Comparing Compensation of U.S. Military Physicians and Civilian Physicians in Residency Training and Beyond.
| Autor: | Stortz SK; Obstetrics and Gynecology, U.S. Naval Hospital (USNH) Okinawa, Okinawa, USA., Foglia LM; Obstetrics and Gynecology, Maternal Fetal Medicine, Womack Army Medical Center, Fort Bragg, USA., Thagard AS; Obstetrics and Gynecology, Maternal Fetal Medicine, Naval Medical Center Portsmouth, Portsmouth, USA., Staat B; Obstetrics and Gynecology, Maternal Fetal Medicine, Uniformed Services University, Walter Reed National Military Medical Center, Bethesda, USA., Lutgendorf MA; Obstetrics and Gynecology, Maternal Fetal Medicine, Naval Medical Center San Diego, San Diego, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2021 Jan 27; Vol. 13 (1), pp. e12931. Date of Electronic Publication: 2021 Jan 27. |
| DOI: | 10.7759/cureus.12931 |
| Abstrakt: | Introduction Resident physicians have a professional degree but are compensated less than other recently graduated professionals such as lawyers or nurse practitioners. The U.S. Military Healthcare System differs from the civilian setting in that physicians' salaries are based primarily on military rank. We compared military and civilian physician salaries across various specialties to determine if the increased military pay during residency compensates for military attending physicians' lower income as compared to their civilian counterparts. Methods This cross-sectional study compares military and civilian pay for resident and attending physicians in the fields of Obstetrics & Gynecology (OB/GYN), Family Medicine, and General Surgery. Military pay was obtained from 2018 Defense Finance and Accounting Service (DFAS) data. Civilian salaries were obtained from the Medscape 2018 Residents Salary & Debt Report, Medical Group Management Association (MGMA) 2018 Provider Compensation Report, and 2017-2018 Association of American Medical Colleges (AAMC) Faculty Salary Report. Results Military resident physicians earned 53% more than civilian residents while military attending physicians earned 32%-58% less (after taxes) than their civilian counterparts, varying by specialty. Military attending physicians' negative pay differential occurred in both academic and non-academic practice environments through MGMA data. Discussion The positive pay differential in military residency does not compensate for the negative pay differential of military attending physicians face as compared to their civilian counterparts. This negative pay differential persisted when comparing post-tax pay. Some military service benefits, such as decreased educational debt, are challenging to quantify and vary considerably between individuals. As the military seeks to reshape its healthcare force, military and civilian compensation differences should be considered. Competing Interests: Disclaimer: The views expressed in this article are those of the author(s) and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense or the United States Government. Several of the authors are military service members. This work was prepared as part of their official duties. Title 17 U.S.C. 105 provides that ‘Copyright protection under this title is not available for any work of the United States Government.’ Title 17 U.S.C. 101 defines a United States Government work as a work prepared by a military service member or employee of the United States Government as part of that person’s official duties (Copyright © 2021, Stortz et al.) |
| Databáze: | MEDLINE |
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