Pathologists' Income and Basic Accounting

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BU Pathology

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There have been several posts about the income that pathologists earn. Many of the compensation figures that are discussed on this forum are not accurate, specifically the figures are far too low. Allow me to make two points.

First, there is an excellent source of physician compensation based on annual surveys done by the American Association of Medical Colleges. Many medical school libraries have a copy of the survey, or you may purchase it on line for $210.00.
https://services.aamc.org/publications/index.cfm?fuseaction=Product.displayForm&prd_id=252

This survey provides an in depth analysis of the total compensation earned by doctors in a number of disciplines and is further broken down into region of the country. Each of the tables has the compensation for faculty at the 25th percentile, median, and 75th percentile. These materials are copyrighted so posting on line would violate the copyright. If you want to know what a pathologist earns, this would be your best source. Anonymous internet postings are not a good source of information. Bear in mind that these are compensation figures for academic physicians, which are typically lower than those in private practice.

Second, Basic Accounting Principles. Total compensation listed on IRS form 990 represents the total compensation from the entity that files the 990. In some situations this will be the equivalent to the total income earned by the person listed on the 990, but only when the entity filing the 990 is the common paymaster. Stated more simply, the compensation listed on the form 990 is not their total paycheck.

Total compensation refers to the salary plus bonus, so in many situations it is not the equivalent of salary. Total compensation may also include other benefits which the IRS has determined should be taxable income. For example, if the faculty practice plan buys a laptop computer for a faculty member, under IRS guidelines the cost of the laptop is considered taxable income.

It is not really possible to draw general conclusions about the income of pathologists compared to other specialties by looking at selected form 990s. For example at one institution, the Chair of Anesthesiology has a total compensation of $49,000 while the Chair of Pathology has a total compensation of $123,000 (I will not post the institutions, because the individuals listed on the forms have not given me permission to post their information). If you looked only at that institution one would conclude that anesthesiology is significantly underpaid. As another example, a July, 2009 article in Greenwich Times reported that half of the top ten earners at the hospital were pathologists. (This article was also posted on SDN).

Whether a pathologist’s income is sufficient really depends on individual perception. In academic settings, the income for an MD pathologist would be considered mid-tier and approximately equivalent to radiology and anesthesiology. Total income per pathologist tends to be lower, because a significant number of Ph.D. conduct research or help run clinical labs in academic settings and their incomes are typically lower.

For those considering a career in pathology, I would encourage you to look up the AAMC salary survey to determine your approximate income and not become frightened by inaccurate information posted on the internet.

Daniel Remick, M.D.
Professor and Chair, Department of Pathology and Laboratory Medicine
Boston University School of Medicine and Boston Medical Center.
 
Dr. Remick,
It is public record that you were compensated more than $478,000 in 2006-7 (7/1/06-6/30/07 per the 990 form) by Boston University Mallory Pathology Associates while one of the top 5 highest paid non-director/officer/trustee pathologists in your department (Dr. Cerda) was compensated $153,263 by Boston University Mallory Pathology Associates.
http://www.guidestar.org/FinDocuments/2007/042/794/2007-042794543-04122a4f-9.pdf
What were the pathologists paid who were not in the top 5?
Do you really believe that the average pathologist is paid as much as the average anesthesiologist or radiologist?
I just performed a Google search and I have looked at some of the AAMC data you cite (posted online here: http://www.med.ufl.edu/personnel/hradmin/2009 core rates.pdf ) and pathologists do not appear to be close in pay to gas or rads. In fact at the assistant professor level the pay is only about 15% higher than for Family Medicine - not great considering they only have a 3 year residency compared to the typical 5 years now in path (4 years AP/CP + 1 year fellowship).

Dr. Remick,
I also looked at your residency website ( http://www.bumc.bu.edu/busm-pathology/residency-program/resident-profiles/ ) and the fact that you have 1 PGY-4, 0 PGY-3, 6 PGY-2, and 4 PGY-1 residents in your program is unusual in my opinion. Have you had a significant number of residents leave your program and if so why?
 
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Dr. Remick,

You present valuable points in regards to the IRS filings. Personally, the best income data currently collected for practicing pathologists likely comes from the college, that is the CAP Salary Surveys. It is also proprietary information available only to college members. No doubt Pathology can be both a lucrative and personally rewarding career option but I do think there is a large amount of room for improvement on the manpower side.

Thanks.
~LADOC

Recent research has shown that empirical evidence for globalization of corporate innovation is very limited and as a corollary the market for technologies is shrinking. As a world leader, it's important for America to provide systematic research grants for our scientists. I believe strongly there will always be a need for us to have a well articulated innovation policy with emphasis on human resource development.
 
supposedly the SF chronicle web site publishes all the UCSF professors salaries. That's how we all know that Leboit makes 2,000,000 a year. That proves that the whole academics make **** compared to private is bull. How many private practice pathologists make more than 2,000,000? I have heard of private neurosurgeons and cardiologists that are willing to work in rural Wyoming and Nebraksa making that much, but certainly no private practice pathologist regardless of subspecialty makes that much in the Bay Area, unless he doesn't do pathology and works for google, yahoo, genetech, or oracle.
 
supposedly the SF chronicle web site publishes all the UCSF professors salaries. That's how we all know that Leboit makes 2,000,000 a year. That proves that the whole academics make **** compared to private is bull. How many private practice pathologists make more than 2,000,000? I have heard of private neurosurgeons and cardiologists that are willing to work in rural Wyoming and Nebraksa making that much, but certainly no private practice pathologist regardless of subspecialty makes that much in the Bay Area, unless he doesn't do pathology and works for google, yahoo, genetech, or oracle.

i really wish people would quit quoting leboit's salary. it is now unattainable. period. there remain a handfull of dps across the country making millions in academics. when they retire, so will these kind of contracts. just forget about it.
 
supposedly the SF chronicle web site publishes all the UCSF professors salaries. That's how we all know that Leboit makes 2,000,000 a year. That proves that the whole academics make **** compared to private is bull. How many private practice pathologists make more than 2,000,000? I have heard of private neurosurgeons and cardiologists that are willing to work in rural Wyoming and Nebraksa making that much, but certainly no private practice pathologist regardless of subspecialty makes that much in the Bay Area, unless he doesn't do pathology and works for google, yahoo, genetech, or oracle.

Seriously, I wish ppl would stop quoting that figure as well. Leboit is in a world of his own along with a select few. Don't expect to go into academics and make anywhere near that figure. Why do ppl think since one academic makes 2 mil that all do?
 
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Seriously, I wish ppl would stop quoting that figure as well. Leboit is in a world of his own along with a select few. Don't expect to go into academics and make anywhere near that figure. Why do ppl think since one academic makes 2 mil that all do?

Because people like to extrapolate isolated incidents and make trends out of them. I don't know if it's wishful thinking or what. There are some academics who have very lucrative practices, but most are based on lucrative consult arrangements or arrangements with outside labs. As said above, these are not standard.
 
Because people like to extrapolate isolated incidents and make trends out of them. I don't know if it's wishful thinking or what. There are some academics who have very lucrative practices, but most are based on lucrative consult arrangements or arrangements with outside labs. As said above, these are not standard.

I never meant to imply that was normal for academics. What I meant to imply is that highest of academics earns way more than the highest of private practice.

I think you can make much more in academics, it just takes longer to get there. Moreover, there is a lot of incidental bonuses to academics. Private practice people pay for their own malpractice, pay for their own health insurance, pay for their own retirement, pay for their own books/conference travel. Those are all things one gets for free in academics. In private practice if you want to buy a better scope or buy a camera for your scope, you pay for it out of your own pocket. In academics, you have a slush fund. Plus academics don't gross and don't slave over a scope for 12 hours a day. Plus academics are typically only on service for 2-3 weeks a month. Plus in academics you have respect. If David Page disagrees with Joe Private Practice about ADH vs DCIS, the private practice guy is wrong in everyone's eyes, the patient's, the private practice clinician's and the jury's.

Academics is the much more refined and intellectual lifestyle. Plus you get respect. And when you add up all the intangibles it blows private practice out of the water.

And speaking of Leboit. Wasn't it published that the head of Dermpath at Columbia makes over 4 million a year?

I just checked the world wide web and the NY DAILY NEWS published his salary at 5 million a year. Who in private practice can pull that much in Manhattan? Anyone? I bet Michael Jackson's private pain consultant didn't get that.
 
And speaking of Leboit. Wasn't it published that the head of Dermpath at Columbia makes over 4 million a year?

I just checked the world wide web and the NY DAILY NEWS published his salary at 5 million a year. Who in private practice can pull that much in Manhattan? Anyone? I bet Michael Jackson's private pain consultant didn't get that.

fine don't believe me! you will NEVER make anywhere NEAR this much in academics. sure you could swing a decent contract but NOONE is going to get dp contracts like these in the future. period. sorry. not even famous pathologists. not even super famous breast pathologists who are the very best in the whole world at diagnosing ADH (LMAO). if you think you'll clean up in academics, fine. i give you 3 years max. sorry i am just so tired of hearing these figures. they don't mean anything to us. they simply reflect these lucky few were in the right place (academic dermpath) at the right time (a couple/few of decades ago when the field started defining itself)
 
I think you can make much more in academics, it just takes longer to get there. Moreover, there is a lot of incidental bonuses to academics. Private practice people pay for their own malpractice, pay for their own health insurance, pay for their own retirement, pay for their own books/conference travel. Those are all things one gets for free in academics. In private practice if you want to buy a better scope or buy a camera for your scope, you pay for it out of your own pocket. In academics, you have a slush fund. Plus academics don't gross and don't slave over a scope for 12 hours a day. Plus academics are typically only on service for 2-3 weeks a month. Plus in academics you have respect. If David Page disagrees with Joe Private Practice about ADH vs DCIS, the private practice guy is wrong in everyone's eyes, the patient's, the private practice clinician's and the jury's.

Academics is the much more refined and intellectual lifestyle. Plus you get respect. And when you add up all the intangibles it blows private practice out of the water.

And speaking of Leboit. Wasn't it published that the head of Dermpath at Columbia makes over 4 million a year?


I was told no one will ever be like these old folks when they retire. The derm people can also step in. I don't think it's fair to quote the UCSF dermpath salary figures.

Of course there are benefits in academics, but the same benefits also apply to other specialties. On top of the benefits, entry level radiologists (for example) are still making more, even though pathologists do similar job and possibly generate as much revenue.

It seems that cutting training slots and adding more PA are the ways to go. Is this right?
 
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Is that true? I thought radiologists (currently, anyway) generated more income because of the technical fees with use of the equipment.
 
I was told no one will ever be like these old folks when they retire. The derm people can also step in. I don't think it's fair to quote the UCSF dermpath salary figures.

Of course there are benefits in academics, but the same benefits also apply to other specialties. On top of the benefits, entry level radiologists (for example) are still making more, even though pathologists do similar job and possibly generate as much revenue.

It seems that cutting training slots and adding more PA are the ways to go. Is this right?

Radiologists make more because their reimbursements are better and they can do more things. Technology is helping them advance and creating new procedures and studies. Plus when you go to a tumor board, you see that a patient might have 1-3 path cases, but will have dozens of different radiology studies etc.. Plus they have learned how to core any lesion in the body. It is a pretty amazing field. It takes you a lot more time to gross and look at a lumpectomy specimen than it does for the the radiologist to study a breast MRI prior to the surgery, and i would bet that they professional component for reading the MRI is as much or more than an 88309.

Why is it not fair to quote those figures? Why will younger academic derm people not be able to build up the same referral base? And it is not about getting contracts. An 88305 pays X amount of dollars and his group signs out let's say 50,000 specimens a year. As you know derm biopsies can be very tricky, but most of them are like assembly line work. Low power pattern recognition followed by knee-jerk diagnosis. It could be like an airport security screener. You could have a conveyer belt with a slides on it and a screen broadcasting the image and just look at the screen all day and say "seb k, seb k, seb k, bcc, bcc, bcc, scc, seb k, compound nevus, seb k, seb k" Each time you say it, you generate 40 professional or 120 global. And just like you can't fall asleep when someone tries to slip a bomb through, you got to make sure you don't miss the desmoplatic melanoma.
 
derm biopsies can be very tricky, but most of them are like assembly line work. Low power pattern recognition followed by knee-jerk diagnosis. It could be like an airport security screener. You could have a conveyer belt with a slides on it and a screen broadcasting the image and just look at the screen all day and say "seb k, seb k, seb k, bcc, bcc, bcc, scc, seb k, compound nevus, seb k, seb k" Each time you say it, you generate 40 professional or 120 global. And just like you can't fall asleep when someone tries to slip a bomb through, you got to make sure you don't miss the desmoplatic melanoma.

ok as a dermatopathologist i take offense to this.

anyway, with regards to these huge incomes: referral consults are a tiny portion of these people's income. the reason they make so much money is because their original contract gave them a cut of ALL cases. hospital administrators do not allow this kind of cut anymore. in fact in some medical centers they have squeezed out the people with these kind of contracts or the lawyers have been involved to try and legally modify them. A medical center would be INSANE to hire a dermatopathology director in this day and age with a contract stipulating they get, say, 20% of the revenure because in this day in age that would mean about 2mil in a decent sized academic dermpath lab. someone equally qualified would do it for 1/4 that
 
ok as a dermatopathologist i take offense to this.

Just sayin'...



anyway, with regards to these huge incomes: referral consults are a tiny portion of these people's income. the reason they make so much money is because their original contract gave them a cut of ALL cases. hospital administrators do not allow this kind of cut anymore. in fact in some medical centers they have squeezed out the people with these kind of contracts or the lawyers have been involved to try and legally modify them. A medical center would be INSANE to hire a dermatopathology director in this day and age with a contract stipulating they get, say, 20% of the revenure because in this day in age that would mean about 2mil in a decent sized academic dermpath lab. someone equally qualified would do it for 1/4 that

Well I don't know for sure how it works, but I am sure the renownedness of Leboit helps get specimens and referrals there, so the University would be foolish not to give him a percentage of what he generates. If he didn't he could go open up a dermpath lab in Pacific Heights and take all their business.
 
I think you can make much more in academics, it just takes longer to get there. Moreover, there is a lot of incidental bonuses to academics. Private practice people pay for their own malpractice, pay for their own health insurance, pay for their own retirement, pay for their own books/conference travel. Those are all things one gets for free in academics. In private practice if you want to buy a better scope or buy a camera for your scope, you pay for it out of your own pocket. In academics, you have a slush fund. Plus academics don't gross and don't slave over a scope for 12 hours a day. Plus academics are typically only on service for 2-3 weeks a month. Plus in academics you have respect. If David Page disagrees with Joe Private Practice about ADH vs DCIS, the private practice guy is wrong in everyone's eyes, the patient's, the private practice clinician's and the jury's.

Academics is the much more refined and intellectual lifestyle. Plus you get respect. And when you add up all the intangibles it blows private practice out of the water.

It's 2009. No one respects anyone anymore. I'm perplexed by who you think is going to automatically respect you just because you are in academics. Besides, no matter where you are, if you are a good pathologist you will be respected. I'll take cold hard cash over respect any day because last I checked, my mortage company didn't accept respect as payment.

As for what private practice people pay for: My group pays my malpractice, for my health insurance as well as my family, and I get a CME allowance. If I want a new desk, computer, scope, or camera, I pretty much just have to ask. Most private practice pathologists have this and more written into their contracts...it's part of total compensation.
 
It's 2009. No one respects anyone anymore. I'm perplexed by who you think is going to automatically respect you just because you are in academics. Besides, no matter where you are, if you are a good pathologist you will be respected. I'll take cold hard cash over respect any day because last I checked, my mortage company didn't accept respect as payment.

As for what private practice people pay for: My group pays my malpractice, for my health insurance as well as my family, and I get a CME allowance. If I want a new desk, computer, scope, or camera, I pretty much just have to ask. Most private practice pathologists have this and more written into their contracts...it's part of total compensation.

That might be true if you an employee, but if you are a partner then you are paying for everything yourself.
 
Yeah, private practice groups will often pay for non-partners' benefits, CME, all that. But once you're a partner everything you spend is your money. If you don't spend it, you get it back. That is, of course, if your group is ethical and doesn't have a central slush fund that goes back to one or two people if it isn't spent by the rest. Certain things like microscopes, key things like that might come out of general group funds instead of your own individual compensation though.
 
And when you add up all the intangibles it blows private practice out of the water.

Pathstudent, you are like this awesome disinformation machine. Keep on truckin dude!

I totally agree, compensation in private prac is WAY out of whack, we need to step in and hand some of the academic pay back to the community hospitals where it belongs. Its just way to cherry to be an academic, there needs to be balance. lol...sarcasm meter pegged to max...

Fortunately the politicians agree with me, which why they are going to batter all the medical school pay arrangements long before they ever set their eyes on me...
 
Pathstudent, you are like this awesome disinformation machine. Keep on truckin dude!

I totally agree, compensation in private prac is WAY out of whack, we need to step in and hand some of the academic pay back to the community hospitals where it belongs. Its just way to cherry to be an academic, there needs to be balance. lol...sarcasm meter pegged to max...

Fortunately the politicians agree with me, which why they are going to batter all the medical school pay arrangements long before they ever set their eyes on me...

I am just saying that if you make 250-300K as an academic attending versus 400K in Private practice partner, your overall pay might be greater when you add in the free health insurance, malpractice, slush fund, and retirement. And if nothing else you work much less per day. You might have greater responsibility in academics but people in private don't have a bunch of eager beaver step n fetch residents to manage their cases. Plus academics has the intangibles of greater joy of working with med students and residents and being a part of the greater academic path community. That is worth something, fo sho.
 
I am just saying that if you make 250-300K as an academic attending versus 400K in Private practice partner, your overall pay might be greater when you add in the free health insurance, malpractice, slush fund, and retirement. And if nothing else you work much less per day. You might have greater responsibility in academics but people in private don't have a bunch of eager beaver step n fetch residents to manage their cases. Plus academics has the intangibles of greater joy of working with med students and residents and being a part of the greater academic path community. That is worth something, fo sho.


Are you serious? Who is academics is making 250-300K? That is more like private practice $$$. Academic pathologists make around 140-150k to start (apparently, if you're lucky) and after a while may make closer to 200.
 
Academics vs. Private practice. Do what you makes you happy. This is turning into a whos got the bigger schlong thread.
 
And if nothing else you work much less per day. You might have greater responsibility in academics but people in private don't have a bunch of eager beaver step n fetch residents to manage their cases. Plus academics has the intangibles of greater joy of working with med students and residents and being a part of the greater academic path community.

am i the only one finding this hilarious?
 
I am just saying that if you make 250-300K as an academic attending versus 400K in Private practice partner, your overall pay might be greater when you add in the free health insurance, malpractice, slush fund, and retirement. And if nothing else you work much less per day. You might have greater responsibility in academics but people in private don't have a bunch of eager beaver step n fetch residents to manage their cases. Plus academics has the intangibles of greater joy of working with med students and residents and being a part of the greater academic path community. That is worth something, fo sho.


See, you're starting to assume things. For example, it's quite possible...no, I bet DEFINITE, that there are many physicians out there in private practice who do not like working with medical students or residents...Heck, there seem to be a decent number of attendings in academics who don't like to work with residents and medical students.
 
am i the only one finding this hilarious?

I'm greatly amused but extremely skeptical. I initially thought pathstudent was enthusiastic but naive, but now I think he/she is a troll. Either that or on the best drugs ever. The "intangibles of greater joy of working with med students and residents" may be one of the best lines I've read on sdn.
 
I'm greatly amused but extremely skeptical. I initially thought pathstudent was enthusiastic but naive, but now I think he/she is a troll. Either that or on the best drugs ever. The "intangibles of greater joy of working with med students and residents" may be one of the best lines I've read on sdn.

I like the whole academic pyramid. I think it is fun. I liked it as a med student and I like it now.

Some people do find teaching and interacting with others fun.
 
The best part about med students? As I get older, they all stay the same age...
 
am i the only one finding this hilarious?

No.

Pathstudent, you should seriously consider politics or professional dating. Telling bull**** with a straight face is a rare and much sought-after gift.
 
I am just saying that if you make 250-300K as an academic attending versus 400K in Private practice partner, your overall pay might be greater when you add in the free health insurance, malpractice, slush fund, and retirement. And if nothing else you work much less per day. You might have greater responsibility in academics but people in private don't have a bunch of eager beaver step n fetch residents to manage their cases. Plus academics has the intangibles of greater joy of working with med students and residents and being a part of the greater academic path community. That is worth something, fo sho.

I know many more than 1 Dark Jedi in academics who make 400K and literally do nothing.
 
I found that Sacramento Newspaper website and looked up UCSF salaries. These are not bad at all. And remember you can add an extra 100K of pre-tax dollars when you add in malpractice, health insurance, travel funds, education slush fund, retirement.

Chair-470K
dermpath-518k
Molecular-220K
GU/GYNpath-185K
Neuropath-270K
Mousepathology-218K
 
And remember you can add an extra 100K of pre-tax dollars when you add in malpractice, health insurance, travel funds, education slush fund, retirement.

Retirement maybe, if you get a pension. The others are moot.
 
That is funny that on the ucsf website that someone has a specialty of mousepathology. That gives me an idea. I am going to talk to Caris dx about starting gi mousepathology We will steal all the business from those general mousepathologists. Is there a board exam for that? Or is it like gi pathology fellowship where you just spend a year doing surf path but with a mouse focus

But I understand why this is as scientists need people to study their mice. It just sounds kind of funny. But it is probably a smart move, you could parlay that into a lucrative consult business, or not.
 
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Chief of Anatomic Pathology

<TABLE cellSpacing=0 cellPadding=3 width="100%" xmlns:fo="http://www.w3.org/1999/XSL/Format"><TBODY><TR><TD class=Small vAlign=top width="50%">SALARY RANGE: 115,000.00 - 215,000.00 USD /year
Salary will be determined by compensation panel based on experience and education</TD><TD class=Small vAlign=top width="50%">OPEN PERIOD: Tuesday, March 03, 2009
to Thursday, December 31, 2009</TD></TR><TR><TD class=Small vAlign=top width="50%">SERIES & GRADE: VM-0602-15/15</TD><TD class=Small vAlign=top width="50%">POSITION INFORMATION: Full-Time Permanent</TD></TR><TR><TD class=Small vAlign=top width="50%">PROMOTION POTENTIAL: 15</TD><TD class=Small vAlign=top width="50%">DUTY LOCATIONS: vacancy(s) in one of the following locations: 1 vacancy - Los Angeles County, CA</TD></TR><TR><TD class=Small vAlign=top width="50%">WHO MAY BE CONSIDERED: Applications will be accepted from United States citizens and nationals.</TD><TD class=Small vAlign=top width="50%">TARGETED WORK ENVIRONMENT(S):
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Time in Career: Attracting applicants who want a work environment that welcomes entry and different stages of career from novice to retiree.
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Mission Focused: Attracting applicants who want a work environment that welcomes all motivations, from general service commitment to a specific passion. </TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="100%" border=0 xmlns:fo="http://www.w3.org/1999/XSL/Format"><TBODY><TR><TD class=Title>
JOB SUMMARY:</TD></TR><TR><TD vAlign=top></TD></TR><TR><TD vAlign=top>Greater Los Angeles HealthCare System (GLA) seeks a board certified physician in Pathology. Candidates must be able to direct the Anatomic Pathology section, teach medical students and residents and will be expected to sign out autopsy, surgical pathology, cytology, and FNA cases.Â


Candidate will take calls and provides interdisciplinary conferences and presentations for other departmental staff.Â


The Board Certified Pathologist must have:


(1) Completed fellowship training in one of the pathology sub specialties;


(2) An academic focus in research and interest in integrating molecular and genetic aspects of disorders with daily practice of pathology as evident by targeted publications, presentations, and potentially research funding or awards; and


(3) Qualifications for an academic appointments at the level of an assistant or associate professor at either of the affiliated medical schools (USC or UCLA).Â


Having at least ten years of experience as attending pathologist and at least five years of administrative experience as director of a laboratory.Â


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Salary will be determined by compensation panel based on experience and education from Table 2 Tier 2 raging from $115,000 - $215,000</TD></TR><TR><TD class=Title>
KEY REQUIREMENTS:</TD></TR><TR><TD>
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Chief of Anatomic Pathology at LA VA (snipped)

Several of those VA jobs have potential for academic appointment with proper qualifications (paraphrasing). Does that appointment necessarily come with an income as well?

Still, a division director for a 100-200k range in SoCal does seem like small potatoes.
 
They are requiring ten years of experience and saying the pay could be as low as 115K based on experience and you are the head of AP? That sounds like a joke. Who the hell would view that as a good-job? Surely there has to be a back-end pay-off. Do all VAs pay so meagerly? Oh well, it is still at least double the median US household income. That isn't so bad when you look at it like that. Plus the benefits are probably awesome given that you are a federal employee.
 

Please stop embarrassing yourself, it's really pathetic.

I initially thought pathstudent was enthusiastic but naive, but now I think he/she is a troll.
Dude I called that one along time ago, this guy is more annoying than good ole Dermpathlover, at least DPL was so far out there it was kind of funny.
 
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