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The Financial Relationship Between the Medical Industry and Residency Leadership in OB/GYN and Urology.

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  • Additional Information
    • Source:
      Publisher: Accreditation Council for Graduate Medical Education Country of Publication: United States NLM ID: 101521733 Publication Model: Print Cited Medium: Internet ISSN: 1949-8357 (Electronic) Linking ISSN: 19498357 NLM ISO Abbreviation: J Grad Med Educ Subsets: MEDLINE
    • Publication Information:
      Original Publication: Chicago, ILL : Accreditation Council for Graduate Medical Education
    • Subject Terms:
      Urology*/education ; Internship and Residency*; Aged ; Humans ; United States ; Leadership ; Cross-Sectional Studies ; Retrospective Studies ; Medicare
    • Abstract:
      Background Industry payments to physicians exceed millions of dollars. Payments can influence physicians' practices and potentially impact trainees. Objective To examine the magnitude of industry payments to obstetrics and gynecology (OB/GYN) and urology residency directors and department chairs in the United States. Methods For this retrospective cross-sectional study, program directors and department chairs of OB/GYN and urology residency programs were identified in December 2021. Nonresearch payments between August 1, 2013, and December 31, 2020, from drug or device manufacturers to program directors and department chairs of OB/GYN and urology residency programs were compiled from the Centers for Medicare & Medicaid Services Open Payments Database. Statistical analysis was conducted using the Kruskal-Wallis test and a linear mixed-effects model. Results A total of 19 903 payments, totaling $6,041,585, were provided to 396 physicians, with a median of $232.62 per physician over the 6 years analyzed. Urologists received more payments and higher amounts per payment than OB/GYNs (7820 vs 12 083, P <.01; $1,689,519.48 vs $4,352,066.40, P <.01). Department chairs received more payments per year than program directors (8 vs 4, P <.01). There were also geographic differences, with higher payments in the Northeast US region ($131.10 more, P <.01). Based on the linear mixed-effects model, 3 variables predicted the magnitude of industry payments received: physician age, number of years in leadership position, and geographic location. Conclusions Urologists and OB/GYN US residency program directors and department chairs received considerable nonresearch industry payments from 2013 to 2020.
    • References:
      Urology. 2019 Jan;123:53-58. (PMID: 30391682)
      Surgery. 2020 Dec;168(6):1101-1105. (PMID: 32943202)
      Acad Psychiatry. 2005 Spring;29(1):40-6. (PMID: 15772403)
      Biometrics. 1982 Dec;38(4):963-74. (PMID: 7168798)
      Obstet Gynecol. 2021 Dec 1;138(6):894-896. (PMID: 34736274)
      J Surg Educ. 2016 Jul-Aug;73(4):595-9. (PMID: 26966083)
      PLoS One. 2017 Apr 13;12(4):e0175493. (PMID: 28406971)
      J Surg Educ. 2020 Nov - Dec;77(6):1632-1637. (PMID: 32546385)
      Obstet Gynecol. 2016 Feb;127(2):376-82. (PMID: 26942368)
      Obstet Gynecol. 2018 Jul;132(1):9-17. (PMID: 29889758)
      Acad Med. 2022 Feb 1;97(2):278-285. (PMID: 34010861)
      Int Urogynecol J. 2020 Apr;31(4):799-807. (PMID: 31673796)
      Obstet Gynecol. 2012 Nov;120(5):1243-9. (PMID: 23090562)
      Am J Bioeth. 2010 Oct;10(10):18. (PMID: 20945263)
      Acad Emerg Med. 2004 Jan;11(1):19-26. (PMID: 14709424)
      Urology. 2020 Jun;140:44-50. (PMID: 32165278)
    • Publication Date:
      Date Created: 20231204 Date Completed: 20231205 Latest Revision: 20231205
    • Publication Date:
      20240514
    • Accession Number:
      PMC10686660
    • Accession Number:
      10.4300/JGME-D-22-00944.1
    • Accession Number:
      38045938