5 ms·

> Despite having the same training and experience as their white peers, physicians who identified as Asian, Latino, or black received significantly less What d

by aanm1988 10y ago

> Despite having the same training and experience as their white peers, physicians who identified as Asian, Latino, or black received significantly less What does this mean? The averaged all doctors by race? They averaged by profession and race then combined to form some sort of weighted average by race?

phren0logy 10y ago
It looks like a lot of this is variance by specialty: http://www.medscape.com/viewarticle/878129_5 http://www.medscape.com/viewarticle/878129_5
- spcelzrd 10y ago
  >And white doctors take home significantly more than their equally qualified peers of color, regardless of specialty.
gingerbread-man 10y ago
"We found that African American, Latino, and Pacific Islanders were more likely to work in medically underserved areas than were white physicians (adjusted odds ratio, 1.22-2.25; p < .05)." [1] Though I'm sure bias has a part in the income disparity, I suspect it is less so, relative to other professions, as the fees paid to doctors for each procedure are broadly standardized. Individual doctors' choices of where to practice and what kind of patients to serve may play a larger role. (IMHO, this is a much better justification for affirmative-action programs than other oft-cited justifications.) [1] https://www.ncbi.nlm.nih.gov/pubmed/22708247 https://www.ncbi.nlm.nih.gov/pubmed/22708247
- deleted 10y ago
  [deleted]
gingerbread-man 10y ago
On a similar note, a 2016 study in JAMA[1] found gender disparities in faculty pay at US medical schools, which persisted even when correcting for age, experience, specialty, faculty rank, and measures of research productivity and clinical revenue. It seems like the medical profession would actually have an easier path to pay fairness than other industries, because clinical revenue is so easy to measure. (As opposed to other fields where the financial value of an employee's work is more difficult to measure.) [1] https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2532788 https://jamanetwork.com/journals/jamainternalmedicine/articl...
shorttime 10y ago
Thanks for asking this. I often read articles saying such things but do not provide any data or how they came to the conclusion. It makes absolutely no sense to say this without the data to back it up.
randyrand 10y ago
From the source: "White/Caucasian physicians earn the most ($303,000), followed by those who are Asian ($283,000), Hispanic ($271,000), and black/African American ($262,000). The gap can be partly explained by participation in primary care, which pays less. Of the four groups, black/African American doctors are most likely (30%) and white doctors least likely (20%) to be PCPs, the survey found." They continue: "A 2016 studyin BMJ[12] found an even wider gap than the new Medscape report in payment levels for black doctors. White male physicians in the United States earned as much as 35% more than black physicians, even after accounting for specialty, experience, number of hours worked, number of Medicaid patients, and whether the physician is a PCP, the study found." I can't find the BJM report. The phrase "earned as much as 35% more" is odd. Is this some maximum out of all the professions considered? a single doctor who earned more? The maximum seems like an odd number to report without reporting the average. Is there some reason they want to exaggerate the difference? It irks me. edit: I suspect another large factor they did not consider is location of practice. We should only compare doctors that practice in the same location. Location plays a big influence on the wealth of your customers, and therefore how much you are paid.

phren0logy 10y ago

It looks like a lot of this is variance by specialty: http://www.medscape.com/viewarticle/878129_5 http://www.medscape.com/viewarticle/878129_5

spcelzrd 10y ago
>And white doctors take home significantly more than their equally qualified peers of color, regardless of specialty.

gingerbread-man 10y ago

"We found that African American, Latino, and Pacific Islanders were more likely to work in medically underserved areas than were white physicians (adjusted odds ratio, 1.22-2.25; p < .05)." [1] Though I'm sure bias has a part in the income disparity, I suspect it is less so, relative to other professions, as the fees paid to doctors for each procedure are broadly standardized. Individual doctors' choices of where to practice and what kind of patients to serve may play a larger role. (IMHO, this is a much better justification for affirmative-action programs than other oft-cited justifications.) [1] https://www.ncbi.nlm.nih.gov/pubmed/22708247 https://www.ncbi.nlm.nih.gov/pubmed/22708247

deleted 10y ago
[deleted]

gingerbread-man 10y ago

On a similar note, a 2016 study in JAMA[1] found gender disparities in faculty pay at US medical schools, which persisted even when correcting for age, experience, specialty, faculty rank, and measures of research productivity and clinical revenue. It seems like the medical profession would actually have an easier path to pay fairness than other industries, because clinical revenue is so easy to measure. (As opposed to other fields where the financial value of an employee's work is more difficult to measure.) [1] https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2532788 https://jamanetwork.com/journals/jamainternalmedicine/articl...

shorttime 10y ago

Thanks for asking this. I often read articles saying such things but do not provide any data or how they came to the conclusion. It makes absolutely no sense to say this without the data to back it up.

randyrand 10y ago

From the source: "White/Caucasian physicians earn the most ($303,000), followed by those who are Asian ($283,000), Hispanic ($271,000), and black/African American ($262,000). The gap can be partly explained by participation in primary care, which pays less. Of the four groups, black/African American doctors are most likely (30%) and white doctors least likely (20%) to be PCPs, the survey found." They continue: "A 2016 studyin BMJ[12] found an even wider gap than the new Medscape report in payment levels for black doctors. White male physicians in the United States earned as much as 35% more than black physicians, even after accounting for specialty, experience, number of hours worked, number of Medicaid patients, and whether the physician is a PCP, the study found." I can't find the BJM report. The phrase "earned as much as 35% more" is odd. Is this some maximum out of all the professions considered? a single doctor who earned more? The maximum seems like an odd number to report without reporting the average. Is there some reason they want to exaggerate the difference? It irks me. edit: I suspect another large factor they did not consider is location of practice. We should only compare doctors that practice in the same location. Location plays a big influence on the wealth of your customers, and therefore how much you are paid.