Journal of Preventive Medicine and Public Health

  • 제51권3호
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  • Pages.154-162
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  • 2018
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  • 1975-8375(pISSN)
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  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
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Probability of Early Retirement Among Emergency Physicians

  • Shin, Jaemyeong (Department of Emergency Medicine, Kyungpook National University School of Medicine) ;
  • Kim, Yun Jeong (Department of Emergency Medicine, Kyungpook National University School of Medicine) ;
  • Kim, Jong Kun (Department of Emergency Medicine, Kyungpook National University School of Medicine) ;
  • Lee, Dong Eun (Department of Emergency Medicine, Kyungpook National University School of Medicine) ;
  • Moon, Sungbae (Department of Emergency Medicine, Kyungpook National University School of Medicine) ;
  • Choe, Jae Young (Department of Emergency Medicine, Kyungpook National University School of Medicine) ;
  • Lee, Won Kee (Medical Research Collaboration Center in Kyungpook National University Hospital & Kyungpook National University School of Medicine) ;
  • Lee, Hyung Min (Department of Emergency Medicine, Korea University Guro Hospital) ;
  • Cho, Kwang Hyun (Department of Emergency Medicine, Nowon Eulji Medical Center, Eulji University)
  • 투고 : 2018.03.28
  • 심사 : 2018.05.17
  • 발행 : 2018.05.31
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초록

Objectives: Early retirement occurs when one's job satisfaction suffers due to employment mismatch resulting from factors such as inadequate compensation. Medical doctors report high levels of job stress and burnout relative to other professionals. These levels are highest among emergency physicians (EPs), and despite general improvements in their working conditions, early retirement continues to become more common in this population. The purpose of this study was to identify the factors influencing EPs intention to retire early and to develop a probability equation for its prediction. Methods: A secondary analysis of data from the 2015 Korean Society of Emergency Physicians Survey was performed. The variables potentially influencing early retirement were organized into personal characteristics, extrinsic factors, and intrinsic factors. Logistic regression analysis was performed to identify risk factors and to develop a probability equation; these findings were then arranged in a nomogram. Results: Of the 377 survey respondents included in the analysis, 48.0% intended to retire early. Risk factors for early retirement included level of satisfaction with the specialty and its outlook, slanderous reviews, emergency room safety, health status, workload intensity, age, and hospital type. Intrinsic factors (i.e., slanderous reviews and satisfaction with the specialty and its outlook) had a stronger influence on early retirement than did extrinsic factors. Conclusions: To promote career longevity among EPs, it is vital to improve emergency room safety and workload intensity, to enhance medical professionalism through a stronger vision of emergency medicine, and to strengthen the patient-doctor relationship.

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  2. Identifying contemporary early retirement factors and strategies to encourage and enable longer working lives: A scoping review vol.15, pp.3, 2020, https://doi.org/10.1111/opn.12313
  3. Just when I thought I was out, they pull me back in: the older physician in the COVID-19 pandemic vol.32, pp.10, 2018, https://doi.org/10.1017/s1041610220000599
  4. The age‐old question: Thematic analysis of focus groups on physician experiences of aging in emergency medicine vol.2, pp.4, 2018, https://doi.org/10.1002/emp2.12499