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Recent research shows that 45,000 doctors over the age of 65 are still actively working, while 100,000 have retired. What drives some doctors to continue practicing while others choose to step away? A recent survey by Coliquio, a Medscape Network platform, delved into these motivations, revealing three key factors that keep doctors in the workforce: financial considerations, passion for medicine, and a sense of duty.
Financial Considerations
For some physicians, financial stability is a key factor in deciding whether to retire. Many continue working to pay off outstanding loans, secure a more comfortable retirement, or find a suitable successor for their practice. The idea of reducing working hours rather than retiring completely is an attractive option for those who are not yet ready to step away fully.
A Coliquio forum user, a gynecologist named “Sylnlaeg,” described a common internal debate: “Every vacation, I ask myself: How much do I really need to live comfortably? Can I afford to cut back—maybe give up 25% or even 50% of my practice seat?”
Financial incentives may also play a role in encouraging retired doctors to return to work. In France, tax relief policies helped bring 20,000 doctors back into the workforce. Some believe similar policies could help address the shortage of medical professionals in other countries. However, the idea remains controversial, particularly among those who feel overwhelmed by the administrative and regulatory burdens of the profession.
Passion for the Job
Many doctors continue practicing simply because they love what they do. The ability to make a meaningful impact on patients’ lives is a powerful motivator. For some, the joy of seeing long-term treatment success and receiving patient gratitude outweighs the challenges of the job.
As one psychological psychotherapist, “urmayr,” put it: “The profession gives the feeling of doing something important, something that will last.”
Others have found a balance by reducing their working hours rather than retiring entirely. A general medicine practitioner, “micuebmlfa,” shared her experience: “Now, at 67, working two half-days independently in a new practice is fun. You can have a relaxed relationship with staff and patients without feeling overworked. As long as there is no self-misjudgment, I will continue to do it for a while. I don’t need any incentives for that.”
A Sense of Duty
For some doctors, their sense of responsibility to their patients makes it difficult to retire. Medical care shortages, particularly in rural areas, reinforce their commitment to continue practicing.
A neurologist in the forum expressed concern about leaving patients without access to affordable medical care, noting that many of them rely on health insurance coverage. This ethical dilemma weighs heavily on doctors considering retirement.
However, the increasing burden of bureaucracy and financial pressure has led some doctors to reconsider their long-term commitment. A pediatrician in the discussion noted that she now spends more time on paperwork than patient care, which has made the profession less fulfilling over time.
Looking Ahead
Retirement is a deeply personal decision influenced by financial stability, passion for the profession, and a sense of duty to patients. While some doctors step away to enjoy their well-earned rest, others find fulfillment in continuing to practice, even if only part-time.
What about you? Have you considered retirement, or do you plan to continue working? Share your experiences and insights with your colleagues.
Disclaimer: This article is based on survey responses and forum discussions from Coliquio, a Medscape Network platform. The views expressed do not necessarily reflect the opinions of all medical professionals. This content is for informational purposes only and should not be considered financial or career advice.
