Physician income declined in general, although the top-earning specialties remained the same as in Medscape's 2011 survey. For employed physicians, compensation includes salary, bonus, and profit-sharing contributions.
Although decreased reimbursement has been the recent buzz-phrase, some specialties saw modest gains, whereas others saw significant declines.
As in Medscape's 2011 survey, the highest-earning physicians practice in the North Central region, comprising Iowa, Missouri, Kansas, Nebraska, and South and North Dakota; the mean income of physicians there is $234,000. Physicians overall are nearly evenly split about whether they feel fairly compensated: 51% said yes, 49% no. Physicians who felt most strongly that they were not fairly compensated for their work were endocrinologists (62%) and plastic surgeons (62%). The specialties with the highest percentage of physicians who consider themselves rich were pathology (15%), radiology, oncology and gastroenterology (14% in each). About 3 in 10 physicians (31%) spend 30-40 hours per week in direct patient care, a slightly higher percentage than in Medscape's 2011 survey. As in Medscape's 2011 survey, the 13- to 16-minute patient visit is still the most common, especially in the primary care specialties of family medicine and internal medicine. The amount of time per patient visit excludes the patient's time with a nurse practitioner, physician assistant, or medical assistant; it measures only time spent in the presence of a physician.
While female physicians still generally spend more time with each patient than do male physicians, the gap has narrowed. More than half of physicians spend a minimum amount of time - 4 hours or less - on paperwork and other administrative activities.
Only one quarter of internists and one third of family physicians would choose the same specialty. About 23% of all doctors would choose the same practice setting, compared with 50% a year ago.
The most discontented were plastic surgeons; only 41% said that they were satisfied overall. Despite the interest in alternative patient-care delivery models, only a small percentage of physicians are currently involved. Some 3% of physicians have cash-only practices, although that percentage is higher for plastic surgeons (15%) and psychiatrists (11%). An ACO is a type of payment and delivery model that ties provider reimbursement to quality metrics and reduction in the total cost of care for an assigned patient population.
Elements of healthcare reform entail following treatment and quality guidelines set by insurers and Medicare for shared savings programs, but physicians are clearly skeptical that they will improve patients' quality of care. Between 26% and 31% of internists, family physicians and pediatricians say that quality measures and treatment guidelines will have a positive effect. The healthcare reform goal of reducing "unnecessary care" faces challenges: The vast majority (67%) of physicians said they won't reduce the amount of tests, procedures, and treatments they perform, either because the guidelines aren't in their patients' best interests or because of the need to practice defensive medicine. Only about a quarter of doctors (27%) said that they would reduce the number of tests and procedures because the guidelines are valid. In the past, most doctors did not discuss treatment costs with patients, but times have changed. About 1 in 7 doctors (16%) say they never discuss the issue, either because they themselves don't know the cost of the treatments or they don't believe it is appropriate to do so. All material on this website is protected by copyright, Copyright © 1994-2016 by WebMD LLC.
Our surveys were conducted using online questionnaires created with Zarca Interactive's survey software.
In the area of part-time practice, hourly rates had climbed steadily over the years for nurse practitioners (Table 1). But many other physicians are not as satisfied - a recent study by Medscape revealed that 49% of doctors believe they're not fairly compensated.
I was the on-call plastic surgery resident one night when a 42-year-old man - let’s call him Dave - was brought into the hospital at 3 a.m.
Quite possibly no other occupation in the country receives such attention regarding the income its members receive. The Medscape survey found the average physician compensation now ranges from a high of $315,000 for orthopedic surgeons to a low of $156,000 for pediatricians.
Consider that physicians must complete at least four years of college, four years of medical school, and between three to eight years of residency training prior to becoming a real, practicing doctor.
According to the Bureau of Labor Statistics, the average computer and information system manager earns $125,660 per year.
When you consider these numbers, the thought of pediatricians making $156,000 a year doesn’t seem unreasonable. Ok, So whenever you get hurt and need medical care, find a violinist to play you a sad song while you cry.
Doctors deserve every penny they make unlike basketball, baseball or stupid golf players that get paid millions for throwing a ball in a hole. As someone who went to a conservatory I can promise you that being a doctor is much harder than being a musician and I think every musician I know would agree with me. I agree with Huge Mustache when you say that I am sick of doctors being paid more than people in other jobs. If you became a doctor to earn money or status then don't complain and go get what you make. So comparing a doctor's salary to that of an NFL or NBA player is how you illustrate this point?
Another grossly high earner is the Bank guys, who play with your money and if the gamble is win they collect million dollar salary and if they loose all they may loose is bonus and you loose yur all savings. I sure as heck want the guy CUTTING me open and operating on me to be a highly trained and highly compensated person.
After all that, I wonder what my clients would say if I tried to bill them for $700 for 15 minutes of my paralegal's work. I took your LSAT, with no preparation, no study – and outscored my friends who went on to law school. And let's not forget, or date mention, the fact that MOST doctors who b**ch so much about being underpaid are the ones who are driving EXPENSIVE cars and living in EXPENSIVE houses. So in addition to 4 years of college and 2 years of post bacc classes while working, in order for my sister to become a doctor, she has to put in another 7-10 years dedicated to medical school and residencies.
Upon graduating medical school, she would have $320K of student loans, plus accrued interest, $0 savings, and several years of residency ahead of her while making just enough to get by.
I think the best group to have the discussion about doctor salaries is not doctors, insurance companies, lawyers, politicians, or patients. Honestly, look at all the people who create music, all they do is travel, write songs, do interviews, and then get paid millions of dollars.
Could that be because of the education investment, and the lack of risk in your profession? Most other hard working people did not have the dedication or intelligence to become a doctor. When you go to have your eyes checked, you are likely to encounter a number of different optical professionals to assist you along the way.
An optician is an individual that works directly with customers in order to provide care throughout their visit whether it is for exams, procedures or even surgeries. Because opticians are responsible for the less medically-related tasks of eye care, a high school diploma or GED equivalent is necessary, followed by either formal training or an associate’s degree in opticianry.

Some aspiring opticians will also take classes related to precision measuring techniques and optical instrumentation, especially because they will eventually be responsible for taking down various eye measurements and then fitting contacts and glasses to patients. Aside from a high school diploma or GED equivalent, there is no formal schooling required to become an optician. To meet the optician job description, an individual must complete a certification examination that consists of 125-multiple choice questions and be 18 years of age with a high school diploma or GED equivalent. While not every state requires certification, most employers and customers prefer an individual who has obtained proper licensing. Get a DegreeFind schools and get information on an online degree program that’s right for you. In 2012, radiologists and orthopedic surgeons topped the list at $315,000, followed by cardiologists ($314,000), anesthesiologists ($309,000), and urologists ($309,000). For partners, compensation includes earnings after tax-deductible business expenses but before income tax. The biggest income increases were in ophthalmology (+9%), pediatrics (+5%), nephrology (+4%), rheumatology (+4%), and oncology (+4%).
Although physicians are rushing toward employment, partners in private practice far outearned physicians in any other work environment.
Physicians who are board certified earned a mean of $236,000; that's 89% more than non-board-certified doctors, who earned a mean of $125,000. Overall, only about 11% of physicians said that they consider themselves rich, while 45% said that their income is no better than that of many nonphysicians. Even among some of the higher-earning specialties, a majority of anesthesiologists, critical care specialists, dermatologists, urologists, and emergency medicine doctors said that they don't feel rich because of debts and expenses.
One quarter of critical care specialists spend more than 65 hours per week seeing patients, as do 11% of general surgeons and cardiologists and 10% of internists and nephrologists. Anesthesiologists (49%), critical care physicians (44%), and neurologists (46%) spend more time with each patient: a mean of 25 minutes or more.
Last year's satisfaction scores hit 80% (dermatologists), with many other specialties over 70% (radiologists and oncologists) and several over 60%. About 3% participate in Accountable Care Organizations (ACOs), but 5% say they plan to become involved in the coming year. Almost half of physicians surveyed (47%) said these measures will have a negative impact, whereas 29% said it will have no impact on quality. The specialists most likely to have cost-related conversations are rheumatologists, psychiatrists, family physicians, and dermatologists. That aptly sums up the findings of the 2010 National Salary Survey of Nurse Practitioners and the 2010 National Salary Survey of Physician Assistants. PAs earned an average of $96,876 in 2010 (Table 1), while NPs earned an average of $90,770. He is the author of “In Stitches,” a humorous memoir about growing up Asian American and becoming a doctor.
Peterson in the ER, where we spent the next three hours assessing Dave’s injuries and repairing his lacerations.
And that’s not a new trend - more than 70% of respondents of a survey published in the 1985 American Journal of Public Health believed doctors were overpaid. Many physicians don’t start earning “doctor-level” salaries until they are well into their 30s.
They often see 50 patients per day, answer our calls at all hours, and keep our kids healthy. PhDs in engineering make my life much batter than most doctors and they don't make as much. The number of doctors that are paid for checking sore throats is just too high and there are too many. You make more than most of us, you have a captured market and a systems that works for you.
You'll be out of a job and the EMTs will be happy to know there are no more lawyers chasing after their ambulances. Yes, the specialized training for tax attorneys is about on a par with a specialist physician.
I have no pity for someone who makes enough money to buy a car straight out with tons of money and then throw a hissy fit, yeah you heard me you b*stards, a hissy fit because you are underpaid. She went to an ivy league for undergrad, finished some post-bacc studies at Harvard while working, was accepted at several medical schools, and is now undecided in terms of whether she will go to medical school or not. Just like in any profession, there are plenty of questionable individuals in all walks of life, be it doctors, lawyers, bankers, priests, politicians, etc. If she ever bought a house (say for $300K), she would have essentially 2 house payments (medical school and an actual house payment). I know it has been for my sister as she considers going to medical school – she may actually defer her admission for a year to decide whether or not that amount of debt will push her towards another career.
Opticians, also known as dispensing opticians, are on the front lines in most offices, directly interacting with customers and fostering customer loyalty through assistance.
After an optometrist and ophthalmologist have assessed a patient’s needs and written a prescription, an optician must then oversee the ordering of all eye-related products and ensure that they are fitted, adjusted and repaired properly. Individuals who do opt to complete two years of college for a degree will learn basic coursework in general anatomy and the anatomy of the eye as well as algebra, optical physics, mathematics and administration.
Other advanced studies can be explored as well, including classes on topics like fitting contact lenses and even visionary prosthetics. Of course, licensing and certification requirements often vary between states, meaning that people must check with their state to obtain further information as to what is required for certification. This means that it is usually best to pursue either a degree or a training position in order to secure a position in an office. Licensed or registered opticians are expected to uphold the standard of practice and hold professional liability insurance set by the state regulating bodies.
Previously, radiologists and orthopedic surgeons led the pack, at a mean income of $350,000 each, followed by anesthesiologists and cardiologists (both at $325,000). Compensation excludes non-patient-related activities (eg, expert witness fees, speaking engagements, and product sales).
For declines, the largest were in general surgery (-12%), orthopedic surgery (-10%), radiology (-10%), and emergency medicine (-8%).
However, among primary care physicians, a slight majority (54%) in the 2012 survey said they weren't being fairly compensated. Another 45% said that although their income probably qualifies them as rich, they have so many debts and expenses that they don't feel rich. About one quarter of pediatricians, rheumatologists, and family physicians spend less than 30 hours per week in direct patient care.
A majority of dermatologists (40%), radiologists (8%), ophthalmologists (35%), and emergency physicians (35%) spend the least time -- a mean of 9-12 minutes per encounter.
Whereas 7% of male physicians spend less than 9 minutes per patient visit, only 4% of female doctors do the same. In 2012, just over one half of all physicians (54%) would choose medicine again as a career, far less than in the prior year (69%). Whereas 52% of physicians we surveyed believe that ACOs will cause a decline in income, 12% say that they will have little or no effect on income.
These surveys, conducted by ADVANCE for NPs & PAs, documented small overall salary increases for both professions. The surveys also documented a notable difference in salary improvement between 2009 and 2010: Comparing ADVANCE's 2010 results with 2009 salary data from the American Academy of Physician Assistants, PAs experienced more than twice the salary increase that NPs did. PAs more commonly work in specialties that also generate higher incomes for physicians, such as emergency medicine and surgery (including the really big moneymakers, plastic surgery and aesthetics).

A kind, competent physician, his new, fledgling practice consisted of reconstructive surgery.
One-quarter of critical care physicians spend more than 65 hours per week with their patients, not including time doing paperwork. Medicine is also the only profession where its members are required to sometimes work for free. Its amazing how people can be so stupid to spend thousands of dollars on worthless material things rather than in their own health. A doctor that is not highly specialized is a well trained nurse, I don't want to pay for your studies or your bills, or your status, get me a nurse and I will pay her.
Let alone a surgeon or other specialist, many of whom can't keep going due to chronic pain and health problems incurred during their years of service. Also, every “mouth breather” reading this post knows that the banking industry is the one of the most regulated industries in the country.
Quit whining about debt – $140,000 in debt is almost nothing when your salary is so high.
The same people who prescribe medicines and can't even get that right and make the patient go back and forth, back and forth, paying out the a** for different meds.
But I am glad that in order to become a doctor, you have to prove your dedication through expensive schooling (couple of hundred thousands), plus 8+ years of studying like crazy, plus additional years at residencies. She has spoken with several doctors in their 40s who still feel burdened by their student loans. They know the amount of struggle and frustration and poverty that goes into becoming a doctor. Doctors save lives and spend long hours doing paper work, and they only get paid 100k-500k, A YEAR.
Get a job at a bank at the bottom as a teller, take exams paid for by the bank, work her ass off and 5 years later be a financial advisor on $150k per year. Registered opticians may also be responsible for designing and fitting special devices such as artificial eyes to correct cosmetic, traumatic or anatomical defects. People that choose to pursue their career through this method will have to train for anywhere from two to four years, meaning that it may take longer to be a licensed optician without obtaining an associate’s degree. Some states may even require proof of an associate’s degree or two to four years of apprenticeship training. The bottom-earning specialties in 2012's survey were pediatrics, family medicine, and internal medicine. Solo-practice owners earned a mean of $222,000, while employed physicians earned a mean of $194,000.
Only 10% of family physicians, internists, and pediatricians spend that much time on administrative activity.
The most satisfied specialty is again dermatology, but this time with a satisfaction score of 64% -- considerably down from 80%. Almost one half of physicians (46%) said they occasionally discuss cost of care issues if patients raise the subject. At least 40% of respondents were employed physicians at hospitals, healthcare organizations, private practices, or academia, government, and research. However, the overall number of responses by specialty mirrors the American Medical Association breakdown. The average PA salary increase was $3,771, while the average NP salary increase was $1,191.
Although the PA profession once attracted more men than women, today about 65% of PAs are women, so sex predominance does not explain the salary difference.
Peterson and I performed an eight-hour operation, reconstructing his broken facial bones and performing a muscle transfer to help heal his fractured legs. The New York Times recently reported the average base pay for managing directors at Morgan Stanley is $400,000. If you think being a Doctor is so easy and average, you go ahead and try it, and then we you have a degree come back and talk bad about this profession, a profession that is the most beautiful, humane, and rewarding (emotionally) that has ever existed. Medical school trains people who intend on helping others and leaving society a warmer place.
But you've taken the liberty to compare a high status law speciality with a basic medical speciality. Furthermore that 150k debt is a lie now adays, unless mommy and daddy pay the entire way debts are nearly half a million by the time you finish residency. When your loved ones have a medical emergency or scare, you want to brightest and hardest working people to get them better.
And like every other profession, for every bad doctor, there are hundreds of compassionate, capable ones. If we take away the drive to be a doctor, I can't imagine many kids out of high school agreeing to putting their life on hold for the next 11-16 years, having limited time to enjoy being a kid (including as a college student), and working harder than almost any other profession just to end up with $200,000+ in debt and only earning $150,000 per year to still work harder than almost any other profession. I think the people who are saving the lives of people should have be getting paid more then the people who go to interviews, travel the world, and write songs. The two organizations that are nationally recognized and respected for optician certification include the American Board of Opticianry (ABO) and the National Contact Lens Examiners (NCLE). Nearly 3,000 NPs (2,956) participated in the survey designed for nurse practitioners, and nearly 1,300 PAs (1,276) answered the version created for physician assistants.
For the next two months, we visited Dave in the hospital each and every day, changing his bandages and making sure he healed properly.
Consider spending 3-8 years of residency, getting paid less than 40k per year, God forbid you have a family, and the amount of interest your loans earn.
Furthermore, she will have several more years at residencies AFTER medical school, so she won't be making a respectable amount until about 7-10 years from now. And these are people who have been through 8+ years of higher education, plus several more years of residencies (getting paid peanuts) to become medical experts. Because 2010 was the first year that ADVANCE surveyed both professions, you'll note some differences in our reporting due to our longer history of gathering data about NP salaries. How many procedures have you billed insurance and madicare and madicaid for rates higher than what you were supposed to? Others are trying to help their own kids go to college while still paying off their own loans. Compare your tax attorney to a neonatal oncologist or an autoimmune disease specialist, or even a neurosurgeon. Now I want you to do the math, because if you do, you'll find that most primary care doctors make just a few dollars more PER HOUR than a school teacher.
They all have to go to undergrad, take MCATS, got to medical school for 4 years, take USMLE 1 – 3 in between those four years just to keep moving forward in medical school. After all, you cannot really talk about doctor salaries without taking into account the hours they work. Obtain a residency and complete an internship, complete minimum 4 years of PGY for the aforementioned socialites, obtain a fellowship, and because medicine is ever growing and ever changing, doctors continue to take tests multiple times a year (CMEs) just so they know how best to treat their patients. It's not appropriate nor fair to compare one against the other, but one must be factual. Next find a dictionary, because if you feel the need to ridicule someone you should at least do it correctly.

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