Gender and compensation among surgical specialties in the Veterans Health Administration.
Citation: American Journal of Surgery. 220(2):256-261, 2020 08.PMID: 32184008Department: MedStar Georgetown University Hospital ResidentsForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Physicians, Women/ec [Economics] | *Salaries and Fringe Benefits/sn [Statistics & Numerical Data] | *Specialties, Surgical/ec [Economics] | *Surgeons/ec [Economics] | *United States Department of Veterans Affairs | Adult | Female | Humans | Male | Professional Practice Location | Sex Factors | United StatesYear: 2020Local holdings: Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006ISSN:- 0002-9610
| Item type | Current library | Collection | Call number | Status | Date due | Barcode |
|---|---|---|---|---|---|---|
| Journal Article | MedStar Authors Catalog | Article | 32184008 | Available | 32184008 |
Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006
BACKGROUND: A gender pay gap has been reported across many professions, including medicine.
CONCLUSION: Female gender significantly predicted lower salary among VAMC surgeons, however within each surgical specialty, there was no significant gender pay gap.
METHODS: Surgeons employed at complex Veterans Affairs Medical Centers (VAMC) nationwide in 2016 were identified. Data on salary, gender, years since medical school graduation, professorship status, h-index, and geographic location were collected.
RESULTS: Of 1993 surgeons nationwide, 23% were female. On average, female surgeons had significantly lower salaries compared to male surgeons ( 68,429 +/- 41,339 versus 87,717 +/- 45,379, respectively; p < 0.001). Among each surgical specialty, there were no significant differences in salary on univariate analysis. Women were underrepresented in higher paying specialties and more heavily represented in lower paying specialties. On multivariate analysis, gender (p < 0.001), time since medical school graduation (p < 0.001), surgical specialty (p = 0.031), h-index (p < 0.001), and geographic location (p < 0.001) were significant predictors of salary.
SENTENCE SUMMARY: Independent predictors of salary included gender, surgical specialty, experience, h-index, and geographic location. Although female surgeons had lower overall salaries compared to male surgeons in the Veterans Health Administration (VHA), there were no significant gender differences in salary among each surgical specialty. Pay transparency, unique to the VHA, along with the use of rational and objective criteria to establish and adjust salaries, may play a role in reducing the gender pay gap among VHA surgeons. Copyright Published by Elsevier Inc.
English