美国学术中心急诊医学研究员的临床职责和报酬:描述性横断面调查

IF 1.7 Q2 EDUCATION, SCIENTIFIC DISCIPLINES AEM Education and Training Pub Date : 2024-03-21 DOI:10.1002/aet2.10959
Alexander J. Ulintz MD, Alyssa Tyransky, Gregory M. Archual MBA, Chelsea B. Kadish MD, Ashish R. Panchal MD, PhD
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引用次数: 0

摘要

目的 研究员培训在住院医生毕业生中越来越受欢迎,对急诊医学(EM)的学术发展至关重要。人们对研究员在培训期间的临床工作时间和经济报酬知之甚少。我们试图描述美国学术中心急诊科研究员的临床职责和经济报酬。 本横断面研究调查了美国学术急诊医学会(Society for Academic Emergency Medicine)的学术急诊医学行政人员学会(AAAEM)成员中的急诊医学学术部门行政人员的研究金项目和研究员情况。我们在 2022 年 10 月至 2023 年 1 月期间以电子方式向 73 个会员站点分发了经过验证的调查工具。调查领域包括研究员和研究员的人口统计学特征、基本和年度总临床时间以及基本和年度总报酬。我们计算了描述性统计数字,并使用秩和检验和 Wilcoxon 秩和检验比较了不同认证(毕业后医学教育认证委员会 [ACGME] 或非 ACGME)的研究员。我们使用 Wilcoxon 秩和检验对不同性别和评审的基本工资和总工资进行了二次分析。 结果 我们收到了 38 个机构的回复(回复率为 52%),代表了 217 名研究员。近四分之三(n = 158,72.8%)的研究员参加了非 ACGME 研究项目,每年的基本工作时间比 ACGME 研究员多 33%(中位数为 571 小时 vs. 768 小时,p < 0.001),基本报酬比 ACGME 研究员高 20%(88,540 美元 vs. 70,777 美元,p < 0.001)。考虑到额外报酬,非 ACGME 研究员的年总报酬中位数仍比 ACGME 研究员高 11%(105,000 美元对 93,853 美元,p = 0.004)。我们观察到,按性别划分的薪酬差异并不明显。 结论 美国学术机构的大多数急诊科研究员都参加了非 ACGME 研究项目,其基本工作时间和经济补偿明显高于 ACGME 研究项目。这些结果首次描述了学术急诊科研究员的临床时间和经济补偿,AAAEM在进行基准测试时应加以考虑。
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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Clinical duties and compensation for U.S. emergency medicine fellows at academic centers: A descriptive, cross-sectional survey

Objective

Fellowship training is increasingly popular among residency graduates and critical to the advancement of academic emergency medicine (EM). Little is known about the clinical hours worked and financial compensation received by fellows during training. We sought to describe the clinical duties and financial compensation of EM fellows at U.S. academic centers.

Methods

This cross-sectional study surveyed U.S. academic EM department administrators who were members of the Society for Academic Emergency Medicine's Academy of Administrators in Academic Emergency Medicine (AAAEM) regarding their fellowship programs and fellows. We electronically distributed the validated survey instrument to 73 member sites between October 2022 and January 2023. Survey domains included fellow and fellowship demographics, base and total annual clinical hours, and base and total annual compensation. We calculated descriptive statistics and compared fellows by accreditation (Accreditation Council for Graduate Medical Education [ACGME] or non-ACGME) using chi-square and Wilcoxon rank-sum testing. We conducted a secondary analysis of base and total salary by gender and accreditation using Wilcoxon rank-sum testing.

Results

We received 38 institutional responses (response rate 52%), which represented 217 individual fellows. Nearly three-fourths (n = 158, 72.8%) of fellows enrolled in non-ACGME fellowships, worked 33% more base hours annually than ACGME fellows (median 571 h vs. 768 h, p < 0.001), and received base compensation 20% higher than ACGME fellows ($88,540 vs. $70,777, p < 0.001). Accounting for additional compensation, the median total annual compensation for non-ACGME fellows remained 11% higher than ACGME fellows ($105,000 vs. $93,853, p = 0.004). We observed no significant differences salary when stratified by gender.

Conclusions

Most EM fellows at U.S. academic institutions enrolled in non-ACGME fellowships with significantly higher base hours and financial compensation than ACGME fellowships. These results represent the first description of the clinical hours and financial compensation of academic EM fellows and should be considered in ongoing benchmarking efforts by AAAEM.

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来源期刊
AEM Education and Training
AEM Education and Training Nursing-Emergency Nursing
CiteScore
2.60
自引率
22.20%
发文量
89
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