Impact of Program Region and Prestige on Industry Supplemental Earnings for Pediatric Orthopedic Surgery Fellowships in the United States: A Retrospective Analysis

Hospitals Pub Date : 2024-06-04 DOI:10.3390/hospitals1010006
Abhinav R. Balu, Anthony N. Baumann, Grayson M. Talaski, Faheem Pottayil, Kempland C. Walley, A. Anastasio, Keith D. Baldwin
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Abstract

Introduction: With the passage of the Physician Payment Sunshine Act, there has been increased transparency regarding the industrial financial relations that physicians have. Orthopedic surgeons have been highly studied in this domain with approximately 50% of all orthopedic surgeons engaging in industrial financial relationships. Furthermore, an increasing number of orthopedic surgeons are seeking fellowship training with pediatric fellowship programs gaining popularity in recent years. The purpose of this study is to evaluate the impact various pediatric orthopedic fellowship programs have on industry earnings and academic productivity. Methods: Pediatric orthopedic fellowship programs were identified via the Orthopedic Society of North America (POSNA) website. Information on individual fellowship programs was obtained from their respective websites. Academic productivity was measured via an aggregate of all employed physicians’ H-index at a specific fellowship as found on the Scopus website. The Open Payments Database (OPD) website was used to assess lifetime industry earnings. Other variables such as Newsweek or Doximity ranking were taken directly from relevant websites. Statistical analysis was performed using a Kruskal–Wallis test with Bonferroni correction and Mann–Whitney U-test. Results: A total of 43 pediatric orthopedic surgery fellowships in the United States were identified with a total of 392 physicians as fellowship faculty. Complete OPD and H-index information were available for 336 of those physicians (85.7%). On average, there were 7.81 ± 5.18 physicians and 1.56 ± 0.93 fellows per program. The mean combined physician H-index was 117.23 ± 122.51, and the mean combined physician lifetime supplemental earnings in dollars was $646,684.37 ± $1,159,507.17. There was no significant relationship between region of pediatric orthopedic fellowship, Newsweek ranking of affiliated hospital, Doximity ranking of affiliated hospital, presence of MBA program, type of program (public, private, mixed), and the lifetime industry earnings or academic productivity of program graduates. Conclusions: Despite the observed lack of statistical significance, there were clear trends observed with fellowship programs in the northeast and west coast regions being the highest earning and fellowship programs with top 10 Newsweek ranking of affiliated hospital having by far the greatest industry earnings. Sample size limitations likely prevented the detection of statistical significance. Future studies should examine if any relation exists when accounting for type of industry payment received and case volume per fellowship program.
项目地区和声望对美国小儿矫形外科研究员行业补充收入的影响:回顾性分析
导言:随着《医生薪酬阳光法案》的通过,医生的产业财务关系的透明度有所提高。矫形外科医生在这一领域的研究较多,约有 50% 的矫形外科医生有产业财务关系。此外,越来越多的骨科医生开始接受研究员培训,近年来儿科研究员培训项目越来越受欢迎。本研究旨在评估各种小儿骨科研究金项目对行业收入和学术生产力的影响。方法:通过北美骨科协会(POSNA)网站确定小儿骨科研究金项目。有关各个研究金项目的信息来自其各自的网站。学术生产力是通过Scopus网站上特定奖学金项目中所有受聘医生的H指数总和来衡量的。开放支付数据库(OPD)网站用于评估终身行业收入。其他变量如《新闻周刊》或 Doximity 排名则直接取自相关网站。统计分析采用 Kruskal-Wallis 检验和 Bonferroni 校正以及 Mann-Whitney U 检验。结果:美国共有 43 家小儿骨科外科研究中心,共有 392 名医生担任研究中心教员。其中 336 名医生(85.7%)有完整的 OPD 和 H 指数信息。每个项目平均有 7.81 ± 5.18 名医生和 1.56 ± 0.93 名研究员。医生H-指数的平均值为117.23±122.51,医生终身补充收入的平均值为646,684.37±1,159,507.17美元。小儿骨科奖学金的地区、附属医院的新闻周刊排名、附属医院的 Doximity 排名、是否有 MBA 项目、项目类型(公立、私立、混合)与项目毕业生的终生行业收入或学术生产力之间没有明显关系。结论:尽管缺乏统计学意义,但仍可观察到明显的趋势,即东北部和西海岸地区的研究金项目收入最高,附属医院在《新闻周刊》排名前十的研究金项目的行业收入最高。由于样本量的限制,很可能无法发现统计意义。未来的研究应考察在考虑行业支付类型和每个研究金项目的病例量时是否存在任何关系。
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