Behind The Knife: The Surgery Podcast14 Syys

Beyond the Match, Episode 1: Pay, Benefits, and Bargaining Power

What does it say about a training system when childcare can eat up almost half a resident’s monthly salary — and the physicians doing essential clinical work have almost no ability to negotiate their pay or benefits? A recent House Judiciary Committee report argues that the Match suppresses resident compensation and bargaining power. But if the Match disappeared tomorrow, would residents actually get paid more? Join Mckenzie Roebuck, Maya Hunt, Nicole Santucci, and Michael Kabbash of CoSEF as they unpack resident pay and benefits, where GME funding actually goes, why residency is not a normal labor market, and where real leverage for change might come from.

Hosts:

Dr. Mckenzie Roebuck, CoSEF BTK Lead, Inova Fairfax Medical Campus, mckenzie.rowe@inova.org, insta @mrowemd, X @mrowemd1
Dr. Maya Hunt, Indiana University, mayahunt@iu.edu
Dr. Nicole Santucci, Washington University in St. Louis, snicole@wustl.edu
Dr. Michael Kabbash, University of Florida, michel.kabbash@surgery.ufl.edu, X @MichaelKabbash
CoSEF: X @surgedfellows, cosef.org

Learning objectives:

Summarize the congressional report’s arguments about resident compensation and bargaining power
Explain how GME funding supports residency and why federal GME dollars do not map directly onto resident salaries
Describe how salary and benefit structures affect residents’ financial well-being, family planning, and quality of life
Identify institutional, policy, and collective strategies to strengthen resident compensation and bargaining power.

References:

House Committee on the Judiciary. Medical Mis-Match: How a Residency Hiring Monopoly Harms Patients, Doctors, and the American Public. Published online March 27, 2026.
Association of American Medical Colleges. AAMC Survey of Resident/Fellow Stipends and Benefits. https://www.aamc.org/data-reports/students-residents/report/aamc-survey-resident/fellow-stipends-and-benefits.
Centers for Medicare and Medicaid Services. Direct Graduate Medical Education (DGME). https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/direct-graduate-medical-education-dgme.
Foote DC, Rosenblatt AE, Amortegui D, et al. Experiences With Unionization Among General Surgery Resident Physicians, Faculty, and Staff. JAMA Netw Open. 2024;7(7):e2421676. doi:10.1001/jamanetworkopen.2024.21676 https://pubmed.ncbi.nlm.nih.gov/39018072/
Tomei KL, Selby LV, Kirk LM, et al. Beyond Training the Next Generation of Physicians: The Unmeasured Value Added by Residents to Teaching Hospitals and Communities. Acad Med. 2022;97(11):1592-1596. https://pubmed.ncbi.nlm.nih.gov/35731593/ doi:10.1097/ACM.0000000000004792
Accreditation Council for Graduate Medical Education. Common Program Requirements. Accessed August 2026.https://www.acgme.org/programs-and-institutions/programs/common-program-requirements/.
Rigged or Right? The Residency Match Under Fire | podcast. Behind the Knife. https://behindtheknife.org/podcast/rigged-or-right-the-residency-match-under-fire.

Tämä jakso on lisätty Podme-palveluun avoimen RSS-syötteen kautta eikä se ole Podmen omaa tuotantoa. Siksi jakso saattaa sisältää mainontaa.

Jaksot(500)

Clinical Challenges in Breast Surgery: Managing Breast Cancer Risk - From Assessment to Interventions

Breast cancer risk varies widely across patients, and surgeons play a central role in recognizing elevated risk and guiding appropriate management. In this episode, we review the spectrum of breast ca...

24 Syys 56min

From Paper to Practice: What Every Surgeon Should Know About Guidelines

Ever wonder how a mountain of clinical data transforms into a clinical practice guideline, or whether deviating from one puts you at legal risk? Join us as we pull back the curtain on guidelines metho...

21 Syys 27min

Beyond the Match, Episode 3: Working Conditions, Resident Mobility, and Accountability

You stayed late again, the service is still short-staffed, and when you finally say something, the answer is: you just need to be more efficient. More resilient. That's the go-to explanation for almos...

17 Syys 34min

Beyond the Match, Episode 2: Application Chaos, Transparency, and the Cost of Uncertainty

You matched into your dream program... but only after submitting 80 applications, spending thousands of dollars, and losing sleep wondering if anyone was even reading yours. Meanwhile, on the other si...

15 Syys 35min

Surgical Critical Care Review: Acute Respiratory Distress Syndrome

Introducing Behind the Knife Surgical Critical Care Review!DOMINATE THE ICU with our comprehensive course that includes audio + simulator + question bank.Master the management of the critically ill pa...

11 Syys 59min