Table 4. Reported Job and Childcare Satisfaction of Actively Practicing US Fellows of the American College of Surgeons (2018)a.
| Response | Respondents, No./total No. (%) | P valueb | |||||
|---|---|---|---|---|---|---|---|
| Academic surgeons (n = 1735) | Private practice surgeons (n = 1464) | ||||||
| Disagree | Neutral | Agree | Disagree | Neutral | Agree | ||
| Job satisfaction | |||||||
| Would choose surgery as a career again | 103/1708 (6) | 154/1708 (9) | 1451/1708 (85) | 159/1426 (11) | 159/1426 (11) | 1107/1426 (78) | <.001c |
| Satisfied with career | 108/1706 (6) | 150/1706 (9) | 1448/1706 (85) | 143/1420 (10) | 168/1420 (12) | 1109/1420 (78) | <.001c |
| Satisfied with technical challenges | 50/1709 (3) | 104/1709 (6) | 1555/1709 (91) | 55/1428 (4) | 114/1428 (8) | 1259/1428 (88) | .04c |
| Satisfied with case variety | 218/1708 (13) | 272/1708 (16) | 1219/1708 (71) | 220/1420 (16) | 200/1420 (14) | 999/1420 (70) | .06 |
| Use full range of surgical skills in practice | 343/1701 (19) | 174/1701 (10) | 1203/1701 (71) | 355/1416 (25) | 168/1416 (12) | 893/1416 (63) | <.001c |
| Receive adequate financial compensation | 444/1703 (26 | 262/1703 (15) | 997/1703 (59) | 637/1416 (45) | 233/1416 (16) | 546/1416 (39) | <.001c |
| Would recommend surgery to female medical student | 147/1709 (9) | 248/1709 (15) | 1314/1709 (77) | 319/1426 (22) | 325/1426 (23) | 781/1426 (55) | <.001c |
| Would recommend surgery to male medical student | 72/1707 (4) | 229/1707 (13) | 1406/1707 (82) | 154/1421 (5) | 299/1421 (21) | 967/1421 (68) | <.001c |
| Career goals influenced by need to control personal time | 979/1703 (5) | 305/1703 (18) | 419/1703 (25) | 645/1416 (46) | 282/1416 (20) | 489/1416 (35) | <.001c |
| Malpractice experiences have decreased job satisfaction | 886/1703 (52) | 283/1703 (17) | 534/1703 (31) | 485/1413 (34) | 242/1413 (17) | 686/1413 (49) | <.001c |
| Competition with other surgeons threatens financial security | 1052/1705 (62) | 311/1705 (18) | 341/1705 (20) | 553/1422 (39) | 311/1422 (22) | 559/1422 (39) | <.001c |
| My work leaves me enough time for family | 701/1711 (41) | 388/1711 (23) | 622/1711 (36) | 556/1429 (39) | 278/1429 (19) | 594/1429 (42) | .008c |
| Satisfied with amount of time for hobbies | 908/1700 (53) | 351/1700 (21) | 441/1700 (26) | 715/1415 (51) | 295/1415 (21) | 405/1415 (29) | .21 |
| Work encroaches on my personal time | 224/1709 (13) | 309/1709 (18) | 1176/1709 (69) | 242/1421 (17) | 249/1421 (18) | 930/1421 (65) | .01c |
| Interruption of my personal life because of work is a problem | 511/1709 (30) | 488/1709 (29) | 711/1709 (42) | 360/1421 (25) | 347/1421 (24) | 714/1421 (50) | <.001c |
| Colleagues support balance of family and work responsibilities | 262/1708 (15) | 438/1708 (26) | 1009/1708 (59) | 240/1420 (17) | 401/1420 (28) | 780/1420 (55) | .08 |
| Mentor relationships facilitated my success as a surgeon | 311/1703 (18) | 227/1703 (13) | 1165/1703 (68) | 279/1416 (19) | 245/1416 (17) | 901/1416 (64) | .01c |
| I am well respected in my community | 21/1699 (1) | 207/1699 (12) | 1471/1699 (87) | 26/1416 (2) | 107/1416 (8) | 1283/1416 (91) | <.001c |
| Childcare satisfactiond | |||||||
| Satisfied with childcare arrangement | 178/1474 (12) | 252/1474 (17) | 1045/1474 (71) | 119/1259 (9) | 209/1259 (17) | 931/1259 (74) | .29 |
| My surgical practice has been modified because of childcare | 1040/1474 (71) | 187/1474 (13) | 247/1474 (17) | 825/1264 (65) | 191/1264 (15) | 249/1264 (20) | .04c |
a
Results weighted to account for potential nonresponse bias; questions were asked in Likert-scale format (1-2 = disagree, 3 = neutral, and 4-5 = agree).
b
χ2 Tests were used to assess differences in the proportion of academic surgeons who agreed with the specific job satisfaction measure compared with private practice surgeons who agreed with the specific job satisfaction measure.
c
P < .05 was considered statistically significant.
d
Among surgeons with children only.