Abstract
The objectives of this presentation are to assess career satisfaction (CS) in US child and adolescent psychiatrists (CAPs) across practice settings, and to identify predictive factors of their CS. US AACAP members were invited to complete a CS survey. CS was defined as the sum of satisfaction with their career choice, career advancement, and career recognition. CAPs identified their practice setting as solo practice, community/group practice, and academia. The survey additionally assessed predictors of CS including work factors, likelihood of reducing work hours, and leaving their jobs and the field of child and adolescent psychiatry. ANOVA analyses compared CAPs across practice settings, and stepwise linear regression analyses identified the predictive factors of CS by practice setting. A total of 399 (11.6%) CAPs surveyed identified their practice settings. CS was uniformly high (3.95 out of a maximum of 5) with no differences between solo practice (n = 163; CS = 4.03) and academic CAPs (n = 117; CS = 4.16; p = 0.220). Community/group practice CAPs reported the lowest CS (N = 119; CS = 3.64; p < 0.001). Compared to other groups, solo-practice CAPs reported more positive work factors (job enjoyment, control of tasks and schedules, and positive work climate) and fewer negative work factors (excessive documentation and workloads, high productivity targets, and limited encounter times). Academic CAPs worked the most hours (p < 0.001), and community/group CAPs were more likely to reduce their hours, leave their job, and leave the field (all p < 0.05). Job enjoyment was the primary predictor of CS for CAPs in solo practice and academics, with advancement opportunities leading for those in community/group practice. Academic CAPs shared secondary predictors of CS with other groups—advancement opportunities and access to mentorship with community/group and workload with solo-practice CAPs. Solo-practice CAPs identified control of tasks and income, while community/group CAPs identified work/life balance and limited encounter times as additional predictors of their CS. The leading predictors accounted for 45% to 65% of the variability in CS. CAPs’ CS was highest in solo practice and academia. Job enjoyment and advancement opportunities were the leading predictors of CS across practices settings.
Published Version
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