OBJECTIVE:The health care workforce is evolving and part-time practice is increasing. The objective of this work is to determine the relationship between part-time status, workplace conditions, and physician outcomes.
DESIGN:Minimizing error, maximizing outcome (MEMO) study surveyed generalist physicians and their patients in the upper Midwest and New York City.
MEASUREMENTS AND MAIN RESULTS:Physician survey of stress, burnout, job satisfaction, work control, intent to leave, and organizational climate. Patient survey of satisfaction and trust. Responses compared by part-time and full-time physician status; 2-part regression analyses assessed outcomes associated with part-time status. Of 751 physicians contacted, 422 (56%) participated. Eighteen percent reported part-time status (n=77, 31% of women, 8% of men, p<.001). Parttime physicians reported less burnout (p<.01), higher satisfaction (p<.001), and greater work control (p<.001) than full-time physicians. Intent to leave and assessments of organizational climate were similar between physician groups. A survey of 1,795 patients revealed no significant differences in satisfaction and trust between part-time and full-time physicians.CONCLUSIONS: Part-time is a successful practice style for physicians and their patients. If favorable outcomes influence career choice, an increased demand for parttime practice is likely to occur.
Gender appears to play a role in female medical students' expectations and experience with mentoring relationships and may influence their decision making around career planning.
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