
Medscape Pediatrician Compensation Report 2017
Pediatricians 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.)
Medscape Pediatrician Compensation Report 2017
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. Pediatricians were the lowest earners, at $202,000. Orthopedists were the highest earners this year at $489,000.
Medscape Pediatrician Compensation Report 2017
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, with plastic surgeons' and allergists' gains the largest at 24% and 16%, respectively.
Medscape Pediatrician Compensation Report 2017
Average compensation for foreign-trained pediatricians ($203,000) is nearly the same as that of their US-trained peers ($202,000). The average among all US-trained physicians surveyed is $301,000, second highest following those trained in Canada ($328,000).
Medscape Pediatrician Compensation Report 2017
Unlike with most other physician groups, among pediatricians, an equal or greater percentage of women than men of all races responded to the survey. The greatest percentage of women were among black/African American (74%) and Asian (57%) respondents. Percentages of women and men were about equal among white/Caucasian (51% vs 49%) and Hispanic/Latino (50% of each) respondents.
Medscape Pediatrician Compensation Report 2017
This year, the highest average compensation was reported by pediatricians in the Northwest ($219,000), North Central ($217,000), and Northeast ($213,000) regions, while the lowest was found in the Southeast ($194,000), Mid-Atlantic ($196,000), and South Central ($200,000) regions.
Medscape Pediatrician Compensation Report 2017
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 pediatricians earn 23% more than their employed peers ($233,000 vs $190,000).
Medscape Pediatrician Compensation Report 2017
This year, as in all previous years' reports, full-time male pediatricians reported higher earnings than their female counterparts. Men earned $222,000, 20% more than women, who earned $185,000.
Medscape Pediatrician Compensation Report 2017
Seventy-nine percent of pediatricians this year say they receive both employer-subsidized health insurance and liability coverage. In addition, 71% get paid time off and 67% have employer-subsidized dental insurance. Only 7% reported that they receive no benefits.
Medscape Pediatrician Compensation Report 2017
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 pediatricians, 27% of women and 13% of men surveyed work part-time.
Medscape Pediatrician Compensation Report 2017
Slightly over half (52%) of pediatricians surveyed believe that they are fairly compensated, ranking them about in the middle among all physicians. At the bottom of the list are nephrologists (41%) and endocrinologists (44%). Emergency medicine physicians, at 68%, rank highest.
Medscape Pediatrician Compensation Report 2017
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-eight percent of pediatricians believe they deserve to be earning between 11% and 25% more, while 7% believe their current income should be increased by over 75%.
Medscape Pediatrician Compensation Report 2017
This year, pediatricians' participation in accountable care organizations (ACOs) increased to 43% from 36% in 2016, while 3% had concierge and 4% had cash-only practices. More than one quarter (26%) of pediatrician respondents reported that none of the payment models listed apply to them.
Medscape Pediatrician Compensation Report 2017
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 pediatricians if they expect to participate, and at 33%, they were among the least likely to answer affirmatively.
Medscape Pediatrician Compensation Report 2017
In this year's survey, when pediatricians were asked whether they would drop insurers that pay poorly, 15% said they would and about half (48%) said they would not. (The question was not applicable to 37% of pediatrician respondents, most likely because they are employed by hospitals or other organizations.)
Medscape Pediatrician Compensation Report 2017
About one third (32%) of pediatricians reported that they have seen an influx of new patients over the past year as a result of the Affordable Care Act, compared with 26% in 2016.
Medscape Pediatrician Compensation Report 2017
Most pediatricians (72%) surveyed said they will continue to take new and treat current Medicare and Medicaid patients. Eight percent indicated that they intend to stop taking new patients, and 3% will drop current patients who are recipients. Four percent said they have not yet decided.
Medscape Pediatrician Compensation Report 2017
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 pediatricians, 36% said they plan to participate in the exchanges, up from just 21% last year, while 19% do not plan to participate, down from 26%.
Medscape Pediatrician Compensation Report 2017
Among pediatricians, 47% reported no change in income due to health insurance exchanges, 5% said their income had increased, and 12% said that it had decreased. Thirty-seven percent of pediatrician respondents did not participate in an exchange.
Medscape Pediatrician Compensation Report 2017
This year, 76% of pediatricians surveyed said they either regularly or occasionally discuss the cost of treatment with patients. Half reported that they do so occasionally and 26% said they do so regularly.
Medscape Pediatrician Compensation Report 2017
When we asked pediatricians whether they charge patients for appointments missed without notice, 32% of solo practitioners and 38% of respondents in single-specialty group practices said they do compared with 10% of those in multispecialty groups.
Medscape Pediatrician Compensation Report 2017
Twenty-two percent of pediatricians surveyed spend more than 45 hours each week with patients, down slightly from 26% last year.
Medscape Pediatrician Compensation Report 2017
Sixty-one percent of pediatricians spend between 13 and 24 minutes with each patient. Four percent spend 25 minutes or more, and 35% spend 12 minutes or less. (Note: This slide applies to office-based physicians only.)
Medscape Pediatrician Compensation Report 2017
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. Fifty-four percent of the pediatricians polled devote 10 hours or more to such tasks each week, slightly below the overall rate.
Medscape Pediatrician Compensation Report 2017
Less than half (44%) of pediatricians who are employed indicated that they are seeking a promotion.
Medscape Pediatrician Compensation Report 2017
Gender does not appear to play a major role in whether pediatricians seek promotion. The gap between men and women who answered affirmatively is 3%, with a slightly higher percentage of men (45%) than women (42%) saying they are seeking promotion.
Medscape Pediatrician Compensation Report 2017
In this year's survey, 45% of pediatricians cited relationships with and gratitude from patients as the most rewarding aspect of their jobs, about a quarter (23%) named being good at what they do and doing it well, and 14% chose making the world a better place. Far fewer pediatricians chose the other available options. A scant 2% said they find nothing rewarding about their jobs.
Medscape Pediatrician Compensation Report 2017
In addition to asking what pediatricians find most rewarding, we asked what they find most challenging about their jobs. About a quarter (24%) chose the number-one response, "having so many rules and regulations." Longer hours for less pay placed second at 21%, followed at 16% by dealing with difficult patients.
Medscape Pediatrician Compensation Report 2017
When asked this year whether they would still choose medicine if they had to do it over again, 78% of pediatricians answered affirmatively, ranking them slightly below the middle among all physicians.
Medscape Pediatrician Compensation Report 2017
Of those who would choose medicine again, pediatricians rank near the top: 81% would also choose their own specialty again.
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