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Home Research Research Library How Early Career Family Medicine Women Physicians Negotiate Their First Job After Residency. How Early Career Family Medicine Women Physicians Negotiate Their First Job After Residency. 2024 Author(s) Koempel, Annie, Filippi, Melissa K, Byrd, Madeline, Bazemore, Emma, Siddiqi, Anam, and Jabbarpour, Yalda Topic(s) Education & Training, and Achieving Health System Goals Keyword(s) Physician Experience (Burnout / Satisfaction), and Qualitative Volume Journal of the American Board of Family Medicine Source Journal of the American Board of Family Medicine BACKGROUND: Nested within a growing body of evidence of a gender pay gap in medicine are more alarming recent findings from family medicine: a gender pay gap of 16% can be detected at a very early career stage. This article explores qualitative evidence of women’s experiences negotiating for their first job out of residency to ascertain women’s engagement with and approach to the negotiation process. METHODS: We recruited family physicians who graduated residency in 2019 and responded to the American Board of Family Medicine 2022 graduate survey. We developed a semistructured interview guide following a modified life history approach to uncover women’s experiences through the transitory stages from residency to workforce. A qualitative researcher used Zoom to interview 19 geographically and racially diverse early career women physicians. Interviews were transcribed verbatim and analyzed using NVivo software following an Inductive Content Analysis approach. RESULTS: Three main themes emerged from the data. First, salary was found to be nonnegotiable, exemplified by participants’ inability to change initial salary offers. Second, the role of peer support throughout residency and early career was crucial to uncovering and rectifying salary inequity. Third, a pay expectation gap was identified among women from minority and low-income households. CONCLUSION: To rectify the gender pay gap in medicine, a systems-level approach is required. This can be achieved through various levels of interventions: societally expanding the use of and removing the stigma around parental leave, recognizing the importance of contributions not currently valued by productivity-based payment models, examining assumptions about leadership; and institutionally moving away from fee-for-service systems, encouraging flexible schedules, increasing salary transparency, and improving advancement transparency. Read More ABFM Research Read all 2019 Comparison of AR, ITS, CBT, and Didactic Training and Evaluation of Retinopathy-Based Diagnosis Go to Comparison of AR, ITS, CBT, and Didactic Training and Evaluation of Retinopathy-Based Diagnosis 2023 Interoperability among hospitals treating populations that have been marginalized Go to Interoperability among hospitals treating populations that have been marginalized 2021 Revitalizing the U.S. Primary Care Infrastructure Go to Revitalizing the U.S. Primary Care Infrastructure 2021 Implementing High-Quality Primary Care: A Report From the National Academies of Sciences, Engineering, and Medicine Go to Implementing High-Quality Primary Care: A Report From the National Academies of Sciences, Engineering, and Medicine
Author(s) Koempel, Annie, Filippi, Melissa K, Byrd, Madeline, Bazemore, Emma, Siddiqi, Anam, and Jabbarpour, Yalda Topic(s) Education & Training, and Achieving Health System Goals Keyword(s) Physician Experience (Burnout / Satisfaction), and Qualitative Volume Journal of the American Board of Family Medicine Source Journal of the American Board of Family Medicine
ABFM Research Read all 2019 Comparison of AR, ITS, CBT, and Didactic Training and Evaluation of Retinopathy-Based Diagnosis Go to Comparison of AR, ITS, CBT, and Didactic Training and Evaluation of Retinopathy-Based Diagnosis 2023 Interoperability among hospitals treating populations that have been marginalized Go to Interoperability among hospitals treating populations that have been marginalized 2021 Revitalizing the U.S. Primary Care Infrastructure Go to Revitalizing the U.S. Primary Care Infrastructure 2021 Implementing High-Quality Primary Care: A Report From the National Academies of Sciences, Engineering, and Medicine Go to Implementing High-Quality Primary Care: A Report From the National Academies of Sciences, Engineering, and Medicine
2019 Comparison of AR, ITS, CBT, and Didactic Training and Evaluation of Retinopathy-Based Diagnosis Go to Comparison of AR, ITS, CBT, and Didactic Training and Evaluation of Retinopathy-Based Diagnosis
2023 Interoperability among hospitals treating populations that have been marginalized Go to Interoperability among hospitals treating populations that have been marginalized
2021 Revitalizing the U.S. Primary Care Infrastructure Go to Revitalizing the U.S. Primary Care Infrastructure
2021 Implementing High-Quality Primary Care: A Report From the National Academies of Sciences, Engineering, and Medicine Go to Implementing High-Quality Primary Care: A Report From the National Academies of Sciences, Engineering, and Medicine
