Reports empirical findings related to work practices and practice mode choice of resident physicians, using data from a [Hospital Physician] survey of interns, residents, and fellows. Many residents earn extra money by moonlighting, mainly in medical activities outside the training hospital. Borrowing is not an important source of funds on average, but some residents borrow a considerable amount. The effect of wages on hours is positive but small; the effect of income is greater. Children exert a positive effect on male and a negative effect on female resident moonlighting hours. In a model of physician supply, total current consumption, leisure, spouse's leisure, and current dissaving are related to nonmarket income, number of children, and factors reflecting ability and willingness to borrow. Recent graduates rate solo practice low, partnerships and groups higher. Practice mode decisions are usually made during residency; academic medicine is often chosen during medical school. Both financial and nonfinancial factors influence choice. 96 pp. Bibliog.
This report is part of the RAND Corporation Report series. The report was a product of the RAND Corporation from 1948 to 1993 that represented the principal publication documenting and transmitting RAND's major research findings and final research.
Our mission to help improve policy and decisionmaking through research and analysis is enabled through our core values of quality and objectivity and our unwavering commitment to the highest level of integrity and ethical behavior. To help ensure our research and analysis are rigorous, objective, and nonpartisan, we subject our research publications to a robust and exacting quality-assurance process; avoid both the appearance and reality of financial and other conflicts of interest through staff training, project screening, and a policy of mandatory disclosure; and pursue transparency in our research engagements through our commitment to the open publication of our research findings and recommendations, disclosure of the source of funding of published research, and policies to ensure intellectual independence. For more information, visit www.rand.org/about/research-integrity.
The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.