Annual Medscape Physician Compensation Report Shows Career Satisfaction Varies Greatly by Specialty
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When physicians were asked, "If you had to do it over again, would you choose the same specialty," respondents who answered "yes" varied greatly by specialty:
- Dermatology: 77%
- Orthopedics: 64%
- OB/GYN: 43%
- Internal Medicine: 27%
"Compensation may not be the only reason that medicine has become a less attractive career choice than it once was," said
The
- 53% say they are not sure whether they will participate in a health insurance exchange
- 25% will drop insurers who pay poorly
- 34% of physicians have now joined an
Accountable Care Organization or plan to join one this year
As employers switch insurance plans frequently to reduce cost burden, coverage shifts may impact the physician/patient relationship. Physicians were asked: "Will you drop insurers that pay poorly?" Of those responding "yes," again, specialty type influenced response. The average for all physicians surveyed was 25 percent. By specialty:
- Endocrinologists: 31%
- OB/GYN: 29%
- Cardiologists: 25%
- Pediatricians: 18%
"Between coverage and reimbursement concerns, physicians are often caught between a rock and a hard place when it comes to the relationships they share with patients," said Kane. "Many doctors refuse to drop patients for insurance-related issues, primarily because they care about their patients and consider it inappropriate," Kane added, "However, others realize that 'time is money', and have made the tough decision to drop patients in order to keep their practices viable."
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