Dholakia Jhalak, Boyd Leslie R, Agarwal Rinki, Moss Haley, Ko Emily M, Aviki Emeline, Liang Margaret I
Division of Gynecologic Oncology, ECU Health, Greenville, NC, USA.
Division of Gynecologic Oncology, NYU Grossman School of Medicine, New York, NY, USA.
Gynecol Oncol Rep. 2024 Sep 21;55:101501. doi: 10.1016/j.gore.2024.101501. eCollection 2024 Oct.
There is a research gap on the impact of payment, reimbursement, and academic productivity in career decision-making for early-career (EC) attendings in gynecologic oncology. We sought to assess gynecologic oncology fellows and EC attendings on their knowledge and perceptions regarding the business of medicine.
An anonymous survey was electronically disseminated to fellow and EC SGO members. Key themes were the business of medicine, productivity, and compensation/negotiation. A 5-point Likert scale was utilized; descriptive statistics were calculated using SPSS.
There was a 29 % response rate: 82 fellows and 102 EC attendings. Most were white (n = 143, 78 %) and female (n = 138, 75 %.) Most fellows (n = 67, 82 %) were interested in, and most EC (n = 82, 82 %) were employed in, academic/non-private practice. Fellows and EC attendings reported insufficient education on RVUs (relative value units) and reimbursement (80 %, n = 66; 81 %, n = 83) and did not feel prepared for the business aspect of practice (80 %, n = 66; 73 %, n = 75). Over 40 % of fellows did not understand how RVUs relate to practice. Thirty-three percent of EC attendings did not understand RVU assignments; 29 % were satisfied with methods used to determine productivity, and 17 % did not understand their compensation. Over 60 % of fellows felt unprepared to negotiate clinical productivity expectations. For EC attendings, 47 % were uncomfortable negotiating clinical expectations, 32 % negotiating academic expectations, and 52 % negotiating compensation changes. Female EC felt less prepared than male EC regarding the business of medicine (p = 0.02), RVU assignments (p < 0.01), and compensation negotiations (p < 0.01).
Most gynecologic oncology fellows and early-career attendings do not feel prepared for the business of medicine. Women were less comfortable with these concepts than men. Formal education should be incorporated into career development curricula.
在妇科肿瘤学领域，早期职业（EC）主治医师的职业决策中，支付、报销和学术生产力的影响方面存在研究空白。我们试图评估妇科肿瘤学研究员和早期职业主治医师对医学业务的知识和认知。
通过电子方式向研究员和早期职业妇科肿瘤学会（SGO）成员发放匿名调查问卷。关键主题包括医学业务、生产力以及薪酬/谈判。采用5点李克特量表；使用SPSS计算描述性统计数据。
回复率为29%：82名研究员和102名早期职业主治医师。大多数为白人（n = 143，78%）和女性（n = 138，75%）。大多数研究员（n = 67，82%）对学术/非私人执业感兴趣，大多数早期职业主治医师（n = 82，82%）受雇于学术/非私人执业机构。研究员和早期职业主治医师报告称，关于相对价值单位（RVUs）和报销的教育不足（80%，n = 66；81%，n = 83），并且感觉对执业的业务方面没有做好准备（80%，n = 66；73%，n = 75）。超过40%的研究员不理解RVUs与执业的关系。33%的早期职业主治医师不理解RVU分配；29%对用于确定生产力的方法感到满意，17%不理解他们的薪酬。超过60%的研究员觉得没有准备好就临床生产力期望进行谈判。对于早期职业主治医师，47%在就临床期望进行谈判时感到不自在，32%在就学术期望进行谈判时感到不自在，52%在就薪酬变化进行谈判时感到不自在。女性早期职业主治医师在医学业务（p = 0.02）、RVU分配（p < 0.01）和薪酬谈判（p < 0.01）方面比男性早期职业主治医师感觉准备更不足。
大多数妇科肿瘤学研究员和早期职业主治医师感觉对医学业务没有做好准备。女性对这些概念的接受程度低于男性。应将正规教育纳入职业发展课程。
