Department of Orthopaedic Surgery, University of South Florida, Orthopaedic Trauma Service, Florida Orthopaedic Institute, Tampa, FL; and.
Department of Orthopaedic Surgery, Novant Health Fracture Clinic, Charlotte, NC.
J Orthop Trauma. 2022 Nov 1;36(11):e431-e436. doi: 10.1097/BOT.0000000000002419.
To describe the current practice setting, clinical metrics, and reimbursements for orthopaedic traumatologists in the United States.
Nationwide survey of orthopaedic traumatologists.
Orthopaedic traumatologists with an active clinical practice.
Five-hundred three orthopaedic traumatologists responded to the survey request. A plurality of respondents practiced in an academic setting (48%), with a majority in practice 10 years or less (54%), and having achieved the untenured (89%) rank of assistant professor (37%). For those within private groups, 62% had achieved "partner" status, generally within 1-3 years (53%) of employment. Most surgeons (85%) reported access to a dedicated orthopaedic trauma room, providing nearly all surgeons (97%) with a first start case on weekdays, but only 55% with a first start on weekends. The greatest degree of ancillary support came from physician assistants (80%). Orthopaedic traumatologists most often reported working between 51 and 70 hours per week (66%), with 4-6 nights of call/month (43%), 1 clinic day/week (42%), and with the majority of clinical volume (>75%) related to managing traumatic injury. More than half (53%) of respondents received compensation for call. Annual case volumes and wRVU varied widely. Commonly, respondents had 100% of their salary guaranteed (48%), and most reported eligibility for additional revenue through production bonuses (70%). Three subgroup analyses by years in practice, practice setting, and physician sex provider further insight into clinical characteristics.
The results of this nationwide survey provide insight into the current clinical status of orthopaedic traumatology. Providers may find this information useful in job searches and contract negotiations.
描述美国骨科创伤医生的当前实践环境、临床指标和报销情况。
对骨科创伤医生进行全国范围的调查。
有活跃临床实践的骨科创伤医生。
共有 503 名骨科创伤医生对调查请求做出了回应。多数受访者在学术环境中工作（48%），其中大多数人在 10 年或更短的时间内（54%）执业，并达到了未被终身聘用的助理教授（37%）的职称。对于那些在私人团体中的人来说，62%已经达到了“合伙人”的地位，通常是在雇佣后的 1-3 年内（53%）。大多数外科医生（85%）报告说有专门的骨科创伤室，几乎为所有外科医生（97%）提供了工作日的第一个开始病例，但只有 55%的人在周末有第一个开始病例。医生助理（80%）提供了最大程度的辅助支持。骨科创伤医生最常报告每周工作 51-70 小时（66%），每月有 4-6 个夜班（43%），每周有 1 个诊所日（42%），并且大部分临床工作量（>75%）与管理创伤性损伤有关。超过一半（53%）的受访者因值班获得补偿。每年的病例量和 wRVU 差异很大。通常，有 48%的受访者的工资有 100%的保障，大多数受访者报告有资格通过生产奖金获得额外收入（70%）。根据实践年限、实践环境和医生性别提供者进行的 3 个亚组分析进一步深入了解了临床特征。
这项全国性调查的结果提供了对骨科创伤学当前临床状况的深入了解。从业者可能会发现这些信息在求职和合同谈判中有用。
