Continuing medical education and primary physicians? job stress, burnout and dissatisfaction

Kushnir, Talma; Cohen, Avner H.; Kitai, Eli

doi:10.1046/j.1365-2923.2000.00538.x

Cited by 71 publications

(61 citation statements)

References 22 publications

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“…None of the analyses in this study found a relationship between satisfaction and physician race, gender, or salary status. This differs from previous studies that found associations with minority status, 23 gender, 7,9,[23][24][25] and ownership, 21,25 employment, 25 and income. 11,21,26 Specialty was associated with satisfaction in the older analyses only; Sturm 22 and Gazewood et al 24 found significant differences across specialties.…”

Section: Career Satisfactioncontrasting

confidence: 99%

“…5,6 The diminishing numbers of primary care physicians (PCPs) reflect the decreased attractiveness of primary care as a career to new physicians and the loss of established physicians because of retirement and "burnout." 7 Recent surveys among US PCPs found that only 33% report being very satisfied. 8 However, US PCPs may be even more satisfied than those from other countries.…”

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confidence: 99%

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Perceived Complexity of Care, Perceived Autonomy, and Career Satisfaction Among Primary Care Physicians

Katerndahl

Parchman

Wood

2009

The Journal of the American Board of Family Medicine

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Background: The purpose of this study was to examine relationships of both perceived autonomy and perceived complexity of care with career satisfaction.Methods: This secondary analysis used 3 consecutive surveys of family physicians, internists, and pediatricians from the Community Tracking Survey. Two-way analysis of variance assessed interaction effects of perceived complexity of care and perceived autonomy on satisfaction. Logistic regression analysis identified physician characteristics, practice characteristics, practice improvement strategies, perceived complexity, and perceived autonomy that accounted for variance in career satisfaction among physicians.Results: Although 24% to 27% of physicians felt perceived complexity of care expected was greater than it should be, 83% to 86% felt free to make clinical decisions. Approximately 80% of physicians were satisfied with their careers. Differences in probability of career satisfaction were highly significant (P < .001) for both perceived complexity of care and perceived autonomy as well as their interaction. A multiphysician practice; the ability to obtain high quality ancillary services (such as physical therapy, home health care, and nutritional counseling); managed care revenue, lower levels of perceived complexity of expected care; and perceived autonomy were consistently associated with satisfaction.Conclusion: Higher perceived autonomy and lower perceived patient complexity as higher than desirable were associated with high career satisfaction among primary care physicians.

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Section: Career Satisfactioncontrasting

confidence: 99%

mentioning

confidence: 99%

Perceived Complexity of Care, Perceived Autonomy, and Career Satisfaction Among Primary Care Physicians

Katerndahl

Parchman

Wood

2009

The Journal of the American Board of Family Medicine

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“…Approximately 39% of the 508 responding PCPs said they would become surgical or diagnostic specialists, whereas approximately 22% said they would not choose medicine as a career. 23 In an attempt to shed some light on the declining level of satisfaction, 24 decreasing sense of professional autonomy, 25 and "feelings of powerlessness" 26 in the complex health care environment within which PCPs operate, 27 Katerndahl et al 28 used Community Tracking Survey data collected during 3 consecutive periods (ie, 1996 -1997, 1998 -1999, and 2000 -2001) to examine the relationships of both perceived autonomy and perceived complexity of care on PCPs career satisfaction. They concluded that there is considerable interaction between perceived complexity of care, perceived autonomy, and career satisfaction of PCPs.…”

mentioning

confidence: 99%

An Empirical Investigation of Factors Influencing Career Satisfaction of Primary Care Physicians

Deshpande

DeMello²

2010

The Journal of the American Board of Family Medicine

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“…An increase in professional experience improves communication and leadership skills, feelings of professional adequacy and the abilities of problem solving. The higher levels of life satisfaction in academicians compared to that in general practitioners and professional physicians can be explained by the increase in education and the chances of increasing and updating professional knowledge (25,26). However, a direct relationship between educational level and professional satisfaction is not always the case (5).…”

Section: Discussionmentioning

confidence: 99%

Rehabilitasyon Merkezinde Çalışan Sağlık Personelinde İş ve Yaşam Doyumu

...

2012

Tftr

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Objective: The aim of this research was to determine whether job and life satisfaction level of healthcare professionals working with disabled patients significantly changes with respect to some variables and to investigate the relationship between job and life satisfaction. Materials and Methods: The information about the independent variables was obtained through a personal information questionnaire prepared by the researchers. Job satisfaction of medical staff was measured by the Job Satisfaction Inventory and life satisfaction was assessed by the Life Satisfaction Inventory. Results: Data were collected from a total of 138 healthcare professionals (78.3% were female and 21.7% male). The results indicated that the job satisfaction was significantly higher in males compared to females, whereas there were no significant differences between the mean scores of life satisfaction according to gender. Among healthcare professionals working with disabled individuals, specialists had the highest levels of life and job satisfaction, whereas the physiotherapists had the lowest levels. There were significant differences in the mean scores of job and life satisfaction between the healthcare professionals, who were satisfied with their job and salary, and expressed that they can help their patients enough, and those experienced negative effects of the work on their family, had conflict with their work, the head of the department, and the occupational group. Conclusion: A positive correlation was found between the job and life satisfaction of the subjects. Job satisfaction comprises an important part of life satisfaction and individual productivity. Job and life satisfaction can be increased first by indicating and then solving the negative factors on job and life satisfaction.

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Continuing medical education and primary physicians? job stress, burnout and dissatisfaction

Abstract: In this cross-sectional study, causality cannot be established and the CME measures should be refined. However, the results are consistent with the study's hypotheses and suggest that opportunities for CME and professional updating may reduce physicians' job distress and dissatisfaction.

Cited by 71 publications

References 22 publications

Perceived Complexity of Care, Perceived Autonomy, and Career Satisfaction Among Primary Care Physicians

Perceived Complexity of Care, Perceived Autonomy, and Career Satisfaction Among Primary Care Physicians

An Empirical Investigation of Factors Influencing Career Satisfaction of Primary Care Physicians

Rehabilitasyon Merkezinde Çalışan Sağlık Personelinde İş ve Yaşam Doyumu

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