{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T03:32:24Z","timestamp":1790220744649,"version":"4.1.0"},"reference-count":38,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,10,24]],"date-time":"2017-10-24T00:00:00Z","timestamp":1508803200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,10,24]],"date-time":"2017-10-24T00:00:00Z","timestamp":1508803200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>A physician shortage is on the horizon, and surgeons are particularly vulnerable due to attrition. Reduced job satisfaction leads to increased job turnover and earlier retirement. The purpose of this study is to delineate the risk factors that contribute to reduced job satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional survey of US surgeons was conducted from September 2016 to May 2017. Screening for job satisfaction was performed using the abridged Job in General scale. Respondents were grouped into more and less satisfied using the median split. Twenty\u2010five potential risk factors were examined that included demographic, occupational, psychological, wellness, and work\u2010environment variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, 993 respondents were grouped into more satisfied (\n                      <jats:italic>n<\/jats:italic>\n                      = 502) and less satisfied (\n                      <jats:italic>n<\/jats:italic>\n                      = 491) cohorts. Of the demographic variables, female gender and younger age were associated with decreased job satisfaction (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.003 and\n                      <jats:italic>p<\/jats:italic>\n                      = 0.008). Most occupational variables (specialty, experience, academics, practice size, payment model) were not significant. However, increased average hours worked correlated with less satisfaction (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.008). Posttraumatic stress disorder, burnout, wellness, all eight work\u2010environment variables, and unhappiness with career choice were linked to reduced job satisfaction (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A surgeon shortage has serious implications for health care. Job satisfaction is associated with physician retention. Our results suggest women and younger surgeons may be at increased risk for job dissatisfaction. Targeted work\u2010environment interventions to reduce work\u2010hours, improve hospital culture, and provide adequate financial reimbursement may promote job satisfaction and wellness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00268-017-4286-y","type":"journal-article","created":{"date-parts":[[2017,10,24]],"date-time":"2017-10-24T13:11:15Z","timestamp":1508850675000},"page":"1285-1292","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":88,"title":["The Physician Attrition Crisis: A Cross\u2010Sectional Survey of the Risk Factors for Reduced Job Satisfaction Among US Surgeons"],"prefix":"10.1002","volume":"42","author":[{"given":"Theresa N.","family":"Jackson","sequence":"first","affiliation":[{"name":"Department of Graduate Medical Education University of Oklahoma School of Community Medicine 4502 E. 41st Street 74135 Tulsa OK USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris P.","family":"Pearcy","sequence":"additional","affiliation":[{"name":"Department of Graduate Medical Education Methodist Dallas Medical Center 1441\u00a0N. Beckley Avenue 75203 Dallas TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhamak","family":"Khorgami","sequence":"additional","affiliation":[{"name":"Department of Graduate Medical Education University of Oklahoma School of Community Medicine 4502 E. 41st Street 74135 Tulsa OK USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vaidehi","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Methodist Dallas Clinical Research Institute 1411\u00a0N. 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