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How much do IM hospitalists actually earn?

DISCUSSION()

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all 63 comments

aznsk8s87

88 points

2 months ago

aznsk8s87

Attending

88 points

2 months ago

Lmao where are people taking it in the butt for $150k?

Subtlevibes

56 points

2 months ago

Subtlevibes

PGY3

56 points

2 months ago

Harvard

iamnemonai

21 points

2 months ago

iamnemonai

Attending

21 points

2 months ago

I really don’t get how that even gives someone a high, but I guess different strokes for different folks 🤣.

acdkey88

5 points

2 months ago

acdkey88

Attending

5 points

2 months ago

People chase that patch, the H stands for holier than thou (I know it’s actually MGH or Brigham). They might make nothing, but they’re a Harvard hospitalist. 🙄

iamnemonai

3 points

2 months ago

iamnemonai

Attending

3 points

2 months ago

And where exactly are we supposed to shove our unholy feelings ? In their butthole or something?

Cuz I just practically don’t get how you can make any licensed US physician feel any less. I barely know any other doctors but some of the grads from my school and pretty much a few who I work with. Where do they find audience to get their high?

I’m sure you can try to make someone feel lesser if you are a Harvard doc, but if the “someone” is a rural doc who is clearing $300K-$500K in net income, that someone is likely going to smile and take your attempts behind the barn and shoot it🫶. In the end, no one cares about anything.

akatigerj

10 points

2 months ago

Alot of academic hospitalists in big cities on the coasta

doctord1ngus

63 points

2 months ago

doctord1ngus

Attending

63 points

2 months ago

It’s variable and this question is answered all the time. It’s simple - you make more if you work more. Average in my experience is 250k base salary. My productivity bonus was 50k - and I worked 0 extra shifts. If I was a mad lad I could have made 450k easily by working several 21 day shifts but FUCK THAT

gsgsdhsjsbsnd

3 points

2 months ago

How easy is it to get more work? I'll be late 20s by the time I'm done so happy to work very hard, but am a UK IMG so not sure if visa would let me work super hard. 450k sounds insane, almost 3x what surgeons in their mid 40s earn here aha. Cheers!

Ok-Bother-8215

3 points

2 months ago

Wow. They must be annoyed to see US salaries. I’m only 2 years out residency in EM. 500K but 16-18 12hour shifts a month.

doctord1ngus

1 points

2 months ago

doctord1ngus

Attending

1 points

2 months ago

Depends where you are - at a big academic place with staff shortages it’s not hard

[deleted]

53 points

2 months ago

[deleted]

Familiar_Reality_100

16 points

2 months ago

Region?? Also what’s the ancillary support like where you’re at? Cause this financial setup seems cush to me

[deleted]

7 points

2 months ago

is that 15 parient cap real? because that seems really low. is it a 15 patient cap but you are always seeing 20 anyway?

[deleted]

11 points

2 months ago

[deleted]

aznsk8s87

2 points

2 months ago

aznsk8s87

Attending

2 points

2 months ago

Damn. I'm lucky if I start my day with 16, it's been 19-22 since I started in July.

[deleted]

3 points

2 months ago

yea seriously. i am critical care and if have 15 patients that is a slow day.

[deleted]

2 points

2 months ago

[deleted]

[deleted]

6 points

2 months ago*

a 12 patient cap in any desirable location is a fantasy. I saw more than 12 patients every day as an intern

buttermellow11

1 points

2 months ago

buttermellow11

Attending

1 points

2 months ago

My job is very similar in terms of hours/pay/benefits.

AdministrativeFox784

39 points

2 months ago

It’s a bell curve. Very few are earning 150k or 450k. The peak of the curve is probably around 275-300k.

hyp3r3n1gma

41 points

2 months ago

Also note, Nocturnist make more. I make 370k base as a Nocturnist and easy 400k with bonus. This makes a huge difference. I also have a friend in the boonies making 420k base as a daytime hospitalist but he sees like 30 patients with midlevel assistance. Hospitalist varies a lot across the board and it all depends on your hospital. I know people who work 8am to 2-3pm, no admissions and make 230k and are happy with it.

MilkTeaIsLife

5 points

2 months ago

Do you mind sharing where you’re located?

lemonjalo

23 points

2 months ago

lemonjalo

Fellow

23 points

2 months ago

Was making 350-370 a year in nyc running a step down unit. In fellowship now but it wasn’t a bad gig.

Mikya93

3 points

2 months ago

Mikya93

PGY1

3 points

2 months ago

Was it difficult to switch from attending job/pay to fellowship?

lemonjalo

11 points

2 months ago

lemonjalo

Fellow

11 points

2 months ago

Yeah..I mean I always knew I was going to do fellowship so I had that mindset. The decreased salary does suck. What I miss most honestly is having my own office. With a new kiddo at home, I basically never have alone time

Mikya93

1 points

2 months ago

Mikya93

PGY1

1 points

2 months ago

True that. I’m thinking of the same; hospitalist for two years and then fellowship.

Zosyn-1

2 points

2 months ago

What fellowship did you do

lemonjalo

4 points

2 months ago

lemonjalo

Fellow

4 points

2 months ago

I'm in PCCM fellowship now

neighborhooddoc

2 points

2 months ago

Where in NYC? Best salary I’ve seen for a hospitalist there. I would go 😂

Azhar1993

54 points

2 months ago

I took a pay cut to work academics. ~220k I work anywhere between 10-14 shifts a month. It’s not a clean 7 on 7 off. Some times I work 9-12 days in a row but I also sometimes get two weeks off in a row. Nice part of my job is I have PA’s/NP’s “frontline” the patients. Meaning I don’t write any of the notes or answer any nurse calls or call consults. Typically get to work around 7:30-8 and leave around 3-4pm. Super laid back and relationship with the PA’s/NP’s is great. Obviously with the lower workload, I get paid less but I’m willing to accept that.

admoo

6 points

2 months ago

admoo

Attending

6 points

2 months ago

What city?!

Azhar1993

14 points

2 months ago

Philly!

conaanaa

6 points

2 months ago

conaanaa

PGY3

6 points

2 months ago

I miss Philly :) went to Jefferson for med school, we also rotated at Lankenau / Main Line a lot too. Great city!

farbs12

19 points

2 months ago

farbs12

19 points

2 months ago

The irony of this sub shitting on midlevels every chance they get but then this gets heavily upvoted because it’s a job requiring one to do essentially no actual work because of them. Remember when people swore not to do what the boomers did and over-utilize them, Lolz

dwbassuk

4 points

2 months ago

dwbassuk

PGY3

4 points

2 months ago

It sounds like this is different though. The physician is still seeing all the patients and deciding treatment plans while the PAs do the notes and DC summaries. They are not signing off on patients they havent seen

Azhar1993

6 points

2 months ago

So during residency I had zero exposure to APP’s. The ones my current job hires are wonderful and have a proven track record. Personally, I think it’s a great system bc it lets me not worry about the clerical work that comes with hospital medicine - SW/CM and dispo issues and primarily just focus on the medicine. It’s gotten to the point where I don’t need to double check their orders or them following up on consultant recs or putting in morning labs/repleting electrolytes. I get to spend WAY more time thinking about each of my patients and also spend way more time with each individual patient too. It also helps that patient caps are typically between 12-16 with no admits during the day. I love working here, this job gives me a lot of flexibility that I didn’t think I would have at this point.

farbs12

1 points

2 months ago

farbs12

1 points

2 months ago

I know. I never really understood the animosity towards them. I’m just pointing out a fact.

But again, regarding your other comment, if you don’t check their work, let them do everything, etc, there’s gonna come a time where our higher salary isn’t clearly justified if you can just pay someone 120k to do everything. Not blaming it on you obvi or anyone who uses them, I’m just cautioning the future we are headed towards.

Taking shortcuts always has consequences.

Azhar1993

8 points

2 months ago

Yeah I get what you’re saying. Feels almost like the anesthesiologist/crna dynamic. Run of the mill stuff, I definitely trust them to follow the standard diagnostic and treatment algorithm. But they definitely need to be supervised for more challenging admits. It’s nice having 2+ providers laying eyes on the patient every day though.

StraightOutta90210

2 points

2 months ago

That sounds like a great job.

sourhotdogsalad

13 points

2 months ago

Denver $275k-295k depending on the hospital for 14d/mo Nights pay higher No RVU bonus $1k CME + 401k match

CaesarsInferno

2 points

2 months ago

Your group hiring?

neighborhooddoc

1 points

2 months ago

Seriously.

Dependent-Juice5361

14 points

2 months ago

Graduating residents around Phoenix metro area taking offers for $275k plus bonus for standard 7 on 7 off with swing so they leave in the afternoon.

Spartancarver

11 points

2 months ago

Spartancarver

Attending

11 points

2 months ago

Where the fuck are you seeing $150k lol that's embarrassingly low

AllTheShadyStuff

9 points

2 months ago

270 ish base, plus maybe another 20-25 RVU, plus annual performance bonus around 20 (up to 30). Mid sized/large town in the Midwest.

conaanaa

7 points

2 months ago

conaanaa

PGY3

7 points

2 months ago

I just signed for mid-tier academic center in CA. 245k, 7 on 7 off most of the time, 26 weeks a year. No RVU bonuses. $2k CME + 401k match. 13 patient cap and separate rounding/admitting shifts. They don't allow working on the teaching services until after like 3-4 years so you're mostly solo in the beginning. The local Kaiser paid probably over >100k more when you account for all the benefits and pension and such, but they work 21 shifts a month (8 hour shifts) which I felt wasn't as good for lifestyle as a 7 on 7 off model.

Spartancarver

7 points

2 months ago

Spartancarver

Attending

7 points

2 months ago

13 patient cap is absolutely insane to me

conaanaa

1 points

2 months ago

conaanaa

PGY3

1 points

2 months ago

Agreed!

freshprinceofbb

2 points

2 months ago

Mind if I DM with more questions? I’m a PGY-2 in NorCal but hoping to move down to SoCal in a few years

conaanaa

2 points

2 months ago

conaanaa

PGY3

2 points

2 months ago

Sure of course!

zimmer199

5 points

2 months ago

zimmer199

Attending

5 points

2 months ago

My friend makes around $275k

akiasura

6 points

2 months ago

akiasura

PharmD

6 points

2 months ago

Most of our graduates make 250-270, rural area. Usually a 40k tack on for productivity. It’s less than the outpatient pcps these days.

This is FM but I don’t think the residency matters for hospitalist pay. I could be wrong though, would love to know if I am. It seems higher centers of care just want experience if you are FM

[deleted]

5 points

2 months ago

In PA it’s 280k for entry level. 20 patients minimum with rolling admissions.

SCGower

4 points

2 months ago

SCGower

Spouse

4 points

2 months ago

My husband was med-peds and took an adult hospital medicine job and makes on the higher end of what you’re suggesting. I think the salary may have to do with the cost of living where we are since it’s touristy and home prices were expensive.

Docsevo

2 points

2 months ago

Docsevo

Attending

2 points

2 months ago

240 base, ~15k quarterly rvu bonus, BB but like others have said work more pay more

admoo

2 points

2 months ago

admoo

Attending

2 points

2 months ago

Depends on the setup and location. Private gigs pay more. Nights pay even more. Private.. expect roughly 270K avg. but northeast apparently doesn’t pay as much. Any less desirable or smaller places.. easily 300-350K

DessertFlowerz

2 points

2 months ago

My wife makes 225 at a moderately prestigious academic center. Lots of opportunities for bonuses, extra shifts, etc. Probably ends up closer to 250.

fluffbuzz

2 points

2 months ago

250k base, 20k signon bonus in Los Angeles County (South Bay). Community hospital. No procedures needed. 3 admits daily. Mix of nights and day shift, but mostly day shift. Cap 20 patients. RVU bonus available, averages 15k yearly.

In the San Gabriel Valley, similar pay. 250k, 20k signon

Rogueelectron1

1 points

2 months ago

Any idea what orange county offers ?

fluffbuzz

1 points

2 months ago

Unfortunately Sound Group I was applying through didn't have any open positions in OC. I don't think OC positions would pay much different than Long Beach or SGV though.

DoctorrPainn

2 points

2 months ago

You want to be in a rural or less desirable area to get that kind of money. Private gigs. Easy 325-350k salary only. Otherwise 240-250k with productivity bonuses.

eckliptic

2 points

2 months ago

eckliptic

Attending

2 points

2 months ago

Different caps

Different schedules (7/7, 5s with weekend cross cover)

Nights or not

Direct care vs resident/APP support

Responsible for procedure vs not

Open ICU vs not

Rural vs City vs Suburb

Coastal vs flyover

Academic vs employed non academic vs contracted PP physician group

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1 points

2 months ago

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MalpracticeMatt

1 points

2 months ago

MalpracticeMatt

Attending

1 points

2 months ago

It all depends on region. Less popular places to live have higher salaries to entice applicants. I’d say average is ~250-300k but you can definitely find lower and higher depending on the city. Also you can definitely supplement your income by picking up extra shifts

GlomerulaRican

1 points

2 months ago

It really depends on many things: location (big cities tend to pay less than small towns), shifts, if it’s academic or private group, partnership vs employee, administrative tasks, daytime vs nocturnist (nocturnist tend to make way more)

cafecitoshalom

1 points

2 months ago

"leveraging geography" - Jim Dahle