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Medscape Ob/Gyn Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Ob/gyns 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 Ob/Gyn 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. Ob/gyns were slightly below the middle this year at $286,000. Orthopedists were the highest earners this year at $489,000, and pediatricians the lowest at $202,000.

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Medscape Ob/Gyn 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 ob/gyns (3%), with plastic surgeons' and allergists' gains the largest at 24% and 16%, respectively.

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Medscape Ob/Gyn Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Average compensation for US-trained ob/gyns ($287,000) exceeds that of their foreign-trained peers ($274,000) by 5%. 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 Ob/Gyn Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Among ob/gyns, there is a wide gap in gender participation that varies by race. Overall, more men than women responded to the survey. However, there are more women ob/gyns among black/African American, Asian, and white/Caucasian groups, among whom 78%, 69%, and 53%, respectively, are women. Men predominate only among Hispanic/Latino ob/gyns (60%).

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Medscape Ob/Gyn Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

This year, the highest average compensation was reported by ob/gyns in the North Central ($339,000), West ($301,000), and Great Lakes ($297,000) regions, while the lowest was found in the Northwest ($260,000), Southwest ($268,000), and South Central ($275,000) regions.

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Medscape Ob/Gyn 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 ob/gyns earn 9% more than their employed peers ($300,000 vs $276,000).

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Medscape Ob/Gyn Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

This year, as in all previous years' reports, full-time male ob/gyns reported higher earnings than their female counterparts. Men earned $306,000, 13% more than women, who earned $270,000.

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Medscape Ob/Gyn Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Three quarters or more of ob/gyns this year say they receive both liability coverage (77%) and employer-subsidized health insurance (75%). In addition, about two thirds get paid time off (65%) and employer-subsidized dental insurance (64%). Nine percent reported that they receive no benefits.

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Medscape Ob/Gyn 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 ob/gyns, 14% of women and 10% of men surveyed work part-time.

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Medscape Ob/Gyn Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Slightly less than half (48%) of ob/gyns surveyed believe that they are fairly compensated, ranking them below 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 Ob/Gyn 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-one percent of ob/gyns 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 Ob/Gyn Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

This year, ob/gyns' participation in accountable care organizations (ACOs) increased to 43% from 35% in 2016, while 3% had concierge and 7% had cash-only practices. One quarter of ob/gyn respondents reported that none of the payment models listed apply to them.

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Medscape Ob/Gyn 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 ob/gyns if they expect to participate, and at 41%, they were among those less likely to answer affirmatively.

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Medscape Ob/Gyn Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

In this year's survey, when ob/gyns were asked whether they would drop insurers that pay poorly, 23% said they would and about half said they would not. (The question was not applicable to 27% of ob/gyn respondents, most likely because they are employed by hospitals or other organizations.)

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Medscape Ob/Gyn Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Forty-four percent of ob/gyns reported that they have seen an influx of new patients over the past year as a result of the Affordable Care Act, compared with 36% in 2016.

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Medscape Ob/Gyn Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Most ob/gyns (69%) surveyed said they will continue to take new and treat current Medicare and Medicaid patients. Twelve percent indicated that they intend to stop taking new patients, but only 4% will drop current patients who are recipients. Seven percent said they have not yet decided.

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Medscape Ob/Gyn 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 ob/gyns, 45% said they plan to participate in the exchanges, up from just 24% last year, while 20% do not plan to participate, down from 25%.

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Medscape Ob/Gyn Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Among ob/gyns, 48% reported no change in income due to health insurance exchanges, 4% said their income had increased, and 20% said that it had decreased. Twenty-eight percent of ob/gyn respondents did not participate in an exchange.

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Medscape Ob/Gyn Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

This year, 86% of ob/gyns surveyed said they either regularly or occasionally discuss the cost of treatment with patients. Forty-one percent reported that they do so occasionally and 45% said they do so regularly.

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Medscape Ob/Gyn Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

When we asked ob/gyns whether they charge patients for appointments missed without notice, 26% of solo practitioners said they do compared with 22% of respondents in single-specialty group practices and 12% of those in multispecialty groups.

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Medscape Ob/Gyn Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Thirty-eight percent of ob/gyns surveyed spend more than 45 hours each week with patients, down from 40% last year.

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Medscape Ob/Gyn Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

A large percentage of ob/gyns who responded this year (61%) spend between 13 and 24 minutes with each patient. A third spend 12 minutes or less and 7% spend 25 minutes or more. (Note: This slide applies to office-based physicians only.)

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Medscape Ob/Gyn 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. A similar 54% of the ob/gyns polled devote 10 hours or more to such tasks each week.

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Medscape Ob/Gyn Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Less than half (40%) of ob/gyns who are employed indicated that they are seeking a promotion.

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Medscape Ob/Gyn Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Gender may play some role in whether ob/gyns seek promotion. The gap between men and women who answered affirmatively is 6%, with a lower percentage of men (36%) than women (42%) saying they are seeking promotion.

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Medscape Ob/Gyn Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

In this year's survey, 41% of ob/gyns noted relationships with and gratitude from patients as the most rewarding aspect of their jobs. More than a quarter (26%) named being good at what they do and doing it well. Far lower percentages cited making good money at a job they like (12%), knowing they are making the world a better place (11%), and pride in their profession (7%). A scant 2% said they find nothing rewarding about their jobs.

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Medscape Ob/Gyn Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

In addition to asking what ob/gyns find most rewarding, we asked what they find most challenging about their jobs. Slightly less than a quarter chose either "longer hours for less pay" (23%) and "having so many rules and regulations" (22%).

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Medscape Ob/Gyn 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, 72% of ob/gyns answered affirmatively, ranking second lowest among all physicians.

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Medscape Ob/Gyn Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Of those who would choose medicine again, ob/gyns rank toward the bottom: 76% would also choose their own specialty again.

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Medscape Ob/Gyn Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

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Medscape Ob/Gyn Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

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Medscape Ob/Gyn Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

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