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Q&A
Pay disparity analysis within H+H workforce
1:37:28
ยท
149 sec
Dr. Katz discusses the complexities involved in analyzing pay disparities within the H+H workforce, highlighting the dynamic nature of the physician job market and the challenges in making fair comparisons.
- The job market for physicians is highly dynamic, with salaries often determined by the ability to fill positions
- Better managers may be able to recruit at lower salaries due to other factors like work environment
- Comparisons are easier in fields with standardized work, such as primary care and emergency medicine
- Subspecialties can have widely varying job responsibilities and market demands, making direct comparisons difficult
- Dr. Katz emphasizes the challenge of ensuring equity while responding to market forces
Carmen N. De La Rosa
1:37:28
Okay.
1:37:30
Let me see.
1:37:31
Has the city conducted any analysis on paid disparity within the workforce, at H and H or their affiliates?
1:37:38
And what kind of results did those analysis yield?
1:37:41
And I know you explained that.
1:37:42
It's very complex.
Mitch Katz
1:37:44
Well, again, you know, it's the market moves is another thing we didn't talk about.
1:37:50
Like, it's a very dynamic market for hiring physicians.
1:37:54
I mean, if you asked me what I think is the best way to tell the market, can you hire someone?
1:38:01
I mean, at the end of the day, when I get after I've listened to 14 different arguments, I often say, 'Okay, how long have you had that ad out?' And if you've put out an ad for an OBGYN, and I think we typically, we're doing it at 275, and you haven't hired anybody, then by definition, it's too low.
1:38:22
Right?
1:38:23
I mean, it's in some ways, it's become the only thing that I feel I can really count on.
1:38:30
What's complicated there too, though, is better managers are better able to hire for all the reasons that you probably sought out employment with a boss you liked.
1:38:41
And I bet your staff worked for you because they like working for you.
1:38:45
So it turns you're you're always dealing with all of the so someone will come to me with an ad and say, we've had this ad out, and we haven't hired anyone.
1:38:54
And I'll know that at one of my other hospitals, we have no vacancies even though the salary is lower.
1:39:00
Why is that?
1:39:01
Because they're all committed to this incredibly, you know, mission driven chair.
1:39:07
So whatever we're gonna come up with, it's not gonna be perfect.
1:39:14
It's also I would say it's easier in to do it in fields that are comparable.
1:39:21
It's like primary care and emergency medicine are the work is pretty comparable wherever you are.
1:39:28
Nine sessions of primary care, 32 hours of ED.
1:39:33
But then when you talk about a rheumatologist or gastroenterologist, the jobs themselves can be so different.
1:39:41
This one is doing procedures all day long.
1:39:45
Procedures pay better.
1:39:46
They're earning huge salary.
1:39:48
This one is doing more office visits earning less in the private sector.
1:39:54
You want a comparable salary.
1:39:56
Which do you choose?