Contribution of gender on compensation of Veterans Affairs-affiliated dermatologists: A cross-sectional study

Mytrang, H.; Lipner, Shari R.

doi:10.1016/j.ijwd.2020.09.009

Cited by 7 publications

(11 citation statements)

References 26 publications

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“…[12][13][14][15][16][17][18] The sex pay gap in dermatology has been previously noted in U.S.-based studies; however, data are often limited to specific populations with limited data on confounding factors that may contribute to sex-based salary gaps. [25][26][27] Furthermore, the impact of clinical practice patterns of dermatologists on sex-based pay disparities has not been explored in depth. The results in our study are the first of their kind within dermatology OHIP billings, demonstrating that the sex pay gap can be accounted for after adjusting for number of patients and number of visits.…”

Section: Discussionmentioning

confidence: 99%

Differences in Practice Patterns and Payments for Female and Male Dermatologists: A Canadian Population-Based Study Over 3 Decades

et al. 2022

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Background Canada’s fee-for-service physician reimbursement system, where a set rate is provided for each service, suggests that a physician sex pay gap should not exist. However, recent evidence has questioned this presumption. Objectives To characterize trends in demographics and billing, overall and by sex, for dermatologists compared to other medical and surgical specialty groups in Ontario, Canada. Methods Using population-based data, analysis of physician billing and clinical activity from Ontario, Canada, over 27 years (1992-2018) was performed. Multilevel regression models were used to examine unadjusted and adjusted differences in payments between females and males over time, while controlling for age, distinct patients seen, patient visits, and full-time equivalent. Results A total of 22 389 physicians were included in the analyses, including 381 dermatologists. The proportion of female dermatologists increased from 32% in 1992 to 46% in 2018. Dermatologists’ median Ontario Health Insurance Plan (OHIP) payments were $415 340 (IQR: 285 630-566 580) in 1992 compared to $296 750 (IQR: 164 480-493 180) in 2018. Male dermatologists’ OHIP payments were 20% more than their female counterparts across the entire study period. After adjusting for practice volumes, there was no significant pay gap amongst female and male dermatologists ( P = .42); however, the sex pay gap remained significant for the other specialty groups ( P < .001). From 1992 to 2018, dermatologists on average saw 19% fewer distinct patients per year and 15% fewer visits per patient. Conclusions The overall sex pay gap within medical dermatology can be attributed to differences in practice patterns, whereas the sex pay gap remained significant in the other specialty groups.

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Section: Discussionmentioning

confidence: 99%

Differences in Practice Patterns and Payments for Female and Male Dermatologists: A Canadian Population-Based Study Over 3 Decades

et al. 2022

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“…Although some health care systems and some specialties have mitigated income inequities, the degree to which income differences exist in emergency medicine is unknown. 17 , 18 Despite the long‐standing awareness of income inequity, many income differences persist among physicians. 1 , 14 , 19 , 20 …”

Section: Introductionmentioning

confidence: 99%

“…Understanding the factors associated with differences in emergency physician income, as well as the magnitude of those differences, is key to creating income transparency and parity. Although some health care systems and some specialties have mitigated income inequities, the degree to which income differences exist in emergency medicine is unknown 17,18 . Despite the long‐standing awareness of income inequity, many income differences persist among physicians 1,14,19,20 …”

Section: Introductionmentioning

confidence: 99%

Factors associated with emergency physician income

et al. 2023

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Objective Income fairness is important, but there are limited data that describe income equity among emergency physicians. Understanding the magnitude of and factors associated with income differences may be helpful in eliminating disparities. This study analyzed the associations of demographic factors, training, practice setting, and board certification with emergency physician income. Methods We distributed a survey to professional members of the American College of Emergency Physicians. The survey included questions on annual income, educational background, practice characteristics, gender, age, race, ethnicity, international medical graduate status, type of medical degree (MD vs DO), completion of a subspecialty fellowship, job characteristics, and board certification. Respondents also reported annual income. We used linear regression to determine the respondent characteristics associated with reported annual income. Results From 45,961 members we received 3407 responses (7.4%); 2350 contained complete data for regression analysis. The mean reported annual income was $315,306 (95% confidence interval [CI], $310,649 to $319,964). The mean age of the respondents was 47.4 years, 37.4% were women, 3.2% were races underrepresented in medicine (Black, American Indian, or Alaskan Native), and 4.8% were Hispanic or Latino. On linear regression, female gender was associated with lower reported annual income; difference −$43,565, 95% CI, −$52,217 to −$34,913. Physician age, degree (MD vs DO), underrepresented racial minority status, and underrepresented ethnic minority status were not associated with annual income. Fellowship training was associated with lower income; Accreditation Council for Graduate Medical Education (ACGME) program difference −$30,048; 95% CI, −$48,183 to −$11,912, non‐ACGME‐program difference −$27,640, 95% CI, −$40,970 to −$14,257. Working at a for‐profit institution was associated with higher income; difference $12,290, 95% CI, $3693 to $20,888. Board certification was associated with higher income; difference, $43,267, 95% CI, $30,767 to $55,767. Conclusions This study identified income disparities associated with gender, practice setting, fellowship completion, and American Board of Emergency Medicine or American Osteopathic Board of Emergency Medicine certification.

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“…4 These differences are observed even while adjusting for area of practice, clinical productivity, and years of experience. 5,6 In dermatology, women make up most of the boardcertified dermatologists yet, women remain underrepresented as leaders in the American Academy of Dermatology, 7 editorial board members, 8 lecturers at national meetings, 9,10 and authors in high-impact dermatology journals. 11 Income inequality has also been reported in studies with male dermatologists earning higher salaries than female dermatologists in several settings.…”

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confidence: 99%

Gender Differences in Clinical Practice and Medicare Reimbursement Among Mohs Surgeons

et al. 2023

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Contribution of gender on compensation of Veterans Affairs-affiliated dermatologists: A cross-sectional study

Cited by 7 publications

References 26 publications

Differences in Practice Patterns and Payments for Female and Male Dermatologists: A Canadian Population-Based Study Over 3 Decades

Differences in Practice Patterns and Payments for Female and Male Dermatologists: A Canadian Population-Based Study Over 3 Decades

Factors associated with emergency physician income

Gender Differences in Clinical Practice and Medicare Reimbursement Among Mohs Surgeons

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