Higginbotham Devan O, Nham Fong H, Cavazos Daniel R, Chen Chaoyang, Stoker Steven K
Department of Orthopaedic Surgery, Wayne State University/Detroit Medical Center, Detroit, USA.
Department of Orthopaedic Surgery, Granger Medical Clinic, Sandy, USA.
Cureus. 2024 Apr 12;16(4):e58093. doi: 10.7759/cureus.58093. eCollection 2024 Apr.
Financial stress has been an increasing area of concern for residents and attendings. The primary goal of this study was to determine the financial education level and differentiate financial outcome measures of orthopaedic surgery residents and attendings.
A survey of all residents and attendings of the 201 Accreditation Council for Graduate Medical Education (ACGME)-accredited orthopaedic surgery programs in the United States.
Total participation in the study was 118 residents (postgraduate year (PGY) 1-5), three fellows (PGY 6), and 57 attending orthopaedic surgeons. A significant difference existed between average current financial stress scores between residents versus attending (2.32 vs 1.17), but not Doctor of Medicine (MD) versus Doctor of Osteopathic Medicine (DO) attendings (0.96 vs 1.67) and MD versus DO residents (2.25 vs 2.50). There was a significant difference in average future financial stress scores between residents and attendings (1.85 vs 1.44) and MD vs DO residents (1.61 vs 2.25) but no difference between MD vs DO attending (1.31 vs 1.63). Residents' confidence in financial knowledge compared to college graduates had a significantly negative Pearson coefficient with current financial stress score, while the attending group was not significant.
Orthopaedic residents and attending physicians' financial stress levels are positively correlated with the amount of student debt they hold. Most residents who currently have no personal finance education offered in their residency would likely attend a personal finance course if offered. Decreasing the amount of debt held by residents, increasing their financial knowledge, and helping them develop good financial habits would likely lead to a decrease in financial stress.
经济压力一直是住院医师和主治医生日益关注的领域。本研究的主要目的是确定骨科住院医师和主治医生的金融教育水平,并区分其财务结果指标。
对美国201个研究生医学教育认证委员会(ACGME)认证的骨科项目的所有住院医师和主治医生进行调查。
共有118名住院医师(研究生1-5年级)、3名研究员(研究生6年级)和57名骨科主治医生参与了该研究。住院医师与主治医生的当前平均经济压力得分存在显著差异(2.32对1.17),但医学博士(MD)与骨病医学博士(DO)主治医生之间无差异(0.96对1.67),MD与DO住院医师之间也无差异(2.25对2.50)。住院医师和主治医生的未来平均经济压力得分存在显著差异(1.85对1.44),MD与DO住院医师之间也有差异(1.61对2.25),但MD与DO主治医生之间无差异(1.31对1.63)。与大学毕业生相比,住院医师对金融知识的信心与当前经济压力得分的皮尔逊系数显著为负,而主治医生组则不显著。
骨科住院医师和主治医生的经济压力水平与他们持有的学生债务数额呈正相关。目前在住院医师培训中没有接受个人理财教育的大多数住院医师,如果有机会,可能会参加个人理财课程。减少住院医师的债务数额、增加他们的金融知识并帮助他们养成良好的理财习惯,可能会减轻经济压力。