Raborn Layne N, Gokun Yevgeniya, Molina Bianca J, Janse Sarah, Schoenbrunner Anna R, Janis Jeffrey E
From the Department of Surgery, Division of Plastic Surgery, University of Rochester Medical Center, Rochester, N.Y.
Center for Biostatistics, Department of Biomedical Informatics, The Ohio State University, Wexner Medical Center, Columbus, Ohio.
Plast Reconstr Surg Glob Open. 2023 Aug 15;11(8):e5196. doi: 10.1097/GOX.0000000000005196. eCollection 2023 Aug.
Of 7461 actively practicing United States American Board of Plastic Surgery certified plastic surgeons, only 17% are women. In relation to this small number, gender inequities within the field have been the source of national discussions. Our study assessed the status of the gender-based wage-gap in plastic surgery and sought to identify possible causes.
An anonymous 43-question survey was distributed to 2981 members of the American Society of Plastic Surgeons in 2021. Male and female responses were compared; an analysis also considering board-certification year was performed. Chi-square and Fisher exact tests were used for bivariate analysis. Continuous variables were compared with two-sample tests and Wilcoxon rank sum tests.
Ten percent of contacted American Society of Plastic Surgeons members responded to our survey. Of the 288 respondents, 111 (38.5%) were women, and 177 (61.5%) were men. Men were more likely to have salaries over $400K USD per year ( 0.0001). Earlier certification year was associated with pay greater than $400K per year ( 0.0235) but was insignificant once stratified by gender (women: 0.2392, men: 0.7268). Earlier certification year was associated with production-based and self-determined wages ( 0.0097), whereas later board-certification year was associated with nonnegotiable salaries ( 0.0001).
Women are significantly less likely to make salaries comparable to those of male plastic surgeons, related to shorter careers on average. An increase in female representation and career duration within the field is needed to improve the current wage-gap.
在美国整形外科委员会认证的7461名在职整形外科医生中，只有17%是女性。鉴于这一少数群体，该领域内的性别不平等一直是全国性讨论的话题。我们的研究评估了整形外科基于性别的工资差距状况，并试图找出可能的原因。
2021年，向2981名美国整形外科协会成员发放了一份包含43个问题的匿名调查问卷。比较了男性和女性的回答；还进行了一项考虑委员会认证年份的分析。卡方检验和费舍尔精确检验用于双变量分析。连续变量采用两样本检验和威尔科克森秩和检验进行比较。
10%的美国整形外科协会受访成员回复了我们的调查。在288名受访者中，111名（38.5%）为女性，177名（61.5%）为男性。男性每年的薪资超过40万美元的可能性更大（P<0.0001）。较早的认证年份与每年超过40万美元的薪资相关（P = 0.0235），但按性别分层后无统计学意义（女性：P = 0.2392，男性：P = 0.7268）。较早的认证年份与基于业绩和自主决定的工资相关（P = 0.0097），而较晚的委员会认证年份与不可协商的薪资相关（P<0.0001）。
女性整形外科医生的薪资显著低于男性，这与平均职业生涯较短有关。需要增加该领域女性的代表性和职业持续时间，以改善当前的工资差距。
