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- Jul 19, 2016
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I've been out for 10 years. Did Academics for the first 6, community after that.
I remember when I was a med student and resident, I had trouble finding out what the compensation was for my chosen specialty. And part of the problem why I am burning out now is because it still is so opaque. So here is what I know about compensation in a few states based on myself and two close friends. Each of has has contributed 1 or two places, so no, we aren't jumping around from job to job, but we do have some realistic info from our groups and others.
California:
Join one of the big boy groups, and you will get anywhere between $140-250 an hour. Did you know that they are still ripping you off? At the facilities that have groups that pay everyone fairly based on productivity, $300 is routinely the hourly wage. This is for seeing ~ 3 patients/hour, a mix of sick and not sick. You're humping at $300/hr to be sure, but it's not unsafe. I know some hospitals where EM docs make almost $400/hr, but this is assuming it is a lean billing outfit with no fat for senior partners.
Now let's think about some of the private groups: These old fat cats in their 50s that are partners are bringing in new kids out of residency for ~$150/hr. 2, 3, even 4 years to full compensation (but not necessarily partnership). These fat cats at the top are making over 600k in annual compensation while working a cherry pick schedule of no overnights or weekends. The "kids" typically escalate their compensation $25/hr for each year until they are earnings partners when they top out about $250/hr. Still not equity partners (those who get the real bonus to earn the 600k as above) necessarily.
Montana:
Most of these places are subsidized because of patient volume/low acuity. Most jobs are in the $150-175 range. Some smaller places with private groups will break $200 and bonuses can take it higher, but not great.
Nevada (Las Vegas):
Mostly the big box groups here. You will make $200/hr easy at most places, but you're probably generating wayyyyy more than that 'for the man'. Not many private groups that I've heard of in Nevada.
North Carolina:
Pay is really poor here. Work at one of the academic facilities, and expect to earn less than $150/hr. Join some of the private groups like Apollo and you are a partner (or more accurately, no less a partner that anyone else) and probably make 200-220/hour. Some of the private groups will pay you $130/hr for two years before you might make $225/hr with a sizable bonus that can take your compensation to ~250-260/hr.
TeamHealth, CEP, all the big box national programs - raping EM docs. You are giving away significant chunks of what you earn to them, and believe me, they're getting FAT now that everyone has insurance. You will struggle to earn over $200/hr here. Again, can you make a good living at $200/hr? Sure can! $345k a year for 12 shifts x 12 hours sounds pretty good. But know that you are making money for someone else sitting on their yacht - probably up to $100 for each hour you work.
I remember when I was a med student and resident, I had trouble finding out what the compensation was for my chosen specialty. And part of the problem why I am burning out now is because it still is so opaque. So here is what I know about compensation in a few states based on myself and two close friends. Each of has has contributed 1 or two places, so no, we aren't jumping around from job to job, but we do have some realistic info from our groups and others.
California:
Join one of the big boy groups, and you will get anywhere between $140-250 an hour. Did you know that they are still ripping you off? At the facilities that have groups that pay everyone fairly based on productivity, $300 is routinely the hourly wage. This is for seeing ~ 3 patients/hour, a mix of sick and not sick. You're humping at $300/hr to be sure, but it's not unsafe. I know some hospitals where EM docs make almost $400/hr, but this is assuming it is a lean billing outfit with no fat for senior partners.
Now let's think about some of the private groups: These old fat cats in their 50s that are partners are bringing in new kids out of residency for ~$150/hr. 2, 3, even 4 years to full compensation (but not necessarily partnership). These fat cats at the top are making over 600k in annual compensation while working a cherry pick schedule of no overnights or weekends. The "kids" typically escalate their compensation $25/hr for each year until they are earnings partners when they top out about $250/hr. Still not equity partners (those who get the real bonus to earn the 600k as above) necessarily.
Montana:
Most of these places are subsidized because of patient volume/low acuity. Most jobs are in the $150-175 range. Some smaller places with private groups will break $200 and bonuses can take it higher, but not great.
Nevada (Las Vegas):
Mostly the big box groups here. You will make $200/hr easy at most places, but you're probably generating wayyyyy more than that 'for the man'. Not many private groups that I've heard of in Nevada.
North Carolina:
Pay is really poor here. Work at one of the academic facilities, and expect to earn less than $150/hr. Join some of the private groups like Apollo and you are a partner (or more accurately, no less a partner that anyone else) and probably make 200-220/hour. Some of the private groups will pay you $130/hr for two years before you might make $225/hr with a sizable bonus that can take your compensation to ~250-260/hr.
TeamHealth, CEP, all the big box national programs - raping EM docs. You are giving away significant chunks of what you earn to them, and believe me, they're getting FAT now that everyone has insurance. You will struggle to earn over $200/hr here. Again, can you make a good living at $200/hr? Sure can! $345k a year for 12 shifts x 12 hours sounds pretty good. But know that you are making money for someone else sitting on their yacht - probably up to $100 for each hour you work.