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AMGA Survey Shows Continued Healthcare Staffing Challenges Amidst Increased Provider Workload
Results for the recently released AMGA 2025 Medical Clinic Staffing Survey indicate that while the pace of work accelerates at medical groups and health systems nationwide, groups are continuing to experience decreased staffing.
November 12, 2025
Association News
Alexandria, VA - Results for the recently released AMGA 2025 Medical Clinic Staffing Survey indicate that while the pace of work accelerates at medical groups and health systems nationwide, groups are continuing to experience decreased staffing. In the face of intense industry pressures, from reimbursement shifts to labor shortages, these staffing trends demonstrate that medical groups are increasingly operating with fewer resources.
The survey, conducted by AMGA Consulting, found that staffing ratios per 10k work Relative Value Units (wRVU) saw a 4.8% decrease within primary care specialties, while medical and surgical specialties saw a 2.4% and 1.1% increase, respectively, from the prior survey year. Meanwhile, over the past three years, primary care and medical specialties have seen a 5% to 7% decrease in total clinic staffing.
“With medical groups seeing a decline in clinic staffing per 10k wRVUs, this continued surge in provider productivity creates an undeniable squeeze. Every member of the clinic team is being asked to handle a greater burden,” said Matthew Wells, senior director with AMGA Consulting. “In the face of intense industry pressures, from reimbursement shifts to labor shortages, these staffing trends demonstrate that medical groups are operating with fewer and fewer resources, which will inevitably lead to operational and access challenges.”
Increasing workloads can drive burnout among providers and staff, potentially leading to turnover amongst them. In the AMGA 2025 Clinic Staffing Survey, clinics reported a median turnover rate for critical back-office support staff (registered nurses and medical assistants) between 17% and 18%. Across the clinic, the overall turnover rates for support staff can range anywhere from 12% to 26%.
As medical groups look to address access issues and provider shortages, many organizations continue to focus on advanced practice clinician (APC) utilization, especially in states where they can provide care independently of physicians. Over the past three survey years, APCs (as a percent of providers) increased upwards of 7%, meaning that 7% more of the provider workforce is comprised of APCs. This trend varies by specialty, with higher utilization seen within primary care and lower (< 2% increase) in surgical specialties.
“Even with the increased recruitment of APCs coupled with additional visits overall, medical groups continue to grapple with staffing challenges to support the delivery of care,” said AMGA Consulting Chief Operating Officer Mike Coppola. “This trend is expected to continue for the foreseeable future.”
Press copies are available. Please contact Taylor Martin for more information.
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About the Survey
The AMGA 2025 Medical Clinic Staffing Survey is a confidential assessment of clinic staffing data and trends compiled by AMGA Consulting. It includes data from medical groups around the country, representing almost 7,000 clinics and 29,000 providers across primary care, medical, surgical, and other specialty-based areas. The report presents data organized by organization type, specialty type, and metrics including FTEs per provider, per 10,000 wRVUs, and per 5,000 visits. The survey data is effective as of January 1, 2025, and is based on 2024 figures. To learn more and purchase the survey, visit AMGA’s website.
About AMGA Consulting
AMGA Consulting assists healthcare organizations in navigating the changing industry environment. AMGA Consulting builds clients’ organizational capabilities through effective governance, operational improvement, strategic alignment, talent management, provider compensation design, fair market value analysis, and total rewards solutions.
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About AMGA
AMGA is a trade association leading the transformation of healthcare in America. Representing multispecialty medical groups and integrated systems of care, we advocate, educate, innovate, and empower our members to deliver the next level of high performance health. AMGA is the national voice promoting awareness of our members’ recognized excellence in the delivery of coordinated, high-quality, high-value care. More than 175,000 physicians practice in our member organizations, delivering care to one in three Americans.