- Probability of Early Retirement Among Emergency Physicians
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Jaemyeong Shin, Yun Jeong Kim, Jong Kun Kim, Dong Eun Lee, Sungbae Moon, Jae Young Choe, Won Kee Lee, Hyung Min Lee, Kwang Hyun Cho
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J Prev Med Public Health. 2018;51(3):154-162. Published online May 17, 2018
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DOI: https://doi.org/10.3961/jpmph.18.079
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 Abstract
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- Objectives
Early retirement occurs when one’s job satisfaction suffers due to employment mismatch resulting from factors such as
inadequate compensation. Medical doctors report high levels of job stress and burnout relative to other professionals. These levels are
highest among emergency physicians (EPs), and despite general improvements in their working conditions, early retirement continues
to become more common in this population. The purpose of this study was to identify the factors influencing EPs intention to retire
early and to develop a probability equation for its prediction.
Methods
A secondary analysis of data from the 2015 Korean Society of Emergency Physicians Survey was performed. The variables
potentially influencing early retirement were organized into personal characteristics, extrinsic factors, and intrinsic factors. Logistic regression
analysis was performed to identify risk factors and to develop a probability equation; these findings were then arranged in a
nomogram.
Results
Of the 377 survey respondents included in the analysis, 48.0% intended to retire early. Risk factors for early retirement included
level of satisfaction with the specialty and its outlook, slanderous reviews, emergency room safety, health status, workload intensity,
age, and hospital type. Intrinsic factors (i.e., slanderous reviews and satisfaction with the specialty and its outlook) had a
stronger influence on early retirement than did extrinsic factors.
Conclusions
To promote career longevity among EPs, it is vital to improve emergency room safety and workload intensity, to enhance
medical professionalism through a stronger vision of emergency medicine, and to strengthen the patient-doctor relationship.
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Summary
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Citations
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