Daily Briefing

How workforce shortages are impacting physicians, in 3 charts


According to a new survey from Medscape, doctors are not confident about improving the nationwide physician shortage, with many citing a shortage of qualified applicants.

The impact of the physician shortage

Medscape surveyed 1,001 U.S. physicians across several different specialties between March 20 and April 24, 2025, about the impact of the current physician shortage on their work lives and how their employers are trying to recruit new applicants.

In the survey, almost 60% of respondents said they were either "unconfident" or "very unconfident" about the nationwide physician shortage improving over the next 10 years. Currently, 69% of doctors say that their employers are trying to hire more doctors for either part-time or full-time work, with many aiming to do so for multiple locations.

"The need to hire across multiple locations highlights the strain on healthcare systems to meet growing patient demand," said Jeff Decker, president of the physician and leadership solutions division at AMN Healthcare. "This trend is driven by a mix of factors: expansion into underserved areas, turnover from pandemic-era burnout, and efforts to restore pre-pandemic staffing levels."

When asked about the impact of unfilled positions on their own work lives, doctors regularly reported increases to their patient count, schedule, and work hours.

"Physician shortages become a compounding problem because they drive physician burnout and turnover, leading to even worse shortages," Decker said. "At some point, you can stretch physicians and other providers only so far."

However, even with a shortage of physicians, 72% of respondents said new patients were not being turned away.

"Healthcare organizations can usually accommodate patients; the question is when," Decker said. "AMN Healthcare survey data show that physician appointment wait times have increased by 48% since 2004. At some point, patients either seek care at a competitor or defer care altogether, which undermines both quality of care and facility revenue."

"Facilities can fill gaps using locum tenens physicians, though in the long term we need to train more physicians and more efficiently utilize the ones we have," he added.

How employers are trying to recruit applicants

According to the respondents, some of the strategies employers are using to attract more qualified physician applicants include networking, improving compensation, and using a recruitment firm. 

For employers, networking through their own physician and staff was most often viewed as being more cost-effective than other strategies, such as sending recruiters to conferences or increasing pay and benefits.

"I'm not surprised that the things that are going to cost more are not as popular, when organizations are so uncertain of where they'll be financially in the future," said Maddi Davidson, a principal and senior director of market access at Avalere Health. "And, of course, the networking just makes inherent sense because doctors want to work with people they know and trust."

However, despite these recruitment efforts, over half of respondents said there was a lack of qualified applicants in their local market for physicians, nurses and physician assistants, and support staff. According to the respondents, this shortage of qualified applicants was felt more acutely with primary care physicians (56%) compared to medical specialists (44%).

"Primary care physicians are gatekeepers to the system and 'feed' specialists, so there is a strong need for their services," Decker said. "However, in our experience, both primary care physicians and specialists are in short supply."

Some respondents also expressed concerns about the availability of qualified physician candidates in the future.

"After interviewing recent graduate physicians, I am concerned with the quantity and quality of the workforce," one respondent said.

"Applications for medical school have not increased sufficiently to fulfill the anticipated needs of the future," another respondent said. "Additionally, residency graduates entering the physician workforce have a more work-life balance approach, which may be wise but nonetheless contribute to a lack of practicing physicians in the future."

(McKenna, Medscape, 8/22; Bettelheim, Axios, 8/26)


Advisory Board's take

The solution isn't more doctors. It's more efficiency.

By Sebastian Beckmann and Daniel Kuzmanovich

There are some specific specialties and geographic areas with a physician shortage. For example, neurosurgeon supply almost singlehandedly drives neurosurgery volumes and many rural markets lack any primary care coverage.

But in some instances, we question whether we have a physician shortage for a very specific reason: We don't currently practice in the most efficient way possible.

In other words, we don't have a nationwide physician shortage. We have an efficiency problem.

More broadly, we should be thinking about physician time. Physicians spend outsized time on administrative tasks which limits their ability to treat patients.

For instance, our recent physician research found that each physician spends about six hours and nine minutes (369 minutes) per day on three tasks alone: documentation, prior authorization, and inbox messaging.

However, with appropriate workflow interventions in each of those three categories, that time could be drastically reduced by about 3 hours. These three actionable insights detail the custom workflow solutions that save providers time.

So, while it's true there is a physician shortage in some markets or specialties, it's also true that a lot of administrative burden and inefficiency in our current care model is reducing physicians' availability. 

If we reduce administrative burden on physician time and triage patients to the right provider at scale, we could obviate the shortage.


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