Nanu Douglas P, Tiwana Hardeep S, Akella Deepthi S, Nguyen Shaun A, Khan Sofia, Carr Michele M
Department of Otolaryngology Head and Neck Surgery Charleston, Medical University of South Carolina, Charleston, South Carolina, USA.
Elson S. Floyd College of Medicine at Washington State University, Spokane, Washington, USA.
Otolaryngol Head Neck Surg. 2025 Feb;172(2):475-482. doi: 10.1002/ohn.978. Epub 2024 Oct 1.
To compare differences in otolaryngology residents' salaries in different cities and states before and after adjusting for the cost of living.
Cross-sectional analysis.
Accreditation Council for Graduate Medical Education (ACGME) otolaryngology residency program websites.
US otolaryngology residency programs were identified via the ACGME database in December 2023. Stipends posted by each residency program were compared to the cost of living (COL) for related states and major cities. A baseline value of 100 was used as the mean COL, values over 100 indicate above-mean COL. The weighted salary by state and cities for postgraduate year (PGY) 1 to 5 combined was expressed as mean (SD). Comparisons between salaries before and after adjustment for the COL were assessed using t tests.
The mean otolaryngology residency stipend across the nation, by city, was $70,572 (n = 1290, range: $58,100-$93,402; SD = $8370), with a post-COL adjustment mean stipend of $64,055 (range: $39,193-$76,674, SD = $10,094, p < .001). Otolaryngology residents in Manhattan, New York State faced a mean decrease from $89,282 to $39,193 (-56%) post-COL adjustments. Following that were Boston and Los Angeles programs which saw a -$26,402 (-32%) and -$24,761 (-32%) mean decrease after COL adjustments, respectively.
Otolaryngology residents in high-cost areas experience significant salary reductions because of COL adjustments, resulting in financial strain. Residents in such regions endure increased financial pressure compared to those in low-cost areas, as current salaries fail to align with living expenses.
比较在调整生活成本前后，不同城市和州的耳鼻喉科住院医师的薪资差异。
横断面分析。
研究生医学教育认证委员会（ACGME）的耳鼻喉科住院医师培训项目网站。
通过ACGME数据库在2023年12月确定美国耳鼻喉科住院医师培训项目。将每个住院医师培训项目公布的津贴与相关州和主要城市的生活成本（COL）进行比较。以100作为COL的平均值基准值，超过100的值表示高于平均COL。将研究生一年级（PGY）至五年级综合后的按州和城市加权的薪资表示为均值（标准差）。使用t检验评估COL调整前后薪资的差异。
全国范围内，按城市计算的耳鼻喉科住院医师培训津贴平均为70,572美元（n = 1290，范围：58,100美元至93,402美元；标准差 = 8370美元），COL调整后的平均津贴为64,055美元（范围：39,193美元至76,674美元，标准差 = 10,094美元，p <.001）。纽约州曼哈顿的耳鼻喉科住院医师在COL调整后，平均薪资从89,282美元降至39,193美元（-56%）。其次是波士顿和洛杉矶的项目，在COL调整后，平均薪资分别下降了26,402美元（-32%）和24,761美元（-32%）。
高成本地区的耳鼻喉科住院医师因COL调整而经历显著的薪资削减，导致经济压力。与低成本地区的住院医师相比，这些地区的住院医师承受着更大的经济压力，因为当前薪资与生活费用不匹配。
