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Emergency Physicians’ Experience-Remuneration (E-R) Mismatch: A Canadian Healthcare Irony

Conventional wisdom suggests that in almost every profession, the most experienced and educated employees are remunerated at a higher rate than the less experienced ones. For example, new-graduate hires most commonly start at the bottom of the pay scale. No profession could reflect the importance of...

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Detalles Bibliográficos
Autor principal: Abrahim, Mohammed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10423842/
https://www.ncbi.nlm.nih.gov/pubmed/37583751
http://dx.doi.org/10.7759/cureus.41891
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author Abrahim, Mohammed
author_facet Abrahim, Mohammed
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description Conventional wisdom suggests that in almost every profession, the most experienced and educated employees are remunerated at a higher rate than the less experienced ones. For example, new-graduate hires most commonly start at the bottom of the pay scale. No profession could reflect the importance of experience and the need for mastery of skills more than emergency medicine (EM), where a split-second decision could mean the difference between life and death. In Canada, however, EM physicians are remunerated as per a common pay scale that does not consider the length of their education, training, or years of practice. Such an unfair experience-remuneration mismatch (E-R mismatch) could lead to job dissatisfaction, burnout, and switching to other specialties. Given the current EM physician shortage in Canada, the E-R mismatch among such physicians could negatively impact patient care and the health system as a whole and prolong the already long wait times. The aim of this editorial is to shed light on this flaw in the Canadian healthcare system and lead to change toward a fair pay system. The creation of a professional and experience-based hierarchy among Canadian EM physicians should be considered a matter of urgency for those developing health-related legislation.
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spelling pubmed-104238422023-08-15 Emergency Physicians’ Experience-Remuneration (E-R) Mismatch: A Canadian Healthcare Irony Abrahim, Mohammed Cureus Emergency Medicine Conventional wisdom suggests that in almost every profession, the most experienced and educated employees are remunerated at a higher rate than the less experienced ones. For example, new-graduate hires most commonly start at the bottom of the pay scale. No profession could reflect the importance of experience and the need for mastery of skills more than emergency medicine (EM), where a split-second decision could mean the difference between life and death. In Canada, however, EM physicians are remunerated as per a common pay scale that does not consider the length of their education, training, or years of practice. Such an unfair experience-remuneration mismatch (E-R mismatch) could lead to job dissatisfaction, burnout, and switching to other specialties. Given the current EM physician shortage in Canada, the E-R mismatch among such physicians could negatively impact patient care and the health system as a whole and prolong the already long wait times. The aim of this editorial is to shed light on this flaw in the Canadian healthcare system and lead to change toward a fair pay system. The creation of a professional and experience-based hierarchy among Canadian EM physicians should be considered a matter of urgency for those developing health-related legislation. Cureus 2023-07-14 /pmc/articles/PMC10423842/ /pubmed/37583751 http://dx.doi.org/10.7759/cureus.41891 Text en Copyright © 2023, Abrahim et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Abrahim, Mohammed
Emergency Physicians’ Experience-Remuneration (E-R) Mismatch: A Canadian Healthcare Irony
title Emergency Physicians’ Experience-Remuneration (E-R) Mismatch: A Canadian Healthcare Irony
title_full Emergency Physicians’ Experience-Remuneration (E-R) Mismatch: A Canadian Healthcare Irony
title_fullStr Emergency Physicians’ Experience-Remuneration (E-R) Mismatch: A Canadian Healthcare Irony
title_full_unstemmed Emergency Physicians’ Experience-Remuneration (E-R) Mismatch: A Canadian Healthcare Irony
title_short Emergency Physicians’ Experience-Remuneration (E-R) Mismatch: A Canadian Healthcare Irony
title_sort emergency physicians’ experience-remuneration (e-r) mismatch: a canadian healthcare irony
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10423842/
https://www.ncbi.nlm.nih.gov/pubmed/37583751
http://dx.doi.org/10.7759/cureus.41891
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