title: Time well spent: the association between time and effort allocation and intent to leave among clinical faculty.
abstract: OBJECTIVE
  To explore the relationship between clinical faculty members' time/effort in four mission areas, their assessment of the distribution of that time/effort, and their intent to leave the institution and academic medicine.
  
  
  METHODS
  Faculty from 14 U.S. medical schools participated in the 2011-2012 Faculty Forward Engagement Survey. The authors conducted multivariate logistic regression analyses to evaluate relationships between clinical faculty members' self-reported time/effort in each mission area, assessment of time/effort, and intent to leave the institution and academic medicine.
  
  
  RESULTS
  Of the 13,722 clinical faculty surveyed, 8,349 (60.8%) responded. Respondents reported an average of 54.5% time/effort in patient care. The authors found no relationship between time/effort in patient care and intent to leave one's institution. Respondents who described spending "far too much/too much" time in patient care were more likely to report intent to leave their institution (odds ratio 2.12, P<.001). Those who assessed their time/effort in all mission areas as "about right" were less likely to report intent to leave their institution (64/1,135; 5.6%) than those who reported "far too little/too little" or "far too much/too much" time/effort in one or more mission areas (535/3,671; 14.6%; P<.001).
  
  
  CONCLUSIONS
  Although the authors found no relationship between reported time/effort in patient care and intent to leave, the perception of "far too much/too much" time/effort spent in that mission area was correlated with intent to leave the institution. Efforts to align time/effort spent in each mission area with faculty expectations may improve retention.
authors.affiliation: Dr. Pollart is Ruth E. Murdaugh Professor of Family Medicine and senior associate dean for faculty affairs and faculty development, University of Virginia School of Medicine, Charlottesville, Virginia. Dr. Novielli is professor of family and community medicine and vice dean for faculty affairs and professional development, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania. Dr. Brubaker is professor of obstetrics and gynecology and dean, Loyola University Chicago Stritch School of Medicine, Maywood, Illinois. Dr. Fox is senior director of research, American Academy of Physician Assistants, Alexandria, Virginia. Ms. Dandar is senior research and member services specialist, Faculty Forward, Association of American Medical Colleges, Washington, DC. Dr. Radosevich is assistant professor of surgery and health services research and policy, University of Minnesota Medical School and School of Public Health, Minneapolis, Minnesota. Dr. Misfeldt is professor of molecular microbiology and immunology and senior associate dean for faculty affairs, University of Missouri-Columbia School of Medicine, Columbia, Missouri.
authors.forename: Susan M
authors.initials: SM
authors.lastname: Pollart
authors.forename: Karen D
authors.initials: KD
authors.lastname: Novielli
authors.forename: Linda
authors.initials: L
authors.lastname: Brubaker
authors.forename: Shannon
authors.initials: S
authors.lastname: Fox
authors.forename: Valerie
authors.initials: V
authors.lastname: Dandar
authors.forename: David M
authors.initials: DM
authors.lastname: Radosevich
authors.forename: Michael L
authors.initials: ML
authors.lastname: Misfeldt
mesh_terms: D002321:Career Choice; D005180:Faculty, Medical / Q000458:organization & administration*; D005260:Female; D006801:Humans; D033182:Intention; D007588:Job Satisfaction; D008297:Male; D012577:Schools, Medical; D017748:Time Management / Q000458:organization & administration* / Q000523:psychology; D016526:Workload / Q000523:psychology