Women physicians make about 77 cents on the dollar compared with their male colleagues, which translates to between $0.9 million and $2.5 million in lost career earnings over their lifetime.
"Early on there was this cultural narrative that there is no gender pay gap; it's just that women work part-time," said Amy S. Gottlieb, MD, chief faculty development officer, associate dean for faculty affairs, and professor of medicine and obstetrics & gynecology at UMass Chan Medical School-Baystate.
Closing the Gender Pay Gap in Medicine: A Roadmap for Healthcare Organizations and the Women Physicians Who Work for Them.Gottlieb said that compensation models, typically based on RVUs for employed physicians, have some flaws that inadvertently lower women's pay. Physician pay models usually involve a formula: Base salary + monetary rewards for seniority and leadership + physicians' productivity.
Gottlieb said the research shows that when many women populate a field or specialty, a decline in pay can occur. Outside of medicine, schoolteachers were vulnerable to this phenomenon."The earning potential of an entire specialty and all the women entering it is put at risk," Gottlieb said.Research also points out that productivity-based compensation models can negatively affect a woman's pay due to organizational service duties that don't lead to promotions.
"The better outcomes are from spending more time, making the extra phone call, answering extra questions, and staying later and longer with the patients," said Theresa Rohr-Kirchgraber, MD, professor of medicine at AU/UGA Medical Partnership in Athens, Georgia.
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