Objectives-The objectives of this study were to assess the work demand
s as potential stressors of health service consultants, and to describ
e the development of tools for measuring stress experiences of consult
ants. Methods-A stratified random sample of 500 NHS consultants in Sco
tland was targeted by a postal questionnaire and 375 (75%) returned a
valid response. They completed questionnaires, including information o
n demographic factors, work demands, occupational stressors, and burno
ut. Results-Principal components analysis showed that professional wor
k demands of consultants fell into three categories: clinical, academi
c, and administrative. Their perceived stressors separated into four m
ain factors: clinical responsibility, demands on time, organisational
constraints, and personal confidence. These were assessed by 25 questi
ons in the specialist doctors' stress inventory. Specific questions ab
out perceived stressors which resulted in a high positive response inc
luded questions about demands on time, and organisational change in th
e NHS. Conclusion-These self reported data characterise and measure th
e consultants' work demands and their role as potential stressors. The
se measurements could form the basis for strategies to reduce occupati
onal stress in these workers.