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Faculty attrition among three specialties.

H Thomas1, J Moorhead, A R Magnusson

  • 1Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, North Carolina 27103.

Annals of Emergency Medicine
|January 11, 1991
PubMed
Summary
This summary is machine-generated.

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Faculty attrition in emergency medicine is comparable to orthopedic surgery and cardiology. Emergency physicians reported working more total hours but fewer night hours than specialists in other fields.

Area of Science:

  • Medical Education
  • Physician Workforce Studies
  • Academic Medicine

Background:

  • Faculty attrition is a significant concern in academic medicine, potentially impacting training and research.
  • Understanding attrition rates and reasons is crucial for retaining faculty in high-demand specialties.
  • Emergency medicine faces unique challenges in faculty retention compared to other medical fields.

Purpose of the Study:

  • To compare faculty attrition rates in emergency medicine with those in orthopedic surgery and cardiology.
  • To investigate the factors influencing faculty departure from these specialties.
  • To analyze work hours and motivations for leaving among physicians in emergency medicine, orthopedics, and cardiology.

Main Methods:

  • A survey was distributed to chairmen of emergency medicine, orthopedic surgery, and cardiology departments.

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  • Data collected included faculty attrition rates, work hours, and reasons for departure.
  • Surveys were also administered to emergency physicians who had left their positions.

    • Main Results:

    • Response rates were high across all surveyed departments (EM: 67/68, Ortho: 53/58, Cardio: 47/54).
    • Overall faculty attrition in emergency medicine was 10% (67/670), with no significant difference compared to orthopedic surgery and cardiology (P = .75).
    • Orthopedic surgeons and cardiologists reported working more total weekly hours but fewer night hours than emergency physicians (P = .001 and P = .03, respectively).

    Conclusions:

    • Faculty attrition rates are similar across emergency medicine, orthopedic surgery, and cardiology.
    • While emergency physicians work more total hours, this does not appear to drive higher attrition rates compared to other specialties.
    • Further research may explore specific retention strategies tailored to the unique demands of emergency medicine faculty.