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Satisfaction with practices: emergency physicians versus internists.

J G Murphy, S Jacobson

    Annals of Emergency Medicine
    |March 1, 1987
    PubMed
    Summary
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    Emergency physicians report lower job satisfaction than internists, particularly regarding autonomy and patient relations. Many emergency physicians intend to change positions, driven by dissatisfaction and perceived better opportunities elsewhere.

    Area of Science:

    • Medical Practice and Physician Satisfaction
    • Comparative Healthcare Analysis
    • Specialty Physician Workforce Dynamics

    Background:

    • No prior studies have directly compared job satisfaction between emergency physicians and other specialists.
    • Physician satisfaction is crucial for workforce retention and quality of care.
    • Understanding specialty-specific satisfaction drivers is essential for targeted interventions.

    Purpose of the Study:

    • To compare the practice satisfaction levels of emergency physicians with those of internists.
    • To identify specific areas of satisfaction and dissatisfaction for each specialty.
    • To explore factors influencing emergency physicians' intention to change positions.

    Main Methods:

    • A validated questionnaire assessing practice conditions, training, and intent to change positions was administered.

    Related Experiment Videos

  • The study surveyed 250 emergency physicians and 250 internists in a metropolitan area.
  • Factor and correlation analyses identified six key satisfaction indexes.

    • Main Results:

    • Emergency physicians reported significantly lower satisfaction than internists concerning professional autonomy, patient relations, and status.
    • Emergency physicians expressed higher satisfaction with professional relationships.
    • Forty percent of emergency physicians, compared to 60% of internists, intended to remain in their current positions within two years.

    Conclusions:

    • Emergency physicians experience distinct dissatisfaction areas compared to internists, notably in professional autonomy and patient interactions.
    • Dissatisfaction with professional autonomy, perceived better compensation elsewhere, and recent graduation predict emergency physicians' intent to leave their positions.
    • Addressing specific dissatisfaction factors is vital for retaining emergency physicians in the workforce.