title: Differences in the professional satisfaction of general internists in academically affiliated practices in the greater-Boston area. Ambulatory Medicine Quality Improvement Project Investigators.
abstract: Managed care has created more professional constraints for general internists. We surveyed 198 general internists at 12 academically affiliated practices in the greater-Boston area to examine professional satisfaction. Overall, these physicians were moderately satisfied (mean of 59.1 on a 100-point scale). Before adjustment, women had lower overall satisfaction than men, as well as poorer satisfaction with the domains of career concerns and patient access. Gender had no independent effect on satisfaction after adjustment for age, income, percentage of time providing direct patient care, work status, and site. Younger physicians also had lower overall satisfaction, and these differences remained after adjustment. Improvements in professional satisfaction may be required to ensure the continued recruitment of young physicians, particularly women, into general internal medicine.
authors.affiliation: Division of General Internal Medicine, San Francisco General Hospital, University of California, 94143, USA.
authors.forename: J S
authors.initials: JS
authors.lastname: Haas
authors.forename: P D
authors.initials: PD
authors.lastname: Cleary
authors.forename: A L
authors.initials: AL
authors.lastname: Puopolo
authors.forename: H R
authors.initials: HR
authors.lastname: Burstin
authors.forename: E F
authors.initials: EF
authors.lastname: Cook
authors.forename: T A
authors.initials: TA
authors.lastname: Brennan
mesh_terms: D000046:Academic Medical Centers; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001900:Boston; D005260:Female; D006801:Humans; D007388:Internal Medicine; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged