Attitude, Time Management Work-Life Balance and Career Choices: A Mediating Effect of Protean Career Attitude among Medical Students in Malaysia

Ab Malek, A., Radzi, N. A. M., & Musa, M. F. C. (2023). Career Satisfaction of Malaysian Dentists With Expanded Roles at a Specialist Clinic. International Dental Journal, 73(4), 574-579.
Abu Said, A. M., Mohd Rasdi, R., Abu Samah, B., Silong, A. D., & Sulaiman, S. (2015). A career success model for academics at Malaysian research universities. European Journal of Training and Development, 39(9), 815-835.
Akkermans, J., & Tims, M. (2017). Crafting your career: How career competencies relate to career success via job crafting. Applied Psychology, 66(1), 168-195.
Alers, M., Verdonk, P., Bor, H., Hamberg, K., & Lagro-Janssen, A. (2014). Gendered career considerations consolidate from the start of medical education. International journal of medical education, 5, 178–184. https://doi.org/10.5116/ijme.5403.2b71
Alwazzan, L., & Rees, C. E. (2016). Women in medical education: views and experiences from the Kingdom of Saudi Arabia. Medical Education, 50(8), 852-865. https://doi.org/10.1111/medu.12988
Arumugam, A., Shanmugavelu, D. G., Yusof, F. H. B. M., Abd Hamid, M. B., Manickam, M. N., Ilias, K., & Singh, J. S. A. (2020). The Importance Of Time Management For The Successful Of Teenagers’ In Education: An Overview. https://doi.org/10.36713/epra8291
Arthur, M. B. (2014). The boundaryless career at 20: where do we stand, and where can we go?. Career Development International. 19(6), 627–640. https://doi.org/10/bnw5
Arthur, M. B., & Rousseau, D. M. (1996). The Boundaryless Career: A New Employment Principle for a New Organizational Era. Oxford University Press.
Arokiasamy, L., Ismail, M., Ahmad, A., & Othman, J. (2011). Predictors of academics' career advancement at Malaysian private universities. Journal of European Industrial Training, 35(6), 589-605.
Babbie, E. (2010). Research design. The practice of social research, 12, 90-123.
Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of personality and social psychology, 51(6), 1173.
Boniol, M., Kunjumen, T., Nair, T. S., Siyam, A., Campbell, J., & Diallo, K. (2022). The global health workforce stock and distribution in 2020 and 2030: A threat to equity and 'universal' health coverage? BMJ global health, 7(6), e009316. https://doi.org/10.1136/bmjgh-2022- 009316
Briscoe, J. P., & Hall, D. T. (2006). The interplay of boundaryless and protean careers: Combinations and implications. Journal of vocational behavior, 69(1), 4-18.
Britton, B. K., & Tesser, A. (1991). Effects of time-management practices on college grades. Journal of educational psychology, 83(3), 405.
Blazar, D., & Kraft, M. A. (2017). Teacher and teaching effects on students’ attitudes and behaviors. Educational evaluation and policy analysis, 39(1), 146-170.
Chew, Y. W., Rajakrishnan, S., Low, C. A., Jayapalan, P. K., & Sreeramareddy, C. T. (2011). Medical students’ choice of specialty and factors determining their choice: A cross-sectional questionnaire survey in Melaka-Manipal Medical College, Malaysia. BioScience Trends, 5(2), 69–76. https://doi.org/10.5582/bst.2011.v5.2.69
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Second Edition. Hillsdale, NJ: Lawrence Erlbaum Associates, Publishers.
Daniels, L., & McCarraher, L. (2000). The work-life manual: Gaining a competitive edge by balancing the demands of employees' work and home lives. (No Title).
Denyer, K., & Rowson, T. S. (2024). “I’ve finally got my expression”: the anchoring role of identity in changing from an organisation-based career to a protean career path. British Journal of Guidance & Counselling, 52(3), 367-377.
Demerouti, E., Peeters, M. C., & van der Heijden, B. I. (2012). Work–family interface from a life and career stage perspective: The role of demands and resources. International Journal of Psychology, 47(4), 241-258.
https://doi.org/10.1080/00207594.2012.699055.
Dlouhy, K., & Froidevaux, A. (2024). Evolution of professionals' careers upon graduation in STEM and occupational turnover over time: Patterns, diversity characteristics, career success, and self?employment. Journal of Organizational Behavior, 45(3), 344-361.
Dousin, O., Collins, N., & Kler, B. K. (2022). The experience of work?life balance for women doctors and nurses in Malaysia. Asia Pacific Journal of Human Resources, 60(2), 362-380. https://doi.org/10.1111/1744-7941.12282
Erdfelder, E., Faul, F., & Buchner, A. (1996). GPOWER: A general power analysis program. Behavior research methods, instruments, & computers, 28, 1-11. https://doi.org/10.3758/BF03203630
Ehido, A., Ibeabuchi, C., & Halim, B. A. (2019). Networking and women academics’ career success in the Malaysian Research Universities. International Journal of Academic Research in Business and Social Sciences, 9(12), 940-960.
Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods, 39(2), 175-191.
Foong, S. Y., & Khoo, C. H. (2015). Attitude, learning environment and current knowledge enhancement of accounting students in Malaysia. Journal of Accounting in Emerging Economies, 5(2), 202-221. https://doi.org/10.1108/JAEE-07-2012-0030
Fritz, C., & Van Knippenberg, D. (2018). Gender and leadership aspiration: The impact of work–life initiatives. Human Resource Management, 57(4), 855-868.
Gordon, C. E., & Borkan, S. C. (2014). Recapturing time: a practical approach to time management for physicians. Postgraduate medical journal, 90(1063), 267-272. https://doi.org/10.1136/postgradmedj-2013-132012.
Gong, Z., Gilal, F. G., Gilal, R. G., & Jahanzeb, A. (2023). Protean career orientation and job search: investigating the mediating role of career optimism in mentoring relationships. Global Knowledge, Memory and Communication.
https://doi.org/10.1108/gkmc-11-2022-0267
Grawitch, M. J., Barber, L. K., & Justice, L. (2010). Rethinking the work–life interface: It's not about balance, it's about resource allocation. Applied Psychology: Health and Well?Being, 2(2), 127-159. 10.1111/j.1758-0854.2009.01023.x
Guilford, J. P. (1973). Fundamental statistics in psychology and education. New York, NY: McGraw-Hill.
Guest, D. (2004). Flexible employment contracts, the psychological contract and employee outcomes: an analysis and review of the evidence. International journal of management reviews, 5(1), 1-19.
Habibu, S. (2020). Malaysia is top international destination for medical tourism. The Star. https://www.thestar.com.my/news/nation/2020/01/10/malaysia-is-top-international-destination-formedical-tourism (accessed 4 May 2020).
Hall, D. T. (2004). The protean career: A quarter-century journey. Journal of vocational behavior, 65(1), 1-13. https://doi.org/10.1016/j.jvb.2003.10.006
Hall, D. T. (1996). The Career Is Dead--Long Live the Career. A Relational Approach to Careers. The Jossey-Bass Business & Management Series. Jossey-Bass Inc., Publishers, 350 Sansome Street, San Francisco, CA 94104.
Hamzah, S. R., Kai Le, K., & Musa, S. N. S. (2021). The mediating role of career decision self-efficacy on the relationship of career emotional intelligence and self-esteem with career adaptability among university students. International Journal of Adolescence and Youth, 26(1), 83-93.
Hamzah, S. R. A., Musa, S. N. S., & Mohamad, N. (2022). The mediating effect of self-efficacy on career aspiration and organizational support with subjective career success among Malaysian women managers during the Covid-19 pandemic. Frontiers in Sociology, 7, 802090.
Hasan, S. S., Liew, A. S. C., Chong, D. W. K., Thiruchelvam, K., & Babar, Z. U. D. (2018). Associations Between Drug Burden Index, Medication Appropriateness and Patient-Reported Outcomes in the Community Pharmacy Setting in Malaysia. Drugs and Therapy Perspectives, 34(9), 437-443. https://doi.org/10.1007/s40267-018-0521-3
Hayes, B. W., & Shakya, R. (2013). Career choices and what influences Nepali medical students and young doctors: a cross-sectional study. Human resources for health, 11(1), 1-12. https://doi.org/10.1186/1478-4491-11-5
Hirschi, A., & Koen, J. (2021). Contemporary career orientations and career self-management: A review and integration. Journal of Vocational Behavior, 126, 103505.
Hu, S., Hood, M., & Creed, P. A. (2018). Negative career feedback and career outcomes: The mediating roles of self-regulatory processes. Journal of Vocational Behavior, 106, 180-191.
Ibrahim, N. F. D., Hatah, E., Abd Aziz, S. A., Hisham, S. A., Ngadimon, I. W., Farukh, M. J., & Asmadi, M. F. M. (2022). Explaining the influence behind Malaysia’s pharmacy students’ career choices within the pharmaceutical industry. Pharmacy Education, 22(1), 1-9. https://doi.org/10.46542/pe.2022.221.19
Irwan, N. M., and Azaian, A. N. (2011) The prevalence of work-family conflict among mothers in Peninsular Malaysia. International Journal of Humanities and Social Sciences 1(17), 154–161.
Ismail, M., & Hoo, S. L. (2014). Cultural Values and Career Goals of the Millennial Generation: An Integrated Conceptual Framework. Journal of International Management Studies, 9(1), 38-49. 10.15388/omee.2016.7.2.14207
Jayasingam, S., & Yong, J. R. (2013). Affective commitment among knowledge workers: the role of pay satisfaction and organization career management. The International Journal of Human Resource Management, 24(20), 3903–3920.
https://doi.org/10.1080/09585192.2013.781520
Kanchanachitra, C., Lindelow, M., Johnston, T., Hanvoravongchai, P., Lorenzo, F. M., Huong, N. L., ... & Dela Rosa, J. F. (2011). Human resources for health in southeast Asia: shortages, distributional challenges, and international trade in health services. The Lancet, 377(9767), 769-781.
Kawamoto, R., Ninomiya, D., Kasai, Y., Kusunoki, T., Ohtsuka, N., Kumagi, T., & Abe, M. (2016). Factors associated with the choice of general medicine as a career among Japanese medical students. Medical Education Online, 21(1), 29448.
https://doi.org/10.3402/meo.v21.29448
King, Z. (2004). Career self-management: Its nature, causes and consequences. Journal of vocational behavior, 65(1), 112-133.
Kumar, R., & Dhaliwal, U. (2011). Career choices of undergraduate medical students. The National medical journal of India, 24(3), 166-169.
Laal, M., & Salamati, P. (2012). Lifelong learning; why do we need it?. Procedia-Social and Behavioral Sciences,31, 399-403. https://doi.org/10.1016/j.sbspro.2011.12.073
Lent, R. W., & Brown, S. D. (2006). On conceptualizing and assessing social cognitive constructs in career research: A measurement guide. Journal of career assessment, 14(1), 12-35. 10.1177/1069072705281364
Lent, R. W., Brown, S. D., & Hackett, G. (2000). Contextual supports and barriers to career choice: A social cognitive analysis. Journal of counseling psychology, 47(1), 36. 10.1037/0022-0167.47.1.36
Lent, R. W., Brown, S. D., & Hackett, G. (1994). Toward a unifying social cognitive theory of career and academic interest, choice, and performance. Journal of vocational behavior, 45(1), 79-122. 10.1006/jvbe.1994.1027
Lo Presti, A., van der Heijden, B., Briscoe, J. P., & De Rosa, A. (2023). “Crafting your own success”: a time-lagged study on the mediating role of job crafting dimensions in the relationship between protean career and career success. Career Development International, 28(2), 180-195.
Musa, M. F. C., Bernabé, E., & Gallagher, J. E. (2016). Career expectations and influences among dental students in Malaysia. International dental journal, 66(4), 229-236.
Nadarajah, A., Shankar, P. R., Jayaraman, S., & Sreeramareddy, C. T. (2022). House officers' specialist career choices and motivators for their choice- a sequential mixed-methods study from Malaysia. BMC medical education, 22(1), 796.
https://doi.org/10.1186/s12909-022-03845-2
Naicker, A. S., Vinoshn, D. K., Yuliawiratman, B. S., Alaga, A., Kevin Ng, W. S., Naicker, M. S., & Ohnmar, H. (2021). Alternate careers for medical graduates and house officers in Malaysia. The Medical journal of Malaysia, 76(2), 183–189.
Najam, U., Burki, U., & Khalid, W. (2020). Does work-life balance moderate the relationship between career commitment and career success? Evidence from an emerging Asian economy. Administrative sciences, 10(4), 82.
Ng, C. J., Leong, K. C., & Teng, C. L. (2005). What do medical students think about primary care in Malaysia? A qualitative study. Education for Primary Care, 16(5), 54-64.
Omar, M. K., Zaman, M. D. K., & Aziz, M. H. (2021). Factors influencing career choice among final semester undergraduate students of a business management faculty in a Malaysian public university. International Journal of Academic Research in Progressive Education and Development, 10(2), 361-373. 10.6007/IJARPED/v10-i2/9830
Ossai, E. N., Uwakwe, K. A., Anyanwagu, U. C., Ibiok, N. C., Azuogu, B. N., & Ekeke, N. (2016). Specialty preferences among final year medical students in medical schools of southeast Nigeria: need for career guidance. BMC medical education, 16, 1-8. 10.1186/s12909-016-0781-3
Pincus, K. V., Stout, D. E., Sorensen, J. E., Stocks, K. D., & Lawson, R. A. (2017). Forces for change in higher education and implications for the accounting academy. Journal of Accounting Education, 40, 1-18. https://doi.org/10.1016/j.jaccedu.2017.06.001
Pitre, C., Pettit, K., Ladd, L., Chisholm, C., & Welch, J. L. (2018). Physician time management.MedEdPORTAL,14,10681.https://doi.org/10.15766/mep_2374-8265.10681
Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior research methods, instruments, & computers, 36, 717-731. https://doi.org/10.3758/BF03206553
Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior research methods, 40(3), 879-891. https://doi.org/10.3758/BRM.40.3.879
Rodrigues, R., Butler, C. L., & Guest, D. (2019). Antecedents of protean and boundaryless career orientations: The role of core self-evaluations, perceived employability and social capital. Journal of Vocational Behavior, 110, 1-11.
https://doi.org/10.1016/j.jvb.2018.11.003
Rahim, N. B., & Siti-Rohaida, M. Z. (2015). Protean Career Orientation and Career Goal Development: Do they Predict Engineer’s Psychological Well-being? Procedia - Social and Behavioral Sciences, 172, 270–277. https://doi.org/10.1016/j.sbspro.2015.01.364
Saat, A., Thani, S. M., Salihan, S., Razak, N. I. A., & Masrudin, S. S. (2022). The Association Between Learning Styles, Time Management Skills and Pharmacology Academic Performance Among First Year Medical Students in Universiti Putra Malaysia (UPM) During the COVID-19 Pandemic. Malaysian Journal of Medicine & Health Sciences, 18. https://doi.org/10.47836/mjmhs18.s14.11
Samson, D., & Swink, M. (2023). People, performance and transition: A case study of psychological contract and stakeholder orientation in the Toyota Australia plant closure. Journal of Operations Management, 69(1), 67-101.
Savickas, M. L., Nota, L., Rossier, J., Dauwalder, J. P., Duarte, M. E., Guichard, J., ... & Van Vianen, A. E. (2009). Life designing: A paradigm for career construction in the 21st century. Journal of vocational behavior, 75(3), 239-250.
https://doi.org/10.1016/j.jvb.2009.04.004
Schein, E. H. (1996). Culture: The missing concept in organization studies. Administrative science quarterly, 229-240. https://doi.org/10.2307/2393715
Sultana, R., & Malik, O. F. (2020). Protean career attitude, perceived internal employability and perceived external employability; does self-efficacy make a difference?. Middle East Journal of Management, 7(4), 343-364 10.1504/MEJM.2020.108076
Sullivan, S. E., & Baruch, Y. (2009). Advances in career theory and research: A critical review and agenda for future exploration. Journal of management, 35(6), 1542-1571. https://doi.org/10.1177/014920630935008
Takahashi, K., Nin, T., Akano, M., Hasuike, Y., Iijima, H., & Suzuki, K. (2017). Views of Japanese medical students on the work-life balance of female physicians. International Journal of Medical Education, 8, 165. http://doi.org/ 10.5116/ijme.5907.0d44
Tamontseva, M., & Akkermans, J. (2024). Increasing the chances of career success abroad: the role of cultural orientations in the relationship between international students’ protean career orientation, career competencies and perceived employability. Human Resource Development International, 1-27.
https://doi.org/10.1080/13678868.2024.2366729
Thew, H. Z., Ching, S. M., Sallahuddin, N. A., Nooralirakiz, P. N. D., David, T. S., Zaidi, I. K. H., ... & Ramachandran, V. (2023). Prevalence of Burnout and Its Associated Factors among Medical Students in a Public University in Selangor, Malaysia: a Cross-Sectional Study. Malaysian Journal of Medicine & Health Sciences, 19.
Umar, A. (2014). Effect of wages, work motivation and job satisfaction on workers’ performance in manufacturing industry in Makassar city. European Journal of Business and Management, 6(5), 75-88.
Vaglum, & Ekeberg. (1999). Motivation for medical school: the relationship to gender and specialty preferences in a nationwide sample. Medical Education, 33(4), 236-242.
van Dierendonck, D., & van der Gaast, E. (2013). Goal orientation, academic competences and early career success. Career Development International, 18(7), 694-711.
Vivek M (2019) Doctors’ dilemma – lack of work-life balance. MalaysiaKini, 15 April. https://www. malaysiakini.com/news/472353 (15 July 2020).
Yunus, W. M. A., Badri, S. K. Z., Panatik, S. A., & Mukhtar, F. (2021). The unprecedented movement control order (lockdown) and factors associated with the negative emotional symptoms, happiness, and work-life balance of Malaysian University students during the coronavirus disease (COVID-19) pandemic. Frontiers in psychiatry, 11, 566221. https://doi.org/10.3389/fpsyt.2020.566221
Waters, L., Hall, D. T., Wang, L., & Briscoe, J. P. (2015). Protean career orientation: A review of existing and emerging research. Flourishing in Life, Work and Careers, 235-260.
Westerlund, H., & López-Íñiguez, G. (2024). Professional education toward protean careers in music? Bigenerational Finnish composers’ pathways and livelihoods in changing ecosystems. Research Studies in Music Education, 46(1), 66-79.
Wiernik, B. M., & Kostal, J. W. (2019). Protean and boundaryless career orientations: A critical review and meta-analysis. Journal of counseling psychology, 66(3), 280.
Williams, W. M., & Ceci, S. J. (2015). National hiring experiments reveal 2: 1 faculty preference for women on STEM tenure track. Proceedings of the National Academy of Sciences, 112(17), 5360-5365. https://doi.org/10.1073/pnas.1418878112
Wilson, K., Jesson, J., Langley, C., Hatfield, K., & Clarke, L. (2006). Pharmacy undergraduate students: Career choices and expectations across a four-year degree programme. Report by the Royal Pharmaceutical Society of Great Britain. Available at http://www.rpsgb.org/pdfs/careerchoicesreport.pdf. Accessed 15th May 2024. Summary of research reported as a Pharmaceutical Journal (2006) editorial: Survey finds pharmacy ownership the top ambition for students. Pharmaceutical Journal, 277, 407.
Zint, M. (2002). Comparing three attitude?behavior theories for predicting science teachers' intentions. Journal of research in science teaching, 39(9), 819-844.

(Ainer et al., 2024)
Ainer, C. D., Musa, S. N. S., Hamzah, S. R., Tamrin, S. B. M., & Aziz, M. F. A. (2024). Attitude, Time Management Work-Life Balance and Career Choices: A Mediating Effect of Protean Career Attitude among Medical Students in Malaysia. International Journal of Academic Research in Business and Social Sciences, 14(7), 1120–1139.

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