Table 5.
Multivariable Analysis
| Predictor | OR | 95% CI | P |
|---|---|---|---|
| Satisfied with WLB*†‡ | |||
| Female (v male) | 0.443 | 0.309 to 0.635 | < .001 |
| Other practice setting (v academic) | 2.264 | 1.346 to 3.808 | .0021 |
| Hours worked per week (each additional hour) | 0.950 | 0.935 to 0.965 | < .001 |
| Hours spent on patient care per week (each additional hour) | 0.977 | 0.964 to 0.991 | .0012 |
| Burned out (v not) | 0.329 | 0.225 to 0.481 | < .001 |
| High fatigue (v not) | 0.489 | 0.337 to 0.710 | < .001 |
| Intend to reduce clinical hours*†‡§‖ | |||
| Dissatisfied with WLB (v satisfied) | 1.667 | 1.107 to 2.509 | .0144 |
| Age (for each additional year older) | 1.040 | 1.022 to 1.058 | < .001 |
| Private practice setting (v academic) | 1.533 | 1.023 to 2.296 | .0382 |
| Salary with bonus pay structure (v pure incentive) | 0.574 | 0.367 to 0.898 | .0151 |
| Burned out (v not) | 2.151 | 1.487 to 3.111 | < .001 |
| Intend to leave current practice*†‡§‖ | |||
| Dissatisfied with WLB (v satisfied) | 1.526 | 1.045 to 2.228 | .0285 |
| Age (for each additional year older) | 1.053 | 1.035 to 1.071 | < .001 |
| Partnered (v single) | 0.194 | 0.058 to 0.654 | .0081 |
| Burned out (v not) | 2.170 | 1.526 to 3.087 | < .001 |
| Would choose to become physician again (v not) | 0.491 | 0.328 to 0.734 | < .001 |
| Plan to retire before age 65 years*†‡‖ | |||
| Age (for each additional year older) | 0.952 | 0.934 to 0.971 | < .001 |
| Female (v male) | 1.613 | 1.140 to 2.284 | .0070 |
| Other practice setting (v academic) | 3.027 | 1.813 to 5.054 | < .001 |
| Private practice setting (v academic) | 2.531 | 1.642 to 3.902 | < .001 |
| Hours spent on patient care (each additional hour) | 1.014 | 1.002 to 1.026 | .0218 |
| Would choose to become physician again (v not) | 0.493 | 0.326 to 0.746 | < .001 |
NOTE. Four multivariable analyses were conducted to identify personal and professional factors associated with: (1) satisfaction with WLB; (2) intent to reduce clinical work hours; (3) intent to leave current position; and (4) intent to pursue early retirement.
Abbreviations: OR, odds ratio; WLB, work-life balance.
Personal characteristics in all models: age, sex, children, relationship status.
Professional characteristics in all models: practice setting, total work hours per week, hours spent seeing patients per week, nights on call per week, focus on certain type of cancer (yes v no), hospital rounding structure, number of weekends rounding in hospital per year, method of compensation (salary, salary plus bonus, pure incentive).
Distress and satisfaction characteristics in all models: burnout (yes v no), fatigue score (< 6 v ≥ 6).
Moderate or greater likelihood of reducing clinical work hours in next 12 months or leaving current practice in next 24 months (Table 2).
Additional factors in model: dissatisfaction with WLB, career satisfaction, specialty satisfaction.