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Some Doctors Happier Than Others with Career Choice
http://www.100md.com 2002年8月11日 Reuters Health
     NEW YORK (Reuters Health) - About 1 in 5 US doctors is dissatisfied with their career, but those in certain specialties or in certain parts of the country are happier than others, according to a survey.

    For example, those treating the elderly (geriatric internal medicine), newborns (neonatal-perinatal medicine) or children (pediatrics), as well as those specializing in skin conditions (dermatologists), reported high levels of career satisfaction.

    Less satisfied with their career were doctors specializing in otolaryngology (ear-nose-throat), obstetrics-gynecology, ophthalmology, orthopedics and internal medicine.

    Physicians practicing in New England or in west north Central states, such as Minnesota, Iowa, Missouri, North Dakota, South Dakota and Kansas, were more satisfied than those in other parts of the country, according to the report in the July 22 issue of the Archives of Internal Medicine ( news - web sites).

    In the study, Dr. J. Paul Leigh of the Center for Health Services Research in Primary Care in Sacramento, California and colleagues analyzed data from an ongoing survey of nearly 12,500 physicians from 33 different specialties

    Overall, seven out of every 10 physicians surveyed said they were "satisfied" or "very satisfied" with their medical career, but nearly 20% of the doctors said they were dissatisfied.

    The relatively high dissatisfaction among obstetrician/gynecologists may be "related to rising expectations for perfect birth outcomes and high medicolegal risks," the researchers speculate. Dermatology, in contrast, has frequently been considered one of the most attractive specialties because of its "controllable lifestyle" and "relatively narrow focus," according to the report.

    "A high percentage of young physicians are very satisfied and an even higher percentage of physicians aged 65 and older report being very satisfied," according to the report. "This may be owing to the enthusiasm and idealism of youth and self-selection among the elderly. Physicians who do not retire by age 65 years probably derive considerable satisfaction from their jobs."

    Physicians who reported working many hours were less likely to be satisfied with their job, while those who reported a high income--$250,000 to $299,999--were more likely to say they were very satisfied with their career, study findings indicate.

    SOURCE: Archives of Internal Medicine 2002;162:1577-1584., http://www.100md.com