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住院医师和实习医生的薪资:追踪我们的进展能帮助我们了解未来吗?

Resident and intern salaries: can tracking our progress help us understand our future?

作者信息

Morello Samantha L

机构信息

Center for Veterinary Business and Entrepreneurship, Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY.

出版信息

J Am Vet Med Assoc. 2023 Jan 25;261(5):758-765. doi: 10.2460/javma.22.11.0516.

Abstract

Salaries apportioned to veterinary interns and residents have been historically low. The impact of this financial strain on the lives and career choices of young veterinarians has recently been evaluated. Subsequent effects of low remuneration are not limited to simple personal finances; rather, the implications may be more far-reaching, including playing a role in mental and physical wellness, affecting diversity in various segments of the profession, influencing career paths, creating barriers to educational and professional opportunities, and shaping decisions regarding family. We evaluated progress made in salaries offered for positions listed in the Veterinary Internship and Residency Matching Program between the previous analysis in 2021 and at present for the 2023 match. In addition to considering financial improvements, we discuss potential drivers contributing to change, including recent documentation of living wage requirements relative to salaries, labor market forces, and the increasingly competitive salaries offered through other career paths. We also consider implications for increasing intern and resident compensation; besides well-being, diversity, career path, and family factors, we discuss the potential relationship of postgraduate educational programs to hospital revenues and implications for how educational program structure may be affected. While compensation is far from the only element that drives career selection or satisfaction, understanding the effects of a fiscal overhaul to this educational experience can play a critical role in solving components of the workforce issues in our profession.

摘要

历史上,分配给兽医实习生和住院医生的薪水一直很低。最近评估了这种经济压力对年轻兽医的生活和职业选择的影响。低薪酬的后续影响不仅限于简单的个人财务状况;相反,其影响可能更为深远,包括对身心健康产生影响、影响该行业各个领域的多样性、影响职业道路、为教育和职业机会设置障碍以及影响家庭决策。我们评估了在兽医实习和住院医生匹配计划中列出的职位所提供的薪水在2021年的上一次分析与目前2023年匹配情况之间的进展。除了考虑经济改善情况外,我们还讨论了促成变化的潜在驱动因素,包括近期关于生活工资要求与薪水、劳动力市场力量以及通过其他职业道路提供的竞争日益激烈的薪水的记录。我们还考虑了提高实习生和住院医生薪酬的影响;除了幸福、多样性、职业道路和家庭因素外,我们讨论了研究生教育项目与医院收入的潜在关系以及对教育项目结构可能受到的影响。虽然薪酬远不是驱动职业选择或满意度的唯一因素,但了解对这种教育经历进行财政改革的影响对于解决我们行业劳动力问题的各个组成部分可能起着关键作用。

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