Evidence map›Paper›PMID 41734005›Full record

ArticleATS scholar2026

Variability in first academic medicine job offers in pulmonary and critical care medicine.

Emily M Olson, Matthew E Modes, Timothy J Rowe, Patrick G Lyons, Nicholas E Ingraham, Nandita R Nadig, Clara J Schroedl, Catherine A Gao

Abstract read
In one paragraph

Article in ATS scholar, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Emily M OlsonDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID 0000-0003-4933-7598
Matthew E ModesDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, United States.ORCID 0000-0002-1568-1393
Timothy J RoweDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID 0000-0003-2186-4513
Patrick G LyonsDivision of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Oregon Health & Science University, Portland, OR, United States.ORCID 0000-0002-1557-2787
Nicholas E IngrahamDivision of Pulmonary, Allergy, Critical Care and Sleep Medicine, Department of Medicine, University of Minnesota, Minneapolis, MN, United States.ORCID 0000-0002-0292-0594
Nandita R NadigDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID 0000-0001-8694-4704
Clara J SchroedlDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.
Catherine A GaoDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID 0000-0001-5576-3943

Funding

SPOT-IT: Sepsis Prediction in Oncology Through Implementation Science and TechnologyK08CA270383 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI Patrick G Lyons · 2024 to 2026
$851k
Identifying Areas to Improve ICU Outcomes through Provider VariationK23HL166783 · NHLBI · UNIVERSITY OF MINNESOTA · PI Nicholas E Ingraham · 2023 to 2026
$645k
Machine learning to predict cure in severe pneumonia episodesK23HL169815 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Catherine A. Gao · 2024 to 2026
$501k
American Thoracic Society Unrestricted GrantNCI NIH HHS K08CA270383NEINHLBI NIH HHS K23 HL166783NHLBI NIH HHS K23HL166783NHLBI NIH HHS K23 HL169815NHLBI NIH HHS K23HL169815NHLBI NIH HHS L30 HL165559NIH
6 · The paper itself

Abstract

backgroundA minority of Pulmonary and Critical Care Medicine (PCCM) graduates pursue careers in academic medicine. Although compensation is only a portion of the career decision, job negotiations remain shrouded in ambiguity and inconsistency. Additionally, while role-level salary tables exist through the Association of American Medical Colleges (AAMC), to our knowledge there is no resource that includes important non-salary.

objectiveWe sought to describe key components of first PCCM academic job offers for both physician scientists and clinician educators, including salary, start-up packages, non-clinical full-time equivalent (FTE) breakdown, and bonus ranges.

methodsAn electronic survey was distributed via a snowball sampling method between May-June 2025. PCCM graduates between 2020 and 2025 who accepted a job in academic medicine were included. Mann-Whitney Wilcoxon tests were used for ordinal comparisons. Qualitative analysis of free text responses was performed with a social cognitive career theory framework.

resultsThere were 60 respondents who provided information about 103 job offers, with 50% (14/28) of physician-scientists and 66% (21/32) of clinician-educators reporting more than one job offer. Physician-scientists received lower salary offers compared to clinician-educators (respective median ranges: $150 000-$199 999 vs $250 000-$299 999, P < .001). Only 35.7% of physician-scientists (10/28) received a career development award prior to negotiation, which was associated with a higher start-up package offer (P < .05). For all clinician-educator jobs (n = 59), 42.4% had non-clinical FTE in the initial offer. Many respondents commented on the lack of negotiating power.

conclusionPCCM physician-scientists and clinician-educators experience wide variability in their initial job offers. Recognizing differences is essential to improve transparency in job negotiations in academic medicine.

Indexed as

Career ChoiceCritical CareFaculty, MedicalPhysiciansPulmonary MedicineSalaries and Fringe BenefitsAcademiaHumansSurveys and QuestionnairesUnited Statesmentorsnegotiatingphysicianssalaries and fringe benefitstraining support

Identifiers

PMID41734005
PMCPMC13220948

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.