The landscape of physician practice is changing. The number of physicians describing themselves as independent practice owners declined from 62 percent in 2008 to 35 percent in 2014, according to the 2014 Survey of American Physicians conducted by the Physicians Foundation. Over 70 percent of physicians would still choose to be a physician if they could do their career over, but many have important concerns. Over 80 percent report that they are overextended or at full capacity and that nonclinical paperwork takes up about 20 percent of their time. Only 10 percent of physicians interviewed in 2014 were very optimistic about the future of the medical profession.