{"id":8001,"date":"2016-01-27T16:12:54","date_gmt":"2016-01-27T21:12:54","guid":{"rendered":"http:\/\/blogs.nejm.org\/hiv-id-observations\/?p=8001"},"modified":"2016-01-27T16:12:54","modified_gmt":"2016-01-27T21:12:54","slug":"heres-an-idea-justify-your-specialtys-low-relative-salary-using-moral-superiority","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/heres-an-idea-justify-your-specialtys-low-relative-salary-using-moral-superiority\/2016\/01\/27\/","title":{"rendered":"Here’s an Idea: Justify Your Specialty’s (Low) Relative Salary Using Moral Superiority"},"content":{"rendered":"

In an otherwise excellent piece on recruitment to the ID field from\u00a0the pages of Infectious Diseases News<\/a>, <\/em>comes\u00a0this:<\/p>\n

But while inadequate compensation [for ID doctors] may hamper recruitment, it also could prove beneficial to some degree\u00a0… Reduced salaries filter out the less-passionate applicants in favor of those who are more dedicated to their patients and to research within the field …\u00a0\u201cPeople obviously don\u2019t go into infectious disease as a get-rich-quick scheme\u00a0…\u00a0Let\u2019s say the infectious disease reimbursement was double what it is now. There undoubtedly would be more people electing to go into infectious disease, but are they the kind of people we want? I won\u2019t answer that question, but it is certainly something to think about.\u201d<\/p>\n

Good grief.<\/p>\n

Now look — I understand that money shouldn’t be the primary motivation for a career choice. And furthermore, I’m in total agreement that when some lofty celebrity, athlete, or executive chooses a\u00a0suspect path based on what appear\u00a0to be solely financial incentives, it’s reasonable to\u00a0question the wisdom of their decision.<\/p>\n

But are we really ready to justify low ID reimbursement as a way of drawing the most<\/em>\u00a0committed doctors to the field?<\/p>\n

If so, then let’s cut the salaries even further! Let’s see if I’ve got the math right, using the example above only going in the opposite direction:<\/p>\n

Low salaries for ID doctors \u2192 More dedication to the field.
\nCut salaries 50%\u00a0\u2192 Double<\/em> how dedicated ID doctors are to what they do.
\nResult: \u00a0A 2X\u00a0stronger pool of ID docs.<\/p>\n

This is nonsense, of course.<\/p>\n

In the current reality of heavy medical school debts, other subspecialty options, subsidized hospitalist salaries, and the need for extra years of fellowship training, it stands to reason that lower paid specialties such as ID are going to suffer.<\/p>\n

No sense justifying this pay gap by some unsubstantiated claim of moral superiority.<\/p>\n

Instead, we should be aggressively lobbying that what ID docs\u00a0do — which is improve patient outcomes, manage complex cases, support\u00a0other clinicians, deal with public health emergencies, establish protocols and policies, and reduce unnecessary costs — brings value to the healthcare system, and be\u00a0dutifully acknowledged. Read here for more.<\/a><\/p>\n

Thank you.<\/p>\n

The following video has\u00a0nothing to do with the above rant, but sure is amazing.<\/p>\n

[youtube http:\/\/www.youtube.com\/watch?v=vdTrr_VRKgU&w=560&h=315]<\/p>\n","protected":false},"excerpt":{"rendered":"

In an otherwise excellent piece on recruitment to the ID field from\u00a0the pages of Infectious Diseases News, comes\u00a0this: But while inadequate compensation [for ID doctors] may hamper recruitment, it also could prove beneficial to some degree\u00a0… Reduced salaries filter out the less-passionate applicants in favor of those who are more dedicated to their patients and […]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,5,6,9],"tags":[498],"class_list":["post-8001","post","type-post","status-publish","format-standard","hentry","category-health-care","category-infectious-diseases","category-medical-education","category-policy","tag-infectious-diseases"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/8001","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/comments?post=8001"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/8001\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/media?parent=8001"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/categories?post=8001"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/tags?post=8001"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}