The Journal of the American Dental Association
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J Am Dent Assoc, Vol 136, No 8, 1154-1162.
© 2005 American Dental Association

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TRENDS

Private practice and the economic rate of return for residency training as a prosthodontist



KENT D. NASH, Ph.D. and DAVID L. PFEIFER, D.D.S., M.S., M.Ed.

Background. The authors used survey data to estimate the economic rate of return from undertaking an investment in residency training to become a practicing prosthodontist.

Methods. The authors estimated earnings of practicing prosthodontists using results from a survey of 2,500 U.S. prosthodontists. Survey data were used to assess the total costs of prosthodontic residency and earnings of practicing general practitioners. The authors applied statistical methods to estimate the internal rate of return (IRR) for prosthodontic residency training.

Results. The estimated IRR ranged from 8.23 percent for private practitioners with no financial assistance during residency training to 12.18 percent for full-time private practitioners with stipends and loans. Total costs of residency ranged from $271,835 to $441,321, depending on the amount of forgone earnings, time in practice and how soon practice began after the residency.

Conclusions. All of the estimates of IRR in this study were positive, indicating that prosthodontic residency is a financially attractive investment.

Practice Implications. The positive IRR for prosthodontic residency indicates that the demand for advanced education in prosthodontics will continue, and that the amount of time spent in practice increases the rate of return.

Key Words: Lifetime earnings; economics; internal rate of return; prosthodontic residency







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