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Related Experiment Videos

Practice mobility among young physicians.

R J Willke1

  • 1Upjohn Company, Kalamazoo, MI.

Medical Care
|October 1, 1991
PubMed
Summary

Young physicians show significant practice mobility, with about one in three changing jobs within five years. Key factors influencing these career moves include debt and employment type, not discrimination.

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Area of Science:

  • Medical Economics
  • Physician Workforce Studies
  • Career Mobility Research

Background:

  • Understanding physician practice mobility is crucial for healthcare workforce planning.
  • Early career stages are critical for physician retention and practice stability.

Purpose of the Study:

  • To analyze practice mobility patterns among young physicians in the early stages of their careers.
  • To identify factors influencing physicians' decisions to change practice settings.

Main Methods:

  • Utilized a large-scale nationwide survey data from 1987, focusing on physicians under 40 in their 2nd-5th years of practice.
  • Employed multinomial analysis to examine choices related to practice changes.
  • Investigated the impact of experience, education, demographics, debt, family, and location on mobility.

Main Results:

  • Approximately 10-12% of physicians change practices annually in the first three years, with one-third changing within five years.
  • The most frequent shift is from employed to self-employed roles, though many changes occur within the same employment type.
  • Physicians in solo self-employed practices exhibit the lowest mobility, while Health Maintenance Organization (HMO) employees show the highest.
  • High debt levels correlate with practice changes, but competition and racial discrimination were not significant factors.

Conclusions:

  • Physician practice mobility is substantial in the early career years.
  • Employment type and financial factors like debt significantly influence practice changes.
  • Specialty, experience, and personal circumstances also play a role in career transitions.

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