2013 physician compensation report

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These things are stupid. Medicare uses these surveys to decide which fields to make reimbursement cuts.
 
I've seen most of those numbers swing by like 20% depending on what survey I'm looking at. I'm not going to figure out what is accurate. I've met tons of happy doctors in tons of specialties and all that I've met have been varying degrees of "well off". Good enough for me to not worry.
 
Lol at slide 16. 20% of surveyed physicians spend 912 minutes with each patient - must be some sort of record 🙄
 
notbobtrustme said:
IMO, IM is the gateway residency; almost no one wants to stay in general IM nowadays with reimbursements the way they are.
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Yeah not a ton of people actually want to do general IM nowadays. I forget the percentage of medical students who apply for fellowships every year out of general IM residencies but it's some ridiculous number. I mean, the people who really want to do adult or mixed general practice just go FM for the most part.
 
calvnandhobbs68 said:
Yeah not a ton of people actually want to do general IM nowadays. I forget the percentage of medical students who apply for fellowships every year out of general IM residencies but it's some ridiculous number. I mean, the people who really want to do adult or mixed general practice just go FM for the most part.
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Interesting. I feel like I hear a ton of people ranting and raving about doing the hospitalist gig because it is so sweet. The week on week off for 200-300K depending on location. Just saying. No call. Make near the same as a non-invasive cardiologist except with a significantly better lifestyle.
 
Textbookversion said:
That 19% satisfaction rate for general IM is pretty morbid...
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Hence why most people want to do fellowship. Looks like most fellowship satisfaction rates are around 50%, which seems about normal.

Also I think doctors in general always complain and think the grass is greener on the other side. Plus who the hell knows what is going to happen with physician compensation what with the upcoming medicare cuts...
 
badasshairday said:
Interesting. I feel like I hear a ton of people ranting and raving about doing the hospitalist gig because it is so sweet. The week on week off for 200-300K depending on location. Just saying. No call. Make near the same as a non-invasive cardiologist except with a significantly better lifestyle.
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It is a good gig, but there's a relatively high burnout rate. 7 on/off and admitting all day can be pretty taxing.
 
Are these things ever really that accurate? The last slide shows that for most specialties <10% actually responded to the survey. Leaves the door wide open for bias if you ask me.
 
notbobtrustme said:
IMO, IM is the gateway residency; almost no one wants to stay in general IM nowadays with reimbursements the way they are.
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$200-250k/year for 22 weeks of work. Heck, I know nocturnal hospitalists that only work 9-10 hours/day during their 7 on, and they work less than 22 weeks/year for the same $200-250k.
 
kwel said:
Are these things ever really that accurate? The last slide shows that for most specialties <10% actually responded to the survey. Leaves the door wide open for bias if you ask me.
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Absolutely biased.

Anyways, if they asked me, I'd put down a ridiculously low number so my specialty would not be next on CMS's chopping block.
 
TooMuchResearch said:
$200-250k/year for 22 weeks of work. Heck, I know nocturnal hospitalists that only work 9-10 hours/day during their 7 on, and they work less than 22 weeks/year for the same $200-250k.
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The hospitalist in my area work 26 weeks a year and make near 300K. Mid-sized city with a few sports teams.

Only 3 years of residency.

THat is better than the non-invasive cards doc I worked with. He was on call every other weekend. worked ~60 hours a week too, every week.
 
badasshairday said:
The hospitalist in my area work 26 weeks a year and make near 300K. Mid-sized city with a few sports teams.

Only 3 years of residency.

THat is better than the non-invasive cards doc I worked with. He was on call every other weekend. worked ~60 hours a week too, every week.
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How is that possible? Does it mean you get more $$ per patient as a hospitalist than as a cardiologist? I find it hard to believe that anybody would want to compete for top IM residencies and then fellowships when you could just barely pass usmle and pick the easiest IM residency to be a hospitalist?
 
badasshairday said:
The hospitalist in my area work 26 weeks a year and make near 300K. Mid-sized city with a few sports teams.

Only 3 years of residency.

THat is better than the non-invasive cards doc I worked with. He was on call every other weekend. worked ~60 hours a week too, every week.
Click to expand...
Gotta factor in the misery during work hours though. Seeing clinic pts for 8 hours is a different grind than admitting and cross covering during 8 hours.
 
badasshairday said:
The hospitalist in my area work 26 weeks a year and make near 300K. Mid-sized city with a few sports teams.

Only 3 years of residency.

THat is better than the non-invasive cards doc I worked with. He was on call every other weekend. worked ~60 hours a week too, every week.
Click to expand...

Haha you know as I was typing that I was thinking about the hospitalist gig. I guess I'm not so sure...all I really know is I've seen really high percentages of people going on to apply for fellowships after IM residency, especially with American grads. I can't remember where I saw that though. I'll have to look it up again after step 1.
 
DrBowtie said:
Gotta factor in the misery during work hours though. Seeing clinic pts for 8 hours is a different grind than admitting and cross covering during 8 hours.
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The cards guy gets consulted up the wazoo. So not only clinic but also inpatient consults. Also holding a pager on nights and weekend for the cards guy.
 
Hospitalist sounds like a great gig for a few years, but few people want that as a career.

From what I understand, those who do hospitalist jobs do that for a few years to pay down debts and get established before pursuing some sort of specialty training or transitioning into a clinic/private practice job.
 
yesno said:
How is that possible? Does it mean you get more $$ per patient as a hospitalist than as a cardiologist? I find it hard to believe that anybody would want to compete for top IM residencies and then fellowships when you could just barely pass usmle and pick the easiest IM residency to be a hospitalist?
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Cardiology is becoming less competitive. Check out the cards forum, cardiologist vs hospitalist thread.
 
badasshairday said:
The hospitalist in my area work 26 weeks a year and make near 300K. Mid-sized city with a few sports teams.

Only 3 years of residency.

THat is better than the non-invasive cards doc I worked with. He was on call every other weekend. worked ~60 hours a week too, every week.
Click to expand...

Good lord. Our hospitalists don't make anywhere near that. $130k maybe for a guy 10 years out. Granted it's in a small city with an academic hospitalists program, but still...
 
rueby25 said:
Good lord. Our hospitalists don't make anywhere near that. $130k maybe for a guy 10 years out. Granted it's in a small city with an academic hospitalists program, but still...
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Yeah I am talking about a community hospital. Academics always pays way less.
 
So, does anyone know what's the reason that the average compensation amounts ballooned up so much this year compared to last for some fields (ie. ortho, etc)? Especially when cuts are supposed to be doing the opposite...
 
Daodejing said:
So, does anyone know what's the reason that the average compensation amounts ballooned up so much this year compared to last for some fields (ie. ortho, etc)? Especially when cuts are supposed to be doing the opposite...
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More private practice guys than academic and mommy track people returned the survey.
 
IlDestriero said:
More private practice guys than academic and mommy track people returned the survey.
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That doesn't explain the year-to-year change. Why would private practice guys suddenly return the surveys en masse this year but not last year?
 
IlDestriero said:
With a small sample size, it doesn't take much to skew the data. It's largely useless anyway, not knowing any details of how they practice. Though I suppose it's better than nothing.
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The thing is that there are so many better surveys out there than this one. I really have a hard time finding any utility in the medscape surveys. I wish they would either do them better or not at all.
 
Going by the AAOS census numbers, Medscape received responses from ~0.78% of practicing orthopedists in the US. Not what I would call a reliable sample size.

Also, adult reconstruction/joints may be seeing higher volume due to the approaching silver tsunami, but reimbursements are still outpaced by inflation.
 
KinasePro said:
Going by the AAOS census numbers, Medscape received responses from ~0.78% of practicing orthopedists in the US. Not what I would call a reliable sample size.

Also, adult reconstruction/joints may be seeing higher volume due to the approaching silver tsunami, but reimbursements are still outpaced by inflation.
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Silver Tsunami? That's a good one.

Silver Horde was my go to before that.
 
I've been hearing about the baby boomer wave for decades now, yet I've yet to hear anyone say exactly when it will hit (it's always "soon" or "in the foreseeable future"). It almost sounds like wishful thinking at this point. All theoretical, but where are the numbers? The proof? It's like someone brought it up as a talking point, then everyone else started picking it up without really knowing the details because it sounds good theoretically.
 
qxrt said:
I've been hearing about the baby boomer wave for decades now, yet I've yet to hear anyone say exactly when it will hit (it's always "soon" or "in the foreseeable future"). It almost sounds like wishful thinking at this point. All theoretical, but where are the numbers? The proof? It's like someone brought it up as a talking point, then everyone else started picking it up without really knowing the details because it sounds good theoretically.
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Yes demographic data is all a conspiracy. That medicare claims data or census data... nah lets not google that and find the info that'd be way too easy. It's all a conspiracy, these illusory seniors are "just an idea" someone latched on to. Those silly tens of thousands of phd economists, sociologists, etc are all just deluded and too lazy to find some good data.
 
Textbookversion said:
Yes demographic data is all a conspiracy. That medicare claims data or census data... nah lets not google that and find the info that'd be way too easy. It's all a conspiracy, these illusory seniors are "just an idea" someone latched on to. Those silly tens of thousands of phd economists, sociologists, etc are all just deluded and too lazy to find some good data.
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Hell yeah, I'm a 4th year and too lazy to look it up. Do it for me and write up an easy-to-digest report. Please? 😀
 
qxrt said:
I've been hearing about the baby boomer wave for decades now, yet I've yet to hear anyone say exactly when it will hit (it's always "soon" or "in the foreseeable future"). It almost sounds like wishful thinking at this point. All theoretical, but where are the numbers? The proof? It's like someone brought it up as a talking point, then everyone else started picking it up without really knowing the details because it sounds good theoretically.
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I think its a wave that lasts like 30 years (as they all age)
Figuring most of them were born around 1950,
They would be 63 today so I would say starting now (or like 5 years ago) and lasting the next 20-30 years.
 
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