SIMULATED DATA · ASBI/NACB DRAFT
2026 DEMONSTRATION BENCHMARK · 80 SYNTHETIC PROGRAMS
Measure the work.
Reset the market.
The first compensation benchmark built around what Acute Care Surgeons actually cover—not merely their faculty title, department, or wRVUs.
THE CORE HYPOTHESIS
Academic benchmarks understate the labor burden, scarcity, and institutional value of Trauma / EGS / SCC coverage.
Our standard asks:
What are surgeons paid for delivering a defined quantity and type of acute surgical coverage?
What are surgeons paid for delivering a defined quantity and type of acute surgical coverage?
Median guaranteed base$553,000P25–P75: $449K–$537K
Median base / NACB$3,882Annual burden normalized
Programs below required FTE23%Demand exceeds filled capacity
Median recruitment time222 daysSigned offer to start
MIDSTATE UNIVERSITY · WORKED EXAMPLE
A familiar salary. A very different job.
Market position
Guaranteed base$438,000P3
→
Base / NACB$1,748P1
After annual burden normalization, Midstate falls 18 percentile points. The title-based comparison was hiding shift burden.
Workforce sustainability
Staffing adequacy88%
13.4Required FTE
11.8Filled FTE
−1.6Coverage gap
Modeled gap equals ~30 clinical weeks or 1,560 burden-adjusted hours annually.
Business case
Annual locums / premium coverage$642,000
Modeled replacement-risk exposure$1.18M
Retain + recruit scenario benefit+$1.42M
Scenario estimate, not an audited financial result.
01
Descriptive first
Measure the market impartially. Recommendations are visibly separate from observed benchmarks.
02
Burden, not volume alone
Nights, concurrency, recovery, readiness, and unsupported coverage count as work.
03
Privacy by design
Historical, independently managed, aggregated cells; no identifiable program responses.