A review of trends in attrition rates for surgical faculty: A case for a sustainable retention strategy to cope with demographic and economic realities

Journal of the American College of Surgeons

Volumn 216, Issue 5, 2013, Pages 944-953

  Satiani, Bhagwan ^a   Williams, Thomas E ^a   Brod, Heather ^a   Way, David P ^a   Ellison, E Christopher ^a  

^a THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; FEMALE; HUMAN; MEDICAL PRACTICE; PRIORITY JOURNAL; SURGEON; SURGICAL TRAINING; UNIVERSITY HOSPITAL;

ADULT; CAREER MOBILITY; CHI-SQUARE DISTRIBUTION; COHORT STUDIES; CONFOUNDING FACTORS (EPIDEMIOLOGY); FACULTY, MEDICAL; FEMALE; GENERAL SURGERY; HUMANS; LEADERSHIP; MALE; MENTORS; MIDDLE AGED; OHIO; PERSONNEL TURNOVER; SALARIES AND FRINGE BENEFITS; SCHOOLS, MEDICAL;

EID: 84876692765     PISSN: 10727515     EISSN: 18791190     Source Type: Journal    
DOI: 10.1016/j.jamcollsurg.2012.12.052     Document Type: Article

References (44)

1. T.E. Williams, B. Satiani, A. Thomas, and C.E. Ellison The impending shortage and the estimated cost of training the future surgical workforce Ann Surg 250 2009 590 597
2. Towers Watson. Towers Watson offers resolutions to retain talent, engage workers in 2011. Available at: http://www.towerswatson.com/united-states/press/ 3673. Accessed May 15, 2012.
3. Accenture. Physician employment trends drivers and implications. Available at: http://www.accenture.com/SiteCollectionDocuments/PDF/Accenture- Clinical-Transformation.pdf. Accessed February 6, 2013.
4. S.L. Isaacs, P.S. Jellinek, and W.L. Ray The independent physician - going, going... N Engl J Med 360 2009 655 657
5. Association of American Medical Colleges. Physician shortages to worsen without increases in residency training. Available at: https://www.aamc.org/ download/150584/data/physician-shortages-factsheet.pdf. Accessed July 13, 2012.
6. T. Shanafel, J. Sloan, and D. Satele Why do surgeons consider leaving practice? J Am Coll Surg 2011 420 421
7. Stovall JG, Schutte L. Trend benders: hire and keep "star" physicians in the economic and demographic reality. Available at: http://www.cejkasearch.com/resources/trend-benders-hire-and-keep-star- physicians-download/. Accessed June 20, 2012.
8. T.A. Atchison, and G. Carlson Leading Healthcare Cultures: How Human Capital Drives Financial Performance 2009 Health Administration Press Chicago 13
9. H. Yamagata Trends in faculty attrition at US medical schools, 1980-1999 AAMC Anal Brief 2 2002 1 2 Available at: https://www.aamc.org/download/102352/ data/aibvol2no2.pdf Accessed February 6, 2013
10. Burley K. Developing a physician retention plan for your practice. Mich Med 2009;November-December:22. Available at: http://www.mimom.org/pdf/ physretention09.pdf. Accessed October 23, 2012.
11. K. Scott Physician retention plans help reduce costs and optimize revenues Healthc Financ Manage 52 1 1998 75 77
12. D.L. Wingard, K.A. Garman, and V. Reznik Facilitating faculty success: outcomes and cost benefit of the UCSD National Center of Leadership in Academic Medicine Acad Med 79 Suppl 2004 S9 S11
13. J.D. Waldman, F. Kelly, S. Arora, and H.L. Smith The shocking cost of turnover in health care Health Care Manage Rev 29 2004 2 7
14. E.P. Schloss, D.M. Flanagan, C.L. Culler, and A.L. Wright Some hidden costs of faculty turnover in clinical departments in one academic medical center Acad Med 84 2009 32 36
15. Cejka/American Medical Group Management Association. 2007 Physician retention survey. Available at: http://www.hcpro.com/content/232335.pdf. Accessed October 23, 2012.
16. M. Tudor Benchmarking survey highlights J Assoc Staff Phys Recruit 16.3 2009 1 Available at: http://www.aspr.org/associations/10362/files/JASPR- Summer09.pdf Accessed October 24, 2012
17. Cejka/American Medical Group Management Association. 2005 Physician retention survey. Available at: http://www.cejkasearch.com/news/press-releases/ physician-shortage-challenges-medical-groups-and-increases-demand-for-advanced- practitioners/. Accessed October 23, 2012.
18. Group on Faculty Practice: Retention Difficulties Survey 04-06. Available at: https://www.aamc.org/download/105934/data/. Accessed February 8, 2013.
19. Sauer J. Selling your practice to a hospital. Available at: http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/ Selling-your-practice-to-a-hospital/ArticleStandard/Article/detail/776748? contextCategoryId=48598. Accessed October 24, 2012.
20. Gamble M. Get in the know before they go: 8 points on exit interviews in hospitals. Available at: http://www.beckershospitalreview.com/hospital- management-administration/get-in-the-know-before-they-go-8-points-on-exit- interviews-in-hospitals.html. Accessed December 14, 2011.
21. H. Alexander, and J. Lang The long-term retention and attrition of US medical school faculty AAMC Anal Brief 8 4 2008 1 2 Available at: https://www.aamc.org/download/67968/data/aibvol8no4.pdf Accessed October 23, 2012
22. K.A. Joiner, S. Hiteman, S. Wormsley, and P.S. Germain Timing of revenue streams from newly recruited faculty: implications for faculty retention Acad Med 82 2007 1228 1238
23. P. Carr, J. Bickel, and T.S. Inui Taking Root in a Forest Clearing: A Resource Guide for Medical Faculty 2004 Boston University School of Medicine Boston
24. S.R. Lowenstein, G. Fernandez, and L.A. Crane Medical school faculty discontent: prevalence and predictors of intent to leave academic careers BMC Med Educ 7 37 2007 1 8
25. J. Valancy Recruiting and retaining the right physicians Family Pract Manage 14 9 2007 28 33 Available at: http://www.aafp.org/fpm/20071000/28recr. html Accessed October 23, 2012
26. Mann S. Medical schools improve retention, job satisfaction. Available at: https://www.aamc.org/newsroom/reporter/july11/254632/retention.html. Accessed October 24, 2012.
27. Association of Staff Physician Recruiters. ASPR in-house physician recruitment benchmarking report. Available at: http://www.aspr.org/ displaycommon.cfm?an=1&subarticlenbr=484. Accessed May 9, 2012.
28. L. Pololi, P. Conrad, S. Knight, and P. Carr A study of the relational aspects of the culture of academic medicine Acad Med 84 2009 106 114
29. A.M. Corrice, S. Fox, and S.A. Bunton Retention of full-time clinical faculty at US medical schools AAMC Anal Brief 11 2 2011
30. King H, Speckart C. Ten evidence-based practices for successful physician retention. Available at: http://xnet.kp.org/permanentejournal/sum02/retention. html. Accessed June 21, 2012.
31. S. Girod, S.K. Gilmartin, H. Valantine, and L. Schiebinger Academic couples: implications for medical school faculty recruitment and retention J Am Coll Surg 212 2011 310 319
32. B.R. Ragins, and J.L. Cotton Mentor functions and outcomes: a comparison of men and women in formal and informal mentoring relationships J Appl Psychol 84 1999 529 550
33. C.J. Bland, E. Seaquist, and J.T. Pacala One school's strategy to assess and improve the vitality of its faculty Acad Med 77 2002 368 376
34. S.R. Lowenstein, G. Fernandez, and L.A. Crane Medical school faculty discontent: prevalence and predictors of intent to leave academic careers BMC Med Educ 7 2007 37
35. M. Linzer, T.R. Konrad, and J. Douglas Managed care, time pressure and physician job satisfaction: results from the physician work life study J Gen Intern Med 15 2000 441 450
36. K.H. Cohn The lifelong iterative process of physician retention J Healthcare Manage 54 2009 220 226
37. B. Satiani, T.E. Williams, and E.C. Ellison The impact of employment of part time surgeons on the expected surgeon shortage J Am Coll Surg 213 2011 345 351
38. Trinity Mother Francis Hospitals and Clinics and Cejka Search. Trend benders: hire and keep "star" physicians in the economic and demographic reality. Available at: http://www.cejkasearch.com/wp-content/ uploads/AMGA-CejkaSearch-Retention-Presentation-Resources1.pdf. Accessed October 24, 2012.
39. Hospital Physicians. Physician retention survey suggests increased physician turnover through 2011. Available at: http://hospitalphysicians.com/ 2011/04/20/increased-physician-turnover-expected-this-year/. Accessed April 20, 2012.
40. The Physicians Foundation. Health reform and the decline of physician private practice. Available at: http://www.modernmedicine.com/modernmedicine/ data/articlestandard/modernmedicine/492010/697821/mhafoundationwhitepaperfinal. pdf. Accessed October 24, 2012.
41. The Advisory Board Company. The high-performance medical group, part one. Available at: http://www.advisory.com/∼/media/Advisory.com/Research/HCAB/ Events/Webconference/2012/HPMG-Part1-062612.pdf. Accessed October 25, 2012.
42. Bachrach DJ. Retain or replace: the true costs of unintended faculty departures and how to minimize them. Acad Phys Scientist. Available at: https://www.aamc.org/download/164750/data/bachrach-retain-or-replace.pdf. Accessed October 25, 2012.
43. A. Ries, D. Wingard, and A. Gamst Measuring faculty retention and success in academic medicine Acad Med 87 2012 1046 1051
44. L.E. Thorndyke, M.E. Gusic, and J.H. George Empowering junior faculty: Penn State's faculty development and mentoring program Acad Med 81 2006 668 673