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Evaluation & the Health Professions
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Perceptions of Practice Problems Encountered by Family Physicians, Pediatricians, and Orthopedic Surgeons

Gang Xu

Timothy P. Brigham

J. Jon Veloski

Joseph F. Rodgers

Jefferson Medical College

Information about physicians' practice problems was solicited through a structured questionnaire mailed to a group of family physicians, pediatricians, and orthopedic surgeons. Overall, a lack of personal time was the major concern across the three groups of physicians. Comparisons among the three types of physicians revealed two pattems: Family physicians reported more concerns in the "interpersonal" dimension, whereas orthopedic surgeons had more concerns in the "legal-economic" dimension. These patterns of differences persisted with two variables controlled: gender and time period in which they completed their residency program. These findings indicate that physicians 'concerns in theirpractice vary among the specialties, and they imply that the changed economy and reimbursement system might have more impact on one than the other Thus the effectiveness of residency training and continuing education might be improved by emphasizing the specialty-relatedproblems in practice.

Evaluation & the Health Professions, Vol. 16, No. 1, 119-129 (1993)
DOI: 10.1177/016327879301600109
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