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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Gastroenterologists who responded to this year's Medscape compensation survey disclosed their compensation, number of hours they work weekly, their major rewards and challenges, and more. (Note: Chart values have been rounded and may differ from the sums cited in the captions.)

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Survey respondents were asked to provide their annual compensation for patient care. For employed physicians, this includes salary, bonus, and profit-sharing contributions. For partners, it includes earnings after taxes and deductible business expenses before income tax. Gastroenterologists were seventh from the top this year at $391,000. Orthopedists were the highest earners this year at $489,000, and pediatricians the lowest at $202,000.

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Compensation for cardiologists and oncologists has not changed since the 2016 survey. Pediatricians were the only specialists who reported a decrease this year, of 1%. All other survey respondents reported an increase, including gastroenterologists (3%), with plastic surgeons' and allergists' gains the largest at 24% and 16%, respectively.

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Average compensation for foreign-trained gastroenterologists ($409,000) exceeds that of their US-trained peers ($384,000) by 7%. The average among all US-trained physicians surveyed is $301,000, second highest following those trained in Canada ($328,000).

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Among gastroenterologists, there is a wide gap in gender participation. More men than women of all races responded to the survey, but 60% of black/African American gastroenterologists are men and 40% are women, while the gap is even greater between white/Caucasian, Hispanic/Latino and Asian respondents: Among them, 87%, 76%, and 72%, respectively, are men.

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

This year, the highest average compensation was reported by gastroenterologists in the Northwest ($564,000), North Central ($477,000), and Great Lakes ($436,000) regions, while the lowest was found in the South Central ($345,000) and Mid-Atlantic ($362,000) regions.

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Physicians who are employed earn less than those who are self-employed, trading in a higher salary for less time spent dealing with administrative and business issues.

Self-employed gastroenterologists earn 24% more than their employed peers ($434,000 vs $350,000).

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

This year, as in all previous years' reports, full-time male gastroenterologists reported higher earnings than their female counterparts. Men earned $409,000, 33% more than women, who earned $308,000.

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Three quarters of gastroenterologists this year say they receive employer-subsidized health insurance and 70% have liability coverage. In addition, 59% get employer-subsidized dental insurance and 58% have paid time off. Ten percent reported that they receive no benefits.

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

This year, among all physicians, nearly one quarter (22%) of women and 10% of men reported that they work part-time (less than 40 hours per week). Among gastroenterologists, however, only 11% of women and 6% of men surveyed work part-time.

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Fifty-one percent of gastroenterologists surveyed believe that they are fairly compensated, ranking them in the middle among all physicians. At the bottom of the list, just 41% of nephrologists reported that they feel their compensation is fair, followed in dissatisfaction by endocrinologists (44%). Emergency medicine physicians, at 68%, were most likely to report that they do feel fairly compensated.

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

This year, in addition to asking respondents if they are satisfied with their compensation, the Medscape survey asked those who were not satisfied how large an increase they feel they deserve. Forty-two percent of gastroenterologists believe they deserve to be earning between 11% and 25% more, while 10% believe their current income should be increased by over 75%.

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

This year, gastroenterologists' participation in accountable care organizations (ACOs) increased to 40% from 34% in 2016, while 3% had concierge and 4% had cash-only practices. More than one quarter (28%) of gastroenterologist respondents reported that none of the payment models listed apply to them.

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), also known as the permanent "Doc Fix," went into effect on January 1, 2017. This year's Medscape survey asked gastroenterologists if they expect to participate, and at 54%, they were among the most likely to answer affirmatively.

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

In this year's survey, when gastroenterologists were asked whether they would drop insurers that pay poorly, 28% said they would and nearly half (48%) said they would not. (The question was not applicable to 24% of gastroenterologist respondents, most likely because they are employed by hospitals or other organizations.)

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Forty-five percent of gastroenterologists reported that they have seen an influx of new patients over the past year as a result of the Affordable Care Act, with almost no change since 2016 (44%).

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Most gastroenterologists (77%) surveyed said they will continue to take new and treat current Medicare and Medicaid patients. Only 6% indicated that they intend to stop taking new patients, and 2% will drop current patients who are recipients. Ten percent said they have not yet decided.

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

This year has seen a notable increase in the percentage of all Medscape survey respondents who say they are participating in healthcare exchanges, up to 37% from 19% in 2016. Among gastroenterologists, 44% said they plan to participate in the exchanges, up from 27% last year, while 17% do not plan to participate, down from 24%.

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Among gastroenterologists, 46% reported no change in income due to health insurance exchanges, 5% said their income had increased, and 20% said that it had decreased. Twenty-nine percent of gastroenterologist respondents did not participate in an exchange.

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

This year, 87% of gastroenterologists surveyed said they either regularly or occasionally discuss the cost of treatment with patients. Thirty-eight percent of gastroenterologists reported that they do so regularly and 49% said they do so occasionally.

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

When we asked gastroenterologists whether they charge patients for appointments missed without notice, 9% of solo practitioners said they do, compared with 34% of respondents in single-specialty group practices and 12% of those in multispecialty groups.

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Half of gastroenterologists surveyed spend more than 45 hours each week with patients—up slightly from 48% last year—and half put in 45 hours per week or less.

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Most gastroenterologists who responded this year (72%) spent between 13 and 24 minutes with each patient. Fourteen percent spend 25 minutes or more, and 15% spent 12 minutes or less. (Note: This slide applies to office-based physicians only.)

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

According to this year's Medscape Lifestyle Report, bureaucratic tasks remain the primary cause of burnout among physicians. More than half (56%) of all physicians surveyed spend 10 hours or more per week on paperwork and administration, up from 35% in the 2014 report. Slightly exceeding the overall rate, 57% of the gastroenterologists polled devote 10 hours or more to such tasks each week.

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

More than half (55%) of gastroenterologists who are employed indicated that they are seeking a promotion.

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Gender does not appear to play a major role in whether gastroenterologists seek promotion. The gap between men and women who answered affirmatively is 6%, with a slightly lower percentage of men (53%) than women (59%) saying they are seeking promotion.

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

In this year's survey, more than a third (35%) of gastroenterologists named being good at what they do and doing it well as the most rewarding aspect of their jobs, and 32% chose relationships with and gratitude from patients. Far lower percentages cited making good money at a job they like and pride in their profession (10% for each) and knowing they are making the world a better place (8%). A scant 3% said they find nothing rewarding about their jobs.

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

In addition to asking what gastroenterologists find most rewarding, we asked what they find most challenging about their jobs. Nearly one quarter (24%) chose the number-one response, "having so many rules and regulations." Longer hours for less pay placed second at 19%.

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

When asked this year whether they would still choose medicine if they had to do it over again, 82% of gastroenterologists answered affirmatively, making them the fourth least regretful among all physicians.

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Of those who would choose medicine again, gastroenterologists rank in the top one third among physicians: 90% would also choose their own specialty again.

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

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Medscape Gastroenterologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

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