth interview methods was used to ascertain views on the importance of various competencies, current competency levels and thus the deficiencies or "GAPs." GAPs are greatest at the frontlines, where managers are generally appointed from clinical roles.

A measure of daily distress in practising medicine.

Objective: Existing measures of stress either focus on burnout or frustration and fatigue factors, often referred to as job strain. The objectives of this study were to: establish a reliable measure of distress that is sensitive enough to identify job strain at lower levels of distress and risk of burnout at higher levels of distress; and document levels of distress among the major medical specialties and across varying patterns of clinical practice.

Methods: A stratified cross-sectional survey of physicians in Canada was conducted in 2004.