确保未来:胸腔外科项目主任与行业的财务联系
Richard Nudotor1, Jinny S Ha2, Jessica M Ruck2
1Department of Surgery, Anne Arundel Medical Center, Annapolis, Md.
The Journal of thoracic and cardiovascular surgery
|November 12, 2024
概括
产业对胸部外科项目主任 (PD) 的支付相当大,按性别和专业而言存在差异. 这些支付引发了对实习生的潜在影响的担忧,并强调了需要透明度的需要.
科学领域:
- 心胸外科手术 心胸外科手术
- 医学教育 医学教育
- 工业赞助的研究
背景情况:
- 胸腔外科项目主任 (PDs) 是未来心胸外科医生和外科医生科学家的关键导师.
- 评估行业对外科医生支付的费用对于了解外科医生培训中的潜在利益冲突至关重要.
研究的目的:
- 评估和比较胸部外科项目主任 (PD) 与其他执业的胸部外科医生收到的行业支付.
- 识别潜在的利益冲突和行业与PD之间的财务关系中的差异.
主要方法:
- 项目主管 (PD) 通过电子居留申请系统 (ERAS) 进行识别.
- 从OpenPayments数据库中获得了行业支付 (2015-2021年).
- 通过使用统计测试,根据类型,金额和PD特征 (性别,专业) 分析了支付.
主要成果:
- 所有77个PD都在8028笔交易中获得了14.094.422美元;中位数支付为16.716美元.
- 男性的PD和心脏专业的PD获得了明显更高的付款.
- 随着时间的推移,PD和非PD之间的支付 (食品,教育,研究) 的差异有所减少,到2021年,研究资金变得更加公平.
结论:
- 实质性的行业支付给PD强调了他们的重要性,但也引起了对外科实习生的影响的担忧.
- 需要提高透明度,并采取措施解决行业支持中的性别和专业差异.
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