Career Satisfaction of Psychiatrists

DeMello, Jim; Deshpande, Satish P.

doi:10.1176/ps.62.9.pss6209_1013

Cited by 27 publications

(9 citation statements)

References 24 publications

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“…Previous studies of physician satisfaction found correlations between age and satisfaction. Although two studies found that older clinicians reported higher satisfaction than younger clinicians [4, 6] Leigh et al [7] reported a nonlinear relationship between physician age and satisfaction.…”

Section: Discussionmentioning

confidence: 99%

“…Pathman et al [4] reported that older generalist and specialist physicians reported higher satisfaction than younger physicians for 8 of 10 studied aspects. Similarly, DeMello & Deshpande [6] reported higher satisfaction among older psychiatrists compared to younger ones. However, Leigh et al [7] reported a nonlinear relationship between physician age and satisfaction; the youngest and oldest physicians had the highest satisfaction.…”

Section: Introductionmentioning

confidence: 95%

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Factors influencing professional life satisfaction among neurologists

Teixeira-Poit

Halpern

Kane

et al. 2017

BMC Health Serv Res

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BackgroundPredicted shortages in the supply of neurologists may limit patients’ access to and quality of care for neurological disorders. Retaining neurologists already in practice provides one opportunity to support the overall supply of practicing neurologists. Understanding factors associated with professional life satisfaction (and dissatisfaction) and implementing policies to enhance satisfaction may encourage neurologists to remain in clinical practice. In this paper, we present results from the first study examining factors associated with professional life satisfaction among a large sample of U.S, neurologists.MethodsWe collaborated with the AAN to survey a sample of U.S. neurologists about their professional life satisfaction. Analyses examined the association of physician and practice characteristics with aspects of professional life satisfaction, including satisfaction with their career in medicine, medical specialty, current position, relationship with colleagues, relationship with patients, work/life balance, and pay.ResultsThe study population consisted of 625 neurologists. In multivariate regression analyses, no single group or population stratum indicated high (or low) responses to all aspects of satisfaction. Older neurologists reported higher satisfaction with career, specialty, and relationship with patients than younger neurologists. Female neurologists had significantly lower satisfaction with pay than male neurologists. Neurologists who spent more time in research and teaching had greater satisfaction with specialty, relationship with colleagues, and relationship with patients than those spending no time in research. Neurologists who practiced in small cities/rural areas reported lower satisfaction across multiple dimensions than those practicing in large urban areas. Neurologists in solo practice had greater satisfaction with the relationship with their patients, but lower satisfaction with pay.ConclusionsSatisfaction is a multidimensional construct that is associated with physician and practice characteristics. Enhancing professional life satisfaction among neurologists requires multiple strategies, such as promoting comparable wages for men and women, providing collaboration and research opportunities, and providing resources for small and rural practices.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-017-2343-8) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 95%

Factors influencing professional life satisfaction among neurologists

Teixeira-Poit

Halpern

Kane

et al. 2017

BMC Health Serv Res

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“…This finding is intuitive and has been replicated for other specialties in this survey, including hospitalists, 18 pediatricians, 19 and psychiatrists. 20 The correlation matrix in Table 3 shows that high-quality care was negatively correlated with Medicare patients (À0.12, P < .05). Caring for our nation's elderly and Medicare patients was a significant issue throughout the early 2000s, spawning countless advocacy groups, legislative efforts, and political debates.…”

Section: Discussionmentioning

confidence: 99%

“…5,6 Recent studies of physician satisfaction using HSC data have flagged significant relationships at P .07 and P .10. [18][19][20] For consistency's sake, the higher alpha () is used here. Table 1 shows that obstetrician-gynecologists were largely satisfied with their careers in medicine; 45.2% were ''somewhat satisfied'' and 35.2% were ''very satisfied.''…”

Section: Discussionmentioning

confidence: 99%

Patient and Practice Characteristics

Schmidt¹

2015

The Health Care Manager

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This study examined demographic and practice characteristics that affect the career satisfaction of obstetrician-gynecologists. Data were retrieved from the 2008 Health Tracking Physician Survey, conducted by the Center for Studying Health System Change. The survey consisted of a nationally representative sample of physicians belonging to the American Medical Association. A final sample of 290 obstetrician-gynecologists was obtained from the study. Results indicated more than 80% of obstetrician-gynecologists were either "somewhat satisfied" or "very satisfied" with their careers in medicine. Nearly 56% were older than 48 years; 59% of respondents were men and 77% were of white race. The average obstetrician-gynecologist worked 54 hours per week in medically related activities. Regression analysis showed a significant relationship between obstetrician-gynecologist career satisfaction and the following: adequate time with patients, perceived quality of care, income, work hours, and revenue from Medicaid. In addition, Hispanic patients and the presence of formal written guidelines had a positive impact on career satisfaction. It was concluded that quality care, time with patients, work hours, and income are the major predictors of obstetrician-gynecologist career satisfaction. Further research is needed to understand the relationship between patient demographics and career satisfaction.

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“…A study of career satisfaction of psychiatrists reported that "adequate time with a patient had significant positive impact on career satisfaction" (Demello & Deshpande, 2011). It is a dilemma worthy of Solomon's attention-or preferably, systematic remedies.…”

Section: How Will Ecps Make Their Choices?mentioning

confidence: 99%

Obstacles to Early Career Psychiatrists Practicing Psychotherapy

Clemens¹,

Plakun²,

Lazar³

et al. 2014

Psychodynamic Psychiatry

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Though psychiatric residents are expected to be competent psychotherapists on graduation, further growth in skill and versatility requires continued experience in their ongoing career. Maturity as a psychotherapist is essential because a psychiatrist is the only mental health provider who, as a physician, can assume full responsibility for biopsychosocial patient care and roles as supervisor, consultant, and team leader. Graduating residents face an environment in which surveys show a steady and alarming decline in practice of psychotherapy by psychiatrists, along with a decline in job satisfaction. High educational debts, practice structures, intrusive management, and reimbursement policies that devalue psychotherapy discourage early career psychiatrists from a practice style that enables providing it. For the early-career psychiatrist there is thus the serious risk of being unable to develop a critical mass of experience or a secure identity as a psychiatric psychotherapist. Implementation of parity laws and the Affordable Care Act (ACA) will affect the situation in unpredictable ways that call for vigilance and active response. Additional service and administrative demands may result from the ACA, creating ethical dilemmas about meeting urgent patient needs versus biopsychosocial standards of care. The authors recommend 1) vigorous advocacy for better payment levels for psychotherapy and freedom from disruptive management; 2) aggressive action against violations of the parity act, 3) active preparation of psychiatric residents for dealing with career choices and the environment for providing psychotherapy in their practice, and 4) post-graduate training in psychotherapy through supervision/consultation, continuing education courses, computer instruction, and distance learning.

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Career Satisfaction of Psychiatrists

Abstract: The results of this study highlight the need for policy makers and health care administrators to develop specific strategies to increase career satisfaction, which in return may help alleviate the shortage of psychiatrists.

Cited by 27 publications

References 24 publications

Factors influencing professional life satisfaction among neurologists

Factors influencing professional life satisfaction among neurologists

Patient and Practice Characteristics

Obstacles to Early Career Psychiatrists Practicing Psychotherapy

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