Practice mobility among young physicians.
This study examines practice mobility among young physicians, based on a large nationwide 1987 survey of physicians under age 40 years and in their second through fifth years of practice. Averaged across all physicians, there is a 10% to 12% chance of changing practices for each of the first 3 years, and about one in three physicians changes within the first 5 years. While the most common transition is from employee to self-employed practices, many practice changes are within employment type. Those starting in a self-employed solo practice are least likely to change practices, while those starting as HMO employees are most likely to change. Multinomial analysis of practice change choices reveals some specialty-specific differences in these choices, as well as the effects of experience, schooling, race, sex, debt, family constraints, and locational preferences. High debt is a factor in practice changes, but neither competition nor discrimination against minorities appear to play significant roles.
Willke
R J
RJ
Upjohn Company, Kalamazoo, MI.
D000328:Adult; D002322:Career Mobility; D002755:Choice Behavior; D003625:Data Collection; D003657:Decision Making; D004651:Employment / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007182:Income / Q000706:statistics & numerical data; D008297:Male; D008511:Medicine / Q000706:statistics & numerical data*; D008913:Minority Groups / Q000706:statistics & numerical data; D010820:Physicians / Q000706:statistics & numerical data*; D011216:Practice Management, Medical / Q000706:statistics & numerical data*; D011365:Professional Practice Location / Q000706:statistics & numerical data; D012737:Sex Factors; D013038:Specialization; D013689:Telephone; D014481:United States