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Books > Medicine > General issues > Health systems & services > Hospital administration & management
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Closing the Gender Pay Gap in Medicine - A Roadmap for Healthcare Organizations and the Women Physicians Who Work for Them (Paperback, 1st ed. 2021)
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Closing the Gender Pay Gap in Medicine - A Roadmap for Healthcare Organizations and the Women Physicians Who Work for Them (Paperback, 1st ed. 2021)
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Women now represent over half of medical school matriculants,
almost half of residents and fellows, and over a third of
practicing physicians nationally. Despite considerable
representation among the physician workforce, women are paid 75
cents on the dollar compared with their male counterparts after
accounting for specialty, geography, time in practice, and average
hours per week worked. This pay gap is significantly greater than
the one reported for US women workers as a whole and has shown
little improvement over time. While much has been written about the
problem, a robust discussion about how to rectify the situation has
been missing from the conversation. Closing the Gender Pay Gap in
Medicine is the first comprehensive assessment of how cultural
expectations and compensation methodologies in medicine work
together to perpetuate salary disparities between men and women
physicians. Since the gender gap reflects a convergence of forces
within our healthcare enterprises, achieving pay equity can be an
overwhelming undertaking for institutions and their leaders.
However, compensation is foremost a business endeavor. Therefore, a
roadmap for operationalizing equity within the finance, human
resources, and compliance structures of our organizations is
critical to eliminating disparities. The roadmap described in this
book breaks down the component parts of compensation methodology to
reveal their unintentional impact on salary equity and lays out
processes and procedures that support new approaches to generate
fair and equitable outcomes. Additionally, the roadmap is anchored
in change management principles that address institutional culture
and provide momentum toward salary equity. The book begins with a
review of the evidence on the gender pay gap in medicine. The
following chapter discusses how gender-based differences in
performance assessments, specialty choice, domestic
responsibilities, negotiation, professional resources, sponsorship,
and clinical productivity accumulate across women's careers in
medicine and impact evaluation, promotion, and therefore
compensation in the healthcare workplace. The next two chapters
focus, respectively, on how compensation is determined -
highlighting potential pitfalls for pay equity - and regulatory and
legal considerations. Chapters 5 and 6 explore organizational
infrastructure, salary data collection and analysis, and culture
change strategies necessary to rectify compensation inequities.
Chapter 7 offers a detailed account of one medical institution's
successful journey to achieve salary equity. The book's final
chapter emphasizes that closing the gender pay gap is at its
essence a business endeavor and recommends that organizations
assess progress and cost with the same attention, rigor, and
regularity as afforded other operating expenses. Closing the Gender
Pay Gap in Medicine offers a detailed roadmap for healthcare
organizations seeking to close the gender pay gap among their
physician workforce. This first-of-its-kind book will assist
institutions plan courses of action and identify potential pitfalls
so they can be understood and mitigated. It will also prove a
valuable resource for transformational leadership and systems-based
change critical to attaining compensation equity.
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