title: Will the clinicians support the researchers and teachers? Results of a salary satisfaction survey of 947 academic surgeons.
abstract: OBJECTIVE
  To determine whether academic surgeons are satisfied with their salaries, and if they are willing to forego some compensation to support departmental academic endeavors.
  
  
  BACKGROUND
  Increasing financial constraints have led many academic surgery departments to rely on increasingly on clinical revenue generation for the cross-subsidization of research and teach missions.
  
  
  METHODS
  Members of 3 academic surgical societies (n = 3059) were surveyed on practice characteristics and attitudes about financial compensation. Univariate and multivariate logistic regression analyses were performed to identify determinants of salary satisfaction and willingness to forego compensation to support academic missions.
  
  
  RESULTS
  One thousand thirty-eight (33.9%) surgeons responded to our survey, 947 of whom maintain an academic practice. Of these academic surgeons, 49.7% expressed satisfaction with their compensation. Length of career, administrative responsibility for compensation and membership in the American Surgical Association or the Society of University Surgeons were predictive of salary satisfaction on univariate analysis. Frequent emergency call duty, increased clinical activity, and greater perceived difference between academic and private practice compensation were predictive of salary dissatisfaction. On multivariate analysis, increased clinical activity was inversely associated with both salary satisfaction (adjusted odds ratio [AOR], 0.77; [95% CI: 0.64, 0.94]; P = 0.009) and amount of compensation willingly killed for an academic practice (AOR, 0.71; [0.61, 0.83]; P < 0.0005).
  
  
  CONCLUSIONS
  Increasing reliance on clinical revenue to subsidize nonclinical academic missions is disaffecting many academic surgeons. Redefined mission priorities, enhanced nonfinancial rewards, utilization of nonclinical revenue sources (eg, philanthropy, grants), increased efficiency of business practices and/or redesign of fund flows may be necessary to sustain recruitment and retention of young academic surgeons.
authors.affiliation: Department of Surgery, Duke University School of Medicine, Durham, North Carolina, USA.
authors.forename: John E
authors.initials: JE
authors.lastname: Scarborough
authors.forename: Kyla M
authors.initials: KM
authors.lastname: Bennett
authors.forename: Rebecca A
authors.initials: RA
authors.lastname: Schroeder
authors.forename: Tristan B
authors.initials: TB
authors.lastname: Swedish
authors.forename: Danny O
authors.initials: DO
authors.lastname: Jacobs
authors.forename: Paul C
authors.initials: PC
authors.lastname: Kuo
mesh_terms: D000046:Academic Medical Centers; D016009:Chi-Square Distribution; D013502:General Surgery / Q000191:economics*; D006801:Humans; D007588:Job Satisfaction; D016015:Logistic Models; D010820:Physicians / Q000191:economics* / Q000523:psychology*; D012108:Research Personnel / Q000191:economics*; D012456:Salaries and Fringe Benefits / Q000191:economics*; D012955:Societies, Medical; D011795:Surveys and Questionnaires; D013663:Teaching / Q000191:economics*; D014481:United States