Satisfaction with work-life balance and the career and retirement plans of US oncologists

Tait D. Shanafelt, Marilyn Raymond, Michael Kosty, Daniel Satele, Leora Horn, John Pippen, Quyen Chu, Helen K Chew, William Benton Clark, Amy E. Hanley, Jeff Sloan, William J. Gradishar

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60 Citations (Scopus)

Abstract

Purpose: To evaluate satisfaction with work-life balance (WLB) and career plans of US oncologists. Methods: The American Society of Clinical Oncology conducted a survey of US oncologists evaluating satisfaction with WLB and career plans between October 2012 and March 2013. The sample included equal numbers of men and women from all career stages. Results: Of 2,998 oncologists contacted, 1,490 (49.7%) returned surveys. From 1,117 oncologists (37.3% of overall sample) completing full-length surveys, we evaluated satisfaction with WLB and career plans among the 1,058 who were not yet retired. The proportion of oncologists satisfied with WLB (n = 345; 33.4%) ranked lower than that reported for all other medical specialties in a recent national study. Regarding career plans, 270 oncologists (26.5%) reported a moderate or higher likelihood of reducing their clinical work hours in the next 12 months, 351 (34.3%) indicated a moderate or higher likelihood of leaving their current position within 24 months, and 273 (28.5%) planned to retire before 65 years of age. Multivariable analyses found women oncologists (odds ratio [OR], 0.458; P < .001) and those who devoted greater time to patient care (OR for each additional hour, 0.977; P < .001) were less likely to be satisfied with WLB. Satisfaction with WLB and burnout were the strongest predictors of intent to reduce clinical work hours and leave current position on multivariable analysis. Conclusion: Satisfaction with WLB among US oncologists seems lower than for other medical specialties. Dissatisfaction with WLB shows a strong relationship with plans to reduce hours and leave current practice. Given the pending US oncologist shortage, additional studies exploring interactions among WLB, burnout, and career satisfaction and their impact on career and retirement plans are warranted.

Original languageEnglish (US)
Pages (from-to)1127-1135
Number of pages9
JournalJournal of Clinical Oncology
Volume32
Issue number11
DOIs
StatePublished - Apr 10 2014

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Retirement
Odds Ratio
Medicine
Work-Life Balance
Oncologists
Patient Care

ASJC Scopus subject areas

  • Cancer Research
  • Oncology
  • Medicine(all)

Cite this

Shanafelt, T. D., Raymond, M., Kosty, M., Satele, D., Horn, L., Pippen, J., ... Gradishar, W. J. (2014). Satisfaction with work-life balance and the career and retirement plans of US oncologists. Journal of Clinical Oncology, 32(11), 1127-1135. https://doi.org/10.1200/JCO.2013.53.4560

Satisfaction with work-life balance and the career and retirement plans of US oncologists. / Shanafelt, Tait D.; Raymond, Marilyn; Kosty, Michael; Satele, Daniel; Horn, Leora; Pippen, John; Chu, Quyen; Chew, Helen K; Clark, William Benton; Hanley, Amy E.; Sloan, Jeff; Gradishar, William J.

In: Journal of Clinical Oncology, Vol. 32, No. 11, 10.04.2014, p. 1127-1135.

Research output: Contribution to journalArticle

Shanafelt, TD, Raymond, M, Kosty, M, Satele, D, Horn, L, Pippen, J, Chu, Q, Chew, HK, Clark, WB, Hanley, AE, Sloan, J & Gradishar, WJ 2014, 'Satisfaction with work-life balance and the career and retirement plans of US oncologists', Journal of Clinical Oncology, vol. 32, no. 11, pp. 1127-1135. https://doi.org/10.1200/JCO.2013.53.4560
Shanafelt, Tait D. ; Raymond, Marilyn ; Kosty, Michael ; Satele, Daniel ; Horn, Leora ; Pippen, John ; Chu, Quyen ; Chew, Helen K ; Clark, William Benton ; Hanley, Amy E. ; Sloan, Jeff ; Gradishar, William J. / Satisfaction with work-life balance and the career and retirement plans of US oncologists. In: Journal of Clinical Oncology. 2014 ; Vol. 32, No. 11. pp. 1127-1135.
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abstract = "Purpose: To evaluate satisfaction with work-life balance (WLB) and career plans of US oncologists. Methods: The American Society of Clinical Oncology conducted a survey of US oncologists evaluating satisfaction with WLB and career plans between October 2012 and March 2013. The sample included equal numbers of men and women from all career stages. Results: Of 2,998 oncologists contacted, 1,490 (49.7{\%}) returned surveys. From 1,117 oncologists (37.3{\%} of overall sample) completing full-length surveys, we evaluated satisfaction with WLB and career plans among the 1,058 who were not yet retired. The proportion of oncologists satisfied with WLB (n = 345; 33.4{\%}) ranked lower than that reported for all other medical specialties in a recent national study. Regarding career plans, 270 oncologists (26.5{\%}) reported a moderate or higher likelihood of reducing their clinical work hours in the next 12 months, 351 (34.3{\%}) indicated a moderate or higher likelihood of leaving their current position within 24 months, and 273 (28.5{\%}) planned to retire before 65 years of age. Multivariable analyses found women oncologists (odds ratio [OR], 0.458; P < .001) and those who devoted greater time to patient care (OR for each additional hour, 0.977; P < .001) were less likely to be satisfied with WLB. Satisfaction with WLB and burnout were the strongest predictors of intent to reduce clinical work hours and leave current position on multivariable analysis. Conclusion: Satisfaction with WLB among US oncologists seems lower than for other medical specialties. Dissatisfaction with WLB shows a strong relationship with plans to reduce hours and leave current practice. Given the pending US oncologist shortage, additional studies exploring interactions among WLB, burnout, and career satisfaction and their impact on career and retirement plans are warranted.",
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AU - Raymond, Marilyn

AU - Kosty, Michael

AU - Satele, Daniel

AU - Horn, Leora

AU - Pippen, John

AU - Chu, Quyen

AU - Chew, Helen K

AU - Clark, William Benton

AU - Hanley, Amy E.

AU - Sloan, Jeff

AU - Gradishar, William J.

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