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Career Plans Among Graduating US Emergency Medicine Residents.

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Most graduating emergency medicine residents plan to practice for two decades, prioritizing lifestyle and location over salary. Burnout and debt influence career decisions, impacting the future emergency medicine workforce.

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Area of Science:

  • Emergency Medicine
  • Medical Education
  • Health Workforce Research

Background:

  • The emergency medicine (EM) physician workforce faces challenges including potential surplus, evolving student interests, and high burnout rates.
  • Understanding graduating residents' career intentions is crucial for effective workforce planning.

Purpose of the Study:

  • To investigate the career plans, intended practice durations, and influencing factors for graduating US EM residents.
  • To inform strategies for supporting and retaining the EM workforce.

Main Methods:

  • A cross-sectional survey of graduating EM residents from ACGME-accredited programs was conducted post-2023 ABEM In-Training Examination.
  • Data collected included resident demographics, debt, burnout status, immediate career plans, practice setting preferences, and the importance of 10 career decision factors.

Main Results:

  • High response rate (97.4%) with significant burnout (72.4%) and educational debt (> $100,000 for 61.0%).
  • Primary career plans included community practice (31.4%), fellowship (23.3%), and hybrid settings (15.3%).
  • Key decision factors were lifestyle (97.5%), location (88.7%), professional fulfillment (87.7%), and salary (82.8%). Female residents prioritized fulfillment and burnout; higher debt correlated with prioritizing salary.

Conclusions:

  • Graduating EM residents anticipate a 22.4-year career, primarily in community/hybrid settings, with limited interest in rural practice.
  • Lifestyle, location, fulfillment, and salary are paramount career drivers.
  • Burnout, debt, and demographics significantly influence career choices, necessitating targeted workforce support and policy development.