Eltorai Adam E M, Eltorai Ashley Szabo, Fuentes Carolina, Durand Wesley M, Daniels Alan H, Ali Shihab
Alpert Medical School of Brown University.
Department of Anesthesiology, Yale University School of Medicine.
R I Med J (2013). 2018 Oct 1;101(8):50-55.
To examine the approximated financial outcomes of physicians by specialty and to determine whether these correlate with mean USMLE Step 1 scores.
Specialty-specific data from the Association of American Medical Colleges Careers in Medicine website were analyzed for total length of training, mean USMLE Step 1 scores, average hours worked per week, and median clinical practice salary for physicians. Hourly wage and estimated net worth at retirement were calculated. Coefficients of determination (R2) were calculated to evaluate the relationships between hourly wage, annual salary, and estimated net worth at retirement with competitiveness as measured by USMLE Step 1 scores of matched residents.
Across all 37 specialties studied, the mean hourly wage was $136 ± $40, ranging from $78 (Geriatrics) to $249 (Neurosurgery). Mean weekly hours worked across all specialties was 54.6 ± 6.4, ranging from 43.4 (Pediatric Emergency Medicine) to 71.1 (Vascular Surgery). At retirement, the mean estimated net worth for all physicians was $4,517,600 ± $1,793,095, ranging from $1,927,779 (Child & Adolescent Psychiatry) to $8,947,885 (Neurosurgery). Step 1 scores, as a marker of specialty competiveness, correlate with specialty compensation - the strongest association was with hourly wage (R2 = 0.6678), then annual salary (R2 = 0.6424), and finally by estimated net worth at retirement (R2 = 0.6158).
In this study, mean Step 1 scores for each medical specialty were positively correlated with compensation, including absolute salary, hourly wage and estimated net worth at retirement.
按专业研究医生的大致财务状况，并确定这些状况是否与美国医师执照考试第一步（USMLE Step 1）的平均分数相关。
分析了美国医学院协会医学职业网站上特定专业的数据，包括培训总时长、USMLE Step 1平均分数、每周平均工作时长以及医生的临床实践薪资中位数。计算了时薪和退休时的估计净资产。计算决定系数（R2）以评估时薪、年薪和退休时估计净资产与由匹配住院医师的USMLE Step 1分数衡量的竞争力之间的关系。
在所研究的全部37个专业中，平均时薪为136美元±40美元，范围从78美元（老年医学）到249美元（神经外科）。所有专业的平均每周工作时长为54.6小时±6.4小时，范围从43.4小时（儿科急诊医学）到71.1小时（血管外科）。退休时，所有医生的平均估计净资产为4,517,600美元±1,793,095美元，范围从1,927,779美元（儿童与青少年精神病学）到8,947,885美元（神经外科）。作为专业竞争力标志的Step考试第一步分数与专业薪酬相关——最强的关联是与时薪（R2 = 0.6678），其次是年薪（R2 = 0.6424），最后是退休时的估计净资产（R2 = 0.6158）。
在本研究中，每个医学专业的Step 1平均分数与薪酬呈正相关，包括绝对薪资、时薪和退休时的估计净资产。
