Bariatric Times

MAY 2018

A peer-reviewed, evidence-based journal that promotes clinical development and metabolic insights in total bariatric patient care for the healthcare professional

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Survey Results 11 Bariatric Times • May 2018 Composition and Salaries of the Integrated Health Professional Team in Metabolic and Bariatric Surgery: Results of an ASMBS Survey BY MICHELLE R. LENT, PhD Bariatric Times. 2018;15(5):11–12. INTRODUCTION Incorporating an integrated health approach for the pre- and postoperative care of bariatric surgery patients is essential for appropriate evaluation, preparation, coaching, and long-term success. 1 Thus, multidisciplinary care is considered the standard of care for bariatric surgery programs in the United States. The actual composition of a multidisciplinary team seems to vary significantly and can include bariatricians, endocrinologists, nursing and advance practice providers, dietitians and behavioral health providers, exercise specialists, pharmacists, and bariatric surgeons. Each integrated health team member plays a different role and provides a wide range of services for metabolic and bariatric surgery patients, with the goals of optimizing presurgical conditioning and maximizing long-term success of surgery. However, there is little knowledge about the variability in integrated care delivery structure, the roles of each team member, and the compensation provided for patient care. The Multidisciplinary Care Committee of the American Society for Metabolic and Bariatric Surgery (ASMBS) surveyed society members regarding their roles and related compensation across membership disciplines. The 20-question online survey was distributed to 4,000 ASMBS members via email from May 2017 to January 2018. RESULTS Of the 282 bariatric surgery professionals that responded, the majority were registered nurses (38.1%, Figure 1A), employed by hospitals (64.2%), worked full-time (94.6%), and in practice for longer than 10 years (65.2%). Most respondents were located in the Southern region of the United States (34%), followed by the Northeast (25.9%, Figure 1B). The survey identified several notable patterns regarding the practice of multidisciplinary care in bariatric surgery programs: • For most respondents (80.5%), greater than 80 percent of their occupational time is dedicated to bariatrics. • Of the professional time allocated to bariatric surgery care, most professionals reported that their roles included both TABLE 1. Yearly salaries (United States dollars) reported by full-time integrated health professionals PROFESSION (N) MEAN SALARY (SD) MEDIAN SALARY INTERQUARTILE RANGE Bariatrician (2)* $327,500 ($173,241) $327,500 N/A Advanced practice nurse (37) $115,614 ($16,567) $113,000 $24,361 Registered nurse (93) $89,789 ($23,616) $89,000 $30,896 Licensed practical nurse (1)* $58,000 (0) $58,000 N/A Registered dietician or certified clinical nutritionist (61) $68,669 ($19,342) $65,020 $29,000 Metabolic and Bariatric Surgery Clinical Reviewer (MBSCR) (8) $59,157 ($18,204) $61,460 $33,539 Pharmacist (1)* $133,000 (0) $133,000 N/A Physician assistant (21) $123,346 ($28,774) $120,000 $41,000 Psychologist (13) $116,983 ($34,247) $119,000 $51,000 Social worker (1)* $83,000 (0) $83,000 N/A SD: standard deviation; N/A: not applicable *Less than or equal to two respondents. Interpretation of these results are limited. FIGURE 1A. Multidisciplinary professional survey respondent characteristics (N=282) FIGURE 1B. Geographic region of respondents (N=282)

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