Working with physicians to advance initiatives that enhance practice efficiency, professional satisfaction and improve the delivery of care.

The AMA'S STEPS Forward™

Innovative strategies for physicians and their staff in the new health environment

The AMA's STEPS Forward™ practice transformation series is a collection of interactive, educational modules developed by physicians to help physicians address common practice challenges and to achieve the quadruple aim of:

1/Better patient experience

2/Better population health

3/Lower overall costs

4/Improved professional satisfaction

The real-world strategies, tools and resources presented in AMA STEPS Forward ™ are based on the key insights of the AMA-RAND Study on Physician Professional Satisfaction, "Factors affecting physician professional satisfaction and their implications for patient care, health systems and health policy."

Physician professional satisfaction

AMA-RAND STUDY: Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy

One of the AMA's core strategic objectives is to advance health care delivery and payment models that enable high quality, affordable care and restore and preserve physician professional satisfaction. Such changes could yield a more sustainable and effective health care system with highly motivated physicians. To that end, the AMA asked the RAND corporation to identify the factors that lead to physician satisfaction.


PDF, 783 Kb

Report at a glance

Research Questions

What factors influence physician professional satisfaction?


What are the implications of these factors for patient care, health systems, and health policy?

Key Topics
  • The importance of delivering high-quality care
  • The promise and challenges of electronic health records
  • The value of income stabilityand fairness
  • The cumulative burden of regulations

The AMA-RAND study highlights major contributors to higher professional satisfaction, including: providing high-quality patient care, autonomy over day-to-day work and sharing values with practice leadership. Major contributors to lower professional satisfaction are also highlighted, including perceived barriers to delivering high-quality care such as ineffective electronic health records (EHRs).

Transforming Clinical Practice Initiative

The AMA joins 39 health care collaborative networks selected to take part in the Transforming Clinical Practice Initiative (TCPI). This initiative will provide physicians with tools, information and support to improve quality of care, increase patient access to information and manage health care dollars.

TCPI is part of a broad strategy led by the Affordable Care Act to transform our health care system and meet the needs of a diverse patient population. Learn more about the background and participants in the Transforming Clinical Practice Initiative.

PDF, 38 kb

Explore the Pros and Cons of Different Practice Settings

Physicians have numerous practice options from which to choose depending on specialty, geography, patient population, personal preferences and the market dynamic between other providers (a hospital, for example) and payers. Examine the Practice Options for Physicians guide to evaluate the benefits of each option.

PDF, 354 kb

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