Why Family Medicine Program Directors Leave Their Position
Douglas Fernald1, Christina M Hester2, Steven R Brown3
1University of Colorado School of Medicine, Department of Family Medicine, Aurora, CO.
Family Medicine
|May 21, 2021
Summary
Family medicine residency program directors (PDs) often leave their roles voluntarily for career advancement opportunities, not job dissatisfaction. Effective succession planning supports their transition.
Area of Science:
- Medical Education
- Family Medicine Training
- Residency Program Leadership
Background:
- Family medicine program directors (PDs) are crucial for training new physicians.
- Understanding reasons for PD departure is vital for program stability.
- Median PD tenure is 4.5 years, with limited data on departure factors.
Purpose of the Study:
- To explore the reasons why family medicine PDs leave their positions.
- To identify factors influencing PD tenure and departure.
Main Methods:
- In-depth interviews with recently departed family medicine PDs.
- Utilized semistructured and structured questions.
- Employed quantitative and qualitative analysis of interview data.
Main Results:
- Most PDs departed voluntarily, driven by career pathway choices (advancement, lateral moves, or new roles).
- Few significant differences were found between PDs with longer (>6 years) and shorter (≤6 years) tenures.
- Job dissatisfaction was not the primary reason for leaving; succession plans facilitated smoother transitions.
Conclusions:
- Family medicine PD departures are multi-factorial, primarily linked to career progression rather than job demands.
- Further research into very short and very long tenures is needed to improve PD retention.
- Sustaining PDs is essential for effectively training future family physicians.
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