By: Jaspreet Kaur
Introduction
Growing up I was never sure of what I wanted to pursue as a future career. I can remember the first job I ever wanted was to be a cashier at a supermarket when I was ten years old, then from the ages of twelve to fifteen I wanted to become a lawyer, then I wanted to become a therapist, and finally I have decided to pursue a career as a physician assistant. I swore away from the medical field for years, I can remember always saying “I would never do anything that contains medicine.” and here I am today, dreaming of pursuing medicine. The main question that still remains is “How can we lower the pay gap between male and female physician assistants?”.
I hope this article reaches all the PA students, Med students, the faculties who are in charge of the biology/health sciences departments. To all the women and men who are in the medical field, people look at the statistics on the gender pay gap between both female and male physician assistants. I would love to show every intrigued reader statistics, research from different states, surveys from PAs, the different specialty salary discrepancies, and also negotiating.
Statistics
In 2018 the AAPA monitors have shown that the pay gap between men and women PAs in terms of base salary has been lowered tremendously in the past twenty years. Now this is a big win for women in this profession. The statistics also show us how in the late 1990s the pay gap was terrible, in the 2000s it worsened tremendously, but then in 2012 is where the female PAs were getting paid the average salary. The crazier part of this is women were not getting the same type of bonus that the men were getting. The difference in the bonuses was 3,000 dollars. Furthermore, the overall base salary between men and women PAs was around 6% even after taking into account the amount of experience, on-call hours, patient care, their specialties, and bonuses. (American Academy of PAs 2018).
Covid
Covid was an interesting portion in our entire lives, now let us note what the compensation was like for PAs during Covid. The AAPA also reported that in 2020 the hourly wage went down to 60 dollars, while in 2019 it was 62.73 dollars. In comparison to this the average compensation salary also went from 145,000 dollars in 2019 and 144,000 dollars in 2020. Another fact is the bonuses decreased by a thousand dollars. Moreover, In 2020 telehealthcare was proposed by PAs and showed a magnificent growth in usage. Opposed to 2019 which showed that users did not use telehealth as much as they did in 2020. The statistics in 2020 were 63% and in 2019 it was 10% (Stone 2021).
Covid was a struggle for me in 2020, I lost my father to covid and I resented hospitals for letting this happen. But as I matured and grew I saw that no one was at fault, no one knew how to contain this disease at the time, and everyone tried their best. I know the doctors, physician assistants, nurses, and all the staff members tried their best to save my father all while trying to navigate this new confound disease. So I would personally like to thank every staff member.
States
Moving on, allow me to discuss a few states such as California, New York, and Connecticut. According to the U.S. Bureau of Labor Statistics a physician assistant in California makes around 144,520 dollars, this is calculated throughout the employment of PAs in May 2022. In New York the average PA makes around 135,620 dollars annually and it is also based on state employment of PAs like California. But on the other side of the spectrum, Connecticut is based on location quotients of PAs in May 2022 (Bureau of Labor Statistics 2023). Now if you are like me, you are probably wondering what a location quotient even is. Basically a location quotient is a ratio that is used for areas distribution of employment, ownership, and class size (Bureau of Labor Statistics 2023). All of these states would be super competitive considering the salary, we all want a good salary do we not?
Specialties
In the medical field there are a tremendous amount of specialties, some are family medicine, internal medicine, emergency medicine, pediatrics, dermatology, gynecology, and more. The Women’s Health Issue used a survey and then did a qualitative analysis on these findings. The survey that was used was the biggest census survey which included AAPA and non AAPA members, there were 19,608 PAs that participated in 2009 for this survey (Coplan et. al 2011). In this article the researchers wanted to be precise about the gender pay gap which is why they focused on the “three mostly reported specialty areas, as listed in the 2009 AAPA PA Census: Family practice, emergency medicine, and orthopedic surgery.” The characteristics that were taken into consideration were years practicing as a physician assistant, number of patients a week, hours worked per week, and total on-call hours each month.
MANOVA and ANOVA were used to conduct this qualitative analysis. MANOVA is a multivariate analysis of variance, and the purpose of this is to decide whether multiple levels of independent variables on their own or combined with one another can actually produce an effect on the dependent variable. Now ANOVA is an analysis of variance and it is used to compare different means of different groups (Statistics Solutions). MANOVA results indicated gender did significantly affect the chosen practice variables, and ANOVAs outcome showed that male were scarcely choosing PA as a career. In addition, men physician assistants reported more funding that was available to them “from their primary clinical employers for professional development” in contrast to the female physician assistants. The concluding results showed that male PAs continue to earn more than their female counterparts, while controlling for practice variables including specialty, experience, number of hours logged, number of patient visits, and on-call hours performed (Coplan et. al 2011).
There is a more significant percentage of female physicians, alongside female PAs who work less hours and see fewer patients as well. This is super interesting to hear because your initial reaction might be “well why?”. I like believing this is because female healthcare providers are immediately meant to produce a family and take care of that household. It is virtually like they are the glue holding their family together. The same female providers acknowledge their families and careers are a crucial benefactor to their life which is why they habitually assume a greater responsibility (Coplan et. al 2011). As a female I care about having a successful career and a prosperous family. With the support of my family, I have the chance to focus on my education and prosper in the medical field. I know I owe it all to my parents to make them proud of the only daughter they have.
Salary discrepancies
Looking at this figure provided by the AAPA we can see that Years of experience is the X-variable and Median Base salary is the Y-variable. The discrepancy is clearly visible when you read this chart, but allow me to explain it a little bit. We are presented with a bar graph, let us analyze the graph and look at the 20 or more years; women receive 115,000 dollars annually, and all PAs receive 119,000 dollars, and men receive 123,285 dollars. There’s no specific specialty behind this but it is still a salary discrepancy based on gender.
Promptly we can move into a territory I have not discussed is salary discrepancies within teachers. Two practicing PAs have written a research article called “Salary Differences of Male and Female Physician Assistant Educators” and they are Jennifer Coombs, PhD, PA-C;Virginia Valentin, MCMS, PA-C. The entire purpose of this article was to willingly see if there efficiently was a unique difference between male and female PA faculty salaries. The research they used to lead the findings were from the PAEA’s 25th annual report about PA education from 2010. The compared variables for male and female faculty in the analysis were clinical work, degree, rank, and position. Its noted that salaries were reported without any benefits and in dollars, clinical work was accepted with the amount of income retained; specific hours worked towards the clinical and an amount of income received that was unreported; degree was listed as bachelors, masters, or a doctorate degree, and lastly rank was lecturer, assistant professor or full professor (Coombs, Valentin 2014).
The results have come back, 168 men and 309 women indicated full-time employment. The average male salary was $92,066 a year and a female’s salary was $86,599, clearly depicting male faculty members making $5,467 per year more than a female PA faculty member. 280 full-time faculty members documented they worked clinically and received some sort of income. 178 people who worked clinically were women. To see if a difference was even made they used the faculties education level, with a bachelor’s degree the male PA faculty earned $18,288 more than a female colleague. Male faculty with a masters degree earn $2,304 more and doctorate degree males earn $7,167 more. Even by rank the wage difference between male and female educators is -$1,882. One of the authors further says that if this gap increases in the education sector about leadership gap (Coombs, Valentin 2014).
Overall, this study provided readers with so much insight on a pay gap within PA educators. It truly is interesting considering that there are more female educators than male educators and male faculty members make more than their female counterparts.
Negotiating
Negotiating is a skill all women should learn. The National Library of Medicine believes that one of the reasons why there is a gender pay gap is because they lack negotiating skills. They conducted a workshop where the participants learned negotiation microskills and terminology, identified strengths and skills to improve their skills, how to apply their negotiating skills, described the role gender plays, and applied their skills in a role-playing deal. The results from this study showed a significant improvement in the learners’ negotiation skills, strategies, how and when to use them (Simmone et.al 2020).
Another Article described potential solutions to fix the discrepancies in salaries between Male and Female Physician Assistants. They stated “Employers should be clear whether there is room for open negotiation when offering a salary…” reading this just provides you with the information of asking your employers questions and talking to them in a respectful manner while talking and asking questions. This would provide women with the stability of knowing how to adjust their salaries (Smith et.al 2017).
Concluding Remarks
While writing this creative/research piece I was enlightened with new detail everytime I clicked on an article. In my assignment 2 I expressed that the best possible solution to fix this problem would be negotiating and I still stand by this. We need to continue holding workshops for all medical health care workers who are women to help them achieve these skills. I wish by the time I graduate from my undergrad and PA school that this matter will be taken care of, but if not I will learn negotiating skills to get the best offer I could get. Thank you so much for taking the time out of your day to read my piece.
Bibliography
Bettie Coplan, Alison C. Essary, Thomas B. Virden, James Cawley, James D. Stoehr, “Salary Discrepancies Between Practicing Male and Female Physician Assistants”, Women’s Health Issues, Volume 22, Issue 1, 2012, Pages e83-e89,ISSN 1049-3867, https://www.whijournal.com/article/S1049-3867(11)00159-9/fulltext
Hooker, R. S., JAMES F. Cawley, and Everett M. Christine. “Current status: A profile of the physician assistant profession.” Physician assistants: Policy and practice (2010): 62-100. (book) https://books.google.com/books?hl=en&lr=&id=YTAjDgAAQBAJ&oi=fnd&pg=PA37&dq=physician+assistant+in+india+wage&ots=XOpRFsoChM&sig=BvL5rsA3bpPbjOjhDF3cJjGpN-w#v=onepage&q=physician%20assistant%20in%20india%20wage&f=false
Smith, Noël, James F. Cawley, and Timothy C. McCall. “Examining the gap: compensation disparities between male and female physician assistants.” Women’s Health Issues 27.5 (2017): 607-613. https://www.sciencedirect.com/science/article/pii/S1049386717302657?casa_token=F3q0cZYG2hIAAAAA:sYJugRmyzrb5xBQniYefY7C49uhQgA5p1jpEA9U8o1b3vZXqLCCeed1bbfqEZXc-uWNMjyhqKQ
Simone AM, Simone M, Block L, LaVine N. Contract Negotiation Skills: A Workshop for Women in Medicine. MedEdPORTAL. 2020 Jun 18;16:10910. doi: 10.15766/mep_2374-8265.10910. PMID: 32656331; PMCID: PMC7331958. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7331958/
Women Are Paid Less than Men in the PA Profession – Aapa, 2018, www.aapa.org/wp-content/uploads/2017/11/SR-Realtionship-Between-Salary-and-Gender-for-PAs.pdf.
Lani, James. “ANOVAS and Manovas.” Statistics Solutions, 9 Aug. 2021, www.statisticssolutions.com/anovas-and-manovas/#:~:text=An%20ANOVA%20is%20used%20to,ANOVAs%20or%20a%20single%20MANOVA%3F.
“Physician Assistants.” U.S. Bureau of Labor Statistics, 25 Apr. 2023, www.bls.gov/oes/current/oes291071.htm.
Stone, Kathleen. “PA Salary Report 2021: Compensation Impacts of the Pandemic.” Healthcare Trends PA Salary Report 2021: Compensation Impacts of the Pandemic, CompHealth Blog, 24 June 2021, https://comphealth.com/resources/physician-assistant-pa-salary. Accessed 20 May 2023.