Gender Differences in Surgeon Compensation: Results of the American Society of Colon and Rectal Surgeons Survey

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Ann Surg. December 28, 2021. doi: 10.1097 / SLA.00000000000005360. Online ahead of print.

ABSTRACT

OBJECTIVE: We sought to understand the effect of gender on the compensation of colorectal surgeons and to determine what factors contribute to gender-based compensation differences.

BACKGROUND DATA SUMMARY: The gender pay gap in the medical profession is one of the largest pay gaps in the United States. The data regarding the pay gap between colorectal surgeons and the underlying reasons for this gap remain unclear.

METHODS: The American Society of Colon and Rectal Surgeons (ASCRS) Healthcare Economics Committee conducted a survey to assess the demographics, compensation, and practice of surgeons. To assess the effect of gender on earnings, we performed multivariate linear regression with backward selection. We used a two-tailed p-value with a significance level

RESULTS: The average normalized total compensation difference between men and women was $ 46,250, and when the salary was adjusted for FTEs the difference was $ 57,000. Women were more likely to perform anorectal surgery, less likely to perform general surgery, and less likely to hold managerial positions. After adjustments, women reported significantly lower earnings (aOR, 0.88; 95% CI, 0.80-0.97). Time spent on abdominal surgery (aOR, 1.13; 95% CI 1.03-1.23), professor status (aOR, 1.17; 95% CI, 1.03-1.32 ) and instructor status (aOR, 1.49; 95% 1.28-1.73) were independently associated with restitution.

Conclusions: We found an adjusted gender pay gap of 12% among colorectal surgeons. Gender-based differences in leadership positions and the distribution of effort can help. Further research will be needed to clarify the sources of pay inequalities. Nonetheless, our results should prompt action to be taken to help close the gap.

PMID: 34966068 | DOI: 10.1097 / SLA.00000000000005360


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