American Society for Metabolic and Bariatric Surgery Integrated Health Compensation and Practice Pattern Survey, 2023 Results

Ashleigh A. Pona, PhDa, Heidi Bednarchuk, APRN, CNSb, Sarah Muntel, RDc, Carah Horn, RN, CBNd, Maria Trapp, PhDe, R. Wesley Vosburg, MDf, Laura Boyer, FNP-Cg, Jamie Carr, RN, CBNh, Julia Jurgensen APRN, DNPi, American Society for Metabolic and Bariatric Surgery Integrated Health Section Membership Committee

a Department of Psychiatry and Behavioral Health, Ohio State University Medical Center, Columbus, OH

b Department of Surgery, Mayo Clinic Health System, Mankato, MN

c Indiana University Health North Hospital, Carmel, IN

d Bayfront Metabolic and Bariatric Institute, Orlando Health Bayfront Hospital

e OU Health, Oklahoma City, OK

f Harvard Medical School, Cambridge, MA

g Metamor Institute, Pennington Biomedical Research Center, Baton Rouge, LA

h HCA Gulf Coast Division, Houston, TX

i Department of Surgery, Mayo Clinic, Rochester, MN

Corresponding Author: Ashleigh Pona, PhD. Address: Ohio State University Medical Center, 2050 Kenny Road, Morehouse Pavilion, Suite 1d, Columbus, Ohio 43221

Email: ashleigh.pona@osumc.edu Phone: 614-293-4725 Fax: 614-366-8166

Disclosure Statement: No authors have any disclosures to report.

Abstract

Background: Multidisciplinary care is vital for the management and success of patients undergoing metabolic and bariatric surgery (MBS).

Objective: The American Society for Metabolic and Bariatric Surgery (ASMBS) distributed a web-based survey to Integrated Health (IH) members in 2023 that inquired about practice and compensation information for professionals in supporting roles in MBS.

Setting: Online survey.

Methods: Responses from 271 professionals working full-time were included in analysis. Primary roles represented included: MBS coordinators/program managers (39.9%), advanced practice providers (APPs; 22.5%), registered dietitians (RDs; 14%), doctoral-level behavioral health (BH) specialists (13.7%), registered nurses (RNs; 5.2%), MBS clinical reviewers (MBSCR) (3.3%), and masters-level BH specialists (1.5%). The sample was predominantly female (96.3%), White (86.3%), working in an urban setting (67.9%), practicing for 10+ years (62%), and did not have a split role (i.e., working in two different roles; 74.2%).

Results: Variables including geographic region, years in practice, and having a split role had an impact on compensation. Having 10+ years in practice contributed to higher compensation for APPs, doctoral-level BH specialists, and RNs. Working a split role contributed to higher compensation for RDs. Regional differences, specifically practicing in the Western U.S., contributed to higher compensation for APPs, RNs, RDs, and MBS coordinators/program managers.

Conclusions: Data from this survey provide valuable insights regarding compensation and practice activities of IH professionals in MBS in the U.S. which can be used as a resource for professionals and employers. Limitations of this study include a small sample size which contributed to lack of statistical power to examine all questions of interest.

Keywords: compensation, income, salary, professional practice, metabolic and bariatric surgery, integrated health