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在整体外科住院后的奖学金培训:是否有回报?
Jack F Donaghue1, Daniel J Denson1, Matthew C Carroll2
1Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire; Tuck School of Business, Dartmouth College, Hanover, New Hampshire.
Journal of surgical education
|November 8, 2025
概括
手术奖学金显著影响职业收入,有些提供积极的财务回报,而另一些则没有. 在奖学金培训中的研究年减少了外科医生的投资回报.
科学领域:
- 手术瘤学手术瘤学
- 外科教育的外科教育
- 卫生经济学 卫生经济学
背景情况:
- 外科住院医生越来越多地追求奖学金,产生机会成本并可能改变职业收入.
- 奖学金培训时间和研究参与可以显著影响外科医生的长期财务结果.
研究的目的:
- 量化各种外科奖学金的投资回报率 (ROI),与直接进入普通外科 (GS) 实践相比.
- 分析奖学金培训的财务影响,考虑不同的专业,实践类型和培训时间.
主要方法:
- 采用了财务分析工具,如净当前价值 (NPV) 和平衡分析.
- 利用AAMC学术和MGMA私人实践工资数据来估计35年职业生涯的收入.
- 为学术和私人实践场景建模了5年和7年通用外科 (GS) 住院培训路径,包括研究时间.
主要成果:
- 学术心胸外科,整形外科和儿科外科的奖学金表现出积极的NPV,即使经过7年的培训.
- 私人实践心脏,胸部,塑料,血管和儿科手术奖学金在没有额外的研究时间的情况下显示了积极的NPV.
- 乳腺,外科瘤学,创伤,结肠直肠和移植的奖学金通常会导致负的NPV,而创伤手术在调整工作时间时显示出正的NPV.
结论:
- 奖学金培训显著影响外科医生的职业收入,研究年减少了整体财务回报.
- 这些发现提供了财务分析,以指导外科医生在职业决策中,平衡个人价值观与财务期望.
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