is Chief Executive Officer, Center for Value-Based Medicine®, Hilton Head, South Carolina. Email:
is Chief Medical Officer at Center for Value-Based Medicine®, Hilton Head, Sout Carolina. Email:
AANA J. 2024 Feb;92(1):7-16.
The financial desirability of dollar/time investments in postbaccalaureate healthcare professional education is needed. We therefore compared postbaccalaureate educational costs and career earnings for nurse anesthetists, eight other advanced degree, nonphysician professions, and 14 physician specialties with internal rate of return (IRR) and net present value (NPV) analysis. The IRR and NPV integrated educational costs (tuition, finance charges, lost salary opportunity costs), and career earnings using U.S. Bureau of Labor and Medscape 2022 Physician Compensation Report data. Costs were discounted to 2022 U.S. real dollars using the 3.97% 50-year, U.S. average inflation rate. Annual IRRs for educational investment were 1) hospital CEOs = 48.8%; 2) managed care finance directors = 48.2%; 3) Doctors of Nurse Anesthesia Practice = 26.0%; 4) specialist physicians = 20.3%; 5) primary care physicians = 19.2%; 6) Doctors of Physical Therapy = 18.8%; 7) healthcare attorneys = 18.4%; 8) Doctors of Dental Surgery (dentists) = 18.1%; 9) Doctors of Pharmacy = 17.2%; and 10) Advanced Nurse Practitioners = 10.8%. Considering the educational money/time invested for career monetary returns, the financial desirability of nurse anesthetist and nonphysician, healthcare executive education exceeded that of physicians. Lifetime earnings for nurse anesthetists exceeded those of Doctors of Dental Surgery (Doctors of Dental Medicine), Doctors of Pharmacy, Doctors of Physical Therapy, managed care MBAs, biomedical engineers, healthcare attorneys, and Advanced Nurse Practitioners.
需要评估美元/时间投资于大学后医疗保健专业教育的财务收益。因此，我们使用内部收益率（IRR）和净现值（NPV）分析比较了麻醉师、其他 8 个高级学位非医师职业和 14 个医师专业的大学后教育成本和职业收入。IRR 和 NPV 综合了教育成本（学费、财务费用、工资机会成本损失）和职业收入，使用美国劳工统计局和 Medscape 2022 年医师薪酬报告数据。使用 3.97%的 50 年美国平均通胀率，将成本贴现至 2022 年的美国实际美元。教育投资的年度 IRR 为：1）医院首席执行官 = 48.8%；2）医疗保健管理金融总监 = 48.2%；3）麻醉护理实践博士 = 26.0%；4）专科医师 = 20.3%；5）初级保健医生 = 19.2%；6）物理治疗博士 = 18.8%；7）医疗保健律师 = 18.4%；8）牙科博士（牙医）= 18.1%；9）药剂学博士 = 17.2%；10）高级执业护士 = 10.8%。考虑到为职业货币回报而进行的教育资金/时间投资，麻醉师和非医师医疗保健管理人员教育的财务收益超过了医生。麻醉师的终身收入超过了牙科博士（牙科医学博士）、药剂学博士、物理治疗博士、管理式医疗 MBA、生物医学工程师、医疗保健律师和高级执业护士。
