Data Uncertain: Physician Salary Does not Correlate to Lower Burnout Rates; a Response to Side Hustle Scrubs’ Post

Whew. Long title.

I normally don’t get into discussions over blog posts, but I just read one post on Side Hustle Scrubs that admittedly provoked me to respond. The issue in hand? Data Analysis.

Side Hustle Scrubs (SHS) has this post on whether making more money leads to a reduction in physician burn out. I think that’s a great concept to study and would be an interesting read! However, I am less than enthused about the data that (s)he used to draw her/his conclusions (note: (s)he concludes that mo’ money equals mo’ happiness).

SHS uses an analysis of the physician salary versus burnout on a per-state basis and on a per-specialty basis. The per-state basis data I am unable to get — the links appear to link to other blog posts which link to websites which have gone kaput. However, the per-specialty basis data is posted on his website and I have reproduced below

Plot of percentage of physicians burnt out versus physician salary on a per-specialty basis. Includes linear regression and confidence interval.

So this data is all well and good, but the problem is that that relationship is so exceptionally weak! It’s a very weak correlation!

In fact, looking at the 95% confidence interval plotted there, it’s entirely possible that the actual burn out increases with salary! To drive this point home, I adjusted the vertical scale to zoom into the data and then drew a red line for the possible true relationship. See below.

Same data as above with a hypothetical relationship that could be the true relationship between salary and burn out as shown by the red line.

I also checked those two data points to the far right — they’re courtesy of plastic surgery ($501k, 23%) and orthopedics ($497, 34%). Technically, they’re not outliers (using the 3 standard deviations definition), but they’re awfully close (22.6% is the cut off for 3 standard deviations for the burn out data). As such, I’ll leave them in.

it’s entirely possible that the actual burn out increases with salary!

However, as a check, I analyzed the data without those two data points and the relationship plummets to next to nothing.

But not withstanding, what is the proposed relationship between physician burn out and salary?

Burnout [%] = -0.02433 * Salary [1,000’s] + 47.86

Essentially, for a $100k increase in salary, this data suggests that there will be approximately 2 MORE physicians per 100 physicians that are not burned out. And that’s assuming you paid all 100 physicians $100,000 more. Per year.

Overall, I conclude that there isn’t enough of a relationship here to draw any conclusions about salary and how burned out one might be.

In fact, burn out is an issue affecting other industries too and based on this data, physicians are actually doing very good! Hard to believe! How so?

Check this out — 57% of tech employees surveyed stated that they suffered from burn out. 57%.

Even the worst physician specialty (here’s to critical care at 48%) isn’t even close to that! And the worst offender in that tech study were employees of Credit Karma with over 70% claiming to suffer from burn out. 70%!!!!

57% of tech employees surveyed stated that they suffered from burn out. Even the worst physician specialty isn’t even close to that!

I don’t know what different companies pay their employees, and in fact, doing a similar study across a tech company would be very difficult as I believe the spread in salaries would be far greater than the spread in salaries amongst doctors of the same specialty. However, the lowest burn out rate among tech companies was at Netflix with only 38% burn out. That’s on par with rheumatology, anesthesia, and gastroenterology. But I doubt Netflix is paying on par with those specialties on average; $257k, $386k, and $408k, respectively.

Let me know your thoughts below!

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