An Analysis of the Attrition Behavior of Military Medical Corps Officers

Abstract

"This thesis investigates the determinants influencing the retention of active-duty physicians within the Military Health System. Given the competitive landscape with the private healthcare sector, retaining experienced military physicians poses a significant challenge exacerbated by the unique lifestyle demands inherent in military service. These retention challenges directly impact the continuity of care within the MHS and the readiness of our warfighters. Attrition behavior was examined across demographics, branches of service, and physician types through survival and regression analyses. The analyses indicated a 31% attrition rate, with General Medical Officers more likely to leave earlier in service, compared to specialists. Analysis revealed a pronounced attrition for the Air Force immediately following the completion of initial service obligations, while the Army and Navy struggled with retention at later stages of service. Moreover, females, minorities, and physicians with dependents exhibited heightened attrition probabilities, underscoring the need for targeted interventions. This study recommends targeted interventions tailored to address the diverse needs of specific physician groups at critical decision points within their career trajectories. The Department of Defense can bolster its ability to maintain a skilled medical workforce and ensure effective healthcare delivery to warfighters and their families by addressing the identified retention challenges."