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Published in: HSS Journal ® 2/2016

01-07-2016 | Original Article

Fringe Benefits Among US Orthopedic Residency Programs Vary Considerably: a National Survey

Authors: R. Carter Clement, MD, MBA, Erik Olsson, MD, Prateek Katti, BS, Robert J. Esther, MD, MSc

Published in: HSS Journal ® | Issue 2/2016

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Abstract

Background

Residency programs compete to attract applicants based on numerous factors. Previous research has suggested that medical students consider quality of life among the most important factors in selecting a program. One aspect of workplace quality of life is the cadre of non-monetary benefits offered to employees. However, with federal funding for graduate medical education (GME) under consideration for spending cuts, the source and continuation of such benefits may be in question.

Questions/Purposes

This study aimed to determine the level and variability of benefits beyond standard salary and insurance options available to trainees at US orthopedic residency programs and to assess the source of funding for those benefits.

Methods

A 26-question survey investigating various benefits and funding sources was circulated by email to all ACGME-accredited orthopedic residency programs.

Results

The survey was sent to 153 programs and 69 responded (45%). The majority offers their residents discretionary funds (77%) and conference funding (96%), most of which comes from the department, followed by the hospital or GME funding. Forty-one percent of respondents permit their residents to moonlight. The majority of respondents provide meal stipends (93%), free parking (71%), gym benefits (63%), surgical loupes (53%), and maternity/paternity leave beyond vacation time (55%). No statistically significant differences were found among top ranked residencies, top ranked orthopedic hospitals, or academic centers compared to their counterparts.

Conclusion

While some benefits are commonly offered, there is great variation in the availability and level of others. However, these differences were independent of program and hospital reputation as well as academic center status. Departments currently bear a substantial amount of the cost of these benefits internally.
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Literature
2.
go back to reference Bradley KE, Andolsek KM. A pilot study of orthopaedic resident self-assessment using a milestones’ survey just prior to milestones implementation. Int J Med Educ. 2016; 7: 11-18.CrossRefPubMedPubMedCentral Bradley KE, Andolsek KM. A pilot study of orthopaedic resident self-assessment using a milestones’ survey just prior to milestones implementation. Int J Med Educ. 2016; 7: 11-18.CrossRefPubMedPubMedCentral
3.
go back to reference DeSantis M, Marco CA. Emergency medicine residency selection: factors influencing candidate decisions. Acad Emerg Med Off J Soc Acad Emerg Med. 2005; 12: 559-561.CrossRef DeSantis M, Marco CA. Emergency medicine residency selection: factors influencing candidate decisions. Acad Emerg Med Off J Soc Acad Emerg Med. 2005; 12: 559-561.CrossRef
4.
go back to reference Dey CC, Grabowski JG, Gebreyes K, Hsu E, VanRooyen MJ. Influence of international emergency medicine opportunities on residency program selection. Acad Emerg Med Off J Soc Acad Emerg Med. 2002; 9: 679-683.CrossRef Dey CC, Grabowski JG, Gebreyes K, Hsu E, VanRooyen MJ. Influence of international emergency medicine opportunities on residency program selection. Acad Emerg Med Off J Soc Acad Emerg Med. 2002; 9: 679-683.CrossRef
7.
go back to reference Ishida Y, Hosoya Y, Sata N, Yasuda Y, Lefor AT. Educational factors outweigh the importance of lifestyle factors for residency program applicants: an international comparative study. J Surg Educ. 2012; 69: 167-172.CrossRefPubMed Ishida Y, Hosoya Y, Sata N, Yasuda Y, Lefor AT. Educational factors outweigh the importance of lifestyle factors for residency program applicants: an international comparative study. J Surg Educ. 2012; 69: 167-172.CrossRefPubMed
8.
go back to reference Oladeji LO, Pehler SF, Raley JA, Khoury JG, Ponce BA. Is the orthopedic fellowship interview process broken? A survey of program directors and residents. Am J Orthop Belle Mead NJ. 2015; 44: E444-453.PubMed Oladeji LO, Pehler SF, Raley JA, Khoury JG, Ponce BA. Is the orthopedic fellowship interview process broken? A survey of program directors and residents. Am J Orthop Belle Mead NJ. 2015; 44: E444-453.PubMed
9.
go back to reference Parker AM, Petroze RT, Schirmer BD, Calland JF. Surgical residency market research—what are applicants looking for? J Surg Educ. 2013; 70: 232-236.CrossRefPubMed Parker AM, Petroze RT, Schirmer BD, Calland JF. Surgical residency market research—what are applicants looking for? J Surg Educ. 2013; 70: 232-236.CrossRefPubMed
10.
go back to reference Powell AC, Casey K, Liewehr DJ, Hayanga A, James TA, Cherr GS. Results of a national survey of surgical resident interest in international experience, electives, and volunteerism. J Am Coll Surg. 2009; 208: 304-312.CrossRefPubMed Powell AC, Casey K, Liewehr DJ, Hayanga A, James TA, Cherr GS. Results of a national survey of surgical resident interest in international experience, electives, and volunteerism. J Am Coll Surg. 2009; 208: 304-312.CrossRefPubMed
11.
go back to reference Shultz PA, Kamal RN, Daniels AH, DiGiovanni CW, Akelman E. International health electives in orthopaedic surgery residency training. J Bone Joint Surg Am. 2015; 97: e15.CrossRefPubMed Shultz PA, Kamal RN, Daniels AH, DiGiovanni CW, Akelman E. International health electives in orthopaedic surgery residency training. J Bone Joint Surg Am. 2015; 97: e15.CrossRefPubMed
12.
go back to reference Stefanidis D, Miles WS, Greene FL. Factors influencing residency choice of general surgery applicants—how important is the availability of a skills curriculum? J Surg Educ. 2009; 66: 325-329.CrossRefPubMed Stefanidis D, Miles WS, Greene FL. Factors influencing residency choice of general surgery applicants—how important is the availability of a skills curriculum? J Surg Educ. 2009; 66: 325-329.CrossRefPubMed
15.
go back to reference Ward RC, Mainiero MB. Graduate medical education in the era of health care reform. J Am Coll Radiol. 2013; 10(9): 708-12.CrossRefPubMed Ward RC, Mainiero MB. Graduate medical education in the era of health care reform. J Am Coll Radiol. 2013; 10(9): 708-12.CrossRefPubMed
Metadata
Title
Fringe Benefits Among US Orthopedic Residency Programs Vary Considerably: a National Survey
Authors
R. Carter Clement, MD, MBA
Erik Olsson, MD
Prateek Katti, BS
Robert J. Esther, MD, MSc
Publication date
01-07-2016
Publisher
Springer US
Published in
HSS Journal ® / Issue 2/2016
Print ISSN: 1556-3316
Electronic ISSN: 1556-3324
DOI
https://doi.org/10.1007/s11420-016-9494-8

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