A Historical Analysis of Physician Dissatisfaction

by McDonald, Lisa Elaine

Given the growing levels of physician dissatisfaction and attrition, this study was conducted to ask what was the historical development of the events that gave rise to the problematic conditions, what are the characteristics of the current daily practice environment that create dissatisfaction, and what are the consequences of physician dissatisfaction? This research was conducted by literature review compiled from both the lay and scientific sectors, however, when possible primary sources were employed. As a science, medicine undoubtedly has improved over the last century. However, this review would suggest that developments in the last 30 years have created a contemporary practice environment that fosters physician unrest by removing positive incentives for practicing medicine. Two of the most consistently cited factors were managed care and the malpractice crisis. Physician dissatisfaction has been demonstrated to result in a wide range of consequences, from the personal (burnout, attrition) and professional (inappropriate patient care) to the disastrous (suicide). The best next step recommended is to raise awareness and open dialogue early in the medical education process to prepare students for the realities of a life in medicine.