Spencer E Sophie, Deal Allison M, Pruthi Nicholas R, Gonzalez Chris M, Kirby E Will, Langston Joshua, McKenna Patrick H, McKibben Maxim J, Nielsen Matthew E, Raynor Mathew C, Wallen Eric M, Woods Michael E, Pruthi Raj S, Smith Angela B
Department of Urology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Cancer Outcomes Research Group, Biostatistics and Clinical Data Management, Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina.
J Urol. 2016 Feb;195(2):450-5. doi: 10.1016/j.juro.2015.08.100. Epub 2015 Sep 15.
The proportion of women in urology has increased from less than 0.5% in 1981 to 10% today. Furthermore, 33% of students matching in urology are now female. In this analysis we characterize the female workforce in urology compared to that of men with regard to income, workload and job satisfaction.
We collaborated with the American Urological Association to survey its domestic membership of practicing urologists regarding socioeconomic, workforce and quality of life issues. A total of 6,511 survey invitations were sent via e-mail. The survey consisted of 26 questions and took approximately 13 minutes to complete. Linear regression models were used to evaluate bivariable and multivariable associations with job satisfaction and compensation.
A total of 848 responses (660 or 90% male, 73 or 10% female) were collected for a total response rate of 13%. On bivariable analysis female urologists were younger (p <0.0001), more likely to be fellowship trained (p=0.002), worked in academics (p=0.008), were less likely to be self-employed and worked fewer hours (p=0.03) compared to male urologists. On multivariable analysis female gender was a significant predictor of lower compensation (p=0.001) when controlling for work hours, call frequency, age, practice setting and type, fellowship training and advance practice provider employment. Adjusted salaries among female urologists were $76,321 less than those of men. Gender was not a predictor of job satisfaction.
Female urologists are significantly less compensated compared to male urologists after adjusting for several factors likely contributing to compensation. There is no difference in job satisfaction between male and female urologists.
泌尿外科领域女性所占比例已从1981年的不到0.5%增至如今的10%。此外,如今泌尿外科住院医师匹配项目中有33%的学员为女性。在本分析中,我们对泌尿外科领域的女性从业者与男性从业者在收入、工作量和工作满意度方面的情况进行了描述。
我们与美国泌尿外科协会合作,就社会经济、劳动力和生活质量问题对其国内执业泌尿外科医生会员进行调查。通过电子邮件共发送了6511份调查问卷。该调查包含26个问题,大约需要13分钟完成。使用线性回归模型评估与工作满意度和薪酬相关的双变量及多变量关联。
共收集到848份回复(660份或90%为男性,73份或10%为女性),总回复率为13%。双变量分析显示,与男性泌尿外科医生相比,女性泌尿外科医生更年轻(p<0.0001),更有可能接受过专科培训(p=0.002),在学术机构工作(p=0.008),不太可能自主执业,工作时间也更少(p=0.03)。多变量分析显示,在控制工作时长、值班频率、年龄、执业环境和类型、专科培训以及高级执业提供者就业情况后,女性是薪酬较低的显著预测因素(p=0.001)。女性泌尿外科医生的调整后薪资比男性少76,321美元。性别并非工作满意度的预测因素。
在对可能影响薪酬的多个因素进行调整后,女性泌尿外科医生的薪酬显著低于男性泌尿外科医生。男性和女性泌尿外科医生的工作满意度没有差异。