US Residency Competitiveness, Future Salary, and Burnout in Primary Care vs Specialty Fields

Faber, David A.; Joshi, Shivam; Ebell, Mark H.

doi:10.1001/jamainternmed.2016.4642

Cited by 35 publications

(24 citation statements)

References 2 publications

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“…Using US senior fill rate as a marker of competitiveness, Faber et al demonstrated a strong positive correlation between specialty median salary and US fill rate in 2016. 10 Using 2019 data, the correlation between US senior fill rate and average salary remains robust (r=0.78, p=0.001) (figure 1). The proportion of US fill rate variation, or the effect on competitiveness, explained by salary is substantial (R 2 61%).…”

Section: Salarymentioning

confidence: 93%

“…5 11 12 Specialty ‘lifestyle’ includes a perception of work-life balance, practice-free time, severity of burn-out, relationships with patients, happiness at work, happiness outside work, the degree to which lifestyle can be controlled and work hour predictability. 10 13 14 Among 17 000 American internal medicine senior residents surveyed about their career decisions, time with family was reported as the most important factor. 6 Even in the shorter term, lifestyle factors may impact specialty selection.…”

Section: Lifestylementioning

confidence: 99%

“…13 14 Lifestyle elements appear to correlate modestly with specialty competitiveness (ie, happiness outside of work (r =0.45), hours worked per week (r=0.18)). 10 While a student’s interest in medical specialty is influenced by lifestyle, the magnitude of this influence on ultimate career selection and its resulting effect on specialty competitiveness is less clear.…”

Section: Lifestylementioning

confidence: 99%

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Determinants of medical specialty competitiveness

Lefebvre

Hartman

Tooze

et al. 2019

Postgraduate Medical Journal

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BackgroundAlthough the concept of medical specialty competitiveness may seem intuitive, there are very little existing empirical data on the determinants of specialty competitiveness in USA. An understanding of the determinants of specialty competitiveness may inform career choices among students and their advisors. Specialty competitiveness correlates with availability and appeal.MethodsThis narrative review examines 2019 National Resident Matching Program (NRMP) data and the existing literature to define the determinants of specialty competitiveness. A statistical analysis of key elements of the 2019 NRMP data was performed.ResultsUsing US senior applicant fill rate as a measure of competitiveness, medical specialty competitiveness follows general principles of supply and demand. The demand, or appeal, of a specialty correlates with several factors, including salary, prestige and lifestyle. Salary correlates strongly with US senior fill rate (r=0.78, p=0.001). Relatively few positions are available for the most competitive specialties in the NRMP match. The negative correlation between US senior fill rate and position availability is also strong (r=−0.85; p<0.0001).ConclusionA ‘competitive specialty’ correlates strongly with high earnings potential and limited position availability. In an ideal world, a student’s pursuit of a medical specialty should be guided by interest, qualifications and ability to succeed in that field. However, students must contend with the realities of competition created by the residency matching system.

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Section: Salarymentioning

confidence: 93%

Section: Lifestylementioning

confidence: 99%

Section: Lifestylementioning

confidence: 99%

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Determinants of medical specialty competitiveness

Lefebvre

Hartman

Tooze

et al. 2019

Postgraduate Medical Journal

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“…I hope passion for the patients and procedures rather than compensation motivate future physicians to choose orthopaedics, although the data clearly suggest that as pay increases, competition for residency slots in those better-compensated fields stiffens, with the dot for orthopaedics sitting comfortably on the upper right of the scatter [5]. Regardless of motivation, men and women train hard and work hard to provide musculoskeletal care.…”

Section: What Can Be Done?mentioning

confidence: 99%

Gendered Innovations in Orthopaedic Science: Show Me the Money

Page¹

2017

Clinical Orthopaedics &Amp; Related Research

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W hile passing years increase my cynicism, I still refuse to believe that pecuniary motivations drive medical students to our field. When I made my choice to work in orthopaedics, mired in educational debt (paltry by current standards), the idea of positive cash flow seemed a mirage. Rather, orthopaedic work was exciting, we made most patients better, and the residents and attendings were much happier than those on the general surgery service. Even now, a good day in the operating room can leave me thinking, ''Wow, I would pay for the opportunity to have this much fun!'' We are fortunate to be compensated for such enjoyable work. And as orthopaedic surgeons repeatedly take the top slot in physician-compensation reports, placing above most other wage-earners in the country, I feel I should be content with my compensation. But sort of like discovering the person sitting next to you on the plane paid USD 300 less for his ticket-perspective is everything. Realizing that the man behind the scalpel in the next room may earn 20% more for the same work that I do in my room dampens my enthusiasm and can feed cynicism among women in our field. That men are paid more than women for the same work is not news. But until recently, I naively assumedly that was an issue for other professions.

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“…Asimismo, en graduados de escuelas de medicina de Estados Unidos, se ha demostrado la existencia de una correlación entre la selección de algunas especialidades y la percepción de mayores ingresos económicos [6]. En 2016 se demostró que esta correlación permanecía sin mayores cambios, con menores salarios para aquellos médicos que escogían especialidades relacionadas con la atención primaria [7].…”

Section: Introductionunclassified

Asociación entre las perspectivas salariales y la elección de especialidades quirúrgicas en estudiantes de medicina de una universidad pública de Perú

Alarco

Changllio-Calle

Cahuana-Salazar

2018

FEM

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Association between the salary perspectives and the choice of surgical specialties in medical students of a public university in Peru Introduction. In Peru, specialist surgeons receive higher salaries than physicians from other specialties; on the other hand, more surgery specialists are needed to meet the current existing demand. This configuration could influence medical students to choose a surgical specialty in the future. The present study sought to determine the association between salary expectations and choosing surgical specialties. Subjects and methods. Cross-sectional analytical study from medical students in a Peruvian university. Future salary expectations and the intention of taking up a surgical specialty were measured using open questions, which were then categorized. Variables such as age, having relatives who were physicians, university ranking, and grouping by academic year were included in the analysis as confounding variables. Poisson regression models were employed to estimate possible associations and to perform fitting. Results. Data from 341 medical students were collected. The desire of having a salary higher than 4000 PER (1427 USD) per month was expressed by 50.7% of students, while 37.2% stated their intention to take up a surgical specialty in the future. After fitting for confounding variables, students who expected higher salaries were 58% more likely to set about studying a surgical specialty in the future in comparison with those who had the intention of studying other specialties (OR: 1.58; 95% CI: 1.19-2.10). Conclusions. Medical students who desire higher salaries have a higher probability of choosing a surgical specialty than students with lower salary expectations.

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US Residency Competitiveness, Future Salary, and Burnout in Primary Care vs Specialty Fields

Cited by 35 publications

References 2 publications

Determinants of medical specialty competitiveness

Determinants of medical specialty competitiveness

Gendered Innovations in Orthopaedic Science: Show Me the Money

Asociación entre las perspectivas salariales y la elección de especialidades quirúrgicas en estudiantes de medicina de una universidad pública de Perú

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