Educational Costs Expended and Career Incomes in Advanced Healthcare Professions.

Q3 Medicine AANA journal Pub Date : 2024-02-01

Melissa M Brown, Gary C Brown, Meg R Smith

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Abstract

The financial desirability of dollar/time investments in postbaccalaureate healthcare professional education is needed. We therefore compared postbaccalaureate educational costs and career earnings for nurse anesthetists, eight other advanced degree, nonphysician professions, and 14 physician specialties with internal rate of return (IRR) and net present value (NPV) analysis. The IRR and NPV integrated educational costs (tuition, finance charges, lost salary opportunity costs), and career earnings using U.S. Bureau of Labor and Medscape 2022 Physician Compensation Report data. Costs were discounted to 2022 U.S. real dollars using the 3.97% 50-year, U.S. average inflation rate. Annual IRRs for educational investment were 1) hospital CEOs = 48.8%; 2) managed care finance directors = 48.2%; 3) Doctors of Nurse Anesthesia Practice = 26.0%; 4) specialist physicians = 20.3%; 5) primary care physicians = 19.2%; 6) Doctors of Physical Therapy = 18.8%; 7) healthcare attorneys = 18.4%; 8) Doctors of Dental Surgery (dentists) = 18.1%; 9) Doctors of Pharmacy = 17.2%; and 10) Advanced Nurse Practitioners = 10.8%. Considering the educational money/time invested for career monetary returns, the financial desirability of nurse anesthetist and nonphysician, healthcare executive education exceeded that of physicians. Lifetime earnings for nurse anesthetists exceeded those of Doctors of Dental Surgery (Doctors of Dental Medicine), Doctors of Pharmacy, Doctors of Physical Therapy, managed care MBAs, biomedical engineers, healthcare attorneys, and Advanced Nurse Practitioners.

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高级医疗保健专业的教育成本支出和职业收入。

需要对学士后医疗保健专业教育的美元/时间投资的经济可取性进行研究。因此，我们通过内部收益率（IRR）和净现值（NPV）分析，比较了麻醉护士、其他八个高级学位、非医师专业和 14 个医师专业的学士后教育成本和职业收入。内部收益率和净现值综合了教育成本（学费、财务费用、工资机会成本损失）和职业收入，使用的是美国劳工局和 Medscape 2022 年医生薪酬报告数据。成本使用 3.97% 的 50 年美国平均通货膨胀率折算成 2022 年的实际美元。教育投资的年度内部收益率分别为：1）医院首席执行官 = 48.8%；2）管理式医疗财务总监 = 48.2%；3）麻醉护士执业医生 = 26.0%；4）专科医生 = 20.3%；5）初级保健医生 = 19.2%；6）理疗医师 = 18.8%；7）医疗保健律师 = 18.4%；8）牙科手术医师（牙医） = 18.1%；9）药剂师 = 17.2%；10）高级执业护士 = 10.8%。考虑到为获得职业货币回报而投入的教育资金/时间，麻醉护士和非医师医疗保健管理人员教育的经济可取性超过了医师。麻醉护士的终生收入超过了牙科医学博士、药学博士、理疗学博士、管理型医疗 MBA、生物医学工程师、医疗保健律师和高级执业护士。

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来源期刊

AANA journal Medicine-Medicine (all)

CiteScore

1.20

自引率

0.00%

发文量

期刊介绍： Founded in 1931 and located in Park Ridge, Ill., the AANA is the professional organization for more than 90 percent of the nation’s nurse anesthetists. As advanced practice nurses, CRNAs administer approximately 32 million anesthetics in the United States each year. CRNAs practice in every setting where anesthesia is available and are the sole anesthesia providers in more than two-thirds of all rural hospitals. They administer every type of anesthetic, and provide care for every type of surgery or procedure, from open heart to cataract to pain management.

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