The Medscape 2017 Resident Salary and Debt Report has been released and it finds that the average resident salary has increased by $1800 over the last two years (2015-2017) for men and by $1300 for women. Significantly fewer residents believe they are fairly compensated than they did in 2015 and more than a quarter have between $200,000 and $300,000 in debt. Here are the details of the report.
Salaries Aren’t Satisfactory
The average resident salary in 2017 is $57,400 for men and $56,700 for women, a disparity of $700 dollars. Salaries tend to climb over time and the average increases reported by the survey are as follows:
- Year 1: $53,100
- Year 2: $54,300
- Year 3: $56,700
- Year 4: $59,300
- Year 5: $61,400
- Year 6-8: $63,800
Family medicine residents received the lowest salaries at an average of $54,000 while hematology specialists received the highest salaries of $69,000.
Satisfaction with these salaries has declined significantly in the past two years. In 2015, 60% of men and 65% of women reported being satisfied with their income. However, in 2017 only 46% of men and 49% of women said they thought they were being “fairly compensated”.
When asked how much more they should be paid, the majority of residents (64%) said they should be paid between 11% and 50% more.
The reasons for the dissatisfaction were widespread, but the vast majority (83%) said the salaries did not reflect the number of hours worked. Other reasons stated in the survey included:
- 68%: Compensation is not comparable to that of other medical staff including PAs and nurses
- 65%: Compensation doesn’t reflect the required skill level
- 44%: Compensation doesn’t meet the cost of living
- 19%: Inadequate benefit coverage
The low remuneration experienced in residency has a lasting effect. When asked if potential earning power was a factor in their choice of specialty, 38% of residents said it was extremely influential, 53% said it influenced their choice “somewhat” or “slightly”, and 9% said it didn’t influence their choice at all.
Heavy Debt Burden
- 9%: Under $50,000
- 7%: Between $50,000 and $100,000
- 18%: $100,000 to $200,000
- 27%: $200,000 to $300,000
- 18%: Over $300,000
Surprisingly, 21% report carrying no debt.
As one would expect, the debt load increases substantially between the first two years and the last two years of residency. For example, in years one and two 28% of residents have $50,000 in debt or less. However, by year seven and eight that same percentage of residents, (approximately – 27%) carry $300,000 or more in debt. You can see the breakdown by year of residency and amount of debt in the survey.
Many, Many Hours of Work
The survey comment that resident salaries do not reflect the number of hours worked is borne out by the numbers. When asked about the number of hours* per week spent seeing patients, residents responded as follows:
- Over 60 hours per week: 38%
- 51-60 hours per week: 21%
- 41-50 hours: 18%
- 31-40 hours: 13%
- 30 or less hours: 11%
(*Totals do not equal 100% because of rounding)
Residents who work in hospitals report even higher numbers of hours. The vast majority (48%) report seeing patients for 60+ hours per week. 22% see patients 51-60 hours a week and 13% see them 41-50 hours a week. On call hours can be high as well:
- 1-5 nights a month: 52% of residents
- 6-10 nights a month: 28% of residents
- 11-15 nights a month: 5% of residents
Satisfaction with the Experience
We have written often in this space about the extreme challenges of medical school. We have also examined the need to review policies regarding resident work requirements in order to address the epidemic of depression and burnout in medical school students. Therefore, it is surprising to see the grades that residents give their experience.
When it comes to their training, 79% of residents say it is sufficient and that enough hours are devoted to it. 89% say the degree of supervision they receive is appropriate and 78% say they are “very or somewhat satisfied” with their learning experience. What may surprise you is that 81% of residents are “very or somewhat satisfied” with their attending physician’s treatment, and 89% say they have a “very good or good” relationship with them.
These surveys always provide interesting insights into the life of residents and the grueling hours they keep. The long hours and low pay don’t change significantly from one survey to the next. However, we do hope that in the very near future women will begin to finally receive equal pay for equal work. It is an inequality that must not be allowed to stand.
Want to learn more about compensation amongst doctors? Check out our blog post on the 2017 Physician Compensation Report.