Department of Surgery, Division of Colon and Rectal Surgery, University of California, San Diego, 9350 Campus Point Dr, La Jolla, CA.
Department of Medicine, Division of Gastroenterology, University of California, San Diego, 9350 Campus Point Dr, La Jolla, CA.
Ann Surg. 2023 Apr 1;277(4):e832-e838. doi: 10.1097/SLA.0000000000005360. Epub 2021 Dec 28.
We sought to understand the effect of sex on compensation among colorectal surgeons and to determine which factors contribute to gender-based differences in compensation.
The sex-based wage gap in the medical profession is among the most pronounced wage gaps in the U.S. Data regarding the wage gap among colorectal surgeons and the underlying reasons for this disparity remain unclear.
The Healthcare Economics Committee of the American Society of Colon and Rectal Surgeons conducted a survey to evaluate surgeon demographics, compensation, and practice characteristics. To evaluate the effect of sex on compensation, we performed multivariable linear regression with backward selection. We used a two-sided P -value with a significance threshold <0.05.
The mean difference in normalized total compensation between men and women was $46,250, and when salary was adjusted for FTEs, the difference was $57,000. Women were more likely to perform anorectal surgery, less likely to perform general surgery and less likely to hold positions in leadership. After adjustments, women reported significantly lower compensation (aOR, 0.88; 95% CI, 0.80-0.97). Time spent doing abdominal surgery (aOR, 1.13; 95% CI 1.03-1.23), professor status (aOR, 1.17; 95% CI, 1.03-1.32) and instructor status (aOR, 1.49; 95% 1.28-1.73) were independently associated with compensation.
We found a 12% adjusted sex wage gap among colorectal surgeons. Gender-based differences in leadership positions and allocation of effort may contribute. Further research will be necessary to clarify sources of wage inequalities. Still, our results should prompt expedient actions to support closing the gap.
我们旨在了解性别对结直肠外科医生薪酬的影响，并确定导致薪酬性别差异的因素。
在医疗行业，性别工资差距是美国最明显的工资差距之一。关于结直肠外科医生的工资差距以及造成这种差距的根本原因的数据仍然不清楚。
美国结直肠外科医师学会的医疗经济学委员会进行了一项调查，以评估外科医生的人口统计学特征、薪酬和实践特征。为了评估性别的薪酬影响，我们进行了多元线性回归分析，采用向后选择。我们使用双侧 P 值，显著性阈值为<0.05。
男性和女性的标准化总薪酬差异为 46250 美元，当按 FTE 调整工资时，差异为 57000 美元。女性更倾向于进行肛肠手术，较少进行普通外科手术，较少担任领导职务。调整后，女性报告的薪酬明显较低（aOR，0.88；95% CI，0.80-0.97）。从事腹部手术的时间（aOR，1.13；95% CI，1.03-1.23）、教授身份（aOR，1.17；95% CI，1.03-1.32）和讲师身份（aOR，1.49；95% CI，1.28-1.73）与薪酬独立相关。
我们发现结直肠外科医生的薪酬存在 12%的性别调整后差距。领导岗位和努力分配方面的性别差异可能是造成这种差距的原因。还需要进一步的研究来澄清工资不平等的来源。尽管如此，我们的研究结果应该促使采取迅速行动，支持缩小这一差距。
