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By Genevra Pittman

NEW YORK, June 12 (Reuters Health) – U.S. female

doctor-researchers make an average of $12,000 a year less than

their male counterparts, even after their work hours and area of

specialty are taken into account, according to a study released

on Tuesday.

Doctor-researchers have both medical degrees and PhDs, and

they see patients as well as conduct medical studies.

The wage gap between men and women is nothing new, but among

doctors in particular it wasn’t clear if the disparity was due

to different career choices and work habits in men and women

that could have affected their pay.

“Disturbingly, even after we controlled for all those other

factors, we found that male doctors were paid more than female

doctors for doing the same work,” said Dr. Reshma Jagsi, the

lead author of the new study from the University of Michigan in

Ann Arbor. The findings were published in the Journal of the

American Medical Association http://bit.ly/JjFzqx.

Jagsi and her colleagues sent questionnaires to 800

doctor-researchers in the United States, all of whom had

previously won a mid-career grant award from the government. The

doctors were an average of 45 years old at the time of the

survey and three-quarters of them were white.

Men reported making an average of slightly over $200,000 per

year and women about $168,000.

The researchers found women were more likely to work in

lower-paying specialties such as pediatrics and family medicine.

Female doctors also tended to work slightly fewer hours than

their male peers — 58 hours per week, on average, versus 63 for

men.

Those differences were responsible for some of the salary

gap. But even after Jagsi’s team accounted for income

disparities that could have been due to career and life choices,

the researchers found women still made about $12,000 less than

men doing the same type and amount of work.

CONSCIOUS TRADE-OFFS, OR BIAS?

That’s similar to what has been found in past research, such

as in studies of early-career doctors, according to Anthony Lo

Sasso, a health policy and economics researcher from the

University of Illinois at Chicago.

But the finding still leaves many unanswered questions, said

Lo Sasso, who wasn’t involved in the new research.

“It really doesn’t get at what the underlying driver is, and

I think that remains the puzzle at this point — what is

accounting for this unexplained salary difference?”

One explanation, according to the researchers, is that women

are less aggressive about negotiating for pay or may take

factors other than salary, such as location and community, into

account when choosing a job.

Lo Sasso said it’s possible women in the study accepted

slightly lower pay in return for less time being on-call and

more predictability in their schedules. Those types of questions

were not included in the survey.

The researchers calculated that over her career, the average

female doctor-researcher would make about $350,000 less than a

man doing similar work because of unexplained salary

differences.

Jagsi said she worries the findings may hint at unconscious

biases in hiring and pay at the academic institutions where

these researchers worked. One way to address that, she said, is

for employers to have clear policies about how salaries are

determined so doctors can know if they’re being paid fairly.

That applies outside of hospitals and universities as well,

she said. A report released in April showed American women make

77 cents for every dollar earned by men, a gap that is even

bigger in certain professions, such as financial management.

(Editing by Frederik Joelving and Michele Gershberg; Desking by

Cynthia Osterman)