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How and why do doctors select their specialties, work settings and communities in which to practice? Do medical students know what they want to do once they finish their education? Can doctors in training be nudged toward practice in certain under-served geographic areas and in specialties facing a shortage of members? How can practice organizations that have a deficit in applicants recruit the physicians they need? How do practice characteristics differ from one specialty and work-setting to another? What features of a work-setting make for satisfaction and dissatisfaction in the different specialties and practice organizations? This book addresses those questions and others related to the distribution of physicians in the workforce. Data from two studies of physicians in practice and one large-scale study of participants in a summer program for medical students are analyzed to pose answers to these questions. In one study, the graduates from one medical school who were studied as students are followed up nearly half a century later, at the end of their careers, to see what characteristics might have been used to anticipate their eventual decisions. In another, a large sample of physicians in practice in various specialties and parts of the United States were queried about the features of their practices and the degree to which they wanted those features to increase or decrease. Finally, the amount that personal characteristics and program characteristics contributed to the achievement of four types of student goals were determined for 1000 participants in a summer externship program sponsored by the American Medical Student Association Foundation. Implications for medical school selection of students, student self-selection, work-setting design, student educational experiences and community support of the practicing physician are discussed.
Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.
Examining the crucial topic of race relations, this book explores the economic and social environments that play a significant role in determining economic outcomes and why racial disparities persist. With contributions from a range of international contributors including Edward Wolff and Catherine Weinberger, the book compares how various racial g
This report presents the results of a series of surveys and semistructured interviews intended to identify and characterize determinants of physician professional satisfaction.
The first medical specialty selection guide written by residents for students! Provides an inside look at the issues surrounding medical specialty selection, blending first-hand knowledge with useful facts and statistics, such as salary information, employment data, and match statistics. Focuses on all the major specialties and features firsthand portrayals of each by current residents. Also includes a guide to personality characteristics that are predominate with practitioners of each specialty. “A terrific mixture of objective information as well as factual data make this book an easy, informative, and interesting read.” --Review from a 4th year Medical Student
Explore the past, present, and future of PA practice. The authors, noted educators, researchers, and practitioners, draw on extensive research to trace the evolution of the PA’s roles and responsibilities in the delivery of health care services. Their presentation of historical content balanced with discussions of the ethical, educational, legislative, and economic forces that are shaping that the profession makes this a contemporary classroom tool for PA’s learning their field and their roles.
Burn-out and suicide rates among physicians and scientists in academic medicine are at an all-time high and jeopardize the future of our entire profession. In the last 4 years alone, burn-out rates among physicians have increased by 25%. In a recent 2017 Medscape publication, burn-out rates in Critical Care physicians ranked in 9th place and Pediatricians ranked 13th among 27 subspecialties. Astonishingly, over 50% of the participants reported burn-out symptoms, with clear race and gender disparities. While men generally report higher burn-out rates than women, it is important to emphasize that response rates from women in these surveys were notoriously low and may not represent the complete picture. These numbers are even more dismal for tenured academic faculty at research-extensive universities. In this group, emotional exhaustion (i.e. high burn-out) is reported at 35% with a clear association with age and lower burn-out levels in the older tenured faculty. While no gender or racial/ethnic differences were found in this particular group, higher levels of burn-out were identified in individuals with financial responsibilities beyond a spouse and child. While it is comforting to note the increasing public interest and research activities in this field, successful approaches to ameliorate the burden and consequences of physician burn-out are still inadequately developed. Academic centers increasingly offer some type of work-life balance program to their employees but, unfortunately, these programs are frequently adopted from corporate business models and remain largely ineffective in the academic environment. It should be evident to most administrators that the stressors of academic clinicians and scientists substantially differ from those of corporate employees. Based on these observations and over 75 years of combined experience in academic medicine amongst the three editors of this Research Topic, we collected 26 manuscripts from 22 authors at different career stages and different genders, ethnicities, marital status and subspecialties to identify and stratify common and specific stressors and therapeutic approaches to ameliorate burn-out and achieve work-life balance in academic medicine. We are confident that each reader will identify with at least one, if not several, of the authors’ opinions, experiences and approaches to attain greater work-life balance and thereby avoid the consequences of burn-out in modern academic medicine.
Medics need well informed careers advice, information, guidance and counselling throughout their careers, and not just while they are students or newly qualified doctors. The material in this book meets the needs of those wanting to gain insight into their own career development, as well as those helping medical colleagues with their careers. A range of available options are explored, from entry requirements, through higher specialist training, parallel medical careers and part-time alternatives. It covers regulations for overseas medics and recent changes in GP training. It is clear, concise and fully referenced, containing tips, practical exercises and further reading. Case histories of doctors in 30 medical specialties illustrate opportunities and show how desired outcomes can be achieved. It is an essential resource for anyone in medicine considering a career change, and individuals in a position to help other doctors with career development.
"This book examines the role of women empowerment and well-being for inclusive economic growth"--
First published in 1991.The training, employment, and career movement of doctors is of fundamental concern to all those working in and administrating the National Health Service and private medicine within Britain and around the world. Doctors' Careers makes available to a wide readership, in one volume, the results of a comprehensive survey of medical choices and career progress of doctors qualifying from British medical schools during a decade, from 1974 to 1983. No other survey of this kind has been carried out over a prolonged period of time. This is a unique record of the aspirations, feelings and experiences of a very large group of doctors, during a time of considerable changes in emigration, training for general practice, and the position of women doctors. The book deals with these issues, and also the reasons for choosing and changing careers within medicine, postgraduate qualifications, internal migration of doctors within the UK, aspects of some important individual specialisms - medicine, surgery, psychiatry, and anaesthetics - and the personal opinions of doctors about their training and the career problems of British medicine. The data has important implications for medical staff planning, and this is taken up in an analysis of the employment status of doctors five years after leaving medical school.