emergency medicine fellowship salaries

[tum]

general consensus seems like emergency medicine has an average salary of about 200k.

does anyone know what the average is after one does a fellowship in, say, pediatrics?

i can't find any numbers on the net, but word around is that for each extra year of training, salary goes up about 10% (taking into account geography, etc). has anyone heard anything similar?

---

Members don't see this ad.

 

[DrQuinn]

Actually I have heard the average annual salary for EM is 229k.

Q, DO

 

[tum]

but are reimbursements different for peds? is the per hour pay the same for similar hospitals/geographic locations?

 

[SuperflyMD]

I don't know about EM+Peds fellowship, but I know that Peds+any fellowship (including EM) tends not to increase salaries compared to straight Peds.

Of course, I'm sure there are exceptions to this.

 

[The White Coat Investor]

As I understand it a fellowship in EM will generally not get you much of a raise, however, it is becoming more and more necessary to get a job in academics. It is also helpful in getting into difficult markets. I wouldn't do it for the money though.

 

[Sessamoid]

I'd guess those EM grads doing peds fellowships are generally going into academics. Private practice pediatric EM doesn't pay as well as adult EM in my limited experience. That's largely due I think to the large percentage of kids you treat that are only covered under Medicaid (which pays pennies on the dollar of what you bill them).

 

[GCS:3]

Someone on one of my electives mentioned a guy getting a 50k premium for his ultrasound training, but they told me it was highly variable.

I'd agree that those who do fellowships are more looking for academic positions. They're the great equalizer for those who choose 3 year programs for residency.

 

[jawurheemd]

In general, a fellowship doesn't boost earning potential in emergency medicine. In fact, fellowship grads will probably make less money as they are more inclined to go into academics where you make less money. However, fellowships are enriching and do make you more competitive for academic positions.

 

[Apollyon]

Originally posted by stephens1
I don't know about EM+Peds fellowship, but I know that Peds+any fellowship (including EM) tends not to increase salaries compared to straight Peds.

Of course, I'm sure there are exceptions to this.

Completely off the EM topic, but one notable exception is developmental peds - 3 more years, and the average starting $ is 2x whatever the peds average is (around $200-210k).

I have to agree, though - PedsEM is not for the money. It IS pretty fulfilling (like peds in general), though.

 

[SHOX]

Strictly just my myopic observation... the only fellowships in EM that may make you more money are US and Admin.

Someone did a study on this topic and did a poster at SAEM 2003... I will see if I can find it.

 

[SuperflyMD]

What about critical care? I know these fellowships are a fairly recent addition, but is there any data about salaries?

 

[The White Coat Investor]

I think people asking about salaries are missing the point. This isn't IM where a GI fellowship will triple your salary because it will allow you to do some additional procedures. In EM, the money:years of education ratio goes way down after residency. If you're in it for the money, go straight to med school after college, graduate in 4 years, do a 3 year residency, join a well-managed community hospital group on the nice side of town, treat the executives' chest pain, and retire at 50 on your yacht. Any other options will decrease your bottom line. Even if you get paid a touch more for an US fellowship (not saying you do), you don't get paid enough more to make up for the two extra years at resident salary.

 

[Chris_Topher]

I have heard of an U/S felllowship where the salary is ~$70-80K, you work a number of shifts as an attending and others just scanning.

 

[KGUNNER1]

Stephens1,
Unfortunately critical care won't make you rich, just statisfied if you like it. For the amount of time you put in, straight ER will pay better than any fellowship.

A fellowship in critical care can buy you TIME which is important in academics. Most unit directors and ED chairs haven't had a lot of experience with dual appointments where you'll actually split your clinical time between two different services. Since most academic departments are strapped for cash, you can negotiate administrative/educational/research time off from both departments and end up with less clinical time than if you did one or the other alone. Since you'll only count for a partial FTE (full time equivalent) in both departments, this frees up the other part of the FTE to hire another part-timer that will work extra shifts or pay for moonlighters etc...

With that said, you can't sit on your butt watching Oprah. You have to be productive. Chances are you'll sit on several committees and be asked to do several projects, so this isn't usually an issue.

 

[chuck deli]

Would it make a difference in a) salary and b) employment opportunities (for example) if you were to do Peds residency with Peds-EM fellowship vs. EM residency with Peds fellowship?....Just a curious M1

 

[Apollyon]

Originally posted by chuck deli
Would it make a difference in a) salary and b) employment opportunities (for example) if you were to do Peds residency with Peds-EM fellowship vs. EM residency with Peds fellowship?....Just a curious M1

Yes, if you were to do fellowship at a place that requires only 2 years for EM grads, and takes peds grads and EM grads. ALL peds fellowships are 3 years (per the AAP), and there is not complete parity yet in programs.

(That difference in salary is the year between finishing one year later.)