{"type":"rich","version":"1.0","title":"Beyond the Match, Episode 1: Pay, Benefits, and Bargaining Power","description":"What does it say about a training system when childcare can eat up almost half a resident’s monthly salary — and the physicians doing essential clinical work have almost no ability to negotiate their pay or benefits? A recent House Judiciary Committee report argues that the Match suppresses resident compensation and bargaining power. But if the Match disappeared tomorrow, would residents actually get paid more? Join Mckenzie Roebuck, Maya Hunt, Nicole Santucci, and Michael Kabbash of CoSEF as they unpack resident pay and benefits, where GME funding actually goes, why residency is not a normal labor market, and where real leverage for change might come from.\n\nHosts:\n\nDr. Mckenzie Roebuck, CoSEF BTK Lead, Inova Fairfax Medical Campus, mckenzie.rowe@inova.org (mailto:mckenzie.rowe@inova.org) , insta @mrowemd, X @mrowemd1\n Dr. Maya Hunt, Indiana University, mayahunt@iu.edu (mailto:mayahunt@iu.edu)\nDr. Nicole Santucci, Washington University in St. Louis, snicole@wustl.edu (mailto:snicole@wustl.edu)\nDr. Michael Kabbash, University of Florida, michel.kabbash@surgery.ufl.edu (mailto:michel.kabbash@surgery.ufl.edu) , X @MichaelKabbash\nCoSEF: X @surgedfellows, cosef.org\n\nLearning objectives:\n\nSummarize the congressional report’s arguments about resident compensation and bargaining power\nExplain how GME funding supports residency and why federal GME dollars do not map directly onto resident salaries\nDescribe how salary and benefit structures affect residents’ financial well-being, family planning, and quality of life\nIdentify institutional, policy, and collective strategies to strengthen resident compensation and bargaining power.\n\nReferences:\n\nHouse Committee on the Judiciary. Medical Mis-Match: How a Residency Hiring Monopoly Harms Patients, Doctors, and the American Public. Published online March 27, 2026.\nAssociation of American Medical Colleges. AAMC Survey of Resident/Fellow Stipends and Benefits. https://www.aamc.org/data-reports/students-residents/report/aamc-survey-resident/fellow-stipends-and-benefits.\nCenters for Medicare and Medicaid Services. Direct Graduate Medical Education (DGME). https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/direct-graduate-medical-education-dgme.\nFoote DC, Rosenblatt AE, Amortegui D, et al. Experiences With Unionization Among General Surgery Resident Physicians, Faculty, and Staff. JAMA Netw Open. 2024;7(7):e2421676. doi:10.1001/jamanetworkopen.2024.21676 https://pubmed.ncbi.nlm.nih.gov/39018072/\nTomei KL, Selby LV, Kirk LM, et al. Beyond Training the Next Generation of Physicians: The Unmeasured Value Added by Residents to Teaching Hospitals and Communities. Acad Med. 2022;97(11):1592-1596. https://pubmed.ncbi.nlm.nih.gov/35731593/ doi:10.1097/ACM.0000000000004792 (https://pubmed.ncbi.nlm.nih.gov/35731593/)\nAccreditation Council for Graduate Medical Education. Common Program Requirements. Accessed August 2026.https://www.acgme.org/programs-and-institutions/programs/common-program-requirements/.\nRigged or Right? The Residency Match Under Fire | podcast. Behind the Knife. https://behindtheknife.org/podcast/rigged-or-right-the-residency-match-under-fire.\n\nPlease visit https://behindtheknife.org (https://behindtheknife.org/) to access other high-yield surgical education podcasts, videos and more.\nIf you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen\nBehind the Knife Premium: https://behindtheknife.org/premium\nOral Board Review:https://behindtheknife.org/oral-board\nOral Board Simulator: https://behindtheknife.org/oral-board/simulator\nGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review\nTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas\nDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship\nDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation\nVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-review\nColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-review\nSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-review\nCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-review\nOBGYN Oral Board Review Course: https://behindtheknife.org/course/obgyn-oral-board-review\nSurgical Critical Care Review: https://behindtheknife.org/premium/surgical-critical-care-review\nEPA Playbook: https://behindtheknife.org/course/epa-playbook\nSurgical Instrument Flashcards: https://behindtheknife.org/course/surgical-instrument-flashcards\nABSITE Review: https://behindtheknife.org/course/absite-2026-exam-review\nDownload our App:\nApple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049\nAndroid/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US","author_name":"Behind The Knife: The Surgery Podcast","author_url":"https://audioboom.com/channels/5046960-behind-the-knife-the-surgery-podcast","provider_name":"Audioboom","provider_url":"https://audioboom.com","width":480,"height":95,"thumbnail_url":"https://audioboom.com/i/39463562/600x600/c","thumbnail_width":600,"thumbnail_height":600,"html":""}