Salary stereotype questions

[Zarniwoop]

2 questions:

1. While as a general rule academics pays less than private practice, there are some academic institutes that pay well (better than many private jobs). What makes these institutions special?

2. Even in academic places that pay pathologists poorly (by MGMA or other salary survey standards), the academic docs at the same institutions but in other fields (anesthesia, etc) get compensated at rates similar to their private practice peers. Does this go back to the whole supply demand thing?

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[gbwillner]

1. Yes. There is a lot of discrepancy between academic institutions. Location, how the physicians' organisation is set up, and market rates all factor. For example, more remote Midwest programs pay better rates because of the market. Other institutions where the physicians own the hospital will pay better, and may draw more than one salary (one from the university and the other from they hospital, meaning a better overall paycheck). I would say prestige probably has an inverse effect on pay.
2. Academics always pays less in general in all specialties. However, the more commonly academic specialties pay far worse than the subspecialties where there are relatively few in academia. This is a market issue. Rad Onc pays well in academia because if it did not, there would be no academic rad oncs- the salary discrepancy is too huge. Because IM is pretty low pay, there is a lower bar to meet to keep people in academia.
/my 2c