For the Love of the Game: Calculating the Premium Associated With Academic Surgical Practice.

IF 7.5 1区 医学 Q1 SURGERY
Annals of surgery Pub Date : 2024-10-01 Epub Date: 2024-06-25 DOI:10.1097/SLA.0000000000006414
Emily A Grimsley, David O Anderson, Melissa A Kendall, Tyler Zander, Rajavi Parikh, Ronald J Weigel, Paul C Kuo
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引用次数: 0

Abstract

Objective: We sought to determine the premium associated with a career in academic surgery, as measured by compensation normalized to the work relative value unit (wRVU).

Background: An academic surgical career embodying innovation and mentorship offers intrinsic rewards but is not well monetized. We know compensation for academic surgeons is less than their nonacademic counterparts, but the value of clinical effort, as normalized to the wRVU, between academic and nonacademic surgeons has not been well characterized. Thus, we analyzed the variations in the valuation of academic and nonacademic surgical work from 2010 to 2022.

Methods: We utilized Medical Group Management Association Provider Compensation data from 2010, 2014, 2018, and 2022 to compare academic and nonacademic surgeons. We analyzed raw total cash compensation (TCC), wRVU, TCC per wRVU (TCC/wRVU), and TCC to collections (TCCtColl). We calculated collections per wRVU (Coll/wRVU). We adjusted TCC and TCCtColl for inflation using the Consumer Price Index. Linear modeling for trend analysis was performed.

Results: Compared with nonacademic, academic surgeons had lower TCC (2010: $500,415.0±23,666 vs $631,515.5±23,948.2, -21%; 2022: $564,789.8±23,993.9 vs $628,247.4±15,753.2, -10%), despite higher wRVUs (2022: 9109.4±474.9 vs 8062.7±252.7) and higher Coll/wRVU (2022: 76.68±8.15 vs 71.80±6.10). Trend analysis indicated that TCC will converge in 2038 at an estimated $660,931.

Conclusions: In 2022, academic surgeons had more clinical activity and superior organizational revenue capture, despite less total and normalized clinical compensation. On the basis of TCC/wRVUs, academia charges a premium of 16% over nonacademic surgery. However, trend analysis suggests that TCC will converge within the next 20 years.

出于对游戏的热爱:计算与外科学术实践相关的溢价。
目的:我们试图确定与外科学术生涯相关的溢价:我们试图确定与学术外科职业相关的溢价,其衡量标准是以工作相对价值单位(wRVU)归一化的报酬:背景:学术外科职业体现了创新和导师制,提供了内在回报,但并没有很好地货币化。我们知道,学术外科医生的报酬低于非学术外科医生,但学术外科医生和非学术外科医生的临床努力价值(按工作相对价值单位归一化)还没有得到很好的描述。因此,我们分析了 2010 年至 2022 年学术和非学术外科工作估值的变化:我们利用医疗集团管理协会(Medical Group Management Association)2010、2014、2018 和 2022 年的医疗机构薪酬数据,对学术和非学术外科医生进行了比较。我们分析了原始现金补偿总额 (TCC)、wRVU、每 wRVU 的 TCC (TCC/wRVU) 以及 TCC 与收款的比率 (TCCtColl)。我们计算了每 wRVU 的收款(Coll/wRVU)。我们使用消费者价格指数对 TCC 和 TCCtColl 进行了通货膨胀调整。对趋势分析进行了线性建模:结果:与非学术外科医生相比,学术外科医生的TCC较低(2010年:$500,415.0±23,666 vs. $631,515.5±23,948.2,-21%;2022年:$564,789.8±23,993.9 vs. $628,247.4±15%)。趋势分析表明,TCC 将在 2038 年趋同,估计为 660,931 美元:2022 年,学术外科医生的临床活动更多,组织收入获取能力更强,尽管临床报酬总额和归一化报酬较低。根据 TCC/wRVUs 计算,学术外科医生的收费比非学术外科医生高出 16%。然而,趋势分析表明,TCC 将在未来二十年内趋于一致。
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来源期刊
Annals of surgery
Annals of surgery 医学-外科
CiteScore
14.40
自引率
4.40%
发文量
687
审稿时长
4 months
期刊介绍: The Annals of Surgery is a renowned surgery journal, recognized globally for its extensive scholarly references. It serves as a valuable resource for the international medical community by disseminating knowledge regarding important developments in surgical science and practice. Surgeons regularly turn to the Annals of Surgery to stay updated on innovative practices and techniques. The journal also offers special editorial features such as "Advances in Surgical Technique," offering timely coverage of ongoing clinical issues. Additionally, the journal publishes monthly review articles that address the latest concerns in surgical practice.
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