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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