Introduction

Over the last decade, the field of pediatric and adolescent gynecology (PAG) has rapidly expanded on the basis of a need for this specialized training to care for children and adolescents with gynecologic concerns. There are 18 PAG fellowship programs within the United States and Canada. Since 2017, which marked the beginning of the American Board of Obstetrics and Gynecology (ABOG) Focused Practice Examination in PAG and PAG Maintenance of Certification program, there has been a growing recognition of this specialty, given the unique population served. However, there is a paucity of information related to compensation in PAG. As the field has grown and more PAG fellow graduates are sought by children's hospitals throughout the United States and Canada, there is an urgent need to ensure that salary is equitable for these specialty PAG providers given the unique skills acquired during fellowship training, beyond that of obstetrics and gynecology (OBGYN) residency. This initial survey aimed to focus on compensation for PAG surgeons in the United States.

Objectives

To survey NASPAG PAG surgeons in the United States about current benefits, practice metrics, and compensation

Methods

A 15-question anonymous survey was sent to PAG surgeons in the United States in February 2022, with 3 reminders sent by email to engage voluntary participation. The survey aimed to understand practice characteristics, current compensation, and relative value unit (RVU) benchmarks. Descriptive statistics were utilized. Compensation means and quartiles were calculated in U.S. dollars for the following categories: assistant professor, associate professor, and full professor. The compensation mean was also calculated for private/hybrid and instructor categories.

Results

Among 255 eligible members, 88 completed the survey, for a participation rate of 34.5%. Sixty-three point six percent reported having completed a PAG fellowship, whereas one-third reported specializing in this area with no fellowship available at the time. Three-fourths reported having achieved ABOG Focused Practice PAG certification. Most providers were academic (75%) and working full time (82.9%). Among academicians, most were assistant professors (48%) and on the non-tenure track (50.6%). RVU benchmarks varied, with 40.2% reporting OBGYN generalist targets and only 18.3% reporting PAG-specific targets, despite most physicians practicing only PAG (62.5%) and less than 30% practicing PAG plus some adult OBGYN. Salary support varied, with 57% employed by a hospital. Incentives were common, with most receiving a bonus at the end of the year (52.9%). As expected, full professors reported higher mean compensation ($345k) as compared with less senior colleagues ($248k and $302k for assistant and associate professors, respectively). Private practice/hybrid practitioners reported compensation ($251k) similar to that of assistant professors ($248k). Only 2 instructor-level physicians completed the survey. The mean number for this level is skewed and is not a reliable predictor for this academic level. Quartiles could not be calculated for this category.

Conclusion

This is the first survey addressing compensation in the field of PAG in the United States. There is an ongoing need to collect this information to prepare PAG fellow graduates for the job market. Additional surveys, including an understanding of the compensation landscape in Canada, are needed in the future to address specific questions related to compensation for those who have less than 50% clinical time.

中文翻译：

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NASPAG 儿科和青少年妇科手术补偿调查

介绍

在过去十年中，儿科和青少年妇科 (PAG) 领域迅速扩大，因为需要这种专门培训来照顾有妇科问题的儿童和青少年。美国和加拿大有 18 个 PAG 奖学金计划。自 2017 年以来，标志着美国妇产科委员会 (ABOG) PAG 重点实践考试和 PAG 认证维护计划的开始，鉴于所服务的独特人群，人们对该专业的认可度越来越高。然而，关于 PAG 补偿的信息很少。随着该领域的发展，越来越多的 PAG 毕业生受到美国和加拿大儿童医院的青睐，考虑到在奖学金培训期间获得的独特技能，除了妇产科 (OBGYN) 住院医师之外，迫切需要确保这些专业 PAG 提供者的薪水公平。这项初步调查旨在关注美国 PAG 外科医生的薪酬。

目标

调查美国 NASPAG PAG 外科医生的当前福利、实践指标和薪酬

方法

2022 年 2 月向美国的 PAG 外科医生发送了一项包含 15 个问题的匿名调查，并通过电子邮件发送了 3 条提醒以参与自愿参与。该调查旨在了解实践特征、当前薪酬和相对价值单位 (RVU) 基准。使用了描述性统计数据。以下类别的薪酬均值和四分位数以美元计算：助理教授、副教授和正教授。还计算了私人/混合和讲师类别的薪酬平均值。

结果

在 255 名符合条件的会员中，88 人完成了调查，参与率为 34.5%。百分之六十三点六的人表示已经完成了 PAG 奖学金，而三分之一的人表示专攻该领域，当时没有奖学金。四分之三的人报告说他们已经获得了 ABOG Focused Practice PAG 认证。大多数提供者是学术人员 (75%) 和全职工作 (82.9%)。在院士中，大多数是助理教授（48%）和非终身教授（50.6%）。RVU 基准各不相同，40.2% 报告了 OBGYN 通才目标，只有 18.3% 报告了 PAG 特定目标，尽管大多数医生只执业 PAG (62.5%) 并且执业 PAG 加上一些成人 OBGYN 的医生不到 30%。薪资支持各不相同，其中 57% 受雇于医院。激励措施很普遍，大多数人在年底收到奖金 (52.9%)。正如预期的那样，正教授报告的平均薪酬（34.5 万美元）高于资历较低的同事（助理教授和副教授分别为 24.8 万美元和 30.2 万美元）。私人执业/混合从业者报告的薪酬（25.1 万美元）与助理教授的薪酬（24.8 万美元）相似。只有 2 名导师级医师完成了调查。该级别的平均数是有偏差的，不是该学术级别的可靠预测指标。无法计算此类别的四分位数。只有 2 名导师级医师完成了调查。该级别的平均数是有偏差的，不是该学术级别的可靠预测指标。无法计算此类别的四分位数。只有 2 名导师级医师完成了调查。该级别的平均数是有偏差的，不是该学术级别的可靠预测指标。无法计算此类别的四分位数。

结论

这是美国第一个涉及 PAG 领域薪酬的调查。持续需要收集这些信息，以便为 PAG 毕业生做好就业市场准备。未来需要进行额外的调查，包括了解加拿大的薪酬状况，以解决与临床时间少于 50% 的人的薪酬相关的具体问题。