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Tytuł:
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Gender and compensation among surgical specialties in the Veterans Health Administration.
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Autorzy:
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Maxwell JH; Washington DC Veterans Affairs Medical Center, 50 Irving St NW, Washington, DC, 20422, USA; Department of Otolaryngology - Head and Neck Surgery, MedStar Georgetown University Hospital, 3800 Reservoir Rd NW, Washington, DC, 20007, USA. Electronic address: .
Randall JA; Loyola University Stritch School of Medicine, 2160 S 1(s)t Ave, Maywood, IL, 60153, USA.
Dermody SM; Department of Otolaryngology - Head and Neck Surgery, Michigan Medicine University of Michigan, 1500 E. Medical Center Dr, Ann Arbor, MI, 48109, USA.
Hussaini AS; Department of Otolaryngology - Head and Neck Surgery, MedStar Georgetown University Hospital, 3800 Reservoir Rd NW, Washington, DC, 20007, USA.
Rao H; Georgetown University School of Medicine, 3900 Reservoir Rd NW, Washington, DC, 20007, USA.
Nathan AS; Boston University School of Medicine, 72 E Concord St, Boston, MA, 02118, USA.
Malekzadeh S; Washington DC Veterans Affairs Medical Center, 50 Irving St NW, Washington, DC, 20422, USA; Department of Otolaryngology - Head and Neck Surgery, MedStar Georgetown University Hospital, 3800 Reservoir Rd NW, Washington, DC, 20007, USA.
Litvack JR; Elson S. Floyd College of Medicine, 412 E. Spokane Falls Blvd, Spokane, WA, 99202, USA.
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Źródło:
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American journal of surgery [Am J Surg] 2020 Aug; Vol. 220 (2), pp. 256-261. Date of Electronic Publication: 2020 Feb 27.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: Belle Mead, NJ : Excerpta Medica
Original Publication: New York.
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MeSH Terms:
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United States Department of Veterans Affairs*
Physicians, Women/*economics
Salaries and Fringe Benefits/*statistics & numerical data
Specialties, Surgical/*economics
Surgeons/*economics
Adult ; Female ; Humans ; Male ; Professional Practice Location ; Sex Factors ; United States
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Contributed Indexing:
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Keywords: Gender disparity; Pay gap; Pay transparency; Surgery; Veterans affairs
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Entry Date(s):
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Date Created: 20200319 Date Completed: 20200914 Latest Revision: 20200914
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Update Code:
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20240105
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DOI:
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10.1016/j.amjsurg.2020.02.045
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PMID:
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32184008
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Background: A gender pay gap has been reported across many professions, including medicine.
Methods: Surgeons employed at complex Veterans Affairs Medical Centers (VAMC) nationwide in 2016 were identified. Data on salary, gender, years since medical school graduation, professorship status, h-index, and geographic location were collected.
Results: Of 1993 surgeons nationwide, 23% were female. On average, female surgeons had significantly lower salaries compared to male surgeons ($268,429 ± 41,339 versus $287,717 ± 45,379, respectively; p < 0.001). Among each surgical specialty, there were no significant differences in salary on univariate analysis. Women were underrepresented in higher paying specialties and more heavily represented in lower paying specialties. On multivariate analysis, gender (p < 0.001), time since medical school graduation (p < 0.001), surgical specialty (p = 0.031), h-index (p < 0.001), and geographic location (p < 0.001) were significant predictors of salary.
Conclusion: Female gender significantly predicted lower salary among VAMC surgeons, however within each surgical specialty, there was no significant gender pay gap.
Sentence Summary: Independent predictors of salary included gender, surgical specialty, experience, h-index, and geographic location. Although female surgeons had lower overall salaries compared to male surgeons in the Veterans Health Administration (VHA), there were no significant gender differences in salary among each surgical specialty. Pay transparency, unique to the VHA, along with the use of rational and objective criteria to establish and adjust salaries, may play a role in reducing the gender pay gap among VHA surgeons.
(Published by Elsevier Inc.)
Comment in: Am J Surg. 2020 Aug;220(2):254-255. (PMID: 32354602)
