Department of Foundational Medical Studies, Oakland University William Beaumont School of Medicine, Rochester, MI, USA.
Department of Pediatrics, Oakland University William Beaumont School of Medicine, Royal Oak, MI, USA.
HEC Forum. 2024 Sep;36(3):405-420. doi: 10.1007/s10730-023-09509-y. Epub 2023 Aug 5.
This article reports results of a survey about employment and compensation models for clinical ethics consultants working in the United States and discusses the relevance of these results for the professionalization of clinical ethics. This project uses self-reported data from healthcare ethics consultants to estimate compensation across different employment models. The average full-time annualized salary of respondents with a clinical doctorate is $188,310.08 (SD=$88,556.67), $146,134.85 (SD=$55,485.63) for those with a non-clinical doctorate, and $113,625.00 (SD=$35,872.96) for those with a masters as their highest degree. Pay differences across degree level and type were statistically significant (F = 3.43; p < .05). In a multivariate model, there is an average increase of $2,707.84 for every additional year of experience, controlling for having a clinical doctorate (ß=0.454; p < .01). Our results also show high variability in the backgrounds and experiences of healthcare ethics consultants and a wide variety of employment models. The significant variation in employment and compensation models is likely to pose a challenge for the professionalization of healthcare ethics consultation.
本文报告了一项关于在美国工作的临床伦理顾问的就业和薪酬模式的调查结果,并讨论了这些结果与临床伦理专业化的相关性。该项目使用医疗保健伦理顾问的自我报告数据来估算不同就业模式下的薪酬。具有临床博士学位的受访者的全职年薪平均值为 188310.08 美元(SD=88556.67),具有非临床博士学位的受访者为 146134.85 美元(SD=55485.63),而最高学位为硕士的受访者为 113625.00 美元(SD=35872.96)。不同学位水平和类型的薪酬差异具有统计学意义(F=3.43;p<.05)。在多元模型中,在控制具有临床博士学位的情况下,每增加一年工作经验,平均薪酬增加 2707.84 美元(β=0.454;p<.01)。我们的结果还显示,医疗保健伦理顾问的背景和经验以及各种就业模式存在高度差异。就业和薪酬模式的显著差异可能会对医疗保健伦理咨询的专业化构成挑战。