Skip to main content
SpringerLink
Log in

Career satisfaction and clinician-educators

The rewards and challenges of teaching

  • Career Satisfaction
  • Published:
Journal of General Internal Medicine Aims and scope Submit manuscript

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

References

  1. Seline NE. Study and Comparison of Transition of Medical Education Programs from Hospital Inpatient to Ambulatory Training Programs. Rockville, Md: Bureau of Health Professions, Department of Health and Human Services; 1987. Contract No. 240-86-0068.

    Google Scholar 

  2. Barazansky B, Jonas H, Etzel S. Educational programs in U.S. medical schools 1994–95. JAMA. 1995;274:716–22.

    Article  Google Scholar 

  3. Hershey CO, McAloon MH, Bertram DA. The new medical practice environment: internists' view of the future. Arch Intern Med. 1989;149:1745–9.

    Article  PubMed  CAS  Google Scholar 

  4. Cook DJ, Griffith LE, Sackett DL, for the McMaster University General Internal Medicine Division. Importance of and satisfaction with work and professional interpersonal issues: a survey of physicians practicing general internal medicine in Ontario. Can Med Assoc J. 1995;153:755–64.

    CAS  Google Scholar 

  5. Mawardi BH. Satisfactions, dissatisfactions, and causes of stress in medical practice. JAMA. 1979;241:1483–6.

    Article  PubMed  CAS  Google Scholar 

  6. Wahls TL, Olson KA, Turney SL. Practice satisfaction and dissatisfaction in general internal medicine departments of large multispecialty clinics. J Gen Intern Med. 1993;8:587–9.

    Article  Google Scholar 

  7. Reames HR, Dunstone DC. Professional satisfaction of physicians. Arch Intern Med. 1989;149:1951–6.

    Article  PubMed  Google Scholar 

  8. Linn LS, Brook RH, Clark VA, Davies AR, Fink A, Kosecoff J. Physician and patient satisfaction as factors related to the organization of internal medicine group practices. Med Care. 1985; 23:1171–8.

    Article  PubMed  CAS  Google Scholar 

  9. Christiansen RG, Wark K, Levenstein JP. Attitudes of part-time community internal medicine faculty about their teaching. Acad Med. 1992;67:863–4.

    Article  PubMed  CAS  Google Scholar 

  10. Garr DR. Characteristics and job satisfaction of family physicians in full-time teaching. Fam Med. 1986;18:269–73.

    PubMed  CAS  Google Scholar 

  11. Kirz HL, Larsen C. Costs and benefits of medical student training to a health maintenance organization. JAMA. 1986;256:734–9.

    Article  PubMed  CAS  Google Scholar 

  12. Foley R, Yonke A, Smith J, Roe B, Vance J. Recruiting and retaining volunteer community preceptors. Acad Med. 1996;71:460–3.

    Article  PubMed  CAS  Google Scholar 

  13. Connor RA, Hillson SD, Kralewski JE. Association between rural hospitals' residencies and recruitment and retention of physicians. Acad Med. 1994;69:483–8.

    Article  PubMed  CAS  Google Scholar 

  14. Costa AJ, Schrop SL, McCord G, Gillanders WR. To stay or not to stay: factors influencing family practice residents' choice of initial practice location. Fam Med. 1996;28:214–9.

    PubMed  CAS  Google Scholar 

  15. Krugman RD, Tabak E, Fryer GE. Effectiveness of the AHEC concept in Colorado. J Med Educ. 1982;57:87–90.

    PubMed  CAS  Google Scholar 

  16. Pawlson HL, Schroeder SA, Donaldson MS. Medical student instructional costs in a primary care clerkship. J Med Educ. 1979;54:551–5.

    PubMed  CAS  Google Scholar 

  17. Pawlson HL, Watkins R, Donaldson M. The cost of medical student instruction in the practice setting. J Fam Pract. 1980;10: 847–52.

    PubMed  CAS  Google Scholar 

  18. Garg ML, Boero JF, Christiansen RG, Booher CG. Primary care teaching physicians' losses of productivity and revenue at three ambulatory care centers. Acad Med. 1991;66:348–53.

    Article  PubMed  CAS  Google Scholar 

  19. Vinson DC, Paden C. The effect of teaching medical students on private practitioners' workloads. Acad Med. 1994;69:237–8.

    Article  PubMed  CAS  Google Scholar 

  20. Vinson DC, Paden C, Devera-Sales A. Impact of medical student teaching on family physicians' use of time. J Fam Pract. 1996; 42:243–9.

    PubMed  CAS  Google Scholar 

  21. Kearl GW, Mainous AG. Physicians' productivity and teaching responsibilities. Acad Med. 1993;68:166–7.

    Article  PubMed  CAS  Google Scholar 

  22. Fields SA, Toffler WL, Bledsoe NM. Impact of the presence of a third-year medical student on gross charges and patient volume in 22 rural community practices. Acad Med. 1994;10(suppl):S87–9.

    Google Scholar 

  23. Madison DL, Konrad TR. Large medical group-practice organization and employed physicians: a relationship in transition. Milbank Q. 1988;66:240–82.

    Article  PubMed  CAS  Google Scholar 

  24. Lewis CE, Prout DM, Chalmers EP, Leake B. How satisfying is the practice of internal medicine? Ann Intern Med. 1991;114:1–5.

    PubMed  CAS  Google Scholar 

  25. Cohen AB, Cantor JC, Barker DC, Schuster AL, Reynolds RC. Young physicians and the future of the medical profession. Health Affairs. 1990;9:138–48.

    Article  PubMed  CAS  Google Scholar 

  26. Martinini CJM, Veloski JJ, Baransky B, Xu G, Fields SK. Medical school and student characteristics that influence choosing a generalist career. JAMA. 1994;272:661–8.

    Article  Google Scholar 

  27. Barr DA. The effects of organizational structure on primary care outcomes under managed care. Ann Intern Med. 1995;122:353–9.

    PubMed  CAS  Google Scholar 

  28. Linn LS, Yager J, Cope D, Leake B. Factor associated with life satisfaction among practicing internists. Med Care. 1986;24:830–7.

    Article  PubMed  CAS  Google Scholar 

  29. Linn LS, Yager J, Cope D, Leake B. Health status, job satistaction, job stress, and life satisfaction among academic and clinical faculty. JAMA. 1985;254:2775–82.

    Article  PubMed  CAS  Google Scholar 

  30. Lichtenstein R. Measuring the job satisfaction of physicians in organized practice settings. Med Care. 1984;22:56–68.

    Article  PubMed  CAS  Google Scholar 

  31. Konrad TR. Who is in charge? Corporate structure and specialty culture in the future of American medicine. Presented at the session on Regulation of Health Care: Scientism and Economism. Thirty-first Congress of the International Institute of Sociology. Sorbonne, Paris, France, June 1993.

  32. McGlynn EA, Tarlov AA, Ware JE Jr. How satisfied are physicians with their practices? Results from the medical outcomes study. RAND Corp, Los Angeles, Calif: 1994. Working paper in progress.

  33. Stamps PL, Cruz NTB. Issues in Physician Satisfaction: New Perspectives. Ann Arbor, Mich: Health Administration Press: 1994.

    Google Scholar 

  34. Schulz R, Girard C, Scheckler WE. Physician satisfaction in a managed care environment. J Fam Pract. 1992;34:298–304.

    PubMed  CAS  Google Scholar 

  35. Schulz R, Schulz C. Management practices, physician autonomy, and satisfaction: evidence from mental health institutions in the Federal Republic of Germany. Med Care. 1988;26:750–63.

    Article  PubMed  CAS  Google Scholar 

  36. Murphy JG. Satisfaction with practices: emergency physician versus internists. Ann Emerg Med. 1987;16:277–83.

    Article  PubMed  CAS  Google Scholar 

  37. Pathman DE, Konrad TR, Ricketts TC. The national Health Service Corps experience for rural physicians in the late 1980s. JAMA. 1994;272:1341–8.

    Article  PubMed  CAS  Google Scholar 

  38. Ramsbottom-Lucier MT, Caudill TS, Johnson MMS, Rich EC. Interactions with colleagues and their effects on the satisfaction of rural primary care physicians. J Rural Health. 1995;11:185–91.

    Article  PubMed  CAS  Google Scholar 

  39. Sandy LG, Foster NE, Eisenberg JM. challenges to generalism: views from the delivery system. Acad Med. 1995;70(1 suppl):S44–6.

    PubMed  CAS  Google Scholar 

  40. Plihal J. Types of intrinsic rewards of teaching and their relation to teacher characteristics and variables in the work setting. Presented at the annual meeting of the American Educational Research Association, New York, NY, March 19–23, 1982.

  41. Williams JE. To teach or not teach: a question of women. Free Inquiry Creative Sociol. 1988;16:209–16.

    Google Scholar 

  42. Martinez-Pons M. Test of a three-factor model of teacher commitment. Presented at the Annual conference of the New England Educational Research Organization, Portland, Me; 1990.

  43. Dilworth ME. Motivation, rewards, and incentives. (Trends and Issues Paper No. 3). Washington, DC: ERIC Clearinghouse on Teacher Education; April 1991.

    Google Scholar 

  44. Knoop R. Relieving stress through value-rich work. J Soc Psychol. 1994;134:829–36.

    PubMed  CAS  Google Scholar 

  45. Barner AE. Do teachers like to teach? The Pointer. 1982;27:5–7.

    Google Scholar 

  46. Quadagno JS. Career continuity and retirement plans of men and women physicians. Sociol Work Occupations. 1978;5:55–74.

    Article  Google Scholar 

  47. Ben-Sira Ž. The plight of primary medical care: the problematics of “committedness to the practice.” Soc Sci Med. 1986;22:699–712.

    Article  PubMed  CAS  Google Scholar 

  48. Kahn NB, Davis AK, Wartman SA, Wilson MEH, Kahn RH. The interdisciplinary generalist curriculum project: a national medical school demonstration project. Acad Med. 1995;70(suppl):S75–80.

    Article  PubMed  Google Scholar 

  49. Greer DS. Faculty rewards for the generalist clinician-teacher. J Gen Intern Med. 1990:5(suppl 1):S53–8.

    Article  PubMed  CAS  Google Scholar 

  50. Schormair C, Swietlik U, Hofmann U, Wilm S, Witte L. Ten statements on the motivation of medical teachers to teach. Med Teacher. 1992;14:283–6.

    Article  CAS  Google Scholar 

  51. Adams M, Eisenberg JM. What is the cost of ambulatory education? J Gen Intern Med. 1997;12(suppl 2):S104–110.

    Article  PubMed  Google Scholar 

  52. Skeff KM. Enhancing teaching effectiveness and vitality in the ambulatory setting. J Gen Intern Med. 1988;3(suppl 2):S26–33.

    Article  PubMed  CAS  Google Scholar 

  53. Skeff KM, Stratos G, Campbell M, Cooke M, Jones H. Evaluation of the seminar method for improving, clinical teaching. J Gen Intern Med. 1986;1:315–22.

    Article  PubMed  CAS  Google Scholar 

  54. Sheets K, ed. Preceptor Education Project. Kansas City, Mo: Society of Teachers of Family Medicine; 1992.

    Google Scholar 

  55. Neber JO, Gordon KC, Meyer B, Stevens N. A five-step “microskills” model of clinical teaching. J Am Bd Fam Pract. 1992;5:419–24.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Portland (Ore.) Veterans Administration Medical Center, University of North Carolina at Chapel Hill, Chapel Hill, USA

    Martha S. Gerrity MD, PhD

  2. Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, USA

    Donald E. Pathman MD, MPH & Beat D. Steiner MD, MPH

  3. Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, USA

    Lisa M. Winterbottom MD & Michael C. Sharp MD

  4. Departments of Internal Medicine, University of Wisconsin School of Medicine, Madison

    Mark Linzer MD

  5. Family Medicine, University of Wisconsin School of Medicine, Madison

    Susan E. Skochelak MD, MPH

  6. Department of Medicine, L455, Oregon Health Sciences University, 3181 SW Sam Jackson Park Rd., 97201, Portland, OR

    Martha S. Gerrity MD, PhD

Authors
  1. Martha S. Gerrity MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Donald E. Pathman MD, MPH
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mark Linzer MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Beat D. Steiner MD, MPH
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Lisa M. Winterbottom MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Michael C. Sharp MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Susan E. Skochelak MD, MPH
    View author publications

    You can also search for this author in PubMed Google Scholar

Consortia

The Society of General Internal Medicine Career Satisfaction Study Group

Additional information

Supported in part through a grant to the SGIM Career Satisfaction Study Group from the Robert Wood Johnson Foundation and the Interdisciplinary Generalist Curriculum (IGC) Project, which is funded by the Division of Medicine, Bureau of Health Professions, Health Resources and Services Administration (Contract HRSA-BHPr-240-93-0010).

Other members of the SGIM Career Satisfaction Study Group include Julia E. McMurray, MD, Jeffery Douglas, PhD, Judith Van Kirk, MS, John Frey, MD, and William E. Scheckler, MD, Departments of Internal Medicine (JEM, JVK). Family Medicine (JF, WES), and Biostatistics (JD), University of Wisconsin, Madison; Eric S. Williams, PhD, University of Missouri-Columbia; T. Robert Konrad, PhD, Sheps Center for Health Services Research, University of North Carolina at Chapel Hill; Mark D. Schwartz, MD, Department of Primary Care and Internal Medicine, New York University, NY; Elnora Rhodes, SGIM, Washington, DC; Judy Ann Bigby, MD, Department of Medicine, Harvard Medical School, Boston, Mass.; Kathleen G. Nelson, MD, Department of Pediatrics, University of Alabama at Birmingham; Mary Ramsbottom-Lucier, MD, Department of Medicine, University of Kentucky, Lexington; and Richard Shugerman, MD, Department of Pediatrics, University of Washington, Seattle.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gerrity, M.S., Pathman, D.E., Linzer, M. et al. Career satisfaction and clinician-educators. J Gen Intern Med 12 (Suppl 2), S90–S97 (1997). https://doi.org/10.1046/j.1525-1497.12.s2.13.x

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1046/j.1525-1497.12.s2.13.x

Keywords

Search

Navigation