Professional Satisfaction and the Career Plans of US Physicians

Mayo Clinic Proceedings

Volumn 92, Issue 11, 2017, Pages 1625-1635

  Sinsky, Christine A ^a   Dyrbye, Lotte N ^b   West, Colin P ^b   Satele, Daniel ^b   Tutty, Michael ^a   Shanafelt, Tait D ^b  

^a AMERICAN MEDICAL ASSOCIATION   (United States)

^b MAYO CLINIC   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BURNOUT; CAREER; CLINICAL PRACTICE; CONTROLLED STUDY; ELECTRONIC HEALTH RECORD; HUMAN; SATISFACTION; ADULT; DECISION MAKING; FEMALE; JOB SATISFACTION; MALE; MIDDLE AGED; PHYSICIAN; PSYCHOLOGY; QUESTIONNAIRE; RETROSPECTIVE STUDY; UNITED STATES;

ADULT; CAREER CHOICE; ELECTRONIC HEALTH RECORDS; FEMALE; HUMANS; JOB SATISFACTION; MALE; MIDDLE AGED; PERSONAL SATISFACTION; PHYSICIANS; RETROSPECTIVE STUDIES; SURVEYS AND QUESTIONNAIRES; UNITED STATES;

EID: 85034700617     PISSN: 00256196     EISSN: 19425546     Source Type: Journal    
DOI: 10.1016/j.mayocp.2017.08.017     Document Type: Article

References (42)

1. Dall, T., West, T., Chakrabarti, R., Iacobucci, W., The Complexities of Physician Supply and Demand: Projections from 2013 to 2025. 2015, Association of American Medical Colleges, Washington, DC https://www.aamc.org/download/426242/data/ihsreportdownload.pdf?cm_mmc=AAMC-_-ScientificAffairs-_-PDF-_-ihsreport Accessed February 7, 2015.
2. Bureau of Health Professions. The Physician Workforce: Projections and Research into Current Issues Affecting Supply and Demand. 2008, US Department of Health and Human Services, Washington, DC https://bhw.hrsa.gov/sites/default/files/bhw/nchwa/projections/physiciansupplyissues.pdf Accessed April 17, 2017.
3. Shipman, S.A., Jones, K.C., Erikson, C.E., Sandberg, S.F., Exploring the workforce implications of a decade of medical school expansion: variations in medical school growth and changes in student characteristics and career plans. Acad Med 88:12 (2013), 1904–1912.
4. Shanafelt, T.D., Hasan, O., Dyrbye, L.N., et al. Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. [published correction appears in Mayo Clin Proc. 2016;91(2):276] Mayo Clin Proc 90:12 (2015), 1600–1613.
5. Friedberg, M.W., Chen, P.G., Van Busum, K.R., et al. Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy. 2013, RAND Corporation, Santa Monica, CA.
6. Rao, S.K., Kimball, A.B., Lehrhoff, S.R., et al. The impact of administrative burden on academic physicians: results of a hospital-wide physician survey. Acad Med 92:2 (2017), 237–243.
7. Shanafelt, T.D., Dyrbye, L.N., Sinsky, C., et al. Relationship between clerical burden and characteristics of the electronic environment with physician burnout and professional satisfaction. Mayo Clin Proc 91:7 (2016), 836–848.
8. Sinsky, C., Colligan, L., Li, L., et al. Allocation of physician time in ambulatory practice: a time and motion study in 4 specialties. Ann Intern Med 165:11 (2016), 753–760.
9. Shanafelt, T.D., Finding meaning, balance, and personal satisfaction in the practice of oncology. J Support Oncol, 3(2), 2005 157–162, 164.
10. Shanafelt, T., Dyrbye, L., Oncologist burnout: causes, consequences, and responses. J Clin Oncol 30:11 (2012), 1235–1241.
11. Shanafelt, T.D., Raymond, M., Kosty, M., et al. Satisfaction with work-life balance and the career and retirement plans of US oncologists. J Clin Oncol 32:11 (2014), 1127–1135.
12. Shanafelt, T.D., Boone, S., Tan, L., et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med 172:18 (2012), 1377–1385.
13. Dyrbye, L.N., Freischlag, J., Kaups, K.L., et al. Work-home conflicts have a substantial impact on career decisions that affect the adequacy of the surgical workforce. Arch Surg 147:10 (2012), 933–939.
14. Dyrbye, L.N., West, C.P., Satele, D., Sloan, J.A., Shanafelt, T.D., Work/home conflict and burnout among academic internal medicine physicians [letter]. Arch Intern Med 171:13 (2011), 1207–1209.
15. Dyrbye, L.N., Sotile, W., Boone, S., et al. A survey of U.S. physicians and their partners regarding the impact of work-home conflict. J Gen Intern Med 29:1 (2014), 155–161.
16. Shanafelt, T.D., Dyrbye, L.N., West, C.P., Sinsky, C.A., Potential impact of burnout on the US physician workforce [letter]. Mayo Clin Proc 91:11 (2016), 1667–1668.
17. Hann, M., Reeves, D., Sibbald, B., Relationships between job satisfaction, intentions to leave family practice and actually leaving among family physicians in England. Eur J Public Health 21:4 (2011), 499–503.
18. Shanafelt, T.D., Mungo, M., Schmitgen, J., et al. Longitudinal study evaluating the association between physician burnout and changes in professional work effort. Mayo Clin Proc 91:4 (2016), 422–431.
19. Shanafelt, T., Sloan, J., Satele, D., Balch, C., Why do surgeons consider leaving practice [letter]?. J Am Coll Surg 212:3 (2011), 421–422.
20. Shanafelt, T.D., Hasan, O., Hayes, S., et al. Parental satisfaction of U.S. physicians: associated factors and comparison with the general U.S. working population. BMC Med Educ, 16(1), 2016, 228.
21. Maslach, C., Jackson, S.E., Leiter, M.P., Maslach Burnout Inventory Manual. 3rd ed., 1996, Consulting Psychologists Press, Palo Alto, CA.
22. Ware, J.E., Kosinski, M., Turner-Bowker, D., Gandek, B., How to Score Version 2 of the SF-12 Health Survey. 2002, QualityMetric Inc, Lincoln, RI.
23. Whooley, M.A., Avins, A.L., Miranda, J., Browner, W.S., Case-finding instruments for depression: two questions are as good as many. J Gen Intern Med 12:7 (1997), 439–445.
24. Ware, J. Jr., Kosinski, M., Keller, S.D., A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 34:3 (1996), 220–233.
25. Rafferty, J.P., Lemkau, J.P., Purdy, R.R., Rudisill, J.R., Validity of the Maslach Burnout Inventory for family practice physicians. J Clin Psychol 42:3 (1986), 488–492.
26. Lee, R.T., Ashforth, B.E., A meta-analytic examination of the correlates of the three dimensions of job burnout. J Appl Psychol 81:2 (1996), 123–133.
27. West, C.P., Dyrbye, L.N., Satele, D.V., Sloan, J.A., Shanafelt, T.D., Concurrent validity of single-item measures of emotional exhaustion and depersonalization in burnout assessment. J Gen Intern Med 27:11 (2012), 1445–1452.
28. West, C.P., Shanafelt, T.D., Kolars, J.C., Quality of life, burnout, educational debt, and medical knowledge among internal medicine residents. JAMA 306:9 (2011), 952–960.
29. West, C.P., Dyrbye, L.N., Sloan, J.A., Shanafelt, T.D., Single item measures of emotional exhaustion and depersonalization are useful for assessing burnout in medical professionals. J Gen Intern Med 24:12 (2009), 1318–1321.
30. Shanafelt, T.D., Balch, C.M., Bechamps, G.J., et al. Burnout and career satisfaction among American surgeons. Ann Surg 250:3 (2009), 463–471.
31. Busis, N.A., Shanafelt, T.D., Keran, C.M., et al. Burnout, career satisfaction, and well-being among US neurologists in 2016. Neurology 88:8 (2017), 797–808.
32. Rittenhouse, D.R., Mertz, E., Keane, D., Grumbach, K., et al. No exit: an evaluation of measures of physician attrition. Health Serv Res 39:5 (2004), 1571–1588.
33. Buchbinder, S.B., Wilson, M., Melick, C.F., Powe, N.R., Primary care physician job satisfaction and turnover. Am J Manag Care 7:7 (2001), 701–713.
34. Buchbinder, S.B., Wilson, M., Melick, C.F., Powe, N.R., Estimates of costs of primary care physician turnover. Am J Manag Care 5:11 (1999), 1431–1438.
35. Schutte, L., What you don't know can cost you: building a business case for recruitment and retention best practices. J ASPR. Summer 2012. Association of Staff Physician Recruiters website http://www.aspr.org/?696 Accessed February 7, 2017.
36. Shanafelt, T.D., Noseworthy, J.H., Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnout. Mayo Clin Proc 92:1 (2017), 129–146.
37. Shanafelt, T.D., Dyrbye, L.N., West, C.P., Addressing physician burnout: the way forward. JAMA 317:9 (2017), 901–902.
38. Association of American Medical Colleges. Table B-2.2: Total Graduates by U.S. Medical School and Sex, 2011-2012 through 2015-2016. https://www.aamc.org/download/321532/data/factstableb2-2.pdf Published 2016. Accessed April 17, 2017.
39. Texas Higher Education Coordinating Board. Basic Steps to Establish a New Medical School. http://www.thecb.state.tx.us/reports/pdf/1515.pdf Published September 2008. Accessed April 17, 2017.
40. Allegra, C.J., Hall, R., Yothers, G., Prevalence of burnout in the U.S. oncology community: results of a 2003 survey. J Oncol Pract 1:4 (2005), 140–147.
41. Kuerer, H.M., Eberlein, T.J., Pollock, R.E., et al. Career satisfaction, practice patterns and burnout among surgical oncologists: report on the quality of life of members of the Society of Surgical Oncology. Ann Surg Oncol 14:11 (2007), 3043–3053.
42. Steel, R.P., Ovalle, N.K., A review and meta-analysis of research on the relationship between behavioural intentions and employee turnover. J Appl Psychol 69 (1984), 673–686.