Menu Icon Search
Close Search

About the ads

Why do Peds subspecialty salaries stink?

Discussion in 'Practicing Physicians' started by neurolddoc, 01.19.10.

  1. neurolddoc

    neurolddoc Lifetime Donor

    Joined:
    10.03.08
    Messages:
    156
    Status:
    Attending Physician
    SDN 5+ Year Member

    SDN Members don't see this ad. (About Ads)
    I am posting this in the Attending forum hoping for some real world insight into the business side of pediatric subspecialty practice. I hope to be able to give some useful guidance to my daughter who is currently a medical student. She is considering going into a peds cardiology or heme onc, anong other possibilities.

    Looking at the published salary surveys, it is shocking how much lower the peds specialties are compared to the same in the adult world. Some reasons that pop to mind are that perhaps a much larger percentage of the peds practice in an academic or hospital employed setting. I suppose they would not see any revenue from the infusion business of a an oncology practice. Are there many private practice peds oncologists out there? As far as cardiology goes, I would think the peds would do a bunch of ultrasounds but of course they would not be doing much nuclear cardiology. I don't see why a pediatric interventionalist would make half as much as the adult version, though.

    Any insights are greatly appreciated.
    Last edited: 01.20.10
  2. docB

    docB Chronically painful Administrator SDN Senior Moderator Lifetime Donor

    Joined:
    11.27.02
    Messages:
    7,748
    Location:
    Las Vegas, NV
    Status:
    Attending Physician
    Physician SDN Published Author SDN 10+ Year Member
    In EM (Peds EM) it's because of the way coding/billing works. The Peds EM guys see a much higher percentage of patients that bill out at lower levels. Seeing 20 sore throats and URIs does not bill as high as seeing 20 60 yo diabetic chest pains. It's not really fair because in all honesty trying to figure out if a 1 yo is septic or not is often much more difficult than seeing and admitting a chest pain which is a no brainer.

    As for the peds sub specialties like GI and cards I have heard that they see fewer patients, ie, have to spend more time with patients, than their adult counterparts. I don't really know on that one. I suppose there may be some billing issues there as well.
  3. oldbearprofessor

    oldbearprofessor Camp Kesem Advisor Bear Administrator SDN Senior Moderator SDN Advisor

    Joined:
    03.13.02
    Messages:
    5,725
    Status:
    Attending Physician
    Physician Rocket Scientist Faculty SDN 10+ Year Member
    I do not believe SDN has any currently practicing pediatric heme/onc docs or attending pediatric cardiologists so I will briefly respond that all of the reasons you suspect are part of it. We have a greater academic proportion of docs, fewer procedures (including interventional cards), longer time spent per patient and a long-standing history of taking a high proportion of minimally paying patients. Half is actually a generous estimate of the relative salary in some fields compared to adult counterparts.

    On the other hand, pediatric subspecialists are in demand throughout the country, have an incredibly and well-documented high job satisfaction rate and will never lack for work. The opportunities for research from the most basic science to clinical trials are numerous. Our patients are great and they make it, for me at least, a joy to come to work.

    link: http://pediatrics.aappublications.org/cgi/content/full/116/5/1192
    Last edited: 01.20.10
  4. docB

    docB Chronically painful Administrator SDN Senior Moderator Lifetime Donor

    Joined:
    11.27.02
    Messages:
    7,748
    Location:
    Las Vegas, NV
    Status:
    Attending Physician
    Physician SDN Published Author SDN 10+ Year Member
    That's a good point. If you're a Peds EM doc you can have a job with my group right now and we're not hiring adult EPs. We have 2 people who have used their peds credentials to get in the door and now work both Peds and Adult shifts.
  5. neurolddoc

    neurolddoc Lifetime Donor

    Joined:
    10.03.08
    Messages:
    156
    Status:
    Attending Physician
    SDN 5+ Year Member
    Thanks for the responses. My hat is off to all those who do the important but unfortunately under-compensated work of taking care of sick kids

// Share //

Style: SDN Universal