{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,13]],"date-time":"2026-11-13T03:21:09Z","timestamp":1794540069899,"version":"4.9.1"},"reference-count":37,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"published-print":{"date-parts":[[2026,12,1]]},"abstract":"<jats:p>Most palliative care (PC) physicians will change jobs over the course of their career, yet few supports exist to guide them through this often unfamiliar process. Job transitions frequently elicit stress and uncertainty, as individuals balance personal and professional priorities, navigate complex negotiations, and assume the inherent risks of pursuing new opportunities. Yet, when approached intentionally, a job transition can also be a transformative process that allows for self-discovery, cultivation of new skills and connections, and reshaping of one\u2019s professional identity. This article, written by a team of PC physicians who have made job transitions themselves, offers 10 tips for navigating this professional step successfully. With emphases on authentic communication, skilled mentorship, relationship building, and exploration of local culture\u2014the article offers practical advice to help PC physicians navigate a job transition confidently, while staying grounded in their personal values and the work they find most meaningful.<\/jats:p>","DOI":"10.1177\/10966218261433847","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T10:45:15Z","timestamp":1773744315000},"page":"1761-1767","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Top 10 Tips Palliative Care Clinicians Should Know About Navigating Physician Job Transitions"],"prefix":"10.1177","volume":"29","author":[{"given":"Andrew J.","family":"Lawton","sequence":"first","affiliation":[{"name":"Division of Hospital Medicine, Section of Palliative Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"April","family":"Zehm","sequence":"additional","affiliation":[{"name":"Division of Geriatric and Palliative Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsay A.","family":"Dow","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason A.","family":"Webb","sequence":"additional","affiliation":[{"name":"Division of Hematology and Medical Oncology, Section of Palliative Care, Oregon Health and Science University, Portland, Oregon, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonia","family":"Malhotra","sequence":"additional","affiliation":[{"name":"Deming Department of Medicine, Section of Geriatrics and Palliative Medicine, Tulane University School of Medicine, New Orleans, Louisiana, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob J.","family":"Strand","sequence":"additional","affiliation":[{"name":"Division of Community Internal Medicine, Geriatrics and Palliative Care, Mayo Clinic, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen H.","family":"Berns","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Division of Hospice and Palliative Medicine, Larner College of Medicine at the University of Vermont, Burlington, Vermont, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary K.","family":"Buss","sequence":"additional","affiliation":[{"name":"Department of Medicine, Palliative Care Service, University of Connecticut School of Medicine, Farmington, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wil L.","family":"Santivasi","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Geriatrics and Palliative Care, Duke University School of Medicine, Durham, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristina B.","family":"Newport","sequence":"additional","affiliation":[{"name":"Department of Medicine, Section of Palliative Care, Pennsylvania State University College of Medicine, Hershey, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher A.","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Geriatrics and Palliative Care, Duke University School of Medicine, Durham, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth C.","family":"Lindenberger","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,17]]},"reference":[{"key":"e_1_3_2_2_1","unstructured":"1.Metha N. When is it time to change jobs? NEJM Career Center. Available from: https:\/\/resources.nejmcareercenter.org\/article\/when-is-it-time-to-change-jobs\/ [Last accessed: December7 2025]."},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2010.0002"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2010.0123"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2010.0091"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2017.01556"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-019-04955-2"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/10499091251327378"},{"key":"e_1_3_2_9_1","unstructured":"8.American board of internal medicine. Certified candidates\u2014All candidates. Available from: https:\/\/www.abim.org\/media\/0t2d31ti\/candidates-certified-all-candidates.pdf [Last accessed: January5 2026]."},{"key":"e_1_3_2_10_1","first-page":"19","volume-title":"You can negotiate anything","author":"Cohen H","year":"1982","unstructured":"9.Cohen H. You can negotiate anything. Bantum Doubleday Dell; 1982; pp. 19\u201330."},{"key":"e_1_3_2_11_1","unstructured":"10.Cleveland W. Negotiating your physician employment contract. American Medical Association. Available from: https:\/\/www.ama-assn.org\/medical-residents\/transition-resident-attending\/negotiating-your-physician-employment-contract [Last accessed: November6 2025]."},{"key":"e_1_3_2_12_1","unstructured":"11.Doximity physician compensation report 2024. Available from: https:\/\/www.doximity.com\/reports\/physician-compensation-report\/2024# [Last accessed: November7 2025]."},{"key":"e_1_3_2_13_1","unstructured":"12.AAMC physician compensation report. Available from: https:\/\/www.aamc.org\/data-reports\/workforce\/report\/aamc-faculty-salary-report [Last accessed: November7 2025]."},{"key":"e_1_3_2_14_1","unstructured":"13.MGMA physician compensation report. Available from: https:\/\/www.mgma.com\/data-report-provider-comp-2024 [Last accessed: November7 2025]."},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.4300\/JGME-D-19-00102.1"},{"key":"e_1_3_2_16_1","unstructured":"15.Meier DE Esch AE Gualtieri-Reed A. Leadership skills for the palliative care team. Available from: https:\/\/www.capc.org\/toolkits\/leadership-skills-for-the-palliative-care-team\/ [Last accessed: November14 2025]."},{"key":"e_1_3_2_17_1","volume-title":"Clinical Practice Guidelines for Quality Palliative Care","author":"National Consensus Project for Quality Palliative Care","year":"2018","unstructured":"16.National Consensus Project for Quality Palliative Care. Clinical Practice Guidelines for Quality Palliative Care, 4th ed. National Coalition for Hospice and Palliative Care: Richmond, VA; 2018. Available from: https:\/\/www.nationalcoalitionhpc.org\/ncp","edition":"4"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000002498"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1287\/mnsc.2014.2054"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-128-10-199805150-00007"},{"key":"e_1_3_2_21_1","unstructured":"20.Frei F Morriss A. Begin with trust. Harvard Business Review. Available from: https:\/\/hbr.org\/2020\/05\/begin-with-trust [Last accessed: January5 2026]."},{"key":"e_1_3_2_22_1","first-page":"43","volume-title":"Overwhelmed: Coping with Life\u2019s Ups and Downs","author":"Schlossberg NK","year":"2016","unstructured":"21.Schlossberg NK. Overwhelmed: Coping with Life\u2019s Ups and Downs, 2nd ed. Rowman & Littlefield: Lanham, MD; 2016; pp. 43\u201345.","edition":"2"},{"key":"e_1_3_2_23_1","unstructured":"22.Ibarra H. Reinventing your career\u2014when it\u2019s not just about you. Harvard Business Review. Available from: https:\/\/hbr.org\/2024\/01\/reinventing-your-career-when-its-not-just-about-you [Last accessed: January5 2026]."},{"key":"e_1_3_2_24_1","first-page":"37","volume-title":"Working Identity, Updated Edition: Unconventional Strategies for Reinventing Your Career","author":"Ibarra H","year":"2023","unstructured":"23.Ibarra H. Working Identity, Updated Edition: Unconventional Strategies for Reinventing Your Career. Harvard Business Review Press: Boston, MA; 2023; pp. 37\u201344."},{"key":"e_1_3_2_25_1","first-page":"107","volume-title":"Designing Your Life: How to Build a Well-Lived, Joyful Life","author":"Burnett B","year":"2016","unstructured":"24.Burnett B, , Evans D. Designing Your Life: How to Build a Well-Lived, Joyful Life. Knopf: New York, NY; 2016; pp. 107\u2013128."},{"key":"e_1_3_2_26_1","unstructured":"25.Saunders EG. You need new skills to make a career pivot: Here\u2019s how to find the time to build them. Harvard Business Review. Available from: https:\/\/hbr.org\/2024\/05\/you-need-new-skills-to-make-a-career-pivot-heres-how-to-find-the-time-to-build-them [Last accessed: January5 2026]."},{"key":"e_1_3_2_27_1","first-page":"10","volume-title":"The Boundaryless Career: A New Employment Principle for a New Organizational Era","author":"Arthur MB","year":"2001","unstructured":"26.Arthur MB, , Rousseau DM., eds. The Boundaryless Career: A New Employment Principle for a New Organizational Era. Oxford University Press: New York, NY; 2001; pp. 10\u201311."},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2023.1141202"},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2022.06.021"},{"key":"e_1_3_2_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000002046"},{"key":"e_1_3_2_31_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b3974"},{"key":"e_1_3_2_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2923.2011.04048.x"},{"key":"e_1_3_2_33_1","first-page":"39","volume-title":"Vygotsky\u2019s Educational Theory in Cultural Context: Learning in Doing: Social, Cognitive and Computational Perspectives","author":"Chaiklin S","year":"2003","unstructured":"32.Chaiklin S. The zone of proximal development in Vygotsky\u2019s analysis of learning and instruction. In: Vygotsky\u2019s Educational Theory in Cultural Context: Learning in Doing: Social, Cognitive and Computational Perspectives. (Kozulin A, , Gindis B, , Ageyev VS, , Miller SM., eds.) Cambridge University Press; 2003; pp. 39\u201364."},{"key":"e_1_3_2_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-025-07645-2"},{"key":"e_1_3_2_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvb.2016.09.002"},{"issue":"3","key":"e_1_3_2_36_1","first-page":"191","article-title":"A qualitative analysis of career transitions made by internal medicine-pediatrics residency training graduates","volume":"72","author":"Burns H","year":"2011","unstructured":"35.Burns H, , Auvergne L, , Haynes-Maslow LE, et al. A qualitative analysis of career transitions made by internal medicine-pediatrics residency training graduates. N C Med J 2011;72(3):191\u2013195.","journal-title":"N C Med J"},{"key":"e_1_3_2_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2019.08.008"},{"key":"e_1_3_2_38_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.777110"}],"container-title":["Journal of Palliative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10966218261433847","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10966218261433847","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10966218261433847","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,13]],"date-time":"2026-11-13T02:38:12Z","timestamp":1794537492000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10966218261433847"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,17]]},"references-count":37,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2026,12,1]]}},"alternative-id":["10.1177\/10966218261433847"],"URL":"https:\/\/doi.org\/10.1177\/10966218261433847","relation":{},"ISSN":["1096-6218","1557-7740"],"issn-type":[{"value":"1096-6218","type":"print"},{"value":"1557-7740","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,17]]}}}