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Gender differences in compensation in academic medicine: the results from four neurological specialties within the University of California Healthcare System

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Abstract

This study demonstrates the continued existence of gender disparity with respect to salary in four neurologic specialties in the largest public healthcare system of the Western United States without the bias of self-report. We extracted physician salary information from the publicly available UC pay system database and obtained Scopus (http://www.scopus.com/home.url) and Web of Science publication counts and h-indices via searching individual faculty by name and specialty. Faculty gender, institution, specialty, ranking, chairmanship, degrees, and salary data were collected through review of departmental websites and individual faculty profiles. All faculty members (n = 433) from the departments of ophthalmology, otolaryngology, neurosurgery and neurology in the UC pay system database in 2008 were selected for analysis. We found that female faculty members in the 2008 UC healthcare system were significantly underrepresented from the highest salary brackets, representing only 12.5 and 2.6 % of those earning $300,001–$400,000 and over $400,000, respectively (p < 0.01). The female-to-male salary ratio in 2008 for all UC physicians earning over $100,000 was 0.698 (p < 0.00001). Multivariate regression modeling demonstrated a 12 % salary deficit (95 % CI 2–21 %, p = 0.02) for women in the UC healthcare system after controlling for institution, professorial rank, chairmanship, specialty, Scopus publication count, and Scopus h-index. Despite recent efforts at educational equality in the training of physicians, gender disparities still persist within academic medicine.

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References

  • Andrews, N. C. (2007). Climbing through medicine’s glass ceiling. New England Journal of Medicine, 357(19), 1887–1889.

    Article  Google Scholar 

  • Ash, A. S., Carr, P. L., Goldstein, R., & Friedman, R. H. (2004). Compensation and advancement of women in academic medicine: is there equity? Annals of Internal Medicine, 141(3), 205–212.

    Article  Google Scholar 

  • Hildrun, K., Alexander, P., & Johannes, S. (2012). Research evaluation. Part II: gender effects of evaluation: are men more productive and more cited than women? Scientometrics, 93(1), 17–30.

    Article  Google Scholar 

  • Hirsch, J. E. (2005). An index to quantify an individual’s scientific research output. Proceedings of the National Academy of Sciences United States of America, 102(46), 16569–16572.

    Article  Google Scholar 

  • Hirsch, J. E. (2007). Does the H index have predictive power? Proceedings of the National Academy of Sciences United States of America, 104(49), 19193–19198.

    Article  Google Scholar 

  • Jagsi, R., Griffith, K., Stewart, A., Sambuco, D., DeCastro, R., & Ubel, P. (2012). Gender differences in the salaries of physician researchers. Journal of the American Medical Association, 307(22), 2410–2417.

    Google Scholar 

  • Jagsi, R., Guancial, E. A., Worobey, C. C., et al. (2006). The “gender gap” in authorship of academic medical literature—a 35 years perspective. New England Journal of Medicine, 355(3), 281–287.

    Article  Google Scholar 

  • Kaplan, S. H., Sullivan, L. M., Dukes, K. A., Phillips, C. F., Kelch, R. P., & Schaller, J. G. (1996). Sex differences in academic advancement. Results of a national study of pediatricians. New England Journal of Medicine, 335(17), 1282–1289.

    Article  Google Scholar 

  • Krefting, L. (2003). Intertwined discourses of merit and gender: Evidence from academic employment in the USA. Gender, Work & Organization, 10(2), 260–278.

    Article  Google Scholar 

  • Kulasegarah, J., & Fenton, J. E. (2010). Comparison of the h index with standard bibliometric indicators to rank influential otolaryngologists in Europe and North America. European Archives of Oto-Rhino-Laryngology, 267(3), 455–458.

    Article  Google Scholar 

  • Lambert, E. M., & Holmboe, E. S. (2005). The relationship between specialty choice and gender of US medical students, 1990–2003. Academic Medicine, 80(9), 797–802.

    Article  Google Scholar 

  • Lo Sasso, A. T., Richards, M. R., Chou, C. F., & Gerber, S. E. (2011). The $16,819 pay gap for newly trained physicians: the unexplained trend of men earning more than women. Health Affairs (Millwood), 30(2), 193–201.

    Article  Google Scholar 

  • Longo, P., & Straehley, C. J. (2008). Whack! I’ve hit the glass ceiling! Women’s efforts to gain status in surgery. Gender Medicine, 5(1), 88–100.

    Article  Google Scholar 

  • McMurray, J. E., Linzer, M., Konrad, T. R., Douglas, J., Shugerman, R., & Nelson, K. (2000). The work lives of women physicians results from the physician work life study. The SGIM Career Satisfaction Study Group. Journal of General Internal Medicine, 15(6), 372–380.

    Google Scholar 

  • Monroe, K., Ozyurt, S., Wrigley, T., & Alexander, A. (2008). Gender equality in academia: Bad news from the trenches, and some possible solutions. Perspectives on Politics, 6(2), 215–233.

    Article  Google Scholar 

  • Ponce, F. A., & Lozano, A. M. (2010). Academic impact and rankings of American and Canadian neurosurgical departments as assessed using the h index. Journal of Neurosurgery, 113(3), 447–457.

    Article  Google Scholar 

  • Sangwal, K. (2012). On the age-independent publication index. Scientometrics, 91(3), 1053–1058.

    Article  Google Scholar 

  • Tesch, B. J., Wood, H. M., Helwig, A. L., & Nattinger, A. B. (1995). Promotion of women physicians in academic medicine. Glass ceiling or sticky floor? Journal of the American Medical Association, 273(13), 1022–1025.

    Article  Google Scholar 

  • van Arensbergen, P., van der Weijden, I., & van den Besselaar, P. (2012). Gender differences in scientific productivity: a persisting phenomenon? Scientometrics, 93(3), 857–868.

    Article  Google Scholar 

  • Weeks, W. B., Wallace, T. A., & Wallace, A. E. (2009). How do race and sex affect the earnings of primary care physicians? Health Affairs (Millwood), 28(2), 557–566.

    Article  Google Scholar 

  • Women in US Academic Medicine: Statistics and Benchmarking Report. 2009.

  • Wright, A. L., Schwindt, L. A., Bassford, T. L., et al. (2003). Gender differences in academic advancement: patterns, causes, and potential solutions in one US College of Medicine. Academic Medicine, 78(5), 500–508.

    Article  Google Scholar 

  • Zhuge, Y., Kaufman, J., Simeone, D. M., Chen, H., & Velazquez, O. C. (2011). Is there still a glass ceiling for women in academic surgery? Annals of Surgery, 253(4), 637–643.

    Article  Google Scholar 

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Authors and Affiliations

  1. Byers Eye Institute, Horngren Family Vitreoretinal Center, Department of Ophthalmology, Stanford University School of Medicine, 2452 Watson Court, Rm. 2277, Palo Alto, CA, 94303, USA

    Michael T. Henderson, Natalia Fijalkowski, Sean K. Wang, Luo Luo Zheng & Darius M. Moshfeghi

  2. Department of Neurological Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA

    Mitch Maltenfort

  3. Department of Neurosurgery, Stanford University School of Medicine, Palo Alto, CA, USA

    John Ratliff

  4. Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Palm Beach Gardens, FL, USA

    Andrew A. Moshfeghi

Authors
  1. Michael T. Henderson
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  2. Natalia Fijalkowski
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  3. Sean K. Wang
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  4. Mitch Maltenfort
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  5. Luo Luo Zheng
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  6. John Ratliff
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  7. Andrew A. Moshfeghi
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  8. Darius M. Moshfeghi
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Correspondence to Darius M. Moshfeghi.

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Henderson, M.T., Fijalkowski, N., Wang, S.K. et al. Gender differences in compensation in academic medicine: the results from four neurological specialties within the University of California Healthcare System. Scientometrics 100, 297–306 (2014). https://doi.org/10.1007/s11192-014-1266-y

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  • DOI: https://doi.org/10.1007/s11192-014-1266-y

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