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Related Concept Videos

Secondary Healthcare System01:11

Secondary Healthcare System

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
Tertiary Healthcare System01:21

Tertiary Healthcare System

Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care to...

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Related Experiment Video

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Step By Step: Microsurgical training method combining two nonliving animal models
05:25

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Published on: May 9, 2015

Subspecialty training: is it financially worthwhile?

M J Prashker1, R F Meenan

  • 1University Arthritis Center, Boston City Hospital, Massachusetts.

Annals of Internal Medicine
|November 1, 1991
PubMed
Summary
This summary is machine-generated.

Gastroenterology fellowship training offers a significant financial return, while rheumatology fellowship training results in a financial loss. Procedure-oriented medical subspecialties remain financially attractive despite potential reimbursement changes.

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Area of Science:

  • Medical Economics
  • Physician Compensation
  • Subspecialty Training

Background:

  • Physicians pursue additional training to specialize in medical subspecialties.
  • The financial implications of choosing between cognitive-oriented and procedure-oriented subspecialties are not fully understood.
  • Understanding the return on investment for medical training is crucial for career decisions.

Purpose of the Study:

  • To compare the financial return of additional training in rheumatology (cognitive-oriented) and gastroenterology (procedure-oriented) versus general internal medicine.
  • To analyze the lifetime discounted earnings for physicians in these different medical fields.

Main Methods:

  • Analysis of existing data on physician earnings.
  • Survey data from general internists, gastroenterologists, and rheumatologists were utilized.
  • Lifetime earnings streams were constructed to calculate net present values at various discount rates.

Main Results:

  • In 1988, average net incomes were $115,825 (general internists), $201,875 (gastroenterologists), and $118,056 (rheumatologists).
  • At 5% and 10% discount rates, gastroenterology training yielded positive net present values ($1,101,863 and $512,952, respectively) compared to general internal medicine.
  • Rheumatology training resulted in negative net present values (-$84,748 and -$92,467, respectively) compared to general internal medicine.

Conclusions:

  • Gastroenterology fellowship training provides a substantial financial return on investment.
  • Rheumatology fellowship training, when viewed purely as a financial decision, represents a poor investment with a negative return.
  • Procedure-oriented medical subspecialties are likely to remain financially attractive regardless of significant changes in reimbursement policies.