Doctors Become Reluctant Employees As Many Are Forced Out of Private Practice
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When asked to select the three reasons to pursue an employed opportunity, necessity ("it is the only financially viable option") was most frequently selected as the primary motivation for choosing employment over primary practice, and the second most common answer selected as one of several motives.
What is the implication to hospitals and physicians' employers? Levels of stress and burn-out may increase among doctors, says
"As doctors lose more and more control over their professional lives, they may start to feel increasingly stressed and frustrated. Gradually, physicians' autonomy continues to erode." Stone adds that, while physician recruiting trends towards employment and away from private practice, the reality of practicing as an employee may be tougher than physicians' expectations of employment.
"In reviewing thousands of client job postings on our site, we see recruiters emphasizing the importance of work and personal life balance when seeking candidates," remarks
Although a physician has signed an employment contract, the physician may feel apprehensive about practicing as an employee.
"You can lead a horse to water, but you can't make him drink the Kool-Aid," says Stone. "Healthcare management should be sensitive to the fact that, for some physicians, this may be the first time he or she has worked as an employee in many years, if ever. Regardless of one's occupation, the transition from owner to employee can be stressful. However, for physicians, who already cope with many stressful industry changes, the transition to employment could be particularly overwhelming."
Since a large percentage of physicians are employed reluctantly, what can hospitals do, and offer, to attract and retain physicians? Doctors listed highly competitive compensation, flexible schedules, and support staff as the top three factors that would keep them happy.
Physicians chose the following as other important factors in recruiting and retention:
- Leadership and growth opportunities
- Decision-making input
"Physicians' responses to the survey seem to indicate that offering leadership roles and input in important decisions could help to ease the transition from being an owner to an employee," Baker concludes.
Stone, who also heads up the
About the Survey: The survey was created and written by the research and communications departments of
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