Physicians who reported improvements in their immediate supervisors’ leadership behavior were less likely to leave their organizations over the following two years, according to a study published Oct. 14 in JAMA Network Open.
Researchers at Stanford Medicine (Calif.) analyzed 7,351 survey responses from 3,124 physicians across five survey periods between 2016 and 2024, matching responses with human resources records to track actual turnover.
Each 1-point improvement in leadership behavior scores was associated with an 18% decrease in physician turnover over the following two years. A 1-point improvement in alignment between physicians’ personal values and organizational values was associated with a 14% reduction in turnover.
In a separate analysis comparing ratings at a single point in time, higher leadership ratings remained associated with lower turnover after researchers adjusted for age, sex, survey year, burnout and professional fulfillment. However, the association between values alignment and turnover was no longer present in that fully adjusted analysis.
Overall, the two-year voluntary turnover rate, excluding retirements, was 5.0%. Physicians reporting moderate intent to leave were more likely to depart, but only 8% actually did so. Among those reporting likely or definite intent to leave, 17% departed within two years.
Researchers said the findings support investing in physician leadership development and organizational values alignment, though the single-institution study does not establish causation.
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.
