title: Physician race and ethnicity, professional satisfaction, and work-related stress: results from the Physician Worklife Study.
abstract: There are limited data about minority physicians' professional satisfaction and job stress. In this study, we describe by race and ethnicity, satisfaction, and job stress among a national sample of physician. We analyzed data from 2,217 respondents to the Physicians' Worklife Survey (PWS), a career satisfaction survey of physicians drawn from the AMA Physician Masterfile. Scales measuring overall job and career satisfaction and work-related stress were constructed from Likert-response items. We examined the association between physician ethnicity and each of these scales. Respondents included 57 black, 134 Hispanic, 400 Asian or Pacific Islander, and 1,626 white physicians. In general, minority physicians appeared to serve a more demanding patient base than did white physicians. Hispanic physicians reported significantly higher job (p=0.05) and career (p=0.03) satisfaction compared to white physicians but no significant difference in stress. Asian or Pacific Islander physicians averaged lower job satisfaction (p=001) and higher stress (p<0.01) compared to white physicians. Black physicians did not differ significantly from white physicians on any of the three measures. Significant racial and ethnic variations were found with respect to several specific satisfaction domains: autonomy, patient care issues, relations with staff, relations with the community, pay, and resources.
authors.affiliation: Harvard School of Public Health, Department of Health and Social Behavior, Boston, Massachusetts, USA.
authors.forename: M Maria
authors.initials: MM
authors.lastname: Glymour
authors.forename: Somnath
authors.initials: S
authors.lastname: Saha
authors.forename: JudyAnn
authors.initials: J
authors.lastname: Bigby
mesh_terms: D000328:Adult; D000574:American Medical Association; D004470:Economics, Medical; D005006:Ethnicity / Q000145:classification / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D019538:Health Care Surveys; D006280:Health Workforce; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008511:Medicine / Q000706:statistics & numerical data; D008875:Middle Aged; D008913:Minority Groups / Q000145:classification / Q000523:psychology* / Q000706:statistics & numerical data; D010820:Physicians / Q000145:classification / Q000523:psychology*; D011364:Professional Practice / Q000706:statistics & numerical data; D013038:Specialization; D013315:Stress, Psychological / Q000208:ethnology*; D014481:United States