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Your production value does exceed the “learning value” as a resident, that’s why we actually get a salary and aren’t working for free.
That’s what I meant by the conversation you quoted...if a resident is “worth” or “produces” or whatever enough for an 70,000/yr salary, then we subtract (or make you pay back as tuition) 35,000 worth of “learning”, you’re left with 35,000 net salary. Do I think that’s fair or whatever? Gut says no but it’s hard to put a monetary value on this type of thing.
Supervision will vary specialist to specialist. Maybe you have very little supervision on ER but the neurologist never leaves your side. Maybe internist #1 wants to lay hands on every patient but internist #2 lets you have more free rein. Thats what makes it difficult to really determine what a resident actually produces. And if you want to view it monetarily alone, how do you account for the specialist’s “share” of the production? Split it 50/50? 70/30? (Rhetorical questions) People don’t come to a vet school to see a resident, they come to see a specialist, so even if they’re hands off their case consult is worth something. Trainees typically slow specialists down in regards to seeing patients. Probably especially so in surgical specialities, particularly in earlier years. How do you account for that? (Rhetorical). Trainees often do a huge chunk of paperwork but almost all private practice specialists I’ve talked to see many more cases per day than academic specialists. And that’s not even bringing up required rounds and students teaching and seminars and all that. Or that some services are just naturally more productive than others (surgery vs derm). I absolutely think salaries need to increase so that trainees aren’t struggling to get by month to month...but its hard to put a number what a resident is actually “worth” is all I am saying.
That’s what I meant by the conversation you quoted...if a resident is “worth” or “produces” or whatever enough for an 70,000/yr salary, then we subtract (or make you pay back as tuition) 35,000 worth of “learning”, you’re left with 35,000 net salary. Do I think that’s fair or whatever? Gut says no but it’s hard to put a monetary value on this type of thing.
Supervision will vary specialist to specialist. Maybe you have very little supervision on ER but the neurologist never leaves your side. Maybe internist #1 wants to lay hands on every patient but internist #2 lets you have more free rein. Thats what makes it difficult to really determine what a resident actually produces. And if you want to view it monetarily alone, how do you account for the specialist’s “share” of the production? Split it 50/50? 70/30? (Rhetorical questions) People don’t come to a vet school to see a resident, they come to see a specialist, so even if they’re hands off their case consult is worth something. Trainees typically slow specialists down in regards to seeing patients. Probably especially so in surgical specialities, particularly in earlier years. How do you account for that? (Rhetorical). Trainees often do a huge chunk of paperwork but almost all private practice specialists I’ve talked to see many more cases per day than academic specialists. And that’s not even bringing up required rounds and students teaching and seminars and all that. Or that some services are just naturally more productive than others (surgery vs derm). I absolutely think salaries need to increase so that trainees aren’t struggling to get by month to month...but its hard to put a number what a resident is actually “worth” is all I am saying.
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