The case hospital, a public university medical center, has a rigid payroll system due to tight governmental regulation. The pay is based on a physician's tenure and hierarchy which may lead to the physician' low job satisfaction, and consequently high propensity to leave the hospital. Therefore, the purpose of this study is to explore the factors influencing the propensity of full-time physicians to leave. Based on literature review, we hypothesized that the physicians' satisfaction with pay will be affected by personality, expectation to work environment, and work performance, and that physician's intention to leave the job will be influenced by the expectation to work environment and satisfaction with pay. The survey consisted of, 388 visiting staffs being selected from this case hospital, of which 227 sample cases responded to this questionnaire (58.5%). Using the Linear Structural Equation modeling, we analyzed the association between the satisfaction with pay and their propensity to leave. The main study results were that the factors directly affected the intention to leave were the satisfaction with compensation, family factor, clinical performance, and research performance. Based on our study results ,we suggest that the case hospital should improve the physician payroll system, facilitate the organization supporting mechanism, increase the flexibility of job design ,and correct the unbalanced work load.