A Qualitative Examination of Job Satisfaction in Emergency Medicine From the Perspective of Physicians Also Working in Prehospital and Retrieval Medicine
Bibliographic record
Abstract
OBJECTIVE: Low job satisfaction amongst emergency physicians is a significant risk to career sustainability. Anecdotal evidence suggests that prehospital and retrieval medicine (PHARM) physicians experience relatively high job satisfaction. The objective of this qualitative study was to explore the research question: 'What influences job satisfaction and sustainability for emergency physicians who maintain dual roles in PHARM and the emergency department?' METHODS: Eligible emergency physicians from Australia and New Zealand were interviewed in-depth about their experiences and perceptions of job satisfaction and sustainability. The research team applied experiential knowledge and an inductive analytic approach to construct a conceptual understanding of the physicians' job satisfaction from the data, including factors contributing to career sustainability. RESULTS: Our sample included 11 participants, six from Australia and five from New Zealand. We identified six key themes influencing job satisfaction: workload, job factors, personal factors, focus on well-being, culture and management and bureaucracy. These are explored in detail, along with ideas on career sustainability. CONCLUSIONS: The nature of emergency medicine work remains inherently satisfying for participants in this study but is influenced by the culture and current working conditions found in many emergency departments, particularly when these factors impact the standard of clinical care physicians feel they can provide. Our findings offer practical guidance on protective factors for job satisfaction and sustainability, including fractional appointments, diversity and flexibility of practice, continuous professional development and access to professional supervision or peer support. Preserving career longevity in emergency medicine requires the implementation of evidence-based, sustainable initiatives.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.004 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".