academic medicine salary

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lampshade4u

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I was under the impression that academic medicine paid less on average than clinical, is this true? At the following website: http://www.utahsright.com/salaries.php?city=u_of_u&query=
there is a list of the University of Utah's top paid employees that are available to the public as the salaries are subsidized by state taxes. Anyways, most are academic school of medicine employees making over $700k even into the $1million+ range. This seems crazy high compared to average and I am wondering how common this is at other universities or why they are making so much more?

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I was under the impression that academic medicine paid less on average than clinical, is this true? At the following website: http://www.utahsright.com/salaries.php?city=u_of_u&query=
there is a list of the University of Utah's top paid employees that are available to the public as the salaries are subsidized by state taxes. Anyways, most are academic school of medicine employees making over $700k even into the $1million+ range. This seems crazy high compared to average and I am wondering how common this is at other universities or why they are making so much more?
The dean and department chairmen might make in that range at some places. 99.999% of everyone else in academic medicine will not.
 
Not going to take the time to look at the utah website, but at the right referral center, surgeons (mostly subspecialists) can clear MORE in academics -- the name brings he patients.
 
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The majority of us are making far less in academia than our equally qualified compatriots in the private sector. Even among surgeons who benefit from referral populations, they tend to clear less because there is more institutional and department overhead, and academic hospitals are not particularly streamlined from an FTE perspective. There are exceptions to every rule, and some big name individuals can negotiate better deals for themselves, but that is not very common. Certainly people who spend a lot of time in the OR or on service can generate relatively more income, but most people in academia have other stuff going on (which is why they're in academia) that prevents them from adopting hours more akin to their private colleagues.

Also, the more prestigious the institution, the bigger the pay gap. People joke about the physicians at Mass General being paid in "Harvard dollars", which look like regular dollars but are worth about half as much. People stay because there are so many other advantages from a scientific perspective, or because they get off on the big name affiliation, that it is worth it for them. And they're never hurting for people who want in. Smaller academic centers without that cachet, or in places that are far less desirable, have to pay their physicians relatively more (either in salary or RVU reimbursement) to attract them to the institution.

Finally, there are different tracks at different institutions. You can practice in some academic medical centers on a non-tenure track that looks an awful lot like a private model. A surgeon on that track would have clinic and OR days that filled most of her/his schedule, and the only real visible difference between them and someone working in a community hospital is that they're operating with residents and fellows rather than PAs. Well, that, and the cases tend to be slower, and the OR turnaround takes longer, etc, so they usually don't end up making as much as someone at a dedicated private hospital. But some enjoy that "academic-lite" version, and they tend to make more than some of their more academic colleagues because they bill more. To be honest, a lot of departments need a few of those people around to shoulder the clinical load so that the rest of the department can spend more time in the lab or on education or administration.
 
It is extremely variable based on how you're paid, how much clinical time is considered full time, and other institutional policies. Some are classic academic practices and some are run more like a private practice.
As an example, I'm an academic pediatric anesthesiologist and got offers from $185 to >$500. For the most part, the more you work the more you make, but it's not really as simple as that.
 
If you are looking for more realistic numbers, the AAMC's faculty salary report books break down salary by specialty, region, and professorship status. Again-as mentioned above--there are other variables that impact income
 
And don't forget some places offer true Cadillac benefits, tuition plans for your children's education, retirement annuities, real pensions, long term medical benefits, etc. they add up quickly and can be quite valuable. You have to do the math yourself to compare apples to apples. My academic practice is better than many PP jobs, even more so looking at income to hours worked, and probably most if not all Anesthesia Management Company jobs.
 
Thanks for the replies! I am curious as the site has "salary" listed, for academic positions would you more likely be a 9-5 pre-arranged salary or paid by productivity?

I feel that 300k+ is good money in medicine in general and this public university has roughly 400 physicians paid above that range... I wonder if it is similar at other schools
 
Thanks for the replies! I am curious as the site has "salary" listed, for academic positions would you more likely be a 9-5 pre-arranged salary or paid by productivity?

I feel that 300k+ is good money in medicine in general and this public university has roughly 400 physicians paid above that range... I wonder if it is similar at other schools

Like everything in medicine, specialty is important. An assistant professor of psychiatry is not going to be making 300k, but one in ortho almost certainly will. If you look at the AAMC's careers in medicine website, they compare academic and PP salaries for specialties.
 
How much does lifestyle vary between academia and private practice? I assume the specific specialty would make a big difference, but overall do academic physicians tend to work/be on call more or less than the average PP physician?
 
How much does lifestyle vary between academia and private practice? I assume the specific specialty would make a big difference, but overall do academic physicians tend to work/be on call more or less than the average PP physician?
Usually less. I have PP friends taking call around once a week. I take call about once every 4 weeks. Academic programs generally have more faculty to split up call. However it depends on how you cover and how many places you cover. Lots of PP groups only cover outpatient ASCs and clinics, they take no call and never work after 6. That's one reason academic programs may pay less btw. If I take 15 calls a year worth about $2000 each and someone in PP takes 50, that's a 70k+ difference right there. But I like my time at home, I'm fine with that. 😉
Of course it's extremely variable, dependent on how many partners are splitting call, etc.
 
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Thanks for the replies! I am curious as the site has "salary" listed, for academic positions would you more likely be a 9-5 pre-arranged salary or paid by productivity?

I feel that 300k+ is good money in medicine in general and this public university has roughly 400 physicians paid above that range... I wonder if it is similar at other schools

No. There will be people in that range but if you come out of residency into an assistant professor position you likely won't be making $300k or more. The AVERAGE physician income is in the $200k range and academics commonly are bringing DOWN the average, not up. If however you are already a world famous heart transplant guy, or have a ton of research grants, then sure a university might offer you a lot to bring you into faculty. Or they may pony up to get a big shot to come be a chairman. but if you are thinking most academic medicine types make this kind of money you are far from the truth. Even in Utah that's not reality.

And nobody highly paid works 9-5. Put that schedule out of your head -- professionals simply don't work that. You'll have call. You'll have research obligations. You'll have teaching obligations. You'll have meeting obligations. And all this is on top of your clinical workload. You'll be getting to work early and leaving late and working plenty of weekends.

But I find it interesting you started out with a $700k-$1000k range and now dropped it to $300k. Keep dropping -- you are getting warmer...
 
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No. There will be people in that range but if you come out of residency into an assistant professor position you likely won't be making $300k or more. The AVERAGE physician income is in the $200k range and academics commonly are bringing DOWN the average, not up. If however you are already a world famous heart transplant guy, or have a ton of research grants, then sure a university might offer you a lot to bring you into faculty. Or they may pony up to get a big shot to come be a chairman. but if you are thinking most academic medicine types make this kind of money you are far from the truth. Even in Utah that's not reality.

And nobody highly paid works 9-5. Put that schedule out of your head -- professionals simply don't work that. You'll have call. You'll have research obligations. You'll have teaching obligations. You'll have meeting obligations. And all this is on top of your clinical workload. You'll be getting to work early and leaving late and working plenty of weekends.

But I find it interesting you started out with a $700k-$1000k range and now dropped it to $300k. Keep dropping -- you are getting warmer...
Working outpatient primary care though would probably get you closest to "9 to 5," right? Except it would most likely be like 7 to 6 with extra time spent on documentation/following up with patients on labs, etc. But there likely wouldn't be weekends or calls/night shifts, plus you'd get holidays off, etc.
 
No. There will be people in that range but if you come out of residency into an assistant professor position you likely won't be making $300k or more. The AVERAGE physician income is in the $200k range and academics commonly are bringing DOWN the average, not up. If however you are already a world famous heart transplant guy, or have a ton of research grants, then sure a university might offer you a lot to bring you into faculty. Or they may pony up to get a big shot to come be a chairman. but if you are thinking most academic medicine types make this kind of money you are far from the truth. Even in Utah that's not reality.

And nobody highly paid works 9-5. Put that schedule out of your head -- professionals simply don't work that. You'll have call. You'll have research obligations. You'll have teaching obligations. You'll have meeting obligations. And all this is on top of your clinical workload. You'll be getting to work early and leaving late and working plenty of weekends.

But I find it interesting you started out with a $700k-$1000k range and now dropped it to $300k. Keep dropping -- you are getting warmer...

Getting warmer to what? I'm just going by the numbers of one public university and wondering if other schools are the same. Salaries seemed higher than the lower numbers I hear on SDN similar to what you are saying. But the numbers for THAT particular school don't lie... ~5% at 700k+, ~40% at 300k+... is it just that this school has higher pay than everywhere else? Seems strange when Utah is one of the lowest reimbursing states for physicians in the country.. ( http://www.medscape.com/features/slideshow/compensation/2015/public/overview#page=8 ) "Even in Utah that's not a reality" I just showed you the numbers for every physician at the school. How is it not a reality?

My question about 9-5 salary is geared towards the "salary" part more than the 9-5... I am wondering if jobs in academic medicine tend to have a pre-determined salary or paid for productivity.
 
My question about 9-5 salary is geared towards the "salary" part more than the 9-5... I am wondering if jobs in academic medicine tend to have a pre-determined salary or paid for productivity.
Everyone assumes academic jobs all pay poorly because they read that here and see jobs advertised that pay poorly or they pay poorly at their residency. Many pay fairly, and many pay fairly poorly, and some actually pay pretty well. It would be to your benefit to find one that is in the black and pays better than average. Some academic jobs are efficient and run more like a private practice model. They will generate more income and pay better than ones where everyone is 50+% non clinical and run inefficiently. Incentive compensation, call compensation, benefits, required clinical time, etc. are going to be university/hospital/department/specialty dependent.
Of course not being an employee and being in a PP can have other benefits that are very valuable as well, regarding retirement, etc.
It's not black and white.
 
Working outpatient primary care though would probably get you closest to "9 to 5," right? Except it would most likely be like 7 to 6 with extra time spent on documentation/following up with patients on labs, etc. But there likely wouldn't be weekends or calls/night shifts, plus you'd get holidays off, etc.
How is 7-6 the same as 9-5? That's 15 more hours a week. And yes you'll still have to take your turns doing call and weekend work.
 
Everyone assumes academic jobs all pay poorly because they read that here and see jobs advertised that pay poorly or they pay poorly at their residency. Many pay fairly, and many pay fairly poorly, and some actually pay pretty well. It would be to your benefit to find one that is in the black and pays better than average. Some academic jobs are efficient and run more like a private practice model. They will generate more income and pay better than ones where everyone is 50+% non clinical and run inefficiently. Incentive compensation, call compensation, benefits, required clinical time, etc. are going to be university/hospital/department/specialty dependent.
Of course not being an employee and being in a PP can have other benefits that are very valuable as well, regarding retirement, etc.
It's not black and white.
There's a difference between not paying poorly though and making bank. OP is pulling a handful of people making pie in the sky dollars at one university and trying to extrapolate it to all of academic medicine.
 
Getting warmer to what? I'm just going by the numbers of one public university and wondering if other schools are the same. Salaries seemed higher than the lower numbers I hear on SDN similar to what you are saying. But the numbers for THAT particular school don't lie... ~5% at 700k+, ~40% at 300k+... is it just that this school has higher pay than everywhere else? Seems strange when Utah is one of the lowest reimbursing states for physicians in the country.. ( http://www.medscape.com/features/slideshow/compensation/2015/public/overview#page=8 ) "Even in Utah that's not a reality" I just showed you the numbers for every physician at the school. How is it not a reality?

My question about 9-5 salary is geared towards the "salary" part more than the 9-5... I am wondering if jobs in academic medicine tend to have a pre-determined salary or paid for productivity.
Yes numbers do lie and no it's not reality when you try to extrapolate high salaries of a handful of people to academic medicine as a group, at that school or elsewhere. And no the people you see making that kind of money aren't working 9-5.

As for whether there is a predetermined salary or based on productivity, the answer is it can be either or both. Most have a salary but many get additional money based on achieving various benchmarks in terms of clinical and research efforts. And the salary for the average person won't be $300k. The salary of the boss of the average academic physician might make that though.
 
Those numbers are probably also incorporating Fringe, as well as any TSA/deferred contributions being made based on matching, seniority, etc. Those of us who hold grants know that an employee costs far more than the salary they gross. That still doesn't account for the preposterous numbers being thrown around, but it does close the gap. Performance of Endowments made for chairs can also be handled strangely, such that dividends paid out on the principal during the year could appear as part of total compensation, even though that money is rolled back into the endowment (from which the interest pays part of your salary). A $5 million endowment for a chair in medicine can pay a lot in dividends on a good year.

I have seen this time and again on this site. Some high school student, premed, or med student comes along and says, "I found this website where there are a bunch of people making tons of money, so I can do that too." And then a few of us actually in practice say, "Woah, careful fella, those people may exist, but they're not representative and there is probably more to the story." And then suddenly we're the ones who must be wrong, because *website*. I don't come to this site to spread lies about salary figures. I actively help my fellows negotiate start up packages all over the country in critical care. I see the numbers. I see the offers, and I know the people, both locally and across the country. Maybe critical care medicine is being low-balled compared to others in academia (um, no) but once again, these numbers are not representative.

And, as I said before, there are academics and there are academics. You can be a spine surgeon at Barrow and hold a non-tenure track assistant professorship at Arizona. You operate or are in clinic all day, every day. Maybe you go to grand rounds once a month. You do no teaching, you have no lab. You want to call that guy academic? Fine, and that may be some of what you are seeing from this public data. But it's apples to oranges.
 
All this data is by its nature difficult to understand and compare. You have to look at what is supposedly included in the report. As an example, MGMA is supposed to include all income and bonuses paid, but does that include retirement matching, defined benefit plans, call stipends, etc? I don't know. I know it doesn't include things like group paid malpractice.
The link above from Utah claims to be gross compensation, with benefits, bonus, etc. but what about insurance, etc? Not clear.
Our data gets reported as the practice is a nonprofit and must submit an annual report. It only includes our base salary, bonuses, and what they pay for us for healthcare insurance. We have other benefits, valuable benefits, that come as part of the group coverage including disability, life insurance, malpractice, etc. That may be buried elsewhere in expenses to the group or the university, but they are not reflected in my income line. So the only way to see the whole picture is to get an offer and crunch the numbers.
 
Those numbers are probably also incorporating Fringe, as well as any TSA/deferred contributions being made based on matching, seniority, etc. Those of us who hold grants know that an employee costs far more than the salary they gross. That still doesn't account for the preposterous numbers being thrown around, but it does close the gap. Performance of Endowments made for chairs can also be handled strangely, such that dividends paid out on the principal during the year could appear as part of total compensation, even though that money is rolled back into the endowment (from which the interest pays part of your salary). A $5 million endowment for a chair in medicine can pay a lot in dividends on a good year.

I have seen this time and again on this site. Some high school student, premed, or med student comes along and says, "I found this website where there are a bunch of people making tons of money, so I can do that too." And then a few of us actually in practice say, "Woah, careful fella, those people may exist, but they're not representative and there is probably more to the story." And then suddenly we're the ones who must be wrong, because *website*. I don't come to this site to spread lies about salary figures. I actively help my fellows negotiate start up packages all over the country in critical care. I see the numbers. I see the offers, and I know the people, both locally and across the country. Maybe critical care medicine is being low-balled compared to others in academia (um, no) but once again, these numbers are not representative.

And, as I said before, there are academics and there are academics. You can be a spine surgeon at Barrow and hold a non-tenure track assistant professorship at Arizona. You operate or are in clinic all day, every day. Maybe you go to grand rounds once a month. You do no teaching, you have no lab. You want to call that guy academic? Fine, and that may be some of what you are seeing from this public data. But it's apples to oranges.
Exactly. Academic medicine is great if you want some balance of teaching and research along with your clinical work. What it is really not is a route to working "9-5" and pulling in a well above average salary.

You by definition ought to expect to give up some money in order to do nonclinical things (teaching, conferences, committee work, research) because the nonclinical things, though quite professionally satisfying, aren't typically big revenue generators.
 
They will generate more income and pay better than ones where everyone is 50+% non clinical and run inefficiently. Incentive compensation, call compensation, benefits, required clinical time, etc. are going to be university/hospital/department/specialty dependent.


You sir know how it works. I work on a contracting team of a major Academic Medical Center and pay and benefits are largely determined at the department level, it's incredibly difficult to speculate without having access to all of the data.
 
There are some pathologists there clearing 700k.

Where? Pops was working at MGH as a pathologist but decided to leave and go elsewhere to get the big buck$ but he ain't touchin near 700K. Where is this 700K you talk of? :wideyed:
 
Someone post a free link to the AAMC faulty salary survey
 
I'm not sure department chairs and renowned surgical subspecialists are the people you should be looking at to get a sense of academic salaries.
400 out of the 1000 physicians at the school are department chairs?
 
Um you don't seem to have read or understood my posts because you are hammering on the same, misconstrued nail. Some of us are much closer to this career you are apparently trying to inform us about. The handful of examples you picked out aren't the norm. They are likely big shots with big grants that programs had to entice from elsewhere, or they generate significant private practice money but loosely hold the nominal title of professor, or they are deans or chairmen on top of their clinical roles, etc. Coming out of residency and fellowship you won't make that kind of money, in Utah or elsewhere. Period. You will likely make a portion of what you could pull in on the private side, because so much of your time will be centered on non profit generating pursuits. You will be expected to research, to teach, to go to conferences, and all this means you take care of fewer patients, so you won't be generating enough to be paid more. If you can get big research grants that's different but that's not most people. So again, you are getting hung up on some outrageous numbers you see out of context on a website and trying to extrapolate that to "academic medicine" at large. It's not the case.
 
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400 out of the 1000 physicians at the school are department chairs?

Did you choose to ignore the part where I mentioned subspecialists, or did you honestly overlook it?

On the first page you have:

Peds ortho (spine!!!!!)
Chair of Neurosurgery
Division Chief of Plastic Surgery
Peds Ortho
Ortho Spine
Neurosurgery (who maybe helped develop a new surgical instrument?!!)
Chair of Orthopedic Surgery
Plastic Surgery and Vice Chair of Surgery

I'm growing bored of listing out specifically what I said earlier, so let's skip to page 5 where salaries are in the mid-400s. There you have:

Ophthalmology (Executive Director of outpatient ophtho)
Neurosurgery (Director of Neuro Oncology)
Anesthesia (Cardiac)
Anesthesia (Cardiac)
Vice Chair of Neurology
Vice Chair of Pathology (also holds an appointment in Ortho)
Ortho spine
Ortho hand

So what I said before stands. Being subspecialized and holding administrative appointments boosts your salary.
 
To put things in perspective, I am currently looking at jobs for my first position out of residency starting in August. I am planning on private practice, but have looked at academics as well. I am located in a medium sized metro area.

Private practice: i'm looking at between $350,000 and $400,000

Academics: just for kicks, I've looked around at academic institutions. $190,000 to $225,000 seems to be the going rate in my area. In about 10 to 15 years and dozens of published articles/book chapters later, I might start to approach the same salary that I could be making as a first-year attending in private practice next year. Maybe if I got lucky and invented something new, or gain some fancy administrative title, I could get there a little sooner.
 
Private practice: i'm looking at between $350,000 and $400,000

Academics: just for kicks, I've looked around at academic institutions. $190,000 to $225,000 seems to be the going rate in my area.

I knew academic derm salaries were low, but damn. Part of my misinformation is likely that in the AAMC academic salary book, I misread the "total compensation" as "salary only." I love clinical research, and I still love research at a 25% pay cut, but a 35-50%+ cut, ehhhhh, maybe not so much
 
I knew academic derm salaries were low, but damn. Part of my misinformation is likely that in the AAMC academic salary book, I misread the "total compensation" as "salary only." I love clinical research, and I still love research at a 25% pay cut, but a 35-50%+ cut, ehhhhh, maybe not so much
In the end the goal is finding a job you enjoy going to. If you enjoy research and academic pursuits, rather than spending that time generating your company more profit, you take a haircut. So yeah you'll earn less, but if you actually enjoy it, the $190-225k quoted above will still pay the bills. It's hard to place a price on job satisfaction, but it does have great value.
 
In the end the goal is finding a job you enjoy going to. If you enjoy research and academic pursuits, rather than spending that time generating your company more profit, you take a haircut. So yeah you'll earn less, but if you actually enjoy it, the $190-225k quoted above will still pay the bills. It's hard to place a price on job satisfaction, but it does have great value.

While true, I unfortunately have quite a bit of student loans that complicate things. If only PSLF were guaranteed, then an academic job would be a slam-dunk. Regardless I first and foremost enjoy clinical dermatology. We'll see how things play out
 
While true, I unfortunately have quite a bit of student loans that complicate things. If only PSLF were guaranteed, then an academic job would be a slam-dunk. Regardless I first and foremost enjoy clinical dermatology. We'll see how things play out


To be fair, I'm told that my localish academic market is a tad below the mean.
 
Every academic job is going to be different, just like any Partner track job in PP land. You need to know what you are expected to do, how much non clinical time you have, and what you can expect to get, starting next year, 5 years later, etc. It may be quite different.
2 examples. One Peds optho friend recently graduated. His starting salary was $185 in academia. You might think that's ridiculous. BUT, that was just his guaranteed minimum, exclusive of any incentive compensation. No faculty hired there has ever not doubled that by 12 months and they were making 3x that by 36 months when they established their practice, filled their OR blocks, etc. So what's the real income? I would say $550. Maybe that's still bad for Peds optho? I don't know. He's happy, and gets to teach residents and fellows.
One place I looked at hired every new grad as a Clinical Instructor, the pay sucked, I think it was ~250, but you get a 60k raise when you pass the boards and go before the promotion board for Asst Professor. That was another $30k or so. So after a year or so, you're up around 350 with regular set raises along the promotion pathway. So that horrible CRNA salary job was actually not so bad after all. A fellowship was worth another $25k/yr. Now things are looking up. That's more than many management companies are offering for less work.
Lots of academic jobs do suck for new grads, but 3-5 years in, you may actually be doing well, particularly looking at income for clinical time worked. I deliberately left the research component out because it is dramatically variable between institutions and faculty tracks.
Shop around. 90th percentile income jobs are out there, but you have to track them down, and you'll probably work more clinical time than average.
 
Every academic job is going to be different, just like any Partner track job in PP land. You need to know what you are expected to do, how much non clinical time you have, and what you can expect to get, starting next year, 5 years later, etc. It may be quite different.
2 examples. One Peds optho friend recently graduated. His starting salary was $185 in academia. You might think that's ridiculous. BUT, that was just his guaranteed minimum, exclusive of any incentive compensation. No faculty hired there has ever not doubled that by 12 months and they were making 3x that by 36 months when they established their practice, filled their OR blocks, etc. So what's the real income? I would say $550. Maybe that's still bad for Peds optho? I don't know. He's happy, and gets to teach residents and fellows.
One place I looked at hired every new grad as a Clinical Instructor, the pay sucked, I think it was ~250, but you get a 60k raise when you pass the boards and go before the promotion board for Asst Professor. That was another $30k or so. So after a year or so, you're up around 350 with regular set raises along the promotion pathway. So that horrible CRNA salary job was actually not so bad after all. A fellowship was worth another $25k/yr. Now things are looking up. That's more than many management companies are offering for less work.
Lots of academic jobs do suck for new grads, but 3-5 years in, you may actually be doing well, particularly looking at income for clinical time worked. I deliberately left the research component out because it is dramatically variable between institutions and faculty tracks.
Again you are extrapolating a few select cases onto all of academic medicine. Yes those cases exist but there are plenty that make less, and the average is less. And by saying by 5 years in you may be doing quite well kind of bolsters the point that the OP shouldn't expect to walk into a high paying academic job.
 
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