Association of Gender and Personal Choices with Salaries of New Emergency Medicine Graduates.

Autor: Gallahue FE; The University of Washington, Department of Emergency Medicine, Seattle, Washington., Ling LJ; University of Minnesota, Department of Emergency Medicine, Minneapolis, Minnesota., Quigley L; George Washington University Fitzhugh Mullan Institute for Health Workforce Equity, Washington, DC., Dowling Evans D; Emory University Nell Hodgson Woodruff School of Nursing, Atlanta, Georgia., Salsberg E; George Washington University Fitzhugh Mullan Institute for Health Workforce Equity, Washington, DC., Suter RE; Sam Houston State University College of Osteopathic Medicine, Office of the Dean, Conroe, Texas.; Uniformed Services University of the Health Sciences, Department of Military Medicine, Bethesda, Maryland., Marco CA; Penn State Health Milton S. Hershey Medical Center, Department of Emergency Medicine, Hershey, Pennsylvania.
Jazyk: angličtina
Zdroj: The western journal of emergency medicine [West J Emerg Med] 2024 Sep; Vol. 25 (5), pp. 800-808.
DOI: 10.5811/westjem.33606
Abstrakt: Objective: The medical literature has demonstrated disparities and variability in physician salaries and, specifically, emergency physician (EP) salaries. We sought to investigate individual physician characteristics, including sex and educational background, together with individual preferences of graduating EPs, and their association with the salary of their first job.
Methods: The American College of Emergency Physicians and the George Washington University Mullan Institute surveyed 2019 graduating EPs. The survey included respondents' demographic and educational background, post-training job characteristics and location, hospital characteristics, importance of different personal priorities, and starting salaries. We performed a multivariable regression analysis to determine how salaries were associated with job types and individuals' characteristics.
Results: We sent surveys to 2,192 graduating residents in 2019. Of these, 487 (22.2%) responded, and 270 (55.4%) accepted first-time clinical jobs and included salary data (12.3% of all surveys sent). Male sex, osteopathic training, and full-time work were significantly associated with higher salary. Men and women prioritized different factors in their job search. Women were more likely to consider such factors as parental leave policy, proximity to family, desired practice setting, type of hospital, and desired location as important. Salary/compensation was considered very important by 51.8% of men and 29.6% of women. Men's median salary was $30,000 more than women's (p = 0.01, 95% CI +$6,929 -+$53,071), a significant pay differential.
Conclusion: Salaries of graduating emergency medicine residents are associated with the resident's sex and degree type: doctor of osteopathic medicine or doctor of allopathic medicine. Multiple factors may contribute to men having higher salaries than women, and some of this difference reflects different priorities in their job search. Women were more likely to consider job conditions and setting to be more important, while men considered salary and compensation more important.
Competing Interests: Conflicts of Interest: By the WestJEM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. Financial support was provided by the American College of Emergency Physicians (ACEP), American Board of Emergency Medicine (ABEM), American College of Osteopathic Emergency Physicians (ACOEP), American Osteopathic Board of Emergency Medicine (AOBEM), Council of Emergency Medicine Residency Directors (CORD), Emergency Medicine Residents’ Association (EMRA), and Society for Academic Emergency Medicine (SAEM). ES and LQ received funding from the American College of Emergency Physicians (ACEP), American Board of Emergency Medicine (ABEM), American College of Osteopathic Emergency Physicians (ACOEP), American Osteopathic Board of Emergency Medicine (AOBEM), Council of Emergency Medicine Residency Directors (CORD), Emergency Medicine Residents’ Association (EMRA), and Society for Academic Emergency Medicine (SAEM) for the data acquisition and analysis. There are no other conflicts of interest or sources of funding to declare.
Databáze: MEDLINE
Externí odkaz: