Yale School of Medicine, New Haven, CT, United States of America.
Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America.
PLoS One. 2024 Oct 3;19(10):e0308100. doi: 10.1371/journal.pone.0308100. eCollection 2024.
Physicians-in-training in the United States work long hours for relatively low wages. In response to increased economic burden, the popularity of unionization in residency training programs has increased dramatically. In this study, we conducted a cross-sectional investigation of the association between unionization status and Internal Medicine PGY-1 compensation and benefits.
We compiled residency salary and benefits data from all Internal Medicine residency training programs in the United States. Using a mixed effects modeling approach, we evaluated the differences in salary and total compensation while adjusting for regional factors and cost-of-living differences. In aggregate, PGY-1 salary was higher for unionized vs. non-unionized programs ($69648 vs. $62214; [95% CI 670.7-3563.7]). However, there was no difference after adjusting for cost-of-living ($62515 vs $62475; [95% CI. -1317.5, 1299.7]). Unionized programs do however offer greater monetary benefits in the form of stipend disbursements, and total compensation is higher in unionized vs. non-unionized residency programs ($65887 vs $63515; [95% CI 607.6, 3551.5]).
Unionized residency programs offer higher total compensation packages than their non-unionized counterparts. This increase in compensation is driven in large part by an increased variety and amount of stipend disbursement.
在美国，接受培训的医师工作时间长，工资相对较低。为了应对经济负担的增加，住院医师培训项目中工会化的趋势显著增加。在这项研究中，我们对工会化状态与内科住院医师第 1 年（PGY-1）薪酬和福利之间的关联进行了横断面调查。
我们从美国所有内科住院医师培训项目中汇编了住院医师薪资和福利数据。我们使用混合效应模型方法，在调整区域因素和生活成本差异的同时，评估了薪资和总薪酬的差异。总体而言，与非工会化项目相比，工会化项目的 PGY-1 薪资更高（$69648 与 $62214；[95%CI 670.7-3563.7]）。然而，在调整生活成本后，这一差异并不存在（$62515 与 $62475；[95%CI. -1317.5, 1299.7]）。然而，工会化项目确实以津贴发放的形式提供了更多的货币福利，工会化与非工会化住院医师项目之间的总薪酬更高（$65887 与 $63515；[95%CI 607.6, 3551.5]）。
工会化住院医师培训项目提供的总薪酬方案比非工会化项目更高。这种薪酬的增加在很大程度上是由于津贴发放的种类和数量增加所致。
