Keep in mind that almost all Pediatric subspecialists other than neonatologists work in academics, so their starting salary is going to be way below their average salary. Academic salaries are structured in increase frequently at a faster rate than inflation, with especially big jumps at the promotions to associate and full professor.
I don't know what your school was offering or what you think an FM NP makes. However I just finished a job hunt and most of the offers I got for general Pediatrics were in line with what family physicians make, and the differential between academic and private salaries was less than 20% (and usually no difference at all if you looked at pay per clinical hour, or pay per patient).
That's a good argument for choosing Pediatrics over adult medicine, but is it really a good argument for pursuing subspecialty training over being a generalist? None of the studies on the site you linked seemed to support an increased satisfaction among subspecialists.
I don't see that as a problem. Less money is fine, as long as you are working less in exchange for the pay cut. Actually I see the ability to titrate your work hours as another big advantage of staying a generalist. You can be a generalist for as little as 0.2 FTE or work as much as 3.0 FTE, and can titrate month by month depending on your family situation, job satisfaction, and level of burnout. If you want to change your work environment you can go across the road to any one of a dozen practices in your town or even hang up your own shingle. Its flexible
Alternatively get a job as fast as you can, work a lot of extra shifts while the demand for physicians is at an all time high, and then you don't need to worry about the future because you have already paid off your house.
But it is fun to throw the adult programs under the bus from time to time in meetings. Just saying.
Treating kids doesn't translate into increased shareholder value.
I can't see the above video for some reason but color me skeptical.
Maybe in flyover states and remote areas. Peds urgent care isn't really that high in top 10 MSA cities. PICU, NICU and Cards are still the highest paid followed by EM and GI
It’s not a video it’s a PDF of the mgma
I was able to look at the PDF finally. A lot of the peds salaries seem accurate but I don't know where they're getting that urgent care figure from. All I can think is that they might have been dealing with a very small sample size. How else would you explain the $125k regional disparity?
This just demonstrates the redundncy waste created by what in the end are arbitrary standards like board certification. It's over-credentialism. I'm sure with the training you already have, you could walk into a PICU and more than hold your own.
What'd you mean by you did both peds and anesthesia? I'm assuming you did an anesthesia residency followed by a peds anesthesia fellowship or did you happen to start with peds residency and re-applied to anesthesia midway or after!!
It makes sense why you had to go that route but you'd be able to pay off your debt in under 5 years if you don't upgrade your lifestyle much since even the most cushy Anesthesiology gigs pay out $400-450k+and some on par with surgeons while most PICU gigs range around $300-330k
Fair. Probably true
I wouldn't really doubt the $125k disparity but what's surprising is it's for urgent care. One of the peds cards attending in my program who is interviewing to move to DC said she had two offers, one in DC and the other in Manassas, VA with the latter paying almost $100k more in base salary over the former
Well the one in DC is probably academic and at a prestigious institution. Big name places know they don't have to pay that well to attract physicians.
Not really, both were PP groups with an identical number of physicians/surgeons mix except that the one in DC was in downtown while Masassas is an hour away. Apart from the difference in base salary, other compensation, work hours & benefits are almost the same
