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Rural Physician Retention And Workload: A Moving Target
David A. Smith, MD
University of South Dakota School of Medicine Yankton
Arch Fam Med. 1995;4(3):205.
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In the September 1994 issue of the ARCHIVES, pathman1 editorialized on rural physician retention related to workload, and in that same issue, Main1 editorialized on rural physician retention related to workload, and in that same issue, Mainous et al2 published research showing no correlation between workload and attrition in rural practice settings.
After reading these articles, I was reminded of the compliance and adherence literature in which no one factor can be shown by research to affect patient behavior with statistical significance. Perhaps we are shooting at a moving target. Recalling my own departure from a rural practice, I remember that my workload varied, as did my energy and my family situation, and perhaps the point at which I became "overworked" was not really the busiest time of my career.
In addition, there is the "straw that broke the camel's back" phenomenon. I very clearly recall suffering through a summer of practice in Deadwood, SD, where I returned to the
. . . [Full Text PDF of this Article]
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