Physician Intent to Reduce Hours and Intent to Leave Organizations

How has the prevalence of physicians intending to reduce their clinical hours (ITR) or intending to leave their current organization (ITL) changed since the COVID-19 pandemic?In this serial cross-sectional multisite study of 37 112 physicians surveyed from 2022 to 2024, the point prevalence of ITR decreased from 25.6% in 2022 to 22.5% in 2024, while the prevalence of ITL decreased from 19.9% in 2022 to 15.1% in 2024. A desire for increased workflow efficiency, improved staffing, and enhanced compensation were the most prevalent factors that would make respondents reconsider ITR or ITL.This study suggests that, while the prevalence of ITR and ITL have decreased since the pandemic, more than one-fifth of physicians continued to report ITR and nearly 1 in 6 reported ITL, representing mixed progress on enhancing retention of physicians and their clinical effort.

Corresponding Author: Lisa Rotenstein, MD, MBA, MSc, University of California at San Francisco, 10 Koret Way, San Francisco, CA 94131 (lisa.rotenstein@ucsf.edu).

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