Harrison Reed practices critical care medicine at George Washington University Hospital in Washington, D.C., is an assistant professor in the PA program at George Washington University, and is a clinical editor for JAAPA . Kari Bernard is a child and adolescent psychiatry PA with Orion Behavioral Health Network in Eagle River, Ala. Noël Smith is research director at the American Academy of PAs in Alexandria, Va. The authors have disclosed no potential conflicts of interest, financial or otherwise.
JAAPA. 2021 Aug 1;34(8):43-47. doi: 10.1097/01.JAA.0000758224.29328.f4.
Employee turnover is an important indicator that carries a heavy financial cost for healthcare organizations. Although previous research has highlighted some factors associated with turnover, the reasons physician assistants (PAs) leave their jobs are not fully understood. This study aimed to determine the most common reasons behind PA turnover.
In 2019, the American Academy of PAs (AAPA) distributed a survey to all PAs with an eligible email address. The survey included a question asking respondents if they had left or changed their job in the past year. Respondents answering this question in the affirmative were asked a follow-up multiple-choice question to determine the reason behind this change.
A total of 13,088 PAs responded to the AAPA salary survey; of these, 1,261 reported leaving a job within the past year. The most common reasons provided for leaving a job were: better work/life balance (n = 209, 16.8%), moved (n = 208, 16.7%), better management/leadership/environment (reasons related to toxic/abusive environment) (n = 170, 13.6%), and better compensation/benefits (n = 148, 11.9%).
Employers should focus on common reasons for turnover that can be reasonably addressed. Of the top three reasons behind PA turnover, those related to toxic/abusive work environments may be the most practical and important to address.
员工离职是医疗保健组织承担沉重财务成本的重要指标。尽管先前的研究强调了与离职相关的一些因素,但医生助理 (PA) 离职的原因并未得到充分理解。本研究旨在确定 PA 离职背后最常见的原因。
2019 年,美国医师助理学会 (AAPA) 向所有有合格电子邮件地址的 PA 分发了一份调查。该调查包括一个询问受访者是否在过去一年中离职或换过工作的问题。回答这个问题的受访者被要求回答一个后续的多项选择题,以确定这种变化背后的原因。
共有 13088 名 PA 回应了 AAPA 薪资调查;其中 1261 人报告在过去一年中离职。离职的最常见原因是:更好的工作/生活平衡(n = 209,16.8%)、搬家(n = 208,16.7%)、更好的管理/领导力/环境(与有毒/虐待环境相关的原因)(n = 170,13.6%)和更好的薪酬/福利(n = 148,11.9%)。
雇主应关注可合理解决的常见离职原因。在 PA 离职的前三个原因中,与有毒/虐待工作环境相关的原因可能是最实际和最重要的解决原因。