Junior surgical oncologists face significant challenges in contract negotiation and compensation, affecting retention and workplace culture.

• 79% have a guaranteed salary for a median of 3 years, but most shift to productivity-based compensation.
• 25% are considering leaving their practice within a year; this jumps to nearly 80% if they feel their pay is unfair.

Perceived compensation fairness plays a crucial role in job satisfaction and retention, highlighting the need for institutions to address these concerns.

• Greater emphasis on productivity is linked to less collegial work environments (ODR 1.8 per SD increase).