Agree. And same with PMR.
If a PMR doc gets a top ten ACGME Pain fellowship, he/she is not going to be cheaper than an anesthesia/pain doc who completed a fellowship in the bottom 30% of the country.
I can understand how hospital might use IMG, fresh grads, and people desperate to move to an area for family or otherwise, to save money on the salaries they pay.
However, this agreement doesn’t hold with DOs or PMR docs. For example, there is a SDN member (not me) who is a PMR doc who is a DO and did his PMR residency and fellowship at the Mayo Clinic.
He’s not going to get less of a salary package than an anesthesia pain doc who did his anesthesia and pain fellowship at average public state institutions.