Objective:

To assess changes in physician intentions to reduce clinical hours and leave organizations from 2022 to 2024.

Key Findings:

• {'original': '21% of physicians plan to reduce clinical hours in 2024, down from 26% in 2022.', 'revision': '23% of physicians plan to reduce clinical hours in 2024, down from 26% in 2022.'}
• {'original': 'Hospital-based physicians were more likely to reduce hours than primary care physicians.', 'revision': 'Hospital-based physicians were more likely to reduce hours than primary care physicians, while psychiatric physicians had higher odds of intending to leave their organization.'}

Interpretation:

Despite a decline in exit intentions, concerns about physician workforce capacity remain, with ongoing operational pressures influencing stability, indicating mixed progress since the pandemic.

Limitations:

• {'original': 'Outcomes were based on self-reported intentions rather than confirmed behaviors.', 'revision': 'Outcomes were based on self-reported intentions rather than confirmed behaviors, and participating organizations could choose to survey all physicians or selected groups.'}

Conclusion:

Addressing workflow inefficiencies, staffing challenges, compensation, and administrative burdens is critical for sustaining physician workforce capacity.