2025 compensation rates

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In academia making $290,000. Option for productivity and research bonuses. I was told 1FTE RVU target is 5220 and median assistant professor salary based on AAMC data is $275,000. Curious if other have similar targets and comp. Friend of mine at a different institution is not so lucky and making $260,000 and only getting to the median if they hit productivity incentives. Not sure how common the latter is but I told them that seemed like bull**** to me.
 
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WanderingBlast said:
In academia making $290,000. Option for productivity and research bonuses. I was told 1FTE RVU target is 5220 and median assistant professor salary based on AAMC data is $275,000. Curious if other have similar targets and comp. Friend of mine at a different institution is not so lucky and making $260,000 and only getting to the median if they hit productivity incentives. Not sure how common the latter is but I told them that seemed like bull**** to me.
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Yeesh. How many days are you in clinic? My base comp is roughly double that for 5800 wRVU at a hospital employed, academic affiliated job. I’m in clinic 4 days per week so would hope you’re 2.5 at most.
 
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You should be aiming for 100/RVU unless you are a benign hematologist. Your threshold makes no sense, wanderingBlast. Agree that the base should be higher or threshold much lower.
 
Good to know. To clarify I do malignant heme/BMT and my actual clinical FTE target is 0.5 (2760 RVU). I was giving the 1FTE target for reference. I do 1.5 clinic days a week as an early career asst prof but I’m being pressured to increase this to 2 days a week and eventually 2.5 unless I bring in significant research money. Folks at my institution who are fully clinical (1 FTE target) are expected to do 3 clinic days a week. We are paid by academic rank so increasing clinic time does not get us more money (unless productivity is above target). One frustration is that our bonus structure isn’t clear meaning how far above your RVU target you need to be to get a bonus is not well outlined and feels arbitrary at times. Not in a major city, not in a completely rural area.

Knowing these details, is my comp still low? I’ve been thinking of going more clinical and moving to another academic center on a clinical track vs semi-academic/community but those jobs are hard to find for malignant heme and/or BMT I think. Makes me wonder if I don’t have time to back out and go generalist sometimes. I dislike feeling limited in job opportunities.
 
WanderingBlast said:
Good to know. To clarify I do malignant heme/BMT and my actual clinical FTE target is 0.5 (2760 RVU). I was giving the 1FTE target for reference. I do 1.5 clinic days a week as an early career asst prof but I’m being pressured to increase this to 2 days a week and eventually 2.5 unless I bring in significant research money. Folks at my institution who are fully clinical (1 FTE target) are expected to do 3 clinic days a week. We are paid by academic rank so increasing clinic time does not get us more money (unless productivity is above target). One frustration is that our bonus structure isn’t clear meaning how far above your RVU target you need to be to get a bonus is not well outlined and feels arbitrary at times. Not in a major city, not in a completely rural area.

Knowing these details, is my comp still low? I’ve been thinking of going more clinical and moving to another academic center on a clinical track vs semi-academic/community but those jobs are hard to find for malignant heme and/or BMT I think. Makes me wonder if I don’t have time to back out and go generalist sometimes. I dislike feeling limited in job opportunities.
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What do you do the 3.5 days you aren’t in clinic?
 
WanderingBlast said:
Good to know. To clarify I do malignant heme/BMT and my actual clinical FTE target is 0.5 (2760 RVU). I was giving the 1FTE target for reference. I do 1.5 clinic days a week as an early career asst prof but I’m being pressured to increase this to 2 days a week and eventually 2.5 unless I bring in significant research money. Folks at my institution who are fully clinical (1 FTE target) are expected to do 3 clinic days a week. We are paid by academic rank so increasing clinic time does not get us more money (unless productivity is above target). One frustration is that our bonus structure isn’t clear meaning how far above your RVU target you need to be to get a bonus is not well outlined and feels arbitrary at times. Not in a major city, not in a completely rural area.

Knowing these details, is my comp still low? I’ve been thinking of going more clinical and moving to another academic center on a clinical track vs semi-academic/community but those jobs are hard to find for malignant heme and/or BMT I think. Makes me wonder if I don’t have time to back out and go generalist sometimes. I dislike feeling limited in job opportunities.
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That makes more sense regarding your comp if you're 0.5 clinical FTE. How much inpatient time are you being asked to do?

My sense is that BMT pay at large academic institutions is not very good but obviously comes with a lot of support (i.e. overworked fellows) to handle call so it's a reasonably good lifestyle to balance the low pay. If you're going to be too busy clinically to achieve your research goals, I'm pretty sure you can find malignant heme/BMT jobs that are primarily clinical outside of major metros that pay much better (I'd imagine double) what you're making now.

Once you start getting pressure to be more clinically heavy in an academic job, writing is on the wall that you're getting a bad deal IMO.
 
solidonc2020 said:
That makes more sense regarding your comp if you're 0.5 clinical FTE. How much inpatient time are you being asked to do?

My sense is that BMT pay at large academic institutions is not very good but obviously comes with a lot of support (i.e. overworked fellows) to handle call so it's a reasonably good lifestyle to balance the low pay. If you're going to be too busy clinically to achieve your research goals, I'm pretty sure you can find malignant heme/BMT jobs that are primarily clinical outside of major metros that pay much better (I'd imagine double) what you're making now.

Once you start getting pressure to be more clinically heavy in an academic job, writing is on the wall that you're getting a bad deal IMO.
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Helpful to know. Yeah I think the concerning thing about my set up is more clinical time does not equal more compensation and you’re right, feels like a bad deal.

I also have 12 weeks of service with my current set up which cuts into research time unfortunately. This seems like a high service burden but not sure what other centers are like.
 
WanderingBlast said:
Helpful to know. Yeah I think the concerning thing about my set up is more clinical time does not equal more compensation and you’re right, feels like a bad deal.

I also have 12 weeks of service with my current set up which cuts into research time unfortunately. This seems like a high service burden but not sure what other centers are like.
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12 weeks is too much for 0.5 FTE. Very hard to be productive academically since you spend at least 12 more weeks a year recovering from service.
 
WanderingBlast said:
Good to know. To clarify I do malignant heme/BMT and my actual clinical FTE target is 0.5 (2760 RVU). I was giving the 1FTE target for reference. I do 1.5 clinic days a week as an early career asst prof but I’m being pressured to increase this to 2 days a week and eventually 2.5 unless I bring in significant research money. Folks at my institution who are fully clinical (1 FTE target) are expected to do 3 clinic days a week. We are paid by academic rank so increasing clinic time does not get us more money (unless productivity is above target). One frustration is that our bonus structure isn’t clear meaning how far above your RVU target you need to be to get a bonus is not well outlined and feels arbitrary at times. Not in a major city, not in a completely rural area.

Knowing these details, is my comp still low? I’ve been thinking of going more clinical and moving to another academic center on a clinical track vs semi-academic/community but those jobs are hard to find for malignant heme and/or BMT I think. Makes me wonder if I don’t have time to back out and go generalist sometimes. I dislike feeling limited in job opportunities.
Click to expand...
I think if you consider your FTE at 1 but expected clinical FTE is 0.5 then 2760 RVUs and comp of 290K makes it around $100/wRVU. BMT is a busy service but I am sure you make a lot of RVUs in the hospital. I have great respect for academicians as they sacrifice their financial life for academic success.

I think - ultimately, your long game is to get research funding so that you get promotion, do less clinic and have increment in compensation. So that should be your ultimate focus. At my academic center, there were many MDs who had 4 days of research and 1 day of clinic after 10+ years of grinding hard work in research. They were successful with their labs or clinical projects and had comp of 500-600K at professor level.

At some point in the future, if they ask you to do more clinical work (if you can't accomplish your objectives in the research sphere) then your effective $/wRVU rate starts plummeting. That would be personally my metric when to exit academics and join a community academic program where compensation is fair and you can continue with teaching residents and fellows. Clinical currency ultimately is $/wRVU no matter what setting. By that same note, if you become well accomplished 5-6 years down the road, you see less patients in the clinic and get paid more (or same patients but paid more) and your $/wRVU rates go much higher. Hope it makes sense.
 
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