To the Editor We would like to congratulate Dossa et al1 in endeavoring to unveil sex-based disparities in hourly pay rates among surgeons practicing in the province of Ontario in Canada where a fee-for-service payment model is in place. The authors conclude that significant differences exist between male and female surgeons, with female surgeons earning 24% less than their male counterparts, or up to $53 (or Can $70) less per hour despite taking the same amount of time to perform common procedures. Although inherently less prone to sex-based differences, fee-for-service models remain skewed owing to unequal referral patterns, whereby female surgeons more frequently receive less lucrative procedures across specialties.
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Ma X, Luc JGY. Improving Gender Equality in the Surgical Workplace. JAMA Surg. Published online February 12, 2020. doi:10.1001/jamasurg.2019.6025
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