rough average income difference of IM specialties

[monkey799]

I'd like to know the average income difference of various IM subspecialties.

 

Lets say dividing into 3 tiers, knowing that it would vary on the practice and number of hours :

 

tier 1: cardio, GI, nephro

 

tier 2: endo, med onc, ID etc

 

tier 3: GIM, geriatrics, hospitalists etc

 

any help or pointers to web resources will be much appreciated!

[Guest copacetic]

errr...'average income difference'? what does that even mean?

[monkey799]

errr...'average income difference'? what does that even mean?

 

poor wording - just trying to find out how much more each tier makes more than the other tier of IM specialties.

 

how about simply, average income for each tier?

 

this info would be quite helpful esp in helping to choose which IM subspecialty for eventual career, as money is an important factor for many of us in debt

 

thanks

[boodog]

tier 1: cardio, GI: i'd say 400-600K

tier 2: nephro, pulmonary, med onc, GIM: ~350,000

tier 3: ID, rheum, allergy & immunology: ~300K

 

hope that ball parks it for you. keep in mind the cardio and GI docs work longer hours for their money. in general the more procedural based the specialty, the more pay.

[0T6]

there's such big range though

i know there are nephros in ottawa billing 900k and cardiologists in the 250k range

[thebouque]

eh,

 

I'm not sure it's the case in Quebec. Quebec rulez!

 

Guess who's back? Shady's back, tell a friend

[0nsp]

I was told by one resident that geriatrics pays pretty well. I would say tier 1.5 based on the above. And they don't work as hard/long as GI or cardio.

[White-Tiger]

And come on guys...salary is what you make it in medicine really.

I know some family docs who only bill 100k a year...and other who bill >600k.

Depends on how business-savy you are, and how much you are willing to work.

[thebouque]

Dental specialists make good money

[monkey799]

sounds like if you have procedure, sky (and your time) is the limit

 

so:

 

cardio has imaging + cath lab

GI has scope

nephro has dialysis

 

is that it? how about procedural opportunities for all the other IM specialists?

 

who, though won't starve, can often get quite jaded seeing the billing of their colleagues with roughly the same amount of training

 

and how can the geriatrics or GIM make into "tier 1.5" as mentioned above if they don't have procedure? do they just see lots of patients in clinic - like 80-100 per day? or have extra private charges because they are hot in demand?

[thebouque]

icu and pneumo are quite procedure oriented as well!

 

Guess who's back? Shady's back, tell a friend

[0nsp]

sounds like if you have procedure, sky (and your time) is the limit

 

so:

 

cardio has imaging + cath lab

GI has scope

nephro has dialysis

 

is that it? how about procedural opportunities for all the other IM specialists?

 

who, though won't starve, can often get quite jaded seeing the billing of their colleagues with roughly the same amount of training

 

and how can the geriatrics or GIM make into "tier 1.5" as mentioned above if they don't have procedure? do they just see lots of patients in clinic - like 80-100 per day? or have extra private charges because they are hot in demand?

 

Haha, geriatrics is quite the opposite. A full day of outpatient clinic might be 5 people (seriously, like 2 hours a consult). I think it has to do with a lot of people not wanting to go into a much needed specialty. Just like anesthetists who do chronic pain- HUGE demand, but no one wants the chronic, always complaining patient, and so they make more money ( I think that's how it works...)

 

GIM is different. My preceptor made cash by having the residents run his inpatients (40 patients - who he never rounded on) while he has seeing consults all day long in his own subspecialty. GIM gets paid per inpatient per day, + the consults he sees. He is technically getting paid to do 2 jobs at once, because his residents could do 1 of them for him. That would be why he always smells of Armani cologne, has a bling-bling Rolex, and was *****ing the day his 7-series BMW got into an accident.

[Satsuma]

Geriatricians used to make very poor money and some had a hard time keeping things running. Precisely because of issues discussed...lack of procedures, complicated patients that take a really long time etc.

 

However, in Ontario, a few years back they introduced an alternate funding plan. And now geriatricians are quite happy it seems.

[monkey799]

icu and pneumo are quite procedure oriented as well!

 

Guess who's back? Shady's back, tell a friend

 

So where does ICU and pneumo fit in terms of gross billing on average?

 

tier 1 (600K)?

 

tier 2 (450k)?

 

tier 3 (300k)?

[A-Stark]

Pneumo?

 

I'd imagine CCM is higher up given the high number of procedures they do.

[leviathan]

GIM = lots of procedures too, at least in community hospitals