Early-career and fellow gynecologic oncologists perceive underpreparedness for the business of medicine: A Society of gynecologic oncology survey study

IF 1.2 Q3 OBSTETRICS & GYNECOLOGY

Gynecologic Oncology Reports Pub Date : 2024-09-21 DOI:10.1016/j.gore.2024.101501

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Abstract

Objective

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.

Methods

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.

Results

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).

Conclusion

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.

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初入职场的妇科肿瘤学家和同行认为自己对医学事业准备不足：妇科肿瘤学会调查研究

目的在妇科肿瘤学早期职业（EC）主治医师的职业决策中，关于薪酬、报销和学术生产力的影响还存在研究空白。我们试图评估妇科肿瘤学研究员和妇科肿瘤学早期职业主治医师对医疗业务的了解和看法。方法通过电子方式向研究员和妇科肿瘤学早期职业主治医师SGO成员发布匿名调查。关键主题是医疗业务、生产力和薪酬/谈判。采用 5 点李克特量表；使用 SPSS 计算描述性统计：回复率为 29%：82 名研究员和 102 名 EC 主治医师。大多数研究员（n = 67，82%）对学术/非私人实践感兴趣，大多数急诊主治医师（n = 82，82%）受雇于学术/非私人实践。研究员和执业医师报告称，RVUs（相对价值单位）和报销方面的教育不足（80%，n = 66；81%，n = 83），并且感觉没有为业务方面做好准备（80%，n = 66；73%，n = 75）。超过 40% 的研究员不了解 RVU 与实践的关系。33%的急诊科主治医师不了解 RVU 的分配；29%的主治医师对确定生产率的方法感到满意，17%的主治医师不了解自己的报酬。超过 60% 的研究员认为自己没有做好协商临床生产率预期的准备。就执委会主治医师而言，47%的人在协商临床期望值时感到不自在，32%的人在协商学术期望值时感到不自在，52%的人在协商薪酬变化时感到不自在。在医疗业务（p = 0.02）、RVU 分配（p < 0.01）和薪酬谈判（p < 0.01）方面，女性执委的准备程度低于男性执委。与男性相比，女性对这些概念不太适应。正式教育应纳入职业发展课程。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gynecologic Oncology Reports OBSTETRICS & GYNECOLOGY-

CiteScore

2.00

自引率

0.00%

发文量

183

审稿时长

41 days

期刊介绍： Gynecologic Oncology Reports is an online-only, open access journal devoted to the rapid publication of narrative review articles, survey articles, case reports, case series, letters to the editor regarding previously published manuscripts and other short communications in the field of gynecologic oncology. The journal will consider papers that concern tumors of the female reproductive tract, with originality, quality, and clarity the chief criteria of acceptance.