Being a doctor isn’t a happy profession in 2012: 3 in 5 doctors say that, if they could, they’d retire this year. Over three-fourths of physicians are pessimistic about the future of their profession. 84% of doctors feel that the medical profession is in decline. And, over 1 in 3 doctors would choose a different professional if they had it all to do over again.
The Physicians Foundation, a nonprofit organization that represents the interests of doctors, sent a survey to 630,000 physicians — every physician in the U.S. that’s registered with the AMA’s Physician Master File — in March-June 2012. The Foundation received over 13,000 completed surveys back. Findings from these data are summarized in the Foundations report, A Survey of America’s Physicians, published in September 2012.
Morale among physicians is much lower than it was in 2008, as shown in the first chart. Five years ago, less than 1 in 2 doctors would opt to retire; that’s up by over one-third. What’s driving doctors toward pessimism are the least satisfying aspects of practicing medicine in 2012, including:
Concerns about liability, 40%
The hassle of dealing with Medicare, Medicaid and government regulations, 27%. Over 52% of doctors said they’ve limited access to Medicare patients to their practices, or they’re planning to do so.
Lack of work/life balance, 25%
Uncertainty about health reform, 22%
Paperwork, 18%. The survey found that physicians spend over 22% of their time on non-clinical paperwork, resulting in a huge clinical productivity loss.
EMR implementation as a “least satisfying” aspect of work is quite low on the roster of concerns, with only 9% of doctors noting that as a prime concern in 2012.
As a result of uncertainty due to health reform, regulation and finance/reimbursement, the percent of physicians who remain independent will drop to 33% in 2013, Accenture forecasts, from 57% in 2000, 49% in 2005, and 43% in 2009. Aligning with a health system/hospital gives doctors more economic security and fewer administrative hassles.
Health Populi’s Hot Points: In the midst of this quite depressing survey outcome, there’s one bit of data that’s encouraging: 80% of doctors said that “patient relationships” are the most satisfying aspect of medical practice, replacing “intellectual stimulation” as the #1 satisfaction factor in 2008.
That physicians note relationships with patients is a prime motivator and job satisfier means they’re open to patient engagement and participatory health in 2012. The positive results found earlier this week in the OpenNotes project (covered in Health Populi here) illustrates an emerging era of patient-doctor teamwork. This convergence is good news as the U.S. health system moves toward accountable, value-based care where patients — the most under-utilized resource in the U.S. health system — must join forces with physicians and other clinical care providers as co-creators of health. ..
Every profession has its pros and cons. Yeah, the grass is always green on the other side.
Guess… grass is greener where you choose to water it.
Here’s a quick synopsis, Dave. Malpractice premiums (all specialists and primary) max at 1500 – 2000 per year in Canada and New Zealand. My brother is an ED physician in NZ and pays about 500/year. Salaries are about 120 – 250 / year for PCP / ED, tax rate in NZ is 33% compared to about 34% in US, EVERYONE has access to health for nominal premiums in some provinces or free in Alberta and NZ. No one goes bankrupt from healthcare after getting shot, like the situation in Aurora. Disposable income is higher per capita; physicians, while still rumbing about bureaucracy, don’t know how much less time they spend compared to 40% of a work week playing games with multiple different insurers as we have here. To get us there, it’s not going to be a matter of mandates and universal healthcare, without stripping out the for-profit incentive at EVERY level, and that includes a strip of malpractice out of the equation. You cannot control cost by forcing physicians into a universal system, but still allow for such exhorbitant premiums on the malpractice side. It has to be a blanket change across the board – a strong arm, so to speak. You and I both know that’s not going to happen with the billions of dollars spent to lobby on both sides, the corporate ownership of government, and the media as a messaging box for the entire system to convince people that these self-same structures who cause the problem, are the solution to our problems. Try reading Wendell Potter, Deadly Spin for great inside scoop on his take as an ex-healthcare executive or Steven Davidson, Still Broken, on healthcare reform. The only option, after analyzing the whole thing according to Davidson, is a massive grassroots movement. For that, try Carne Ross, Leaderless Revolution! Hope that helps!! Here’s my blog on future trends which are possible – we just have to believe that we have the power to change it!! http://www.globaltrends.com/blog/entry/whats-in-your-healthcare-future-america
Could you compare and contrast the situation with US physicians with physician populations in other first world societies?
I just want to say this as a 20 year primary care veteran – I LOVE MY LIFE!! I LOVE all this dissention, this upset, this shift, this transformation! I LOVE that the world is emerging into a new consciousness, that we can strip down our egos and scruitinize the real crux of the problem – our myopia inside a system that WE have created, and now, if we want to find a solution, WE must destroy! So, instead of hating life as we know it, why not DO something about it – without fear? Why not endulge in a lift-long learning experience, change and shift as the world around us changes, but we are so loathe to do. These systems, these mind-sets, this dogma, this narrow-focus – it’s our own fault. And once we are able to step beyond the confines of the microscope of disease-oriented practice, and see the world for what it is – round instead of flat – we will all feel much, much better about our lives. Don’t believe me? Check this out!! http://www.kevinmd.com/blog/2012/10/americas-healthcare-system-sick.html
At one time it was fun. Now it sucks. So, to answer your question, no.
Do U.S. physicians ever not overwhelmingly complain about the state of medicine and their careers?