Kapoor Neena, Blumenthal Daniel M, Smith Stacy E, Ip Ivan K, Khorasani Ramin
1 Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115.
2 Center for Evidence Based Imaging, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
AJR Am J Roentgenol. 2017 Nov;209(5):953-958. doi: 10.2214/AJR.17.18256. Epub 2017 Sep 5.
The purpose of this study was to evaluate salary differences between male and female academic radiologists at U.S. medical schools.
Laws in several U.S. states mandate public release of government records, including salary information of state employees. From online salary data published by 12 states, we extracted the salaries of all academic radiologists at 24 public medical schools during 2011-2013 (n = 573 radiologists). In this institutional review board-approved cross-sectional study, we linked these data to a physician database with information on physician sex, age, faculty rank, years since residency, clinical trial involvement, National Institutes of Health (NIH) funding, scientific publications, and clinical volume measured by 2013 Medicare payments. Sex difference in salary, the primary outcome, was estimated using a multilevel logistic regression adjusting for these factors.
Among 573 academic radiologists, 171 (29.8%) were women. Female radiologists were younger (48.5 vs 51.6 years, p = 0.001) and more likely to be assistant professors (50.9% [87/171] vs 40.8% [164/402], p = 0.026). Salaries between men and women were similar in unadjusted analyses ($290,660 vs $289,797; absolute difference, $863; 95% CI, -$18,363 to $20,090), and remained so after adjusting for age, faculty rank, years since residency, clinical trial involvement, publications, total Medicare payments, NIH funding, and graduation from a highly ranked medical school.
Among academic radiologists employed at 24 U.S. public medical schools, male and female radiologists had similar annual salaries both before and after adjusting for several variables known to influence salary among academic physicians.
本研究旨在评估美国医学院校中男性和女性放射科医师的薪资差异。
美国几个州的法律规定政府记录需公开披露，包括州雇员的薪资信息。我们从12个州公布的在线薪资数据中，提取了2011 - 2013年期间24所公立医学院校所有放射科医师的薪资（n = 573名放射科医师）。在这项经机构审查委员会批准的横断面研究中，我们将这些数据与一个医师数据库相关联，该数据库包含医师性别、年龄、教员职级、住院医师培训结束后的年限、参与临床试验情况、美国国立卫生研究院（NIH）资助、科学出版物以及以2013年医疗保险支付衡量的临床工作量等信息。使用多水平逻辑回归对这些因素进行调整后，估计薪资的性别差异这一主要结果。
在573名放射科医师中，171名（29.8%）为女性。女性放射科医师更年轻（48.5岁对51.6岁，p = 0.001），且更有可能是助理教授（50.9%[87/171]对40.8%[164/402]，p = 0.026）。在未调整分析中，男性和女性的薪资相似（290,660美元对289,797美元；绝对差异为863美元；95%CI， - 18,363美元至20,090美元），在对年龄、教员职级、住院医师培训结束后的年限、参与临床试验情况、出版物、医疗保险支付总额、NIH资助以及毕业于排名靠前的医学院校进行调整后，情况依然如此。
在24所美国公立医学院校任职的放射科医师中，在对已知会影响学术医师薪资的几个变量进行调整前后，男性和女性放射科医师的年薪相似。
