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Medscape Otolaryngologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Otolaryngologists 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 Otolaryngologist 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. Otolaryngologists were fifth from the top this year at $398,000. Orthopedists were the highest earners at $489,000, and pediatricians the lowest at $202,000.

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Medscape Otolaryngologist 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 otolaryngologists (13%), with plastic surgeons' and allergists' gains the largest at 24% and 16%, respectively.

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Medscape Otolaryngologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Average compensation for foreign-trained otolaryngologists ($547,000) exceeds that of their US-trained peers ($388,000) by 41%. 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 Otolaryngologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Among otolaryngologists, there is a wide gap in gender participation that may have some association with race. More men than women of all races responded to the survey. The gender gap is even greater among white/Caucasian and Asian respondents: Among them, 92% and 86%, respectively, are men. Other racial groups were represented by too low a percentage of respondents to be included in this comparison.

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Medscape Otolaryngologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

This year, the highest average compensation was reported by otolaryngologists in the Northeast ($493,000), Southeast ($419,000), and North Central ($413,000) regions, while the lowest was found in the Northwest ($308,000), the West ($324,000), and the Southwest ($342,000).

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Medscape Otolaryngologist 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 otolaryngologists earn 10% more than their employed peers ($421,000 vs $383,000).

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Medscape Otolaryngologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

This year, as in all previous years' reports, full-time male otolaryngologists reported higher earnings than their female counterparts. Men earned $401,000, 7% more than women, who earned $375,000.

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Medscape Otolaryngologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Three quarters of otolaryngologists this year say they receive employer-subsidized health insurance and 72% have liability coverage. In addition, 64% have employer-subsidized dental insurance and 59% get paid time off. Ten percent reported that they receive no benefits.

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Medscape Otolaryngologist 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 otolaryngologists, however, 13% of men and 7% of women surveyed work part-time.

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Medscape Otolaryngologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Sixty percent of otolaryngologists surveyed believe that they are fairly compensated, ranking them toward the top among all physicians. At the bottom of the list are nephrologists (41%) and endocrinologists (44%). Emergency medicine physicians, at 68%, rank highest.

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Medscape Otolaryngologist 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. Thirty-seven percent of otolaryngologists believe that they deserve to be earning either 11%-25% or 26%-50% more, while 11% believe that their current income should be increased by over 75%.

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Medscape Otolaryngologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Forty-two percent of otolaryngologists participated in accountable care organizations (ACOs) this year, while 2% had concierge or cash-only practices. About one third (32%) of otolaryngologist respondents reported that none of the payment models listed apply to them.

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Medscape Otolaryngologist 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 otolaryngologists if they expect to participate, and at 50%, they were slightly above the middle among physicians who answered affirmatively.

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Medscape Otolaryngologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

In this year's survey, when otolaryngologists were asked whether they would drop insurers that pay poorly, 29% said they would and less than half (42%) said they would not. (The question was not applicable to 29% of otolaryngologist respondents, most likely because they are employed by hospitals or other organizations.)

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Medscape Otolaryngologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Thirty-nine percent of otolaryngologists reported that they have seen an influx of new patients over the past year as a result of the Affordable Care Act.

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Medscape Otolaryngologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Most otolaryngologists (82%) surveyed said they will continue to take new and treat current Medicare and Medicaid patients. Only 3% indicated that they intend to stop taking new patients, and none will drop current patients who are recipients. Ten percent said they have not yet decided.

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Medscape Otolaryngologist 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 otolaryngologists, 46% said they plan to participate in the exchanges, while 17% do not plan to participate.

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Medscape Otolaryngologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Among otolaryngologists, 40% reported no change in income due to health insurance exchanges, 4% said their income had increased, and 25% said that it had decreased. Thirty percent of otolaryngologist respondents did not participate in an exchange.

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Medscape Otolaryngologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

This year, 87% of otolaryngologists surveyed said they either regularly or occasionally discuss the cost of treatment with patients. Forty-eight percent reported that they do so occasionally and 39% said they do so regularly.

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Medscape Otolaryngologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

When we asked otolaryngologists whether they charge patients for appointments missed without notice, 7% of solo practitioners said they do compared with 21% of respondents in single-specialty group practices and 11% of those in multispecialty groups.

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Medscape Otolaryngologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

About two thirds (67%) of otolaryngologists surveyed spend less than 45 hours each week with patients.

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Medscape Otolaryngologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Most otolaryngologists who responded this year (59%) spend between 13 and 24 minutes with each patient. Only 4% spend 25 minutes or more, and 37% spend 12 minutes or less. (Note: This slide applies to office-based physicians only.)

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Medscape Otolaryngologist 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, 58% of the otolaryngologists polled devote 10 hours or more to such tasks each week.

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Medscape Otolaryngologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Thirty-eight percent of otolaryngologists who are employed indicated that they are seeking a promotion.

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Medscape Otolaryngologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Gender may play a role in whether otolaryngologists seek promotion. The gap between men and women who answered affirmatively is 14%, with a lower percentage of men (36%) than women (50%) saying they are seeking promotion.

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Medscape Otolaryngologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

In this year's survey, 32% of otolaryngologists named being good at what they do and doing it well. More than a quarter (27%) cited relationships with and gratitude from patients as the most rewarding aspect of their jobs. Far lower percentages chose the other available options.

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Medscape Otolaryngologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

In addition to asking what otolaryngologists find most rewarding, we asked what they find most challenging about their jobs. Forty-three percent chose the number-one response, "having so many rules and regulations." Having to work with an electronic health record (EHR) system followed at 14%. All other challenges received 11% except for worrying about being sued (7%).

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Medscape Otolaryngologist 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, 73% of otolaryngologists answered affirmatively, ranking them third from the bottom among other physicians.

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Medscape Otolaryngologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

Of those who would choose medicine again, otolaryngologists rank toward the top: 92% would also choose their own specialty again.

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Medscape Otolaryngologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

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Medscape Otolaryngologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

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Medscape Otolaryngologist Compensation Report 2017

Sarah Grisham | April 12, 2017 | Contributor Information

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Medscape Physician Compensation Report 2016

Nearly 19,200 physicians in over 26 specialties described their income, career satisfaction, hours worked, and whether they'd go into medicine again.Medscape Features Slideshows, April 2016
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