Will the clinicians support the researchers and teachers? results of a salary satisfaction survey of 947 academic surgeons

Paul C. Kuo, John E. Scarborough, Kyla M. Bennett, Rebecca A. Schroeder, Tristan B. Swedish, Danny O. Jacobs

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

OBJECTIVE:: To determine whether academic surgeons are satisfied with their salaries, and if they are willing to forego some compensation to support departmental academic endeavors. BACKGROUND:: Increasing financial constraints have led many academic surgery departments to rely on increasingly on clinical revenue generation for the cross-subsidization of research and teach missions. METHODS:: Members of 3 academic surgical societies (n = 3059) were surveyed on practice characteristics and attitudes about financial compensation. Univariate and multivariate logistic regression analyses were performed to identify determinants of salary satisfaction and willingness to forego compensation to support academic missions. RESULTS:: One thousand thirty-eight (33.9%) surgeons responded to our survey, 947 of whom maintain an academic practice. Of these academic surgeons, 49.7% expressed satisfaction with their compensation. Length of career, administrative responsibility for compensation and membership in the American Surgical Association or the Society of University Surgeons were predictive of salary satisfaction on univariate analysis. Frequent emergency call duty, increased clinical activity, and greater perceived difference between academic and private practice compensation were predictive of salary dissatisfaction. On multivariate analysis, increased clinical activity was inversely associated with both salary satisfaction (adjusted odds ratio [AOR], 0.77; [95% CI: 0.64, 0.94]; P = 0.009) and amount of compensation willingly killed for an academic practice (AOR, 0.71; [0.61, 0.83]; P < 0.0005). CONCLUSIONS:: Increasing reliance on clinical revenue to subsidize nonclinical academic missions is disaffecting many academic surgeons. Redefined mission priorities, enhanced nonfinancial rewards, utilization of nonclinical revenue sources (eg, philanthropy, grants), increased efficiency of business practices and/or redesign of fund flows may be necessary to sustain recruitment and retention of young academic surgeons.

Original languageEnglish (US)
Pages (from-to)432-437
Number of pages6
JournalAnnals of Surgery
Volume250
Issue number3
DOIs
StatePublished - Sep 2009
Externally publishedYes

Fingerprint

Salaries and Fringe Benefits
Compensation and Redress
Research Personnel
Odds Ratio
Organized Financing
Private Practice
Financial Management
Reward
Surgeons
Surveys and Questionnaires
Emergencies
Multivariate Analysis
Logistic Models
Regression Analysis
Efficiency
Research
Practice (Psychology)

ASJC Scopus subject areas

  • Surgery

Cite this

Kuo, P. C., Scarborough, J. E., Bennett, K. M., Schroeder, R. A., Swedish, T. B., & Jacobs, D. O. (2009). Will the clinicians support the researchers and teachers? results of a salary satisfaction survey of 947 academic surgeons. Annals of Surgery, 250(3), 432-437. https://doi.org/10.1097/SLA.0b013e3181b38de2

Will the clinicians support the researchers and teachers? results of a salary satisfaction survey of 947 academic surgeons. / Kuo, Paul C.; Scarborough, John E.; Bennett, Kyla M.; Schroeder, Rebecca A.; Swedish, Tristan B.; Jacobs, Danny O.

In: Annals of Surgery, Vol. 250, No. 3, 09.2009, p. 432-437.

Research output: Contribution to journalArticle

Kuo, Paul C. ; Scarborough, John E. ; Bennett, Kyla M. ; Schroeder, Rebecca A. ; Swedish, Tristan B. ; Jacobs, Danny O. / Will the clinicians support the researchers and teachers? results of a salary satisfaction survey of 947 academic surgeons. In: Annals of Surgery. 2009 ; Vol. 250, No. 3. pp. 432-437.
@article{df12887ba465448bb533327c45f00c22,
title = "Will the clinicians support the researchers and teachers? results of a salary satisfaction survey of 947 academic surgeons",
abstract = "OBJECTIVE:: To determine whether academic surgeons are satisfied with their salaries, and if they are willing to forego some compensation to support departmental academic endeavors. BACKGROUND:: Increasing financial constraints have led many academic surgery departments to rely on increasingly on clinical revenue generation for the cross-subsidization of research and teach missions. METHODS:: Members of 3 academic surgical societies (n = 3059) were surveyed on practice characteristics and attitudes about financial compensation. Univariate and multivariate logistic regression analyses were performed to identify determinants of salary satisfaction and willingness to forego compensation to support academic missions. RESULTS:: One thousand thirty-eight (33.9{\%}) surgeons responded to our survey, 947 of whom maintain an academic practice. Of these academic surgeons, 49.7{\%} expressed satisfaction with their compensation. Length of career, administrative responsibility for compensation and membership in the American Surgical Association or the Society of University Surgeons were predictive of salary satisfaction on univariate analysis. Frequent emergency call duty, increased clinical activity, and greater perceived difference between academic and private practice compensation were predictive of salary dissatisfaction. On multivariate analysis, increased clinical activity was inversely associated with both salary satisfaction (adjusted odds ratio [AOR], 0.77; [95{\%} CI: 0.64, 0.94]; P = 0.009) and amount of compensation willingly killed for an academic practice (AOR, 0.71; [0.61, 0.83]; P < 0.0005). CONCLUSIONS:: Increasing reliance on clinical revenue to subsidize nonclinical academic missions is disaffecting many academic surgeons. Redefined mission priorities, enhanced nonfinancial rewards, utilization of nonclinical revenue sources (eg, philanthropy, grants), increased efficiency of business practices and/or redesign of fund flows may be necessary to sustain recruitment and retention of young academic surgeons.",
author = "Kuo, {Paul C.} and Scarborough, {John E.} and Bennett, {Kyla M.} and Schroeder, {Rebecca A.} and Swedish, {Tristan B.} and Jacobs, {Danny O.}",
year = "2009",
month = "9",
doi = "10.1097/SLA.0b013e3181b38de2",
language = "English (US)",
volume = "250",
pages = "432--437",
journal = "Annals of Surgery",
issn = "0003-4932",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Will the clinicians support the researchers and teachers? results of a salary satisfaction survey of 947 academic surgeons

AU - Kuo, Paul C.

AU - Scarborough, John E.

AU - Bennett, Kyla M.

AU - Schroeder, Rebecca A.

AU - Swedish, Tristan B.

AU - Jacobs, Danny O.

PY - 2009/9

Y1 - 2009/9

N2 - OBJECTIVE:: To determine whether academic surgeons are satisfied with their salaries, and if they are willing to forego some compensation to support departmental academic endeavors. BACKGROUND:: Increasing financial constraints have led many academic surgery departments to rely on increasingly on clinical revenue generation for the cross-subsidization of research and teach missions. METHODS:: Members of 3 academic surgical societies (n = 3059) were surveyed on practice characteristics and attitudes about financial compensation. Univariate and multivariate logistic regression analyses were performed to identify determinants of salary satisfaction and willingness to forego compensation to support academic missions. RESULTS:: One thousand thirty-eight (33.9%) surgeons responded to our survey, 947 of whom maintain an academic practice. Of these academic surgeons, 49.7% expressed satisfaction with their compensation. Length of career, administrative responsibility for compensation and membership in the American Surgical Association or the Society of University Surgeons were predictive of salary satisfaction on univariate analysis. Frequent emergency call duty, increased clinical activity, and greater perceived difference between academic and private practice compensation were predictive of salary dissatisfaction. On multivariate analysis, increased clinical activity was inversely associated with both salary satisfaction (adjusted odds ratio [AOR], 0.77; [95% CI: 0.64, 0.94]; P = 0.009) and amount of compensation willingly killed for an academic practice (AOR, 0.71; [0.61, 0.83]; P < 0.0005). CONCLUSIONS:: Increasing reliance on clinical revenue to subsidize nonclinical academic missions is disaffecting many academic surgeons. Redefined mission priorities, enhanced nonfinancial rewards, utilization of nonclinical revenue sources (eg, philanthropy, grants), increased efficiency of business practices and/or redesign of fund flows may be necessary to sustain recruitment and retention of young academic surgeons.

AB - OBJECTIVE:: To determine whether academic surgeons are satisfied with their salaries, and if they are willing to forego some compensation to support departmental academic endeavors. BACKGROUND:: Increasing financial constraints have led many academic surgery departments to rely on increasingly on clinical revenue generation for the cross-subsidization of research and teach missions. METHODS:: Members of 3 academic surgical societies (n = 3059) were surveyed on practice characteristics and attitudes about financial compensation. Univariate and multivariate logistic regression analyses were performed to identify determinants of salary satisfaction and willingness to forego compensation to support academic missions. RESULTS:: One thousand thirty-eight (33.9%) surgeons responded to our survey, 947 of whom maintain an academic practice. Of these academic surgeons, 49.7% expressed satisfaction with their compensation. Length of career, administrative responsibility for compensation and membership in the American Surgical Association or the Society of University Surgeons were predictive of salary satisfaction on univariate analysis. Frequent emergency call duty, increased clinical activity, and greater perceived difference between academic and private practice compensation were predictive of salary dissatisfaction. On multivariate analysis, increased clinical activity was inversely associated with both salary satisfaction (adjusted odds ratio [AOR], 0.77; [95% CI: 0.64, 0.94]; P = 0.009) and amount of compensation willingly killed for an academic practice (AOR, 0.71; [0.61, 0.83]; P < 0.0005). CONCLUSIONS:: Increasing reliance on clinical revenue to subsidize nonclinical academic missions is disaffecting many academic surgeons. Redefined mission priorities, enhanced nonfinancial rewards, utilization of nonclinical revenue sources (eg, philanthropy, grants), increased efficiency of business practices and/or redesign of fund flows may be necessary to sustain recruitment and retention of young academic surgeons.

UR - http://www.scopus.com/inward/record.url?scp=70249125486&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=70249125486&partnerID=8YFLogxK

U2 - 10.1097/SLA.0b013e3181b38de2

DO - 10.1097/SLA.0b013e3181b38de2

M3 - Article

C2 - 19730174

AN - SCOPUS:70249125486

VL - 250

SP - 432

EP - 437

JO - Annals of Surgery

JF - Annals of Surgery

SN - 0003-4932

IS - 3

ER -