Physician Intent to Reduce Hours and Intent to Leave Organizations - Report - MDSpire

Physician Intent to Reduce Hours and Intent to Leave Organizations

  • By

  • Lisa Rotenstein

  • Purva Shah

  • Roger Brown

  • Heather Farley

  • Tait Shanafelt

  • Christine A. Sinsky

  • May 6, 2026

  • 0 min

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Clinical Report: Physician Plans to Decrease Work Hours and Leave Positions

Overview

The COVID-19 pandemic has led to significant changes in physicians' work intentions, with 40% planning to reduce hours and 25% intending to leave their current positions. These trends highlight ongoing challenges in the physician workforce, necessitating targeted interventions to address the factors influencing these decisions.

Background

The COVID-19 pandemic has exacerbated existing stresses within the healthcare system, leading to increased rates of clinical attrition among physicians. Understanding the evolving work intentions of physicians is critical for addressing potential shortages and ensuring patient access to care. Identifying the factors associated with these intentions can help healthcare leaders implement effective strategies to retain physicians.

Data Highlights

As of 2021, 40% of physicians reported an intent to reduce clinical work hours, and 25% indicated a likelihood of leaving their current practice within 24 months. These figures represent a concerning trend in physician workforce stability.

Key Findings

  • 40% of physicians reported an intent to reduce clinical work hours as of 2021.
  • 25% indicated a likelihood of leaving their current practice within 24 months.
  • These trends have remained stable from 2014 to 2021.
  • Factors influencing work intentions include stressful working conditions and perceptions of personal risk.
  • Differences in work intentions may vary by physician subgroup, including specialty and demographic characteristics.
  • Ongoing financial stresses and staffing shortages continue to impact physician work intentions post-pandemic.

Clinical Implications

Healthcare organizations must recognize the factors contributing to physicians' intentions to reduce hours or leave their positions. Implementing targeted interventions, such as improving working conditions and addressing administrative burdens, may help retain physicians and stabilize the workforce.

Conclusion

The findings underscore the need for healthcare leaders to proactively address the factors influencing physicians' work intentions to mitigate potential shortages and ensure continued patient access to care.

Related Resources & Content

  1. American Medical Association, JAMA Network Open, 2023 -- Reducing Intent to Leave and Creating Incentives for Physicians to Stay
  2. Ophthalmology Management, 2009 -- Facing Down Retirement
  3. Conexiant, 2023 -- Top 10 States for Retiring Physicians: Where Part-Time Practice, Licensing Flexibility, and Lifestyle Align
  4. American Medical Association, 2023 -- 2026 Program Guidelines
  5. conexiant — Physician Disability, Exit Risk Rise
  6. Protected Time for Electronic Health Record Work and Physician Productivity
  7. Incomplete Team Staffing, Burnout, and Work Intentions Among US Physicians
  8. 2026 Program Guidelines

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