Another deterrent, Dr. Goldstein and colleagues noted, is that younger surgeons prioritize work/life balance more than those a generation ago. “Doing both surgery and research is more time consuming than it used to be,” he added. “Some younger surgeons aren’t willing to sacrifice that balance in order to pursue their academic goals.”
More administrative duties and clinical demands also play roles. “The amount of paperwork, whether it’s for documenting patient visits, billing, or educating residents, has risen substantially,” Dr. Keswani added.
In addition, Deepak Mehta, MD, director of the Pediatric Aerodigestive Center and a pediatric otolaryngologist at Texas Children’s Hospital in Houston, noted that a greater emphasis on multi-disciplinary teams and coordinating care requires much more time compared to 20 years ago.