Buesa René J
Histology Supervisor/Manager, Retired, Miramar, FL 33029-5926, USA.
Ann Diagn Pathol. 2008 Apr;12(2):122-7. doi: 10.1016/j.anndiagpath.2007.09.003. Epub 2008 Jan 11.
An analysis of histology salaries from the last 4 national surveys conducted by the American Society of Clinical Pathologists is presented. The regional variations within and between years for histology salaries presented in the last 4 national surveys of medical laboratory specialties are not statistically significant. Local variations greater than the national variations reflect the preponderant effect of local supply and demand over regional characteristics. Salaries by hospitals are significantly different only between 2 size categories and the supervisors' salary. There is no correlation between the salary increase for any histology position in any one year and the vacancy level in the previous year. On the other hand, the correlation between histotechnicians' salaries and both the cost of living and the median income are significant, as well as between the latter and the supervisors' salary. The histotechnologists' salaries are significantly correlated with the consumer price index but not with the inflation rate. A survey of histology salaries in foreign countries was also undertaken and compared with salaries in the United States. National salaries rank close to the general average for 10 foreign countries when expressed as ratios with the personal gross domestic product or with the countries' minimum wage. For the midpoint salary ranges, the United States ranks fourth after Canada, the United Kingdom, and Australia, the latter 3 countries with structured pay rates adjusted to local costs of living in contrast with United States' salary characteristics. Histology salaries rest on negotiations within each employer's salary structure and fluctuate according to license level, documented studies, special training(s), years of experience, references, and the ability to negotiate, where each side tries to take advantage of the other. The result is a heterogeneous and chaotic salary situation driven by personal and local needs, where the histology worker usually ends underpaid, especially in nonmedical settings.
本文呈现了美国临床病理学家协会过去4次全国性调查所得的组织学薪资分析结果。过去4次医学检验专业全国性调查中所呈现的组织学薪资在各年份间及地区间的差异并无统计学意义。大于全国差异的局部差异反映出局部供需比地区特征的影响更大。不同规模医院之间的薪资差异仅在两类规模和主管薪资之间有显著差异。任何一年中任何组织学职位的薪资增长与上一年的职位空缺水平之间均无关联。另一方面,组织学技师的薪资与生活成本及中位数收入之间存在显著相关性,主管薪资与后者之间也存在显著相关性。组织学技师的薪资与消费者物价指数显著相关,但与通货膨胀率无关。还对国外的组织学薪资进行了调查,并与美国的薪资进行了比较。以与个人国内生产总值或各国最低工资的比率表示时,美国的全国薪资接近10个外国的总体平均水平。对于薪资中点范围,美国排名第四,仅次于加拿大、英国和澳大利亚,后三个国家有根据当地生活成本调整的结构化薪资率,与美国的薪资特征形成对比。组织学薪资取决于每个雇主薪资结构内的谈判,并根据执照等级、文献研究、特殊培训、工作年限、推荐信以及谈判能力而波动,双方都试图从对方那里获取优势。结果是由个人和局部需求驱动的薪资情况参差不齐且混乱无序,组织学工作者通常薪资偏低,尤其是在非医疗环境中。