Analysis of Surgical Residents’ Salaries and Associated Funding During Eight Residency Training Cycles: Toward Improving Future Residents’ Benefits and Compensation

Ngatuvai, Micah; Yeager, Matthew; Newsome, Kevin; Khan, Areeba; Concepcion, Jennifer; Kornblith, Lucy Z.; Elkbuli, Adel

doi:10.1016/j.jss.2022.08.011

Cited by 7 publications

(3 citation statements)

References 15 publications

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“…El presente estudio permite realizar algunas inferencias para soportar la reducción de la tasa de desgaste profesional tras la implementación de la Ley 1917, considerando que en estudios previos a 2019 la tasa también era sustancialmente alta (33,1 %) 34 . Aunque la evidencia es limitada, la compensación económica ha contribuido positivamente a la satisfacción personal de los residentes de cirugía en varios contextos, pese al incremento en el costo de vida durante las ultimas décadas 35,36 . La evidencia disponible del efecto del salario sobre el desgaste profesional, sin embargo, ha resultado elusiva por la multiplicidad de factores involucrados y la variación propia de los contextos de practica [37][38][39] .…”

Section: Discussionunclassified

Efecto de la “ley de residentes” sobre el bienestar laboral en cirugía: resultados de un estudio nacional de métodos mixtos en Colombia

Domínguez-Torres,

Vega-Peña,

Sandoval

et al. 2024

Rev Colomb Cir

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Introducción. El efecto de las políticas para el mejoramiento del bienestar de los residentes, en términos de desgaste profesional y compromiso laboral, es controversial y su resultado tras la implementación de la “ley de residentes” (1917/2018) en Colombia es desconocido. Este estudio explora el efecto de esta ley en médicos residentes de cirugía colombianos. Métodos. Estudio de métodos mixtos secuencial explicativo. Inicialmente, se invitó a todos los residentes de cirugía del país a autodiligenciar los cuestionarios UWES-17 y MBI-HSS para evaluar el compromiso laboral (vigor, dedicación y absorción) y desgaste profesional (agotamiento emocional, despersonalización y baja realización personal) antes (2019) y después (2022) de la implementación de la ley. Se probaron diferentes hipótesis mediante modelos de ecuaciones estructurales. Los resultados fueron explorados con cirujanos mediante grupos focales. La información cualitativa fue analizada manualmente y por inteligencia artificial, y reportada en temas principales. Resultados. Participaron en el estudio 400 residentes. La tasa de desgaste profesional fue de 24,8 % antes y 15,8 % después (p=0,032). El análisis de ecuaciones estructurales confirmó que el agotamiento emocional sobre el desgaste profesional fue menor en 2022 (p=0,022). No se identificaron cambios significativos en el compromiso laboral. La principal explicación fue atribuida a los beneficios económicos de la ley. Conclusión. La tasa de desgaste profesional en médicos residentes de cirugía colombianos se redujo significativamente tras la implementación de la “ley de residentes”. Estos hallazgos tienen implicaciones para la practica y el mejoramiento de la calidad de la educación.

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Section: Discussionunclassified

Efecto de la “ley de residentes” sobre el bienestar laboral en cirugía: resultados de un estudio nacional de métodos mixtos en Colombia

Domínguez-Torres,

Vega-Peña,

Sandoval

et al. 2024

Rev Colomb Cir

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“…This study found that residents faced a widening gap in housing affordability with marked geographic variation, consistent with studies showing that cost of living indices poorly correlate with trainee salaries. 4 , 5 Moreover, the growth in rental prices outpaced that of resident earnings. Yet, housing-related benefits were scarcely available and even less so at rent-burdened institutions.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Housing Affordability Among US Resident Physicians

et al. 2023

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“…An important consideration to help determine resident salaries is the cost of living; however, resident stipends often differ for residents within residency programs in the same geographic region, state, and even city . Therefore, the purpose of our study was 2-fold.…”

Section: Introductionmentioning

confidence: 99%

Geographic Trends in Ophthalmology Resident Physician Compensation and Cost-of-Living Expenses

Cohen,

Sridhar,

Tseng

2024

JAMA Ophthalmol

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ImportanceGiven that resident physician financial strain has been associated with poor outcomes, objective metrics to forecast financial well-being may be useful to (1) applicants when evaluating ophthalmology residency programs and (2) programs when determining resident benefits.ObjectivesTo determine and compare the relative value of ophthalmology resident stipends plus benefits when adjusted for cost-of-living expenses and to analyze program characteristics associated with greater resident net incomes.Design, Setting, and ParticipantsIn this cross-sectional study, the American Medical Association’s Fellowship and Residency Electronic Interactive Database was used to identify US Accreditation Council for Graduate Medical Education–accredited ophthalmology residency programs. Resident physician stipends and stipends plus benefits as well as residency program characteristics from the 2023-2024 academic year were noted for all eligible programs. The Massachusetts Institute of Technology’s Living Wage Calculator’s required annual income (RAI) was selected as a surrogate to approximate cost-of-living expenses.ExposureResidency program characteristics, including affiliation, size, ranking, presence of housing benefit, and training year.Main Outcomes and MeasuresThe primary outcome was the annual stipend plus benefits income surplus (SPBIS) for each residency program, defined as the resident’s stipend plus benefits (SPB) minus the RAI for the county in which the residency program is located. Secondary outcomes included income surplus variation by program characteristics.ResultsOf 116 ophthalmology residency programs analyzed, 37 (31.9%) were located in the Northeast, 36 (31.0%) in the South, 29 (25.0%) in the Midwest, and 14 (12.1%) in the West. The mean (SD) postgraduate year 1 resident annual SPB was $65 397 ($8205), and the median (IQR) was $63 986 ($59 992-$69 698). After adjusting for the cost of living, the mean (SD) SPBIS was $27 459 ($5734) and the median (IQR) was $27 380 ($23 625-$31 796). Annual cost-of-living expenses varied by as much as $8628 (95% CI, $6310-$10 947) and SPBIS varied by as much as $6283 (95% CI, $3367-$9198) between regions. Resident SPB increased by a mean (SD) of 3.97% (0.98%) for each subsequent training year (range, 0.93%-7.26%). Annual SPBIS increased by a mean (SD) of 9.48% (3.60%) for each subsequent training year.Conclusions and RelevanceAfter adjusting for living costs, intraregional and interregional differences in SPBIS among ophthalmology residents can vary by thousands of dollars, impacting residents’ financial security. Further discussion regarding compensation may lead to innovative strategies that aim to improve resident well-being and performance.

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Analysis of Surgical Residents’ Salaries and Associated Funding During Eight Residency Training Cycles: Toward Improving Future Residents’ Benefits and Compensation

Cited by 7 publications

References 15 publications

Efecto de la “ley de residentes” sobre el bienestar laboral en cirugía: resultados de un estudio nacional de métodos mixtos en Colombia

Efecto de la “ley de residentes” sobre el bienestar laboral en cirugía: resultados de un estudio nacional de métodos mixtos en Colombia

Evaluation of Housing Affordability Among US Resident Physicians

Geographic Trends in Ophthalmology Resident Physician Compensation and Cost-of-Living Expenses

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