Foreign-Trained Physicians’ Intention to Leave German Rehabilitation – A Logistic Regression

Physician shortages particularly affect German rehabilitation facilities, which increasingly rely on foreign-trained physicians (FTP). While essential for workforce stability, FTP face integration and career-related challenges that increase turnover risks. Evidence on FTP retention in rehabilitation remains scarce. This study examines whether professional biographical characteristics and career-related job satisfaction predict FTPs’ intention to leave German rehabilitation facilities. We conducted a cross-sectional online survey in spring 2022 among FTP working in German rehabilitation departments. A total of 142 FTP formed the analytical sample. Logistic regression was performed with turnover intention as the outcome and two predictors: years worked in the department and a career-related satisfaction index. Odds ratios (ORs), 95% confidence intervals (CIs), and p -values were calculated. Of 142 FTP analyzed, 26 (18.3%) intended to leave the field. Only 3.8% of those with turnover intention had worked more than 4 years in their department compared to 38.8% without such intention. Physicians planning to leave reported lower satisfaction with research, training, and career opportunities. Regression analysis showed turnover intention was negatively associated with years spent in the department (OR: .74; 95% CI [.56, .90]) and with higher career-related satisfaction (OR: .35; 95% CI [.20, .57]). Early-career physicians and those with lower career-related satisfaction are at higher risk of turnover. Despite limitations such as the cross-sectional design, self-reported data, and possible selection bias, the findings highlight the importance of career development and job satisfaction. Targeted strategies are needed to strengthen retention and ensure continuity of rehabilitation care.