Increased earnings can’t stop rising discontent

Internists skilled most of the typical ups and downs relating to nonclinical issues in 2022: Compensation was up, however satisfaction with compensation was down; the share of internists who would select one other specialty was up and time spent on paperwork and administration was down solely barely.

A yr that started with the COVID-19 Omicron surge ended with most of the usual points regaining the eye of physicians, in accordance with those that responded to Medscape’s annual compensation survey, which was carried out from Oct. 2, 2022, to Jan. 17, 2023.


“Lowering Medicare reimbursement and poor payor combine destroy our revenue,” one doctor wrote, and one other stated that “sufferers have develop into impolite and include poor info from social media.” One respondent described the scenario this manner: “Overwhelming burnout. I needed to scale back my hours to maintain myself from quitting medication fully.”

For internists at the very least, among the survey outcomes had been constructive. For the 13% of the ten,011 respondents who follow inner medication, common compensation went from $264,000 in 2021 to $273,000 in 2022, a rise of virtually 4% that matched the typical for all physicians. Among the many different major care specialists, pediatricians did nearly as nicely with a 3% enhance, however ob.gyns. and household physicians solely managed to maintain their 2022 earnings at 2021 ranges.

Total doctor compensation for 2022 was $352,000, a rise of virtually 18% since 2018. “Provide and demand is the most important driver,” Mike Belkin, JD, of doctor recruitment agency Merritt Hawkins, stated in an interview. “Organizations perceive it isn’t getting any simpler to get good candidates, and so for essentially the most half, physicians are getting good gives.”

The newest enhance in earnings amongst internists additionally included a decline: The disparity between mens’ and womens’ compensation dropped from 24% in 2021 to 16% in 2022. The hole was barely bigger for all physicians in 2022, with males incomes about 19% greater than ladies, and bigger once more amongst specialists at 27%, however each of these figures are decrease than in recent times, Medscape stated.


Satisfaction with their compensation, nonetheless, was not excessive for internists: Solely 43% really feel that they’re pretty paid, coming in above solely ophthalmology (42%) and infectious ailments (35%) and nicely under psychiatry (68%) on the prime of the checklist, the Medscape knowledge present. In the 2022 report, 49% of internists stated that they’d been pretty paid.

In one other supply of potential dissatisfaction, internist respondents reported spending a median of 17.9 hours every week on paperwork and administration, slightly below the survey leaders, bodily medication and rehabilitation (18.5 hours) and nephrology (18.1 hours) and nicely above anesthesiology, which was the bottom of the 29 specialties at 9.0 hours, and the 2022 common of 15.5 hours for all physicians, Medscape stated. A small brilliant spot comes within the type of a decline from the internists’ time of 18.7 hours per week in 2021.

When requested if they’d select medication once more, 72% of internist respondents and 73% of all physicians stated sure, with emergency medication (65%) and dermatology (86%) representing the 2 extremes. A query about specialty alternative confirmed internists to be the least doubtless of the 29 included specialties to observe the identical path, with 61% (down from 63% in 2022) approving their preliminary choice, versus 97% for plastic surgeons, Medscape reported.

Commenters among the many survey respondents weren’t recognized by specialty, however dissatisfaction on many fronts was a particular theme:

  • “Our prices go up, and our reimbursement doesn’t.”

  • “Our follow was acquired by enterprise capital companies; they slashed prices.”

  • “My productiveness bonus ought to have come to $45,000. As an alternative I used to be paid solely $15,000. But cardiologists and directors who had been working from house a part of the yr obtained their full bonus.”

  • “I’ll now not follow cookbook mediocrity.”

This story initially appeared on, a part of the Medscape Skilled Community.

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