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Medscape Hospitalist Compensation Report 2018

Sandra Levy | May 23, 2018 | Contributor Information

Hospitalists who responded to this year's Medscape compensation survey disclosed their compensation, how many hours they work per week, how many minutes they spend with each patient, which benefits they receive, if they are aiming for promotion, what is most rewarding and most challenging about their jobs, and more. (Some totals in this presentation do not equal 100% due to rounding.)

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Medscape Hospitalist Compensation Report 2018

Sandra Levy | May 23, 2018 | Contributor Information

For the purposes of this survey, results shown are for any physicians who identified themselves as hospitalists when completing the Medscape physician compensation survey. The term "hospitalist" generally refers to physicians who are responsible for monitoring, coordinating, and optimizing the care of acutely ill patients in the hospital setting. Typically, hospitalists tend to be internists, family physicians, and sometimes pediatricians, although in some institutions other specialists may fill the role.

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Medscape Hospitalist Compensation Report 2018

Sandra Levy | May 23, 2018 | Contributor Information

Hospitalists were asked to provide their annual compensation for patient care. For employed hospitalists, patient-care compensation includes salary, bonus, and profit-sharing contributions. For partners, this includes earnings after taxes and deductible business expenses but before income tax. When asked about their compensation, hospitalist groups that reported higher earnings than their non-hospitalist counterparts were psychiatrists, family physicians, internists, and pediatricians.

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Medscape Hospitalist Compensation Report 2018

Sandra Levy | May 23, 2018 | Contributor Information

Internists and family physician hospitalists earned less this year. In 2017, ob/gyn and pediatric hospitalists earned less than the year before and internists only slightly more. This year, the larger increases were among hospitalist ob/gyns and anesthesiologists.

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Medscape Hospitalist Compensation Report 2018

Sandra Levy | May 23, 2018 | Contributor Information

Average compensation for US-trained hospitalists somewhat exceeds that of their foreign-trained peers. US-trained hospitalists also earned more last year ($265,000 vs $258,000).

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Medscape Hospitalist Compensation Report 2018

Sandra Levy | May 23, 2018 | Contributor Information

About half of hospitalists are white/Caucasian. This result was similar to last year's. A similar percentage of hospitalists and non-hospitalist PCPs are black/African American.

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Medscape Hospitalist Compensation Report 2018

Sandra Levy | May 23, 2018 | Contributor Information

Among specific hospitalist specialties, 73% of ob/gyn and 64% of pediatric hospitalists are women versus 59% of both ob/gyn and pediatric non-hospitalists. Fewer hospitalists in internal medicine, family medicine, psychiatry, and anesthesiology are women compared with the non-hospitalist equivalent.

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Medscape Hospitalist Compensation Report 2018

Sandra Levy | May 23, 2018 | Contributor Information

Just as male physicians overall earn more than their female counterparts, so do male hospitalists. The salary difference between male and female hospitalists varies by specialty.

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Medscape Hospitalist Compensation Report 2018

Sandra Levy | May 23, 2018 | Contributor Information

Although hospital medicine is 20 years old, it is still considered a new subspecialty, so it is not surprising that hospitalists are younger than non-hospitalists. Three quarters of hospitalists are 49 or younger compared with over one half (56%) of non-hospitalists.

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Medscape Hospitalist Compensation Report 2018

Sandra Levy | May 23, 2018 | Contributor Information

More female and male non-hospitalists work part-time compared with their hospitalist peers. These findings are the same as last year's.

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Medscape Hospitalist Compensation Report 2018

Sandra Levy | May 23, 2018 | Contributor Information

Liability coverage, health insurance, dental insurance, and a retirement plan with a match are the most frequently provided benefits for hospitalists. Less than half of hospitalists received a bonus, and only 5% said they do not receive any benefits.

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Medscape Hospitalist Compensation Report 2018

Sandra Levy | May 23, 2018 | Contributor Information

More hospitalist pediatricians are happier with their compensation compared with their non-hospitalist counterparts. Of note, this hospitalist group also earns more than their counterparts. Over half of hospitalist internists and about half of their non-hospitalist peers are less satisfied with what they earn.

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Medscape Hospitalist Compensation Report 2018

Sandra Levy | May 23, 2018 | Contributor Information

Among hospitalists who feel unfairly compensated, over half think they should earn 11%-25% more, while over one fourth said they should earn 26%-50% more.

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Medscape Hospitalist Compensation Report 2018

Sandra Levy | May 23, 2018 | Contributor Information

Mortgages account for the highest percentage of hospitalist debt, as they did in the 2017 report. Car loan payments, college or medical school loans, and credit card debt are also high on hospitalists' debt list. Graduate school tuition for a child or children, business loans, and alimony came in at the bottom.

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Medscape Hospitalist Compensation Report 2018

Sandra Levy | May 23, 2018 | Contributor Information

More hospitalists are still paying off their school debts compared with their non-hospitalist counterparts. The average younger age of hospitalists may help explain this. The exceptions are family medicine, psychiatry, and ob/gyn hospitalists.

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Medscape Hospitalist Compensation Report 2018

Sandra Levy | May 23, 2018 | Contributor Information

Almost half (46%) of hospitalists spend 46 hours or more per week with patients. This is more time than reported by non-hospitalists (28%). These results were similar to last year's.

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Medscape Hospitalist Compensation Report 2018

Sandra Levy | May 23, 2018 | Contributor Information

The largest percentage of hospitalists and non-hospitalists reported that they spend 17-24 minutes with each patient. Slightly over one fifth of hospitalists spent 13-16 minutes.

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Medscape Hospitalist Compensation Report 2018

Sandra Levy | May 23, 2018 | Contributor Information

Hospitalists have more than their fair share of paperwork and administrative tasks. Three quarters of hospitalists and almost three quarters of non-hospitalists responding to this year's survey spend 10 hours or more per week on these tasks. Last year, over half of hospitalists reported that they spent 10 hours or more per week on these tasks.

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Medscape Hospitalist Compensation Report 2018

Sandra Levy | May 23, 2018 | Contributor Information

Just over one half of hospitalists aim for promotion. These results were similar to last year's, when just under one half of hospitalists said they were seeking promotion.

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Medscape Hospitalist Compensation Report 2018

Sandra Levy | May 23, 2018 | Contributor Information

Male and female hospitalists appear to be on the same wavelength when it comes to getting ahead in their careers. An equal percentage of male and female hospitalists reported that they are aiming for promotion.

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Medscape Hospitalist Compensation Report 2018

Sandra Levy | May 23, 2018 | Contributor Information

Just over one fifth of hospitalists reported that knowing they are making the world a better place is the most rewarding aspect of their job, followed by gratitude/relationships with patients and making money at a job that they like. Being proud of being a doctor, as well as teaching, were less often cited. Two percent found nothing rewarding.

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Medscape Hospitalist Compensation Report 2018

Sandra Levy | May 23, 2018 | Contributor Information

We also asked what hospitalists find most challenging about their jobs. Over one fifth said dealing with difficult patients. This was followed by having to work long hours and having to work with an EHR system.

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Medscape Hospitalist Compensation Report 2018

Sandra Levy | May 23, 2018 | Contributor Information

When asked whether they would still choose medicine if they had to do it over again, the great majority of hospitalists appear to be satisfied with their career choice and said yes. Pediatric hospitalists had the highest percentage and ob/gyns the lowest. Of note, pediatric hospitalists had a higher salary than their non-hospitalists counterparts, while ob/gyn hospitalists had a lower salary than their non-hospitalist peers.

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Medscape Hospitalist Compensation Report 2018

Sandra Levy | May 23, 2018 | Contributor Information

Of those who would choose medicine again, pediatric hospitalists showed a large preference for their specialty again over non-hospitalists, and ob/gyn non-hospitalists showed a large preference over hospitalists.

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Medscape Hospitalist Compensation Report 2018

Sandra Levy | May 23, 2018 | Contributor Information

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Medscape Hospitalist Compensation Report 2018

Sandra Levy | May 23, 2018 | Contributor Information

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