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Original Articles
- Probability of Early Retirement Among Emergency Physicians
- 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
- J Prev Med Public Health. 2018;51(3):154-162. Published online May 17, 2018
- DOI: https://doi.org/10.3961/jpmph.18.079
- 7,010 View
- 148 Download
- 14 Crossref
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Abstract
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Supplementary Material - 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. -
Summary
Citations
Citations to this article as recorded by
- Determining the research priorities for emergency care within the Western Cape province of South Africa: A consensus study
Robert Holliman, Lee Wallis, Colleen Saunders
African Journal of Emergency Medicine.2024; 14(1): 1. CrossRef - Emergency medicine residents and performance under pressure: learning from elite athletes’ experience
Gabrielle Trepanier, Viviane Falardeau, Gurpreet Sohi, Veronique Richard
International Journal of Emergency Medicine.2024;[Epub] CrossRef - Emergency physician professionalism versus wellness: A conceptual model
Jay M. Brenner, Chadd Kraus, Rebecca R. Goett, Monisha Dilip, Elizabeth P. Clayborne, Nick Kluesner
Journal of the American College of Emergency Physicians Open.2023;[Epub] CrossRef - Working in value‐discrepant environments inhibits clinicians’ ability to provide compassion and reduces well‐being: A cross‐sectional study
Alina Pavlova, Sarah‐Jane Paine, Shane Sinclair, Anne O'Callaghan, Nathan S. Consedine
Journal of Internal Medicine.2023; 293(6): 704. CrossRef - Clinical adaptations for advanced career emergency physicians: an approach to support practice transition
Riyad B. Abu-Laban, Nicholas G. W. Rose, David Migneault, Erin Fukushima, Kerry E. Walker, Jill McEwen
Canadian Journal of Emergency Medicine.2023; 25(12): 931. CrossRef - Won't you stay just a little bit longer? A discrete choice experiment of UK doctors’ preferences for delaying retirement
Jennifer Cleland, Terry Porteous, Ourega-Zoé Ejebu, Mandy Ryan, Diane Skåtun
Health Policy.2022; 126(1): 60. CrossRef - Early-Career Physician Burnout
Leelach Rothschild, Ciera Ward
Anesthesiology Clinics.2022; 40(2): 315. CrossRef - Retiring From Pediatric Emergency Medicine Too Soon?
Bharati Beatrix Bansal, Matthew Sunil Mathew, Quiera Booker-Nubie, Sarah E. Messiah, Vincent J. Wang
Pediatric Emergency Care.2022; 38(6): 253. CrossRef - Cortisol awakening response in the airborne rescue service
D Braun, M Frank, L Theiler, K Petrowski
Occupational Medicine.2022; 72(5): 332. CrossRef - The age‐old question: Thematic analysis of focus groups on physician experiences of aging in emergency medicine
William Binder, Casey O. Abrahams, Jordan M. Fox, Elizabeth Nestor, Janette Baird
Journal of the American College of Emergency Physicians Open.2021;[Epub] CrossRef - Identifying contemporary early retirement factors and strategies to encourage and enable longer working lives: A scoping review
Donna M. Wilson, Begoña Errasti‐Ibarrondo, Gail Low, Pauline O'Reilly, Fiona Murphy, Anne Fahy, Jill Murphy
International Journal of Older People Nursing.2020;[Epub] CrossRef - ‘Should I stay or should I go now?’: A qualitative study of why UK doctors retire
Jennifer Cleland, Terry Porteous, Ourega‐Zoe Ejebu, Diane Skåtun
Medical Education.2020; 54(9): 821. CrossRef - Breaking the Gender Gap: A Two-part Observational Study of the Gender Disparity Among Korean Academic Emergency Physicians
Mi Jin Lee, ChangHo Kim
Journal of Preventive Medicine and Public Health.2020; 53(5): 362. CrossRef - Just when I thought I was out, they pull me back in: the older physician in the COVID-19 pandemic
Carmelle Peisah, Peter Hockey, Susan Mary Benbow, Betsy Williams
International Psychogeriatrics.2020; 32(10): 1211. CrossRef
- Maternal Working Conditions on Adverse Pregnancy Outcomes: A Prospective Cohort Study.
- Jung Jin Cho, Ji Yong Kim, Jin Joo Chung, Kyung Sim Ko
- Korean J Prev Med. 2002;35(3):197-204.
- 46,929 View
- 51 Download
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Abstract
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- OBJECTIVES
To evaluate the association between working conditions and adverse pregnancy outcomes in Korea. METHODS: We obtained data on health history, lifestyle, housework and working conditions, such as shift work, hours standing, working time, job demand, lifting at work and at home, between August and September 2000, from self-reported questionnaires. A group of 344, occupationally active, pregnant women from 51 industries were studied. Of the women studied, 328 women were further interviewed by telephone between November 2000 and September 2001. Result : Compared with daytime work, shift work increased the risk for preterm birth (an adjusted risk ratio of 2.74, 95% CI=1.02-2.62) and low birth weight (an adjusted risk ratio of 2.74, 95% CI=1.02-2.62). A significantly increased risk was found for prolonged standing, with an adjusted risk ratio of preterm births of 6.80 (95% CI=2.01-23.0). There were no significant differences in the incidence of spontaneous abortion between the occupational working conditions, with the exception of a previous history of spontaneous abortion. CONCLUSION: These findings suggest that maternal working conditions, such as shift work and prolonged standing, contribute significantly to preterm birth and low birth weight. -
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