Motivating factors for academic physicians within departments of medicine.
OBJECTIVE
To understand what motivates academic physicians at a time when physician dissatisfaction is prevalent.


METHODS
Of a cohort of 480 physician faculty members (identified from the Association of American Medical Colleges faculty roster) hired at the assistant professor level, 183 were monitored prospectively for a characterization of their success in achieving promotion. In mid-2001, follow-up data were collected about the factors that physicians described as motivating in their work. We conducted this study to understand the differences in motivators between clinician-educators and cliniclan-investigators and between male and female physicians, as well as to validate a previously used instrument developed to assess motivation and occupational values.


RESULTS
Of 183 physicians monitored, 144 (79%) responded to an interim follow-up questionnaire. Factor analysis revealed that physicians' occupational motivators could be grouped statistically into 3 factors: self-expression, helping others, and extrinsic rewards. Compared with clinician-educators, clinician-investigators were more motivated in their current work by having the ability to express themselves (composite factor score, 4.30 vs 3.84; P<.001). Clinician-investigators also rated 4 of the 6 items within the factor of self-expression as being significantly stronger motivators for them than did the clinician-educators. Compared with male physicians, female physicians Indicated they were more motivated by helping others (composite factor score, 4.18 vs 3.89; P=.03).


CONCLUSIONS
Factors that motivate physicians appear to be different for clinician-investigators and clinician-educators as well as for male and female physicians. Understanding the inspiration for physicians may help medical leadership to better motivate and relate to their physician workforce.
Wright
Scott M
SM
Division of General Internal Medicine, Johns Hopkins Bayview Medical Center, Baltimore, MD 21224-2780, USA. smwright@jhmi.edu
Beasley
Brent W
BW
D005180:Faculty, Medical; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D009042:Motivation; D010820:Physicians / Q000523:psychology*; D012577:Schools, Medical; D012737:Sex Factors; D011795:Surveys and Questionnaires; D014481:United States