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Table 1 Current causes of medical dissatisfaction

From: Physicians’ job satisfaction and motivation in a public academic hospital

Extrinsic Intrinsic
Income reduction Loss of prestige and autonomy
Work overload Conflicts between personal, family, and work life
Time pressure Threat of malpractice proceedings
Changes in the organization and administration of the working environment Depreciation between specialties
Decrease in freedom imposed by types of procedural standards Lack of respect and appreciation of the work offered
Reduced time for appointments, which leads to a worsening of the doctor-patient relationship Aggressiveness and violence from patients and the community