Military vs Civilian Family Physician Satisfaction Report 2021
Explore the satisfaction levels of military and civilian family physicians in a comparative study conducted by Samuel Burton, MD, Daniel Fisher, MD, and John Barrett, MD, MPH, MS. The study delves into factors influencing specialty choice, compensation satisfaction, and career decisions among family physicians. Findings suggest high satisfaction among military family physicians.
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FAMILY PHYSICIAN SATISFACTION REPORT: MILITARY 2021 VS CIVILIAN 2020 Samuel Burton, MD Nellis Air Force Base Family Medicine Residency 99thMDG, Nellis AFB, NV Daniel Fisher, MD Wright-Patterson Air Force Base Psychiatry Residency 88thMDG, Wright-Patterson AFB, OH John Barrett, MD, MPH, MS Veterans Affairs Medical Center, Washington DC
Disclosure The views and statements in the presentation are solely from the investigators. They do not represent the opinions or positions of the Department of Defense, the United States Air Force, or Veterans Affairs. The investigators have no financial disclosures.
Background 33,353 residency applicants in 2021 31 specialty categories Specialty Choice Determinants Personality fit Specialty content Role model influence Work-life balance Family plans Income expectations
Background Medscape Compensation & Satisfaction Report Family Medicine ranking among 29 specialties 18th Do you feel fairly compensated? 27thWould you choose medicine again? 27thWould you choose the same specialty again?
Background Military Medicine: Health Professions Education Requirements Board (HPERB) 18 primary specialties Family Medicine Rankings Most common specialty in HPERB 19% of GME positions between 2016-2020
Hypothesis -Satisfaction is different between military and civilian family physicians. -Military family physicians have high satisfaction.
Methods STudent Omnibus Military Physicians Survey- STOMPS 3 Medscape comparative statements 3 military specific statements 5-point Likert scale Strongly agree and agree = Yes Statistical Tests: 2-tailed 2 sample T-test
Medscape Comparative STOMPS vs Medscape I feel fairly compensated within my specialty. Do you feel fairly compensated? Given the opportunity to reselect my specialty, I would. Would you choose your medical specialty again? Given the opportunity to reselect my career in medicine, I would. Would you choose medicine again?
Military Specific I am likely to remain on active duty after my obligation is complete or have done so. I am likely to remain on active duty 20 years or more or have done so. I am satisfied with choosing a military sponsored medical education.
Responses Family Medicine Responses Study Requested Responded Response Rate Medscape 660,000 17,461 2.6% 2270 STOMPS 2562 206 8.0% 186
Demographic Information Gender similar with 42% female in each study Average medical school graduation year 2005 in STOMPS (O-5 with 15 years of service) Unable to compare age, practice models, or regions
Results Civilian vs. Military Family Physician Satisfaction 100 p value = *0.003 90 p value = *0.04 80 70 p value = 0.065 80% 86% 60 70% 74% 50 61% 40 54% 30 20 10 0 Feel Fairly Compensated Would Choose Specialty Again Would Choose Medicine Again Military 2021 Medscape 2020
Results Military Family Physician Specific Satisfaction 1 0.9 0.8 93.5% 0.7 0.6 0.5 0.4 55% 53% 0.3 0.2 0.1 0 Likely to remain AD after obligation Likely to remain AD 20 or more years Satisfied with military medical education
Discussion There was no statistically significant difference for feeling fairly compensated between the Medscape and STOMPS-military family physician respondents 20-25% deficit in direct compensation
Discussion 55% would remain after obligation or had 53% would remain >20+ years or had Likely the same individuals Unclear significance
Discussion Overwhelming satisfaction with military sponsored medical education Unclear HPSP vs USUHS vs Military Residency vs Civilian Deferred vs Fellowship However, all were satisfied
Limitations Low response rates in both surveys Likely difference in ages Motivation of respondents Few statements
Conclusion Military Family Medicine Physicians: 1. were more likely to choose medicine generally and family medicine specifically than civilian counterparts, suggesting higher satisfaction. 2. did not feel less fairly compensated than civilian counterparts. 3. were overwhelmingly satisfied with their military sponsored medical education. 4. >50% intended to serve past their obligation, 20+ years, or had done so.
References National Resident Matching Program. 2021Main Residency Match By the Numbers http;//www.nrmp.org/main-residency-match-data/. Accessed 01/26/22. Association of American Medical Colleges. Careers in Medicine-Specialty Profiles. https://www.aamc.org/cim/explore-options/specialty- profiles Accessed 01/26/22. Freeman, Brian MD. The Ultimate Guide To Choosing A Medical Specialty. Pgs 3-6. McGraw Hill Companies Inc. 2004. https://www.tesd.net/cms/lib/PA01001259/Centricity/Domain/344/Careers%20in%20Medicine.pdf Accessed on 01/26/22. Association of American Medical Colleges. Careers in Medicine-How medical students choose specialties. https://www.aamc.org/cim/about-cim/how-medical-students-choose-specialties. Accessed on 01/26/22. Dorman, Paige. UAB Launches Strategic Partnership with Medscape. https://www.medscape.org/viewarticle/859964. Accessed on 01/26/22. Kane,Leslie, MA. Medscape Physician Compensation Report 2020 https://www.medscape.com/slideshow/2020-compensation-overview- 6012684. Accessed repeatedly from 2020-2022. Health Professions Requirements Board 2021. https://www.airforcemedicine.af.mil/Organizations/Physician-Education- Branch/Announcements/. Accessed on 01/27/22 Stortz, Sharon K et al. Comparing Compensation of U.S. Military Physicians and Civilian Physicians in Residency Training and Beyond. Cureus vol. 13,1 e12931. 27 Jan. 2021, doi:10.7759/cureus.12931. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7908062/. Accessed on 01/28/22
