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Research ArticleOriginal Research

The Gender Wage Gap Among Early-Career Family Physicians

Kaplan Sanders, Yalda Jabbarpour, Julie Phillips, Sarah Fleischer and Lars E. Peterson
The Journal of the American Board of Family Medicine March 2024, 37 (2) 270-278; DOI: https://doi.org/10.3122/jabfm.2023.230218R1
Kaplan Sanders
From the Utah Tech University, Department of Accounting, Finance, and Data Analytics, St. George, UT (KS), Robert Graham Center for Policy Studies, Washington, DC (YJ), Michigan State University, Department of Family Medicine, Lansing, MI (JP), American Board of Family Medicine, Lexington, KY (SF, LEP), University of Kentucky, Department of Family and Community Medicine, Lexington, KY (LEP).
PhD
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Yalda Jabbarpour
From the Utah Tech University, Department of Accounting, Finance, and Data Analytics, St. George, UT (KS), Robert Graham Center for Policy Studies, Washington, DC (YJ), Michigan State University, Department of Family Medicine, Lansing, MI (JP), American Board of Family Medicine, Lexington, KY (SF, LEP), University of Kentucky, Department of Family and Community Medicine, Lexington, KY (LEP).
MD
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Julie Phillips
From the Utah Tech University, Department of Accounting, Finance, and Data Analytics, St. George, UT (KS), Robert Graham Center for Policy Studies, Washington, DC (YJ), Michigan State University, Department of Family Medicine, Lansing, MI (JP), American Board of Family Medicine, Lexington, KY (SF, LEP), University of Kentucky, Department of Family and Community Medicine, Lexington, KY (LEP).
MD, MPH
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Sarah Fleischer
From the Utah Tech University, Department of Accounting, Finance, and Data Analytics, St. George, UT (KS), Robert Graham Center for Policy Studies, Washington, DC (YJ), Michigan State University, Department of Family Medicine, Lansing, MI (JP), American Board of Family Medicine, Lexington, KY (SF, LEP), University of Kentucky, Department of Family and Community Medicine, Lexington, KY (LEP).
MS
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Lars E. Peterson
From the Utah Tech University, Department of Accounting, Finance, and Data Analytics, St. George, UT (KS), Robert Graham Center for Policy Studies, Washington, DC (YJ), Michigan State University, Department of Family Medicine, Lansing, MI (JP), American Board of Family Medicine, Lexington, KY (SF, LEP), University of Kentucky, Department of Family and Community Medicine, Lexington, KY (LEP).
MD, PhD
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Article Figures & Data

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  • Figure 1.
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    Figure 1.

    Comparison of income by gender, 2017–2020.

  • Figure 2.
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    Figure 2.

    Average income and gender representation by principal professional activity, 2017–2020.

  • Figure 3.
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    Figure 3.

    Average income and gender representation by US region, 2017–2020.

Tables

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    Table 1.

    Characteristics of Early-Career Family Physicians by Gender: National Graduate Survey 2017–2020

     Full Sample % (N)Female % (N)Male % (N)P value
    Overall100.00% (7461)55.88% (4169)44.12% (3292) 
    Personal Characteristics
    Degree type  0.394 
     M.D.80% (5998)80.04% (3337)80.83% (2661)
     D.O.19.61% (1463)19.96% (832)19.17% (631) 
    Race  0.001 
     Asian21.12% (1576)21.76% (907)20.32% (669)
     Black or African American7.28% (543)8.95% (373)5.16% (170) 
     White68.49% (5110)66.01% (2752)71.63% (2358) 
     Other3.11% (232)3.29% (137)2.89% (95) 
    Ethnicity  0.255
     Non-Hispanic or Latino91.54% (6830)91.87% (3830)91.13% (3000) 
     Hispanic or Latino8.46% (631)8.13% (339)8.87% (292) 
    Professional Activity and Practice Setting
    Principal professional activity  0.001 
     Continuity Care81.41% (6074)85.30% (3556)76.49% (2518)
     Emergency Medicine2.91% (217)1.39% (58)4.83% (159) 
     Geriatrics0.27% (20)0.31% (13)0.21% (7) 
     Hospitalist8.75% (653)6.55% (273)11.54% (380) 
     Palliative Care0.68% (51)0.77% (32)0.58% (19) 
     Sports Medicine0.70% (52)0.31% (13)1.18% (39) 
     Urgent Care4.26% (318)4.25% (177)4.28% (141) 
     Other1.02% (76)1.13% (47)0.88% (29) 
    Mean Total Hours Worked per Week (Std. Err.)53.82 (0.22)52.54 (0.28)55.44 (0.33)0.001
    Population density  0.001
     Urban84.24% (6285)86.23% (3595)81.71% (2690) 
     Rural15.76% (1176)13.77% (574)18.29% (602) 
    Region  0.001
     Midwest23.78% (1774)23.41% (976)24.24% (798) 
     Northeast13.46% (1004)14.61% (609)12.00% (395) 
     South34.26% (2556)32.45% (1353)36.54% (1203) 
     West28.51% (2127)29.53% (1231)27.22% (896) 
    % Time in Care Modality(Std. Err.)   
     Direct Patient Care68.29% (0.002)67.09% (0.003)69.82% (0.004)0.001
     Administrative Activities3.42% (0.001)3.54% (0.001)3.25% (0.001)0.102
     Telephone Patient Care16.76% (0.002)17.39% (0.002)15.96% (0.002)0.001
     E-visits3.29% (0.001)3.53% (0.001)2.98% (0.001)0.001
     Teaching/Precepting6.55% (0.001)6.77% (0.002)6.27% (0.002)0.063
     Other1.70% (0.001)1.68% (0.001)1.72% (0.001)0.763
    • Note: Data collected by the ABFM from board-certified Diplomates three years after completing residency. Total percentage may not add up to 100 due to rounding.

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    Table 2.

    Income Comparison Among Early-Career Family Physicians by Gender, 2017–2020

     Full SampleFemale ($)Male ($)Diff. ($)95% Confidence Interval around Diff ($)
    Overall$225,278$206,059$249,625−$43,566$40,026$47,106
    Hourly income*$87.30$81.47$94.68−$13.21$10.44$15.99
    Degree type    
     M.D.$226,441$205,643$252,536−$46,892$42,963$50,822
     D.O.$220,512$207,725$237,365−$29,639$21,523$37,755
    Principal professional activity    
     Continuity Care$214,920$200,936$234,662−$33,726$30,271$37,180
     Emergency Medicine$371,424$322,648$389,106−$66,457$24,266$108,648
     Geriatrics$194,995$189,774$204,691−$14,916−$27,254$57,087
     Hospitalist$281,725$255,916$300,335−$44,419$32,458$56,379
     Palliative Care$209,951$200,094$227,073−$26,979−$8291$62,249
     Sports Medicine$225,303$217,801$227,804−$10,003−$33,101$53,107
     Urgent Care$223,388$205,341$246,299−$40,958$25,070$56,847
     Other$174,623$167,313$186,470−$19,157−$16,355$54,669
    Population density    
     Urban$220,242$202,618$243,797−$41,179$37,449$44,909
     Rural$252,188$227,587$275,685−$48,098$38,106$58,090
    Region    
     Midwest$232,006$212,138$256,276−$44,138$37,187$51,089
     Northeast$205,612$192,530$225,849−$33,319$25,621$41,016
     South$231,988$207,950$259,021−$51,071$44,187$57,954
     West$220,895$205,874$241,550−$35,676$29,572$41,780
    Race    
     Asian$222,832$203,299$249,343−$46,044$39,004$53,084
     Black or African American$223,364$208,208$256,705−$48,497$35,013$61,980
     White$226,270$206,352$249,512−$43,160$38,738$47,582
     Other$224,520$212,583$241,734−$29,151$12,338$45,963
    Ethnicity    
     Non-Hispanic or Latino$225,342$205,944$250,115−$44,171$40,474$47,867
     Hispanic or Latino$224,584$207,355$244,587−$37,232$24,891$49,573
    • Note: Data collected by the ABFM from board-certified Diplomates three years after completing residency. Incomes have been adjusted for inflation using the CPI-U to reflect their value in 2020 dollars. Total percentage may not add up to 100 due to rounding.

    • ↵*Female respondents reported working 2.9 fewer hours per week. Hourly income was calculated by dividing annual income by annual hours worked (weekly reported hours multiplied by 52).

    • View popup
    Table 3.

    Adjusted Associations between Personal and Practice Characteristics with Income for Direct Patient Care Early-Career Family Physicians 2017–2020

    Independent VariableIncome Coef./(Std. Err.)P value
    Gender: Female−$31,804 (1978)0.001
     Ref: Male
    Weekly Hours Worked$620 (46)0.001
    Degree Type: D.O.−$1,603 (2080)0.441
     Ref: M.D.
    Principal Professional Activity
     Ref: Continuity Care
     Emergency Medicine$131,318 (4920)0.001
     Geriatrics−$12,784 (15,633)0.414
     Hospitalist$50,072 (3039)0.001
     Palliative Care$4,099 (9798)0.676
     Sports Medicine$3,346 (9740)0.731
     Urgent Care$8,798 (4074)0.031
     Other−$21,917 (8141)0.007
    Population Density: Rural$21,210 (2293)0.001
     Ref: Urban
    Region
     Ref: West
     Midwest$4,226 (2285)0.064
     Northeast−$14,177 (2686)0.001
     South−$2,120 (2097)0.312
    Race
     Ref: White
     Asian−$830 (3122)0.790
     Black or African American−$5,189 (5581)0.353
     Other−$3,898 (7346)0.596
    Interaction
     Female*Black or African American$3,221 (6750)0.633
     Female*Asian−$2,944 (4058)0.468
     Female*Other$6,016 (9516)0.596
    Ethnicity: Hispanic or Latino$256 (3005)0.932
     Ref: Not Hispanic or Latino
    % of Time in Care Modality
     Ref: Direct patient care
     Administrative activities−$57,182 (11,105)0.001
     Telephone patient care−$32,651 (6349)0.001
     E-visits−$38,295 (14,942)0.010
     Teaching/precepting−$41,140 (7131)0.001
     Other−$97,562 (13,624)0.001
     R20.2489
    • Note: Data collected by the ABFM from board-certified Diplomates three years after completing residency. Incomes have been adjusted for inflation using the CPI-U to reflect their value in 2020 dollars.

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The Journal of the American Board of Family     Medicine: 37 (2)
The Journal of the American Board of Family Medicine
Vol. 37, Issue 2
March-April 2024
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The Gender Wage Gap Among Early-Career Family Physicians
Kaplan Sanders, Yalda Jabbarpour, Julie Phillips, Sarah Fleischer, Lars E. Peterson
The Journal of the American Board of Family Medicine Mar 2024, 37 (2) 270-278; DOI: 10.3122/jabfm.2023.230218R1

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The Gender Wage Gap Among Early-Career Family Physicians
Kaplan Sanders, Yalda Jabbarpour, Julie Phillips, Sarah Fleischer, Lars E. Peterson
The Journal of the American Board of Family Medicine Mar 2024, 37 (2) 270-278; DOI: 10.3122/jabfm.2023.230218R1
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