title: [Current state of compensation of on-duty and on-call urologists in France: a study from AFUF].
abstract: BACKGROUND
  The French Association of Urologists-in-training (AFUF) aimed to assess the current state of remunerations of on-call and on-duty residents, assistants and lecturers in urology in France.
  
  
  METHODS
  Data were collected from February to May 2013 through a questionnaire sent to all members of the AFUF (327 members). Remunerations were given in gross values.
  
  
  RESULTS
  Forty-three residents took part in the study, 16 assistants and 16 lecturers, representing 62 % of the whole centers (54 hospitals out of the 92 centers practicing urology in France). Most of responders were on security or operational on-call. Twenty hospitals were practicing multi-organ removal. Median remunerations of residents were about 59.51€ per on-call when moving at hospital for work and about 119.02€ per onsite duty. Assistants and lecturers were paid a flat fee rate for 37.5 % of them (140€ for assistants [with variability from 40 to 195€] and 130€ for lecturers [42.5-180]) or an hourly rate depending on the hours spent at hospital for the others (62.5 %): first, second move or move<3h were paid 100€ for assistants and 65€ for lecturers, 233.5€ and 236€ respectively for the third one or above 3h, 365€ and 473€ respectively above 8h. Multi-organ removals were paid a flat fee rate (60 %) or an hourly rate (40 %) as well. Beyond a threshold of 2-3hours, the hourly rate was more interesting than the flat fee rate.
  
  
  CONCLUSIONS
  There were disparities in remuneration of on-call and on-duty urologists. Greater variability affected on-call flat fee rate remuneration beyond a certain threshold of hours and remuneration of multi-organ removal. These disparities should be considered in order to get a national harmonization.
authors.affiliation: Association française des urologues en formation, 11, rue Viète, 75017 Paris, France; Service d'urologie, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France. Electronic address: dcharlie8@hotmail.com.
authors.forename: C
authors.initials: C
authors.lastname: Dariane
authors.affiliation: Association française des urologues en formation, 11, rue Viète, 75017 Paris, France; Service d'urologie, hôpital Claude-Huriez, CHRU de Lille, 2, rue Michel-Polonovski, 59000 Lille, France.
authors.forename: J
authors.initials: J
authors.lastname: Rizk
authors.affiliation: Association française des urologues en formation, 11, rue Viète, 75017 Paris, France; Service d'urologie, CHU Claude-Bichat, 46, rue Henri-Huchard, 75018 Paris, France.
authors.forename: F
authors.initials: F
authors.lastname: Meyer
authors.affiliation: Association française des urologues en formation, 11, rue Viète, 75017 Paris, France; Service d'urologie, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France.
authors.forename: F
authors.initials: F
authors.lastname: Audenet
authors.affiliation: Association française des urologues en formation, 11, rue Viète, 75017 Paris, France; Service d'urologie, CHRU de Tours, 2, boulevard Tonnellé, 37044 Tours cedex 9, France.
authors.forename: N
authors.initials: N
authors.lastname: Brichart
authors.affiliation: Association française des urologues en formation, 11, rue Viète, 75017 Paris, France; Service d'urologie, CHU de Bordeaux, place Amélie-Raba-Léon, 33000 Bordeaux, France.
authors.forename: G
authors.initials: G
authors.lastname: Capon
authors.affiliation: Association française des urologues en formation, 11, rue Viète, 75017 Paris, France; Service d'urologie, CHU de Grenoble, BP 217, 38043 Grenoble cedex 09, France.
authors.forename: G
authors.initials: G
authors.lastname: Fiard
authors.affiliation: Association française des urologues en formation, 11, rue Viète, 75017 Paris, France; Service d'urologie, CHU d'Angers, 4, rue Larrey, 49100 Angers, France.
authors.forename: S
authors.initials: S
authors.lastname: Lebdai
authors.affiliation: Association française des urologues en formation, 11, rue Viète, 75017 Paris, France; Service d'urologie, CHU Hôtel-Dieu, 1, place Alexis-Ricordeau, 44093 Nantes cedex 1, France.
authors.forename: F-X
authors.initials: FX
authors.lastname: Madec
authors.affiliation: Association française des urologues en formation, 11, rue Viète, 75017 Paris, France; Service d'urologie, CHU Conception, 147, boulevard Baille, 13385 Marseille cedex 5, France.
authors.forename: C
authors.initials: C
authors.lastname: Maurin
authors.affiliation: Association française des urologues en formation, 11, rue Viète, 75017 Paris, France; Service d'urologie, hôpital Lapeyronie, CHU de Montpellier, 317, avenue du Doyen-Gaston-Giraud, 34295 Montpellier cedex 5, France.
authors.forename: T
authors.initials: T
authors.lastname: Murez
authors.affiliation: Association française des urologues en formation, 11, rue Viète, 75017 Paris, France; Service d'urologie, hôpital Rangueil, CHU de Toulouse, 1, avenue du Pr-Jean-Poulhès, TSA 50032, 31059 Toulouse cedex, France.
authors.forename: S
authors.initials: S
authors.lastname: Sanson
authors.affiliation: Association française des urologues en formation, 11, rue Viète, 75017 Paris, France; Service d'urologie, CHRU de Tours, 2, boulevard Tonnellé, 37044 Tours cedex 9, France.
authors.forename: C
authors.initials: C
authors.lastname: Tanchoux
authors.affiliation: Association française des urologues en formation, 11, rue Viète, 75017 Paris, France; Service d'urologie, CHU Tenon, 4, rue de la Chine, 75020 Paris, France.
authors.forename: J-B
authors.initials: JB
authors.lastname: Terrasa
authors.affiliation: Association française des urologues en formation, 11, rue Viète, 75017 Paris, France; Service d'urologie, CHU Brabois, allée du Morvan, 54511 Vandœuvre-les-Nancy, France.
authors.forename: F
authors.initials: F
authors.lastname: Thibault
authors.affiliation: Association française des urologues en formation, 11, rue Viète, 75017 Paris, France; Service d'urologie, hôpital Nord, CHU de Saint-Étienne, avenue A.-Raimond, 42270 St-Priest-en-Jarez, France.
authors.forename: J-E
authors.initials: JE
authors.lastname: Terrier
mesh_terms: D003430:Cross-Sectional Studies; D005602:France; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data; D010561:Personnel Staffing and Scheduling / Q000191:economics* / Q000706:statistics & numerical data; D010820:Physicians / Q000191:economics* / Q000706:statistics & numerical data; D012456:Salaries and Fringe Benefits / Q000191:economics*; D011795:Surveys and Questionnaires; D014573:Urology Department, Hospital; D000078329:Workforce
keywords: AFUF; Astreinte; Garde; Indemnisation; On-call; On-duty; Remuneration; Rémunération; Urologist; Urologue