Questionnaires assessing sources and levels of job satisfaction and oc
cupational stress were completed by male and female general practition
ers (N = 547) and consultant doctors (N = 449) in Scotland during a pe
riod of structural change in the health service. Job satisfaction and
occupational stress scales from the Occupational Stress Inventory(30)
were used to compare GPs and consultants, males and females, and to en
able comparisons with other occupational groups. Consultants had great
er occupational stress than GPs on three OSI subscales detailing manag
erial aspects of their work, and also had greater job satisfaction ove
rall than GPs. GPs were more stressed by 'intrinsic' factors of the jo
b itself. Females had less occupational stress and greater job satisfa
ction overall than males. Male GPs as a group had greatest job stress
and least job satisfaction. Younger principals in general practice and
consultants reported more occupational stress and less job satisfacti
on than older doctors. These findings have implications for health ser
vice management in terms of providing support and training in stress m
anagement for younger doctors and for female doctors. Comparisons with
combined sample norms for mainly professional and managerial occupati
ons showed that GPs and consultants in the Scottish sample had general
ly greater job satisfaction and less occupational stress than norms, w
hich is contrary to expectations.