Physicians' perceptions of institutional and leadership factors influencing their job satisfaction at one academic medical center.

Purpose: Academic physicians' perceptions about their institution's function and leadership should provide insights toward improving faculty recruitment and retention.

Method: The authors surveyed 105 non-management and non-emeritus physicians who had been hired by (57%) or left (43%) the University of Missouri-Columbia School of Medicine (MUHC) in 1991-1998. The questionnaire measured both the importance and the availability of 14 institutional and leadership factors and the physicians' perceptions of satisfaction with their careers.