Home 2023 Compensation & Career Survey Hospitalists’ satisfaction—and dissatisfaction—with their careers

Hospitalists’ satisfaction—and dissatisfaction—with their careers

Comp, work schedules rank high for satisfaction while burnout drives dissatisfaction

February 2024

WHAT FACTORS DO hospitalists say make them more—or less—satisfied with their careers? We asked that question in the 2023 Today’s Hospitalist Compensation & Career Survey.

A huge number of hospitalists—more than three-quarters—said that compensation and work schedules are key to career satisfaction. And more than half said that burnout is a key to dissatisfaction in their careers.

Here are the top five satisfiers and dissatisfiers in hospitalists’ careers that we identified in our survey.

Most important to satisfaction
Hospitalists said the No. 1 factor in being satisfied with their careers is compensation, which was cited by 75.8% of survey respondents. Work schedule, which came in at a close second, was chosen by 75.1%.

Coming in third was collegiality among group members, administration, staff and referring physicians, which was cited by 60.6%. Being respected came in fourth and was identified by 40.9%.

Location came in fifth and was named by 39.4% of respondents. hospitalist-satisfaction-careerWhat fuels dissatisfaction
On the list of dissatisfiers, burnout took first place, cited by 57.7% of survey respondents. Administrative issues like documentation and coding compliance came in at a close second, with 53.6% of respondents naming it as a major dissatisfier.

Bad patient behavior came in third, identified as a dissatisfier by 40.6%. Scheduling issues, like too many hours and too little flexibility, came in fourth, with 24.6% saying it was a dissatisfier.

And the fifth biggest dissatisfier for hospitalists? Time issues leading to workload stress, cited by 21.5%.


For more on hospitalist careers, check out our 2023 Compensation & Career guide here.

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Miguel Antonatos, MD
February 2024 10:42 am

Moral Injury is the biggest factor in burnout. Moral injury in medicine refers to the distress experienced by healthcare professionals, including physicians, when they feel unable to act according to their ethical beliefs and commitments due to various constraints. This concept, originally used to describe the psychological aftermath of actions in war that transgress deeply held moral beliefs, has been increasingly applied to the healthcare context. Here’s an overview of how moral injury manifests in medicine for physicians: Causes of Moral Injury in Medicine: 1. Systemic Constraints: Physicians often face systemic barriers, such as insurance limitations, hospital administration policies affecting… Read more »

David Mitchell
David Mitchell
February 2024 12:05 pm

The results seem to suggest that hospitalists generally are more concerned about income than the quality of care they provide. They would rather work in a setting of higher income (often higher patient load) than in a setting of higher quality of care. This is part of the apparent transition from medicine as a profession to medicine as “just a job.” Professionalism sets a standard of excellence as premier rather than revenue. In my experience, with each new generation of hospitalists I see, professionalism is giving way to a “just a job” mentality, perhaps more in community than academic settings.… Read more »

Ed O’Dell, DO
February 2024 7:51 am

Interesting that “poor relationship with hospital administration” ranked high but was omitted from the article. I find that a lack of communication from administration fuels feelings of disrespect and fuels all of the other reasons cited as causing dissatisfaction.