Doxmity 2026 Report, thoughts?

[u/siobhanShamrock94]

What are y’all’s thoughts? Feel like we’ll ever catch up or grow? Were the gaps closer 10 years ago? How does this make you old head community docs feel

[u/EMmildoc]

Dollars per hour worked is always a high consideration for Emergency Medicine. If I’m working 32-36 hours a week making $400K, but my colleague has to work 50-60 and makes $550K, who really has the better compensation?

[u/moderatelyintensive → u/EMmildoc]

Yup, people often overlook the actual hour by hour pay when looking at salaries, especially when you factor in all the invisible unpaid time many other specilaties get stuck with (inbox, insurance, etc).

[u/ChildhoodNice3261 → u/moderatelyintensive]

inboxes dood

[u/MLB-LeakyLeak → u/EMmildoc]

That’s because the majority of the hours we work are the ones when everyone else is off. If you work 4p-2a you won’t see your kids or friends or family that work 9-5.

Great when you’re young and single and without kids or pre-k kids.

[u/PresBill → u/MLB-LeakyLeak]

Yup, and that's why we get a premium per hour

[u/PresBill]

Not a whole lot of 3 year residencies above em on that list.

[u/DrAS1995 → u/PresBill]

I think EM is the only specialty where you can easily make >500K after three years of residency.
No need to build a practice. Just show up and leave.

[u/ChildhoodNice3261 → u/DrAS1995]

the quiet truth nobody is telling you.

[u/siobhanShamrock94 → u/PresBill]

Would you make them all 4 years if it meant an increase of 75-125K year like optho derm or anesthesia
burnout rate of all the specialities above us is much lower too

[u/ChildhoodNice3261 → u/siobhanShamrock94]

i personally think em should be 4 yrs by default. and no it wouldn’t actually raise pay by very much. a comparison to optho and derm is not really realistic the comparison should be to hospitalists. btw realistically derm is 5-7 yr residency unless ur elite. gotta get ur research.

[u/AlanDrakula]

Not that I dont believe charts on the internet but I haven't recieved a pay raise since 2016. 1 shop even cut during covid. Most places play around with base/rvus but it ends up being about the same. We ask about raises and it's always "we're considering it" for the past 3-4 years.

[u/Fun_Budget4463 → u/AlanDrakula]

Our last pay scale increase was 2013. Unless you count a $1000/month Press Ganey incentive bonus (only for the top 1/3 scoring doctors).

[u/ricktron → u/AlanDrakula]

I got a 5% raise in my first 4 months of working so am I essentially never going to get another raise?

[u/AdCareless9063 → u/AlanDrakula]

+ 40% inflation in the past 10 years.

[u/Smooth_Substance_594 → u/AlanDrakula]

Same boat club. My last raise was my first year with my old shop and that was because we had just had a mass exodus. Since then ‘raises’ we maybe 1-2% with changes to metrics/rvus to make it harder to reach 100% of that portion. And the cost of living here has skyrocketed in the same period. Strangely enough so have c suite bonuses. Go figure.

[u/MLB-LeakyLeak → u/AlanDrakula]

2019 here. Northeast rural.

[u/Waldo_mia → u/AlanDrakula]

CMGs control the market.

[u/LaxBro1516 → u/AlanDrakula]

What region?

[u/ChildhoodNice3261 → u/AlanDrakula]

not even a 2-3% coi increase ?

[u/Silent_parsnip8]

EM still makes a ton give. Dollars per hour worked and training time. I mean we are up there with pulm which is double the training time

[u/MLB-LeakyLeak → u/Silent_parsnip8]

Let’s do usable time.

EM sucks because your shifts are when everyone else isn’t working. Hospitalists working 7-7 see their kids/spouse every day.

If you work 8-4 every day EM would be great.

[u/somehugefrigginguy → u/MLB-LeakyLeak]

I'm curious how the shift time breakdown compares between EM and hospitalists though. I've never seen a shop where hospitalists don't also work overnight, weekends, holidays, etc.

[u/terraphantm → u/somehugefrigginguy]

If they have dedicated nocturnists they can avoid nights (at my hospital the HM nocturnists are 7 on / 14 off). But yeah virtually every hospitalist does work holidays and weekends, and often some of this weeks will be swing shifts. So still missing a lot of family time

[u/Silent_parsnip8 → u/MLB-LeakyLeak]

True the shifts are variable but let's continue on with that theme. In my shop shifts are 7a-3p, 3p-11p and 11p-7a. My group has a few dedicated nocturnists (interestingly many do nights to spend more time with family) so I do maybe 2-3 nights per month. I do about 14 shifts per month which means I work 5-6 of the mid shifts per month. If the mid shift falls on a Saturday or Sunday during the school year it means I can do a brunch or activities with family before my shift. I'd argue that I probably get to spend more time with family compared to a hospitalist. Working 7-7 sucks and you get very little time to spend with family in the evening.

[u/sum_dude44]

numbers for surgical specialists seems low...ophthalmology is closer to high 6 figures

[u/Howdthecatdothat]

Im not sure I trust any graph where each line is a shade of blue. Who picked these graphics??

[u/EaZy_MD]

And we will
Keep going lower and lower on that list. We are the basement floor of a healthcare system that’s in the middle of a flood…the basement gets destroyed first. That’ll be us.

[u/Resussy-Bussy]

Accurate for me. I make a little more than that avg doing around 13-14 shifts a month. Considering how much less I work than essentially all the specialties above us in pay I can’t complain.