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Study: Significant Gaps in US Doctor Compensation

May 2017

Doximity, a social network for physician and advanced practice clinicians, released its first annual Physician Compensation Report. The study found significant variations in average compensation, across 48 specialties, major cities, and gender. It examined national, as well as local market trends across US metropolitan statistical areas. The physician compensation report is based on 36,000 verified physician respondents. It includes only licensed physicians in the United States who practice at least 40 hours a week. Key findings include:

• Rural and lower cost cities tended to have higher physician compensation than higher cost areas, such as New York, San Francisco, and Chicago.
• Dermatology is one of the 24 specialties with the highest average annual compensation ($420,000)
• The top 5 metro areas in which physicians are paid the highest average annual salary are: Charlotte, NC ($359,455); Bridgeport, CT. ($353,925); Phoenix, AZ ($351,677); Milwaukee, WI ($345,831); and Houston, TX ($345,079).
• The bottom 5 metro areas in which physicians are paid the lowest average annual salary are: Durham, NC ($267,598);  Ann Arbor, MI ($272,398); Baltimore, MD ($281,005); Charleston, SC ($285,933); and Washington, DC ($286,242).
• Female physicians on average earn 26.5% less, or in dollar terms, $91,284 less than their male counterparts. Moreover, there is no medical specialty identified in the study in which women earn more than men. As an example, female dermatologists earn $76,692 less than their male counterparts. Also, there is no place in the United States where women out-earn men.
• The 5 largest gender wage gaps are found in: Charlotte, NC (33% less or $125,035); Durham, NC (31% less or $90,480); Orlando, FL (30% less or $107,942); Pittsburgh, PA (30% less or $100,956); and Bridgeport, CT (29% less or $110,582).
• The specialties with the largest gender wage gap are: vascular surgery (20% less or $88,800); occupational medicine (20% less or $53,921); pediatric endocrinology (20% less or $41,467); gastroenterology (19% less or $78,490); and pediatric rheumatology (19% less or $45,412).
• For female physicians, the metro areas in which female physicians are paid the highest average annual salary are: Minneapolis, MN ($290,747); Phoenix, AZ ($290,536); Milwaukee, WI ($287,950); Indianapolis, IN ($281,987); and Dallas, TX ($278,825).
• The metro areas in which female physicians are paid the lowest average annual salary are: Durham, NC ($205,635);  Charleston, SC ($219,112); Ann Arbor, MI ($225,004); Baltimore, MD ($226,048); and Washington, DC ($227,263).

“No matter what happens with health care reform, physicians will remain at the core of our health system. Policymakers and industry leaders must clearly understand how the marketplaces vary for men and women across the country and among medical specialties,” said Chris Whaley, PhD, lead author and adjunct assistant professor at the University of California, Berkeley School of Public Health. “Disparities in compensation directly affect the distribution of physicians around the country, which can impact patient care directly.”

Doximity, a social network for physician and advanced practice clinicians, released its first annual Physician Compensation Report. The study found significant variations in average compensation, across 48 specialties, major cities, and gender. It examined national, as well as local market trends across US metropolitan statistical areas. The physician compensation report is based on 36,000 verified physician respondents. It includes only licensed physicians in the United States who practice at least 40 hours a week. Key findings include:

• Rural and lower cost cities tended to have higher physician compensation than higher cost areas, such as New York, San Francisco, and Chicago.
• Dermatology is one of the 24 specialties with the highest average annual compensation ($420,000)
• The top 5 metro areas in which physicians are paid the highest average annual salary are: Charlotte, NC ($359,455); Bridgeport, CT. ($353,925); Phoenix, AZ ($351,677); Milwaukee, WI ($345,831); and Houston, TX ($345,079).
• The bottom 5 metro areas in which physicians are paid the lowest average annual salary are: Durham, NC ($267,598);  Ann Arbor, MI ($272,398); Baltimore, MD ($281,005); Charleston, SC ($285,933); and Washington, DC ($286,242).
• Female physicians on average earn 26.5% less, or in dollar terms, $91,284 less than their male counterparts. Moreover, there is no medical specialty identified in the study in which women earn more than men. As an example, female dermatologists earn $76,692 less than their male counterparts. Also, there is no place in the United States where women out-earn men.
• The 5 largest gender wage gaps are found in: Charlotte, NC (33% less or $125,035); Durham, NC (31% less or $90,480); Orlando, FL (30% less or $107,942); Pittsburgh, PA (30% less or $100,956); and Bridgeport, CT (29% less or $110,582).
• The specialties with the largest gender wage gap are: vascular surgery (20% less or $88,800); occupational medicine (20% less or $53,921); pediatric endocrinology (20% less or $41,467); gastroenterology (19% less or $78,490); and pediatric rheumatology (19% less or $45,412).
• For female physicians, the metro areas in which female physicians are paid the highest average annual salary are: Minneapolis, MN ($290,747); Phoenix, AZ ($290,536); Milwaukee, WI ($287,950); Indianapolis, IN ($281,987); and Dallas, TX ($278,825).
• The metro areas in which female physicians are paid the lowest average annual salary are: Durham, NC ($205,635);  Charleston, SC ($219,112); Ann Arbor, MI ($225,004); Baltimore, MD ($226,048); and Washington, DC ($227,263).

“No matter what happens with health care reform, physicians will remain at the core of our health system. Policymakers and industry leaders must clearly understand how the marketplaces vary for men and women across the country and among medical specialties,” said Chris Whaley, PhD, lead author and adjunct assistant professor at the University of California, Berkeley School of Public Health. “Disparities in compensation directly affect the distribution of physicians around the country, which can impact patient care directly.”

Doximity, a social network for physician and advanced practice clinicians, released its first annual Physician Compensation Report. The study found significant variations in average compensation, across 48 specialties, major cities, and gender. It examined national, as well as local market trends across US metropolitan statistical areas. The physician compensation report is based on 36,000 verified physician respondents. It includes only licensed physicians in the United States who practice at least 40 hours a week. Key findings include:

• Rural and lower cost cities tended to have higher physician compensation than higher cost areas, such as New York, San Francisco, and Chicago.
• Dermatology is one of the 24 specialties with the highest average annual compensation ($420,000)
• The top 5 metro areas in which physicians are paid the highest average annual salary are: Charlotte, NC ($359,455); Bridgeport, CT. ($353,925); Phoenix, AZ ($351,677); Milwaukee, WI ($345,831); and Houston, TX ($345,079).
• The bottom 5 metro areas in which physicians are paid the lowest average annual salary are: Durham, NC ($267,598);  Ann Arbor, MI ($272,398); Baltimore, MD ($281,005); Charleston, SC ($285,933); and Washington, DC ($286,242).
• Female physicians on average earn 26.5% less, or in dollar terms, $91,284 less than their male counterparts. Moreover, there is no medical specialty identified in the study in which women earn more than men. As an example, female dermatologists earn $76,692 less than their male counterparts. Also, there is no place in the United States where women out-earn men.
• The 5 largest gender wage gaps are found in: Charlotte, NC (33% less or $125,035); Durham, NC (31% less or $90,480); Orlando, FL (30% less or $107,942); Pittsburgh, PA (30% less or $100,956); and Bridgeport, CT (29% less or $110,582).
• The specialties with the largest gender wage gap are: vascular surgery (20% less or $88,800); occupational medicine (20% less or $53,921); pediatric endocrinology (20% less or $41,467); gastroenterology (19% less or $78,490); and pediatric rheumatology (19% less or $45,412).
• For female physicians, the metro areas in which female physicians are paid the highest average annual salary are: Minneapolis, MN ($290,747); Phoenix, AZ ($290,536); Milwaukee, WI ($287,950); Indianapolis, IN ($281,987); and Dallas, TX ($278,825).
• The metro areas in which female physicians are paid the lowest average annual salary are: Durham, NC ($205,635);  Charleston, SC ($219,112); Ann Arbor, MI ($225,004); Baltimore, MD ($226,048); and Washington, DC ($227,263).

“No matter what happens with health care reform, physicians will remain at the core of our health system. Policymakers and industry leaders must clearly understand how the marketplaces vary for men and women across the country and among medical specialties,” said Chris Whaley, PhD, lead author and adjunct assistant professor at the University of California, Berkeley School of Public Health. “Disparities in compensation directly affect the distribution of physicians around the country, which can impact patient care directly.”