SHM Converge Scientific Abstract ePoster Gallery-A Survey Exploring Job Decisions to Leave a Hospitalist Group Among Millennial Hospitalists Born in or After 1982

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This survey studied what influences millennial hospitalists’ decisions to stay in or leave a hospitalist group (HMG). Millennials were defined as those born in 1982 or later. Because turnover in hospital medicine can be costly, the authors wanted to understand which factors matter most when these early-career physicians consider quitting.<br /><br />The study surveyed all millennial hospitalists in 7 HMGs across 7 U.S. states between August and September 2020. The questionnaire included 18 elements rated on a four-point Likert scale, later grouped into four categories: culture of practice, work-life balance, financial considerations, and career advancement. Responses from those intending to stay versus those intending to leave were compared statistically.<br /><br />A total of 144 of 235 hospitalists responded, a 61% response rate. Seventy-five said they were considering leaving their current group. Across all categories, hospitalists who planned to remain rated the factors as important more often than those who planned to leave. However, even among those considering quitting, culture of practice and work-life balance remained highly influential.<br /><br />Key factors associated with staying included quality over productivity, a cohesive workplace, strong communication, alignment of values with leadership, and trust in the organization. Important work-life balance issues included clinical schedule, vacation/PTO, patient census, and parental leave. Financial benefits and career advancement opportunities also mattered, but less strongly than culture and work-life balance.<br /><br />The authors conclude that millennial hospitalists place the greatest value on a positive practice culture and work-life balance when deciding whether to quit. They suggest that hospitals use surveys, focus groups, interviews, and town halls to improve organizational culture, align values, support staff, and reduce turnover. A limitation was that the study was conducted during the COVID-19 pandemic, which may have affected responses.

Asset Subtitle

Amteshwar Singh

Meta Tag

Author List Amteshwar Singh, Flora Kisuule, M. Carolina Musri

Category Research

Concept Millennial Hospitalist

Concept Hospitalist Group

Concept Retained Staffing

Concept Turnover

Concept Decision-Making Factor

Distinguished Non-Finalist

Presenter Organization Johns Hopkins University School of Medicine

Presenting Author Amteshwar Singh

Track Other

Keywords

millennial hospitalists

hospitalist group turnover

retention factors

practice culture

work-life balance

physician turnover

organizational culture

career advancement

financial considerations

COVID-19 pandemic

Millennial Hospitalist

Hospitalist Group

Retained Staffing

Turnover

Decision-Making Factor