OB/GYN salaries?

[White-Tiger]

I'm just wondering how much OB/GYN people make on average?

[physiology]

It depends how much you work and what you do. If you do lots of obstetrics, you can make 600-800 k. Making over 1 million a year is not unheard of - but those types are extremely busy and do +++ call.

 

If you do private fertility work, you can also make good money.

 

Some provinces give you a stipend for being on call (in BC, it's called the MOCAP). In-house call (high risk = anesthesia and OB/GYN) andd high / medium and low acuity home call are all remunerated differently.

 

Alternatively some centres are moving towards a shift system (like ER).

 

OB/GYN is a well-remunerated specialty, but boy do they work for it.

[moo]

I talked to one OB during my family medicine residency who was complaining that midwives made more than her in terms of hours of work. She wanted to get licensed as a midwife but the midwifery college wouldn't allow her without doing more training. So who knows?

[White-Tiger]

It depends how much you work and what you do. If you do lots of obstetrics, you can make 600-800 k. Making over 1 million a year is not unheard of - but those types are extremely busy and do +++ call.

 

 

600-800k? Really? That's quite a lot of money...

 

Anyone else have input on this?

[physiology]

Why you don't believe me?

 

I just checked a book that publishes gross billings and it seems like they make $300 k to to about $600 k. Some outliers may earn more or less.

 

Don't forget these are gross billings. They must pay relatively high CMPA / liability dues.

 

After taxes, office expenses, and if they decide to incorporate, their take home pay is significantly less. Incorporation offers you a tax advantage though.

[A-Stark]

General surgeons locally make between $350-400k (those are tertiary care centre salaries), and from what I've heard from some obstetricians, they make less (though not a lot less) than that. Gynecologic surgery can pay well; gynecologic oncology is probably comparable to surgical subspecialties. Office gynecology does not pay particularly well, apparently, though.

[Guest copacetic]

It depends how much you work and what you do. If you do lots of obstetrics, you can make 600-800 k. Making over 1 million a year is not unheard of - but those types are extremely busy and do +++ call.

 

If you do private fertility work, you can also make good money.

 

Some provinces give you a stipend for being on call (in BC, it's called the MOCAP). In-house call (high risk = anesthesia and OB/GYN) andd high / medium and low acuity home call are all remunerated differently.

 

Alternatively some centres are moving towards a shift system (like ER).

 

OB/GYN is a well-remunerated specialty, but boy do they work for it.

 

just want to reiterate that in all fields of medicine you can earn alot of money, however, be aware that you dont get something for nothing. you WILL be working your but off (70+, more like 80+ hours a week). you're NOT going to be working 40 or 50 hours a week and earning that kind of money. and the vast majority of ob/gyns will NOT be making that kind of money. Do what youre interested in, and work hard at doing it well.

[moo]

Yeah, even as a family doc, you can bill a ton. I know colleagues who bill 400-500k a year, but they do EVERYTHING--ob, house calls, hosptial call, hospital work, clinic, nursing homes, etc. Overhead is low for them--about 25% too.

 

As a full-time Comm Med resident, and a family doc part-time, I will make about 200-250k this year (after expenses, before taxes). But I work my butt off for this money. My colleagues who just do clinic 4-5 days a week, and nothing else probably end up making 150-180k (after expenses, before taxes). I know surgeons who bill 20k per weekend on call (but this is before expenses--I have no idea who much their expenses are)!

[leviathan]

If you check the CMPA I think OBGYN is actually only about 15k/year in dues. Not too bad for 300-600k salary! But maybe that's not accurate or I don't know the whole story?

 

If you work like mad (50+ patients/day capping out) and do clinic 5 days/week you can probably get 180-200k in family after your typical walk-in clinic 70/30 split. But I know people who work like that and I can't see how it would be rewarding to basically be so focused on moving the meat all day, every day, for your whole career.

 

But uhhhh moo, how are you pulling 200-250k as a RESIDENT? Even with moonlighting, that's nuts! At any rate, that's impressive. I guess when I'm finished residency and (hopefully) still young, it's not a bad idea to work like a dog to pay off what will probably be a crazy debt. Anyway, make sure you take some time off to chill, too!

[moo]

I am in clinic 6 days a week. I am in the MPH portion of my residency, which means only 12 hours of classes a week (plus Friday Academic days) and over 30 hours in clinic a week. Plus I do hospital call and nursing homes as well.

Last month I grossed (after expenses, before taxes) 20k, including my resident salary. Of course, when I'm done my masters I'll only get to work in the evenings and weekends (but no homework/projects/studying for exams).

 

And if you see 50 pts a day 5 days a week, you will for sure gross (after expenses, before taxes) at least 250k ($30 per pt x 50 x 0.7 (overhead) x 5 days/week x 48 weeks/year (4 weeks vacation)). In BC, though, 30 bucks a pt is the minimum you make as there is an age differential in fees (up to almost 45 bucks per patient over 80). Remember though 250k is the bare MINIMUM if you see 50 pts a day/5 days a week. You will make way more than this due to private billing (form fees, private medicals, drivers medicals, etc), chronic disease management fees, additional office procedures (mole removals, biopsies, etc.). If you do hospital, nursing homes, and house calls, you can add way more to this.

 

Bottom line: as in all areas of medicine, how much you get reimbursed as a family doc largely depends on how hard you wanna work. I get sick and tired of hearing family docs complain how they don't make any money and discourage people from entering family medicine because they don't make any money. Well, maybe if you actually worked harder you'd make more money... I see how hard specialists (for the most part) work for their money (yes there are exceptions). FMDs are no exception.

[da_birdie]

well said moo.

 

Those CDM fees/private services certainly help.

 

Also, I work in a place where there is a healthy concentration of international visitors (near airport and hotels), and that clinic charges $100+ for a basic visit - definitely love to see those patients

 

Physicians in general can make more by doing uninsured services. For family docs: travel clinic, cosmetic medicine, weight loss clinic, executive health, etc. For specialists: consulting work, cosmetic medicine/surgeries, private surgical work, etc.

 

Bringing the topic back to OB/GYN, with training they can provide uninsured services like certain fertility treatments ( http://genesis-fertility.com/general-information/fees ) and perhaps vaginal rejuvenation ( http://www.yourplasticsurgeryguide.com/other-procedures/labiaplasty-procedures.htm ).

[mhccdc]

I have worked with three different Ob/Gyn's in Victoria who bill 650K+/year so the high salaries are certainly a reality even in the community setting. I wouldn't say that their lifestyles are unreasonable. Maybe 70 hours/week.

 

I also know of one Ob who quit his practice to read nuchal translucencies all day to the tune of ~5K/day so private work is indeed possible (though the above example may become a thing of the past if the first trimester screen becomes standard of care).

[Jochi1543]

The more and more I read these threads the more I get the vibe that there is no appropriate "average" wage for any speciality, since you can make a ton of money or not-as-much depending on how much you work, whether you choose to be more research/clinical, and the type of procedures you choose to do.

 

Amen, A-diddy!

[physiology]

That's right! The richest physicians are ones that do some kind of private work on the side (nuchal translucencies) or patent something.

 

Or you could take your salary and invest in gold, potash, copper or buy China yuan / RMB in hopes that it appreciates.

[future_doc]

Or they marry into wealthy families like so many US politicians seem to do.

[rmorelan]

The more and more I read these threads the more I get the vibe that there is no appropriate "average" wage for any speciality, since you can make a ton of money or not-as-much depending on how much you work, whether you choose to be more research/clinical, and the type of procedures you choose to do.

 

Same here Which is good I think - it means we chose the balance we want between income and outside activities almost regardless of speciality. Sounds like a good thing to me!

[moo]

Same here Which is good I think - it means we chose the balance we want between income and outside activities almost regardless of speciality. Sounds like a good thing to me!

 

That's the way it is. You can be as lazy as you want, or as hard working as you want. Like I said, as a PGY-3 resident and someone who moonlights as a GP who also does hospital call, I made after expenses 23k last month. But I work HARD for my money. Most people aren't like me.

 

The people who complain the most in family med about our low salaries are the same ones who are lazy and don't like to work. If you just do clinic, no call, no hospital, no ob, no nursing homes/house calls, of course you're not going to make as the full service FP. What do you expect? I realize most people aren't like me who like to work a ton. But the ones that annoy me are the ones who complain incessantly about how little they make, yet only work 3 days a week.