Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

The reason so many physicians are retiring early

Valerie A. Jones, MD
Physician
March 6, 2019
Share
Tweet
Share

There has been a disturbing shift in how medical professionals feel about their career. I almost cringe every time I’m at a party or social gathering now and tell people I retired early from my medical practice. I try not to bring it up.

I don’t cringe out of fear for how they will perceive me or whether they will look down upon me with condescending scorn about how I left a profession I trained so long for. Instead, I am finding that more and more physicians are looking for their own way out. This is disheartening, to say the least and I wish it wasn’t the case.

I thought at first this was more a problem of “front line” physicians, those in primary care, obstetrics, and emergency medicine. However, more recently, the grumblings have progressed into the fields of anesthesia and radiology. How could this be? They are in the sought-after category of the panacea of excellent pay and lifestyle that is often found in “ROAD” specialties: radiology, ophthalmology, anesthesiology, and dermatology. Is no one safe?

It seems the reach of insurance companies and health care administrators (who are not clinicians) has stealthily worked its way throughout the health care system in the united states and is strangling the lifeblood of physicians. The joy of medicine is being sucked out slowly by increased burdens of pressure to see more, do more, without regard for patient outcome — of course with the caveat of earning more money for the bottom line of the organization, not to the benefit of the patient or physician.
What seems to be the common ground amongst specialties is the loss of autonomy and the stripping away of control from physicians. The percentage of employed physicians continues to grow while the self-employed shrinks. Although, there has recently been a small surge in the idea of “direct primary care” as a way to bypass insurance companies altogether and reestablish the doctor-patient relationship without a non-medical middleman deciding what is appropriate medical care. While in theory, this model makes sense, I worry that it will become a solution for health care for the rich but glaringly ignores the poor who cannot afford to pay out of pocket for medical expenses.

So, are doctors to blame for “selling out” and joining an organization and becoming employed? In many specialties, it has become almost a necessity to obtain an employed position out of residency. Medical student loans have crippled physicians who could not bear the thought of taking out more loans to cover the expenses of starting a practice. Instead, the lure of an employed position offers coverage for malpractice (an extreme expense that often prohibits self-employment in specialties like obstetrics), an immediate salary that will help make a dent in the student loan burden, and the allure of promised perks such as a more predictable schedule. It becomes a matter of survival from the start as a newly minted attending physician. For many, the prudent choice is indeed to become an employed physician.

It’s not all bad to be employed. Good care is given to patients. Fantastic, compassionate, and intelligent physicians are employed. I’m not blaming these organizations for the early career exodus of physicians. It is an all-encompassing problem with health care in the United States that reaches all corners of our country and all patients. The problem occurs when health care becomes a business run by people who are not clinicians. Physicians begin to feel like they are running up against a brick wall. A wall of denials for patient care, refusals of requests for adequate visit time with patients, and a blocking of advocacy for patients by the professionals who can help them the most.

Without question, we cannot ignore health care costs which are exorbitant, and strategies must be present to reign in this runaway train. However, for improvement to exist in our health care system, physicians must be involved in the decisions about how money is allocated, what conditions and treatments are covered under insurance, and the appropriate time needed to evaluate and diagnose conditions in real office/hospital settings. These decisions simply cannot and should not be made by MBAs or politicians who know nothing about the medical implications of their business decisions.

Looking forward, we have the chance to save health care in our country. It starts with physicians (and our organizations such as the AMA, ACOG, AMWA, etc.) speaking up in Washington DC, hospitals and surgical centers being run by physicians instead of business people, and health care organizations being led by doctors first, who will advocate for patients while also being mindful of fiscal responsibility. This is the only way the brick wall, which is putting a barrier between physicians and the highest quality of care they want to provide for patients, will begin to crumble.

Valerie A. Jones is a obstetrician-gynecologist who blogs at OB Doctor Mom.

Image credit: Shutterstock.com

Prev

How do fitness trackers fit in the future of health care?

March 6, 2019 Kevin 1
…
Next

Become more than a clinician. Be a healer.

March 6, 2019 Kevin 0
…

Tagged as: Practice Management, Public Health & Policy

Post navigation

< Previous Post
How do fitness trackers fit in the future of health care?
Next Post >
Become more than a clinician. Be a healer.

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

More by Valerie A. Jones, MD

  • Where have all the doctors gone?

    Valerie A. Jones, MD
  • When depersonalization is necessary in medicine

    Valerie A. Jones, MD
  • How physicians’ grit is being taken advantage of

    Valerie A. Jones, MD

Related Posts

  • Turn physicians into powerful health care influencers

    Kevin Pho, MD
  • Are patients using social media to attack physicians?

    David R. Stukus, MD
  • The risk physicians take when going on social media

    Anonymous
  • Essential health messaging tips for physicians [PODCAST]

    The Podcast by KevinMD
  • Beware of pseudoscience: The desperate need for physicians on social media

    Valerie A. Jones, MD
  • When physicians are cyberbullied: an interview with ZDoggMD

    Monique Tello, MD

More in Physician

  • When errors of nature are treated as medical negligence

    Howard Smith, MD
  • The hidden chains holding doctors back

    Neil Baum, MD
  • 9 proven ways to gain cooperation in health care without commanding

    Patrick Hudson, MD
  • Why physicians deserve more than an oxygen mask

    Jessie Mahoney, MD
  • More than a meeting: Finding education, inspiration, and community in internal medicine [PODCAST]

    American College of Physicians & The Podcast by KevinMD
  • Why recovery after illness demands dignity, not suspicion

    Trisza Leann Ray, DO
  • Most Popular

  • Past Week

    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • Why recovery after illness demands dignity, not suspicion

      Trisza Leann Ray, DO | Physician
    • Addressing the physician shortage: How AI can help, not replace

      Amelia Mercado | Tech
    • Bureaucracy over care: How the U.S. health care system lost its way

      Kayvan Haddadan, MD | Physician
    • Why does rifaximin cost 95 percent more in the U.S. than in Asia?

      Jai Kumar, MD, Brian Nohomovich, DO, PhD and Leonid Shamban, DO | Meds
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

      Anonymous | Physician
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
  • Recent Posts

    • When errors of nature are treated as medical negligence

      Howard Smith, MD | Physician
    • Physician job change: Navigating your 457 plan and avoiding tax traps [PODCAST]

      The Podcast by KevinMD | Podcast
    • The hidden chains holding doctors back

      Neil Baum, MD | Physician
    • Hope is the lifeline: a deeper look into transplant care

      Judith Eguzoikpe, MD, MPH | Conditions
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • From hospital bed to harsh truths: a writer’s unexpected journey

      Raymond Abbott | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 19 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • Why recovery after illness demands dignity, not suspicion

      Trisza Leann Ray, DO | Physician
    • Addressing the physician shortage: How AI can help, not replace

      Amelia Mercado | Tech
    • Bureaucracy over care: How the U.S. health care system lost its way

      Kayvan Haddadan, MD | Physician
    • Why does rifaximin cost 95 percent more in the U.S. than in Asia?

      Jai Kumar, MD, Brian Nohomovich, DO, PhD and Leonid Shamban, DO | Meds
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

      Anonymous | Physician
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
  • Recent Posts

    • When errors of nature are treated as medical negligence

      Howard Smith, MD | Physician
    • Physician job change: Navigating your 457 plan and avoiding tax traps [PODCAST]

      The Podcast by KevinMD | Podcast
    • The hidden chains holding doctors back

      Neil Baum, MD | Physician
    • Hope is the lifeline: a deeper look into transplant care

      Judith Eguzoikpe, MD, MPH | Conditions
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • From hospital bed to harsh truths: a writer’s unexpected journey

      Raymond Abbott | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

The reason so many physicians are retiring early
19 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...