The Aging Physician and Retirement

Grauer, H.; Campbell, Neil M.

doi:10.1177/070674378302800709

Cited by 14 publications

(12 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Medicolegal issues often arose from a lack of satisfaction with the regulation of medicine for reasons of unwelcome change, bureaucracy, oppressive management [26, 35, 44], and issues with physician partners [26, 45]. Experiencing poor health, cognitive decline, difficulty sleeping, and psychological distress were also factors leading to a physician’s retirement [15, 18, 19, 34, 36, 38, 46–50]. …”

Section: Resultsmentioning

confidence: 99%

A systematic review of physician retirement planning

et al. 2016

View full text Add to dashboard Cite

BackgroundPhysician retirement planning and timing have important implications for patients, hospitals, and healthcare systems. Unplanned early or late physician retirement can have dire consequences in terms of both patient safety and human resource allocations. This systematic review examined existing evidence on the timing and process of retirement of physicians. Four questions were addressed: (1) When do physicians retire? (2) Why do some physicians retire early? (3) Why do some physicians delay their retirement? (4) What strategies facilitate physician retention and/or retirement planning?MethodsEnglish-language studies were searched in electronic databases MEDLINE, Web of Science, Scopus, CINAHL, AgeLine, Embase, HealthSTAR, ASSA, and PsycINFO, from inception up to and including March 2016. Included studies were peer-reviewed primary journal articles with quantitative and/or qualitative analyses of physicians’ plans for, and opinions about, retirement. Three reviewers independently assessed each study for methodological quality using the Newcastle-Ottawa Scale for quantitative studies and Critical Appraisal Tool for qualitative studies, and a fourth reviewer resolved inconsistencies.ResultsIn all, 65 studies were included and analyzed, of which the majority were cross-sectional in design. Qualitative studies were found to be methodologically strong, with credible results deemed relevant to practice. The majority of quantitative studies had adequate sample representativeness, had justified and satisfactory sample size, used appropriate statistical tests, and collected primary data by self-reported survey methods.Physicians commonly reported retiring between 60 and 69 years of age. Excessive workload and burnout were frequently cited reasons for early retirement. Ongoing financial obligations delayed retirement, while strategies to mitigate career dissatisfaction, workplace frustration, and workload pressure supported continuing practice.ConclusionsKnowledge of when physicians plan to retire and how they can transition out of practice has been shown to aid succession planning. Healthcare organizations might consider promoting retirement mentorship programs, resource toolkits, education sessions, and guidance around financial planning for physicians throughout their careers, as well as creating post-retirement opportunities that maintain institutional ties through teaching, mentoring, and peer support.

show abstract

Section: Resultsmentioning

confidence: 99%

A systematic review of physician retirement planning

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Reasons that physicians gave for delaying retirement included satisfaction with their career [41,43,45,53,[56][57][58], institutional flexibility, [38] a feeling of responsibility for their patients, [38,45,53,[59][60][61] health and a desire to keep active, [36,50,58,61] financial reasons, [43,50,53,54,55,58,[62][63][64] and a lack of interests outside of medicine. 61 Institutional flexibility was a positive driver of a physician's work satisfaction and their desire to remain in practice as they were provided reasonable access to sabbaticals, flexible working hours and control over their job and career development [38,43,54,76].…”

Section: Reasons For Delaying Retirementmentioning

confidence: 99%

“…Physicians expressed concerns over their decision to retire due to fears that they may lose their role, identity or purpose, [22,51,60,63] or were uncomfortable with the methods used to enforce their retirement [22]. Retirement concerns also stemmed from personal issues such as a fear of potential changes in the relationship with their spouse following retirement [22], a fear of excessive leisure time and lack of hobbies [63] and inadequate financial preparation for retired life [51,58].…”

Section: Strategies To Facilitate Physician Retention and Retirement mentioning

confidence: 99%

“…Retirement concerns also stemmed from personal issues such as a fear of potential changes in the relationship with their spouse following retirement [22], a fear of excessive leisure time and lack of hobbies [63] and inadequate financial preparation for retired life [51,58]. Obstacles to ongoing practice contributed to reasons why participants disliked working, and when they felt strongly enough, these reasons were sufficient to warrant retirement (Table 4).…”

Section: Strategies To Facilitate Physician Retention and Retirement mentioning

confidence: 99%

See 1 more Smart Citation

A Systematic Review of Physician Retirement Planning

Silver¹,

Hamilton²,

Biswass³

et al. 2017

Health Syst Policy Res

View full text Add to dashboard Cite

IntroductionWhile Japan, parts of Europe and many low-and middleincome countries face concerns about physician shortages, [1][2][3] the physician workforce has been stable or increasing in other regions such as North America and the United Kingdom [4][5][6][7]. Among regions of growth and stability, the momentum of increasing physician supply has largely been driven by the sizable and growing number of physicians who have remained in or re-entered active practice beyond the traditional timing and retirement age of 65 [8,9]. Across OECD countries, nearly onethird of all practicing doctors were on average over 55 years of age (OECD, 2015). In Japan, the percentage of physicians 60 years and older are expected to increase from 20% in 2010 to 36% in 2035, suggesting that if remained unchanged current strategies may insufficiently address future demand for healthcare [10,11].Along with these demographic shifts are rising concerns that an older physician workforce will be faced with increasing cognitive impairment and associated dementia, as well as, physician burnout and deterioration of physical health potentially producing increased medical errors which put patients and quality of care at risk [12]. Physician retirement can also have a potentially negative impact on patient care as discontinuities in patient care can have implications for patient safety [13] and be particularly difficult for older patients who may be experiencing multiple losses [14].The abolition of mandatory retirement in the US has encouraged many physicians to extend their medical careers, while in Japan legislative exemptions to the physician profession have supported physicians in accumulating many decades of experience over the course of their working lives generating greater unpredictability of later career transitions [15,16]. Physician retirement planning A Systematic Review of Physician Retirement Planning AbstractBackground: This systematic review identified empirical studies to elaborate on the understudied aspect of retirement timing related to physician's preparation and engagement with the retirement planning process. Four questions were addressed: 1) When do physicians retire? 2) Why do some physicians retire early? 3) Why do some physicians delay their retirement? 4) What are some strategies that facilitate physician retention and/or retirement planning? Methods and Findings:English-language studies were searched in electronic databases through June 2015 to meet the following inclusion criteria: peerreviewed primary journal articles, published with quantitative or qualitative analyses of planning and opinions about physician retirement. Three independent reviewers assessed each study for methodological quality and a third reviewer resolved inconsistencies. In total, 60 studies meet the inclusion criteria and were analyzed. Representative sampling was used in 75% of studies, however most did not control for confounding variables. The majority were methodologically strong. Physicians commonly reported retiring between 60 and 69 year...

show abstract

“…This information turns out to be readily available in most academic settings through the human resources departments. In addition, the articles that have been published about retirement usually cover these topics (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12). However, additional areas of importance to the respondents were topics on which information is less readily available:…”

Section: Aps Membership Responsesmentioning

confidence: 99%

The Challenge of Developing Career Pathways for Senior Academic Pediatricians

Hall

2005

Pediatr Res

View full text Add to dashboard Cite

Physicians are living longer and are healthier than in previous times. The opportunity to use their experience, expertise, and wisdom after what would be "normal" retirement age needs to be explored. The object of this study was to survey senior academic pediatricians and pediatric department chairs to define the present status of pediatricians who are in academic settings and are older than 65 y, to explore the options that are open to pediatricians who are older than 65 y for continuing to use their skills, and to increase the awareness of the unused potential that exists among senior pediatricians. Structured questionnaires were sent to the 1444 members of the American Pediatric Society (APS) and to the 148 pediatric department chairs of the medical schools in the United States and Canada to identify current practices concerning retirement and utilization of senior pediatricians. Thirty-five percent of APS members and 40% of chairs of pediatrics responded. The responding APS members were interested in exploring avenues to continue to use the skills that they had developed. The responding pediatric chairs reported that they were constrained from supporting their senior faculty members by institutional pressures for space, salary monies, and the need to recruit new faculty members. However, they recognized the value of senior pediatricians. The skills and expertise of senior pediatricians (and probably other physicians) are often not used after the usual age of "retirement." New programs and pathways need to be developed not only to use the resource of these skills but also to enhance the health and sense of satisfaction of senior pediatricians. During the last century, life expectancy in the developed world rose from~47 y to between 73 and 83 y-an extra 30 y. Improved pediatric care can claim most of that increase. Child health care workers gained a great deal of new knowledge and practical know-how during the past century. Senior pediatricians who retire these days have enormous experience, expertise, and pragmatic insights-and probably have an additional 15-25 y to live. Most are in good health. An exciting challenge is how to use their hard-earned experience without impinging on the right to "retire."The American Pediatric Society (APS) is the oldest and most senior pediatric academic organization in North America. Its members have been chosen on the basis of exceptional contributions to academic pediatrics but probably represent Ͻ5% of academic pediatricians. Many have been deans, department chairs, and division heads. All have specialized expertise and knowledge about training, education, clinical care, research, and/or administration. They are probably not completely representative of all academic pediatricians. A recent review of membership indicated that half were 60 y or older, and many had retired. However, in view of increasing life expectancy and the looming shortage of experienced specialty pediatricians, the question arises as to whether new alternative approaches to retirement and flexible caree...

show abstract

The Aging Physician and Retirement

Cited by 14 publications

References 4 publications

A systematic review of physician retirement planning

A systematic review of physician retirement planning

A Systematic Review of Physician Retirement Planning

The Challenge of Developing Career Pathways for Senior Academic Pediatricians

Contact Info

Product

Resources

About