Physician role conflict and resulting career changes
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OBJECTIVE: To evaluate gender and generational differences both in the prevalence of role conflict and in resulting career changes among married physicians with children.
STUDY DESIGN: Cross-sectional survey.
PARTICIPANTS: We sent a survey to equal numbers of licensed male and female physicians (1,412 total) in a Southern California county; of the 964 delivered questionnaires, 656 (68%) were returned completed. Our sample includes 415 currently married physicians with children, 64% male and 36% female.
MEASUREMENTS AND MAIN RESULTS: The prevalence of perceived role conflict, of career changes for marriage, and of career changes for children were evaluated. Types of career changes were also evaluated. More female than male physicians (87% vs 62%, p<.001) and more younger than older female physicians (93% vs 80%, p<.01) and male physicians (79% vs 54%, p<.001) experienced at least moderate levels of role conflict. Younger female and male physicians did not differ in their rates of career change for marriage (57% vs 49%), but female physicians from both age cohorts were more likely than their male peers to have made career changes for their children (85% vs 35%, p<.001). Younger male physicians were twice as likely as their older peers to have made a career change for marriage (49% vs 28%, p<.001) or children (51% vs 25%, p<.001). The most common type of career change made for marriage or children was a decrease in work hours.
CONCLUSIONS: Most physicians experience role conflict, and many adjust their careers in response. Flexible career options may enable physicians to combine professional and family roles more effectively.
- Gerson, K (1993) No Man’s Land. Harper Collins, New York, NY
- Nadelson, CC, Notman, MT, Lowenstein, P (1979) The practice patterns, life styles, and stresses of women and men entering medicine: a follow-up study of Harvard Medical School graduates from 1967–1977. JAMWA 34: pp. 400-6
- Bailley, SA, Brotherton, SE (1988) Career Paths of Men and Women in Pediatrics: Descriptive Findings from the Survey on Pediatric Careers. American Academy of Pediatrics, Elk Grove Village, Ill
- Callan CM, Klipstein E. Women physicians in Connecticut: a survey. Conn Med. Aug 1981;494–6.
- Levinson, W, Tolle, SW, Lewis, C (1989) Women in academic medicine. N Engl J Med 321: pp. 1511-7 CrossRef
- Dennerstein, L, Lehert, P, Orams, J, Ewing, J, Burrows, G (1989) Roles and achievement factors affecting career success of medical graduates. J Psychosom Obstet Gynaecol 10: pp. 89-102
- Richardsen, AM, Burke, RJ (1991) Occupational stress and job satisfaction among physicians: sex differences. Soc Aci Med 33: pp. 1179-87 CrossRef
- Matteo, MR, Shugars, DA, Hayes, R (1993) Occupational stress, life stress and mental health among dentists. J Occup Org Psychol 66: pp. 153-62
- Linn, L, Yager, J, Cope, D, Leake, B (1985) Health status, job satisfaction and life satisfaction among academic and clinical faculty. JAMA 254: pp. 2775-83 CrossRef
- Driscoll, MP, Ilgen, DR, Hildreth, D (1992) Time devoted to job and off-job activities, interrole conflict, and affective experiences. J Appl Psychol 77: pp. 272-9 CrossRef
- Pleck JH, Staines GL, Lang L. Conflicts between work and family life. Monthly Labor Rev. March 1980;29–32.
- Hughes, DL, Galinsky, E (1994) Gender, job and family conditions and psychological symptoms. Phychol Worn Qu 18: pp. 251-70
- Drucker, DG (1986) Role conflict in women physicians: a longitudinal study. JAMWA 41: pp. 14-6
- Parcel, TL, Menaghan, EG (1994) Parents’ Jobs and Children’s Lives. Walter de Gruyter, Hawthorne, NY
- Hendrick, SS (1981) Self-disclosure and marital satisfaction. J Pers Soc Psychol 40: pp. 1150-9 CrossRef
- Ricer, RE (1983) Marital satisfaction among military and civilian family practice residents. J Fam Prac 17: pp. 303-7
- Daniel, C, Wood, FS (1971) Fitting Equations to Data. Wiley, New York, NY
- Gonzolez, ML eds. (1993) Socioeconomic Characteristics of Medical Practice. American Medical Association Publications, Chicago, Ill
- Roback, G, Randolph, L, Seidman, B (1993) Physician Characteristics and Distribution in the U.S. American Medical Association Publications, Chicago, Ill
- Thompson, CA, Thomas, CC, Maier, M Work-family conflict: reassessing corporate policies and initiatives. In: Sekaran, U, Leong, FT eds. (1992) Womanpower: Managing in Times of Demographic Turbulence. Sage Publications, Newbury Park, Calif, pp. 61-78
- Friedman, DA (1991) Linking Work-Family Issues to the Bottom Line. The Conference Board, New York, NY
- Rieder, MJ, Hanmer, SJ, Haslan, RH (1990) Age- and gender-related differences in clinical productivity among Canadian pediatricians. Pediatrics 85: pp. 144-9
- Fein, OT, Garfield, R (1991) Impact of physicians’ part-time status on in-patients’ use of medical care and their satisfaction with physicians in an academic group practice. Acad Med 66: pp. 694-8 CrossRef
- Capowski G. The joy of flex. Am Management Assoc. March 1996;12–18.
- Elliott, TL (1989) Cost analysis of alternative scheduling. Nurs Management 20: pp. 42-7
- Hicks, DH, Klimoski, RJ (1981) The impact of flextime on employee attitudes. Acad Management J 24: pp. 333-41 CrossRef
- Barker, K (1993) Changing assumptions and contingent solutions: the costs and benefits of women working full- and part-time. Sex Roles 28: pp. 47-71 CrossRef
- Wiersma, UJ (1990) Gender differences in job attribute preferences: work-home role conflict and job level as mediating variables. J Occup Psychol 63: pp. 231-43
- Drucker, DG (1994) Research on women physicians with multiple roles: a feminist perspective. J AMWA 49: pp. 76-88
- Woodward, CA, Cohen, ML, Ferrier, BM (1980) Career interruptions and hours practiced: comparison between young men and women physicians. Can J Public Health 81: pp. 16-20
- Uhlenberg, P, Cooney, TM (1990) Male and female physicians: family and career comparisons. Soc Sci Med 30: pp. 373-8 CrossRef
- Physician role conflict and resulting career changes
Journal of General Internal Medicine
Volume 11, Issue 12 , pp 729-735
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- career choice
- stress, family characteristics
- marital status
- physician practice patterns
- Industry Sectors