The impact of generational change and retirement on psychiatry to 2025

Fletcher, Susan; Schofield, Deborah

doi:10.1186/1472-6963-7-141

Cited by 12 publications

(7 citation statements)

References 21 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%

“…Reasons for physicians delaying retirement included being satisfied with their career [16, 34, 37, 39, 47–49], institutional flexibility [51], a feeling of responsibility for their patients [18, 19, 37, 38, 47, 51], a desire to be healthy and keep being active [18, 34, 44, 46], financial reasons [7, 34, 36, 39, 46, 47, 50, 53, 54], and a lack of interests outside of medicine [46]. In particular, institutional flexibility was a positive driver of physicians’ 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 [7, 39, 51, 55].…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

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%

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%

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

“…Retirement incentives, mandatory retirement and physician supply have previously been examined in relation to the challenges associated with retirement. 24,[41][42][43][44] This study contributes by offering a set of specific facilitators to retirement planning. Education and financial planning resources throughout career stages could provide physicians with tools to approach their personal planning.…”

Section: Professional Normsmentioning

confidence: 99%

Planning for retirement from medicine: a mixed-methods study

Silver

Easty

2017

CMAJ Open

View full text Add to dashboard Cite

Background: Evidence suggests there are important personal and social consequences associated with inadequate retirement planning for physicians. We evaluated whether academic physicians felt satisfied with their retirement planning, and identified obstacles to retirement planning and a set of factors to facilitate retirement planning. Methods:We applied a sequential mixed-methods research design to explore and examine factors that facilitate academic physician retirement planning using data collected from multiple sources (including 7 focus groups, an internet-based survey and 23 in-depth interviews). We examined survey results regarding retirement planning satisfaction and preferences for complete versus gradual retirement. We used thematic analysis to examine verbatim transcripts and notes from the focus groups and interviews.Results: Survey data (response rate 51%) indicated that 10% of respondents were very satisfied with their retirement planning and 89.5% would prefer to retire gradually rather than stop work completely. Key barriers to retirement planning that emerged included poor personal financial management, rigid institutional structures and professional norms. Facilitators included financial planning resources for physicians at multiple career stages, opportunities and resources for later-career transitions and later-career mentorship support for intergenerational collaboration, and recognition of retirees.Interpretation: Key findings highlight perceived barriers to retirement planning at various career stages in addition to factors that can enhance physicians' retirement planning, including creating gradual and flexible retirement options, supporting ongoing discussions about financial planning and later career transitions, and fostering a culture that continues to honour and involve retirees. Medical institutions could foster innovative models for later-career transitions from medicine in ways that address physicians' needs at various career stages, support gradual transitions from practice and recognize the value of experienced, capable later-career physicians and retirees. Abstract ResearchResearch CMAJ OPEN E124CMAJ OPEN, 5(1)

show abstract

The impact of generational change and retirement on psychiatry to 2025

Cited by 12 publications

References 21 publications

A systematic review of physician retirement planning

A systematic review of physician retirement planning

A Systematic Review of Physician Retirement Planning

Planning for retirement from medicine: a mixed-methods study

Contact Info

Product

Resources

About