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提高普通外科住院医师的财务健康水平:一项全国性调查。

Improving the financial wellness of general surgery residents: A nationwide survey.

作者信息

He Katherine, Sell Naomi M, Chugh Priyanka, Rasic Gordana, Collado Loreski, Smink Douglas S, Whang Edward, Kristo Gentian

机构信息

Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

出版信息

Am J Surg. 2022 Sep;224(3):888-892. doi: 10.1016/j.amjsurg.2022.04.035. Epub 2022 May 6.

Abstract

BACKGROUND

Our study evaluated general surgery resident indebtedness and perspectives on financial compensation.

METHODS

In May 2020, a survey was distributed nationwide by general surgery program directors in the Association of Program Directors in Surgery on a voluntary basis to their residents.

RESULTS

The survey was completed by 419 general surgery residents. Median salary was $60-65 K and median medical educational debt was $200-250 K. Approximately 61% of residents reported that their financial needs were not met by their income. Most residents (76%) believe that for a fair compensation, their salaries should be 30-50% higher. Proposed interventions for improvement in resident compensation included: overtime payment, redirection of GME funds to the residency programs, and compensating residents for billable services.

CONCLUSIONS

Residents enter training with significant medical educational debt and feel unfairly compensated for their work. Therefore, comprehensive interventions with input from residents are needed to improve their financial well-being.

摘要

背景

我们的研究评估了普通外科住院医师的负债情况以及他们对薪酬的看法。

方法

2020 年 5 月,外科住院医师培训项目主任协会(Association of Program Directors in Surgery)以自愿的方式向其所在机构的住院医师发放了一项全国性调查。

结果

共有 419 名普通外科住院医师完成了这项调查。平均工资为 6 万至 6.5 千美元,平均医疗教育债务为 20 万至 25 万美元。约有 61%的住院医师表示,他们的收入无法满足他们的经济需求。大多数住院医师(76%)认为,为了公平补偿,他们的工资应该提高 30%-50%。为改善住院医师薪酬而提出的干预措施包括:加班费、将 GME 资金重新分配给住院医师培训计划、以及为可计费服务向住院医师支付报酬。

结论

住院医师在接受培训时背负着巨额的医疗教育债务,并且对自己的工作报酬感到不公平。因此,需要通过住院医师的参与来实施全面的干预措施,以改善他们的经济福祉。

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