The Physician Attrition Crisis: A Cross‐Sectional Survey of the Risk Factors for Reduced Job Satisfaction Among US Surgeons

Jackson, Theresa; Pearcy, Chris; Khorgami, Zhamak; Agrawal, Vaidehi; Taubman, Kevin; Truitt, Michael S.

doi:10.1007/s00268-017-4286-y

Cited by 90 publications

(71 citation statements)

References 39 publications

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“…41 A cross-sectional study of nearly 1,000 U.S. practicing surgeons across multiple specialties responding to a questionnaire identified 26% of respondents at "high risk of physician burnout" based on a Primary Care Posttraumatic Stress Disorder Screen. 42 Data collection by way of self-reporting is inherently vulnerable to selection bias. The respondents to the surveys disseminated in these studies range from 14 to 44%; clearly, there is a large swathe of the surgeon workforce being missed.…”

Section: The Scope Of the Problemmentioning

confidence: 99%

“…32 Though few studies have examined the impact of career distress and job dissatisfaction on surgeons' practices in particular, studies of physicians in nonsurgical specialties have identified associations between these qualities, and medical errors, prescribing practices, malpractice suits, and poor patient satisfaction scores. 42,[60][61][62][63] As we have discussed elsewhere, the double impact of burnout in the surgeon who becomes the "second victim" to these errors can create a scenario in which continued practice becomes a liability to both the surgeon and workplace. The professional consequences of burnout are presented in ►Fig.…”

Section: Professional Consequences Of Burnoutmentioning

confidence: 99%

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Surgeon Burnout: Defining, Identifying, and Addressing the New Reality

Senturk

Melnitchouk

2019

Clinics in Colon and Rectal Surgery

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Surgeon wellness is a multidimensional commitment that encompasses occupational, mental, physical, emotional, and social domains. Loss of professional control, autonomy, and flexibility; inefficient processes; disjointed workplace relationships and goals; excessive administrative burdens; poor work–life balance; and frustrations with medical record and order entry systems have all been associated with burnout. Described as a syndrome of emotional exhaustion, depersonalization, and loss of a sense of personal accomplishment, burnout can have myriad untoward consequences. The strong link between surgeons' personal and professional identities can lead to a perfect storm of burnout, depression, compromised patient safety and quality of care, physician job loss and career dissatisfaction, substance abuse, damage to personal relationships, and suicide. The alarming scope of this problem cannot be confined to a single specialty or practice setting and is expected to increase without much needed changes to surgeon work practices and work environments. A heightened focus on wellness in the workplace with attention to improving workflow, scheduling, collaboration, and resource allocation is a welcome step taken by several institutions and championed by professional societies. Much more research is needed to reliably gauge the overall effectiveness of these approaches, further address the nuances of burnout as it applies specifically to surgeons, and ensure that members of the surgical workforce remain at their peak throughout the duration of their careers.

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Section: The Scope Of the Problemmentioning

confidence: 99%

Section: Professional Consequences Of Burnoutmentioning

confidence: 99%

Surgeon Burnout: Defining, Identifying, and Addressing the New Reality

Senturk

Melnitchouk

2019

Clinics in Colon and Rectal Surgery

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“…Future studies can focus on defining the optimal quantity of protected study time for promoting trainee competency, satisfaction and well‐being. A third factor, subject to the limitations of self‐reporting is health status, which concords with prior studies suggesting that physical well‐being is associated with higher job satisfaction 5 . In line with preserving time for academic activities, protected time for physical well‐being deserves further investigation as it may similarly improve trainees’ satisfaction.…”

mentioning

confidence: 53%

What makes resident trainees satisfied with their jobs?

Mendelsohn

2020

Medical Education

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“…Manojlovich [23] has veri ed that factors in the practice environment contributed both directly to nursing job satisfaction et al [24] and Ozyurt et al [25] revealed that job satisfaction is inversely correlated with burnout. Jackson et al [26] showed that women and young doctors may have a higher risk of dissatisfaction at work. In a study among Australian nurses' job satisfaction on retention by Cowin and Leanne [27] also con rmed that experienced nurses had relatively stable job satisfaction and salary became a signi cant area of young nurses' job satisfaction.…”

Section: Introductionmentioning

confidence: 99%

Occupational Identity, Job Satisfaction and Their Effects on Turnover Intention among Chinese Pediatricians: A Cross-sectional Study

Deng¹,

Feng

Yao³

et al. 2020

Preprint

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Objectives This study contributes to research on the paediatrician shortage by examining occupational identity, job satisfaction and their effects on turnover intention among pediatricians in China. Methods This study employed a multi-stage stratified random sampling method to conduct a questionnaire survey. Of the 4906 survey recipients, valid data were collected from 4198 of the respondents (85.6%). Participants were from seven regions of China (south, central, north, east, northwest, southwest, northeast). Pediatricians who volunteered and provided informed, written consent participated.All variables including basic socio-demographic and work-related characteristics, occupational identity, job satisfaction and turnover intention were based on available literature, and measured on a 5- point Likert scale.Such statistical methods as exploratory factor analysis (EFA), descriptive analysis, common method bias, one-way analysis, pearson correlation analysis and mediating effect analysis were used.Results There were significant differences among the respondents in terms of turnover intention based on age, education, marital status, region, type and grade of practice setting, professional title, years in practise, workload, rest days, and monthly income. Occupational identity and job satisfaction were both negatively related to turnover intention, and occupational identity was positively correlated with job satisfaction(r1=-0.601, p<0.001; r2=-0.605, p<0.001). And the result also showed that job satisfaction plays a mediating role in the association between occupational identity and turnover intention among Chinese pediatricians.Conclusions To reduce turnover intention among pediatricians in China, it is crucial to focus on three aspects: work condition, workload and salary. We suggest healthcare managers should increase investment in pediatric, carry out reforms on salary mechanism and pay more attention to female and young pediatricians.

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The Physician Attrition Crisis: A Cross‐Sectional Survey of the Risk Factors for Reduced Job Satisfaction Among US Surgeons

Cited by 90 publications

References 39 publications

Surgeon Burnout: Defining, Identifying, and Addressing the New Reality

Surgeon Burnout: Defining, Identifying, and Addressing the New Reality

What makes resident trainees satisfied with their jobs?

Occupational Identity, Job Satisfaction and Their Effects on Turnover Intention among Chinese Pediatricians: A Cross-sectional Study

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