Patterns of Work and Retirement Among Pediatricians Aged ≥50 Years

Merline, Alicia C.; Cull, William L.; Mulvey, Holly J.; Katcher, Avrum L.

doi:10.1542/peds.2008-3090

Cited by 23 publications

(16 citation statements)

References 8 publications

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“…4 The American Board of Pediatrics (ABP) is an important resource for trends in the pediatric workforce. 5 These and other cross-sectional data have examined pediatrician workforce issues, [6][7][8][9][10][11][12][13][14][15][16][17][18] including satisfaction, [19][20][21][22] burnout, 19,21,[23][24][25][26] and personal characteristics. 3 Together, these data have contributed to the understanding of who pediatricians are and what their work entails.…”

mentioning

confidence: 99%

A Longitudinal Study of Pediatricians Early in Their Careers: PLACES

et al. 2015

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The American Academy of Pediatrics (AAP) launched the Pediatrician Life and Career Experience Study (PLACES), a longitudinal study that tracks the personal and professional experiences of early career pediatricians, in 2012. We used a multipronged approach to develop the study methodology and survey domains and items, including review of existing literature and qualitative research with the target population. We chose to include 2 cohorts of US pediatricians on the basis of residency graduation dates, including 1 group who were several years out of residency (2002–2004 Residency Graduates Cohort) and a second group who recently graduated from residency at study launch (2009–2011 Residency Graduates Cohort). Recruitment into PLACES was a 2-stage process: (1) random sample recruitment from the target population and completion of an initial intake survey and (2) completion of the first Annual Survey by pediatricians who responded positively to stage 1. Overall, 41.2% of pediatricians randomly selected to participate in PLACES indicated positive interest in the study by completing intake surveys; of this group, 1804 (93.7%) completed the first Annual Survey and were considered enrolled in PLACES. Participants were more likely to be female, AAP members, and graduates of US medical schools compared with the target sample; weights were calculated to adjust for these differences. We will survey PLACES pediatricians 2 times per year. PLACES data will allow the AAP to examine career and life choices and transitions experienced by early-career pediatricians.

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confidence: 99%

A Longitudinal Study of Pediatricians Early in Their Careers: PLACES

et al. 2015

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“…Contemporary issues postulated to currently affect the age of retirement have included volatility in retirement savings secondary to stock market changes as well as frustration with increasing government regulation of medicine and increased requirements to maintain specialty board certification. 27,28 Of the close to 10 000 general pediatricians in our sample, we found that only 12% plan to retire before the age of 60 and slightly more than half (56%) plan to retire at age 65 years or older. Although our data suggest that there will not be a large number of "early retirees" among general pediatricians, some groups were found to be more likely to retire before the age of 65 than others.…”

Section: Plans For Retirementmentioning

confidence: 65%

Current Workforce of General Pediatricians in the United States

Freed

Moran²,

Van³

et al. 2016

Pediatrics

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BACKGROUND AND OBJECTIVES:A near vacuum exists for credible information regarding specialtyspecific demography, including gender, years since training completion, current employer, academic affiliation, and hours worked in specific tasks. Understanding the current status and changes to the medical workforce and its work patterns is essential to assessing whether the supply and distribution meets the needs of patients, institutions, society, and educational programs.

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“…25 This is supported by previous research that suggests institutional arrangements that allow physicians to work part-time can lead to later retirement. 26,45 Some aspects of retirement planning that affect pensions, such as challenges related to sharing billing numbers in the case of joint practices, were not raised as key concerns by participants in this study despite their relevance as evidenced by a systematic review of physician retirement planning. 46 This may be because some academic-affiliated physicians have pension plans not available to community physicians who may perceive practice costs as a disincentive to continue working later in their career.…”

Section: Professional Normsmentioning

confidence: 89%

“…[21][22][23] Some strategies for approaching physician retirement have already been discussed, including full mandatory retirement based on age, 24 phased retirement plans in some American academic institutions 25 and a preference for part-time work among pediatricians transitioning to retirement. 26 However, less is known about the extent to which physicians are satisfied with their own retirement planning, their preferences regarding gradual versus full retirement, perceived barriers to retirement and factors that facilitate retirement planning.…”

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confidence: 99%

Planning for retirement from medicine: a mixed-methods study

Silver

Easty

2017

CMAJ Open

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Background: Evidence suggests there are important personal and social consequences associated with inadequate retirement planning for physicians. We evaluated whether academic physicians felt satisfied with their retirement planning, and identified obstacles to retirement planning and a set of factors to facilitate retirement planning. Methods:We applied a sequential mixed-methods research design to explore and examine factors that facilitate academic physician retirement planning using data collected from multiple sources (including 7 focus groups, an internet-based survey and 23 in-depth interviews). We examined survey results regarding retirement planning satisfaction and preferences for complete versus gradual retirement. We used thematic analysis to examine verbatim transcripts and notes from the focus groups and interviews.Results: Survey data (response rate 51%) indicated that 10% of respondents were very satisfied with their retirement planning and 89.5% would prefer to retire gradually rather than stop work completely. Key barriers to retirement planning that emerged included poor personal financial management, rigid institutional structures and professional norms. Facilitators included financial planning resources for physicians at multiple career stages, opportunities and resources for later-career transitions and later-career mentorship support for intergenerational collaboration, and recognition of retirees.Interpretation: Key findings highlight perceived barriers to retirement planning at various career stages in addition to factors that can enhance physicians' retirement planning, including creating gradual and flexible retirement options, supporting ongoing discussions about financial planning and later career transitions, and fostering a culture that continues to honour and involve retirees. Medical institutions could foster innovative models for later-career transitions from medicine in ways that address physicians' needs at various career stages, support gradual transitions from practice and recognize the value of experienced, capable later-career physicians and retirees. Abstract ResearchResearch CMAJ OPEN E124CMAJ OPEN, 5(1)

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Patterns of Work and Retirement Among Pediatricians Aged ≥50 Years

Cited by 23 publications

References 8 publications

A Longitudinal Study of Pediatricians Early in Their Careers: PLACES

A Longitudinal Study of Pediatricians Early in Their Careers: PLACES

Current Workforce of General Pediatricians in the United States

Planning for retirement from medicine: a mixed-methods study

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