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Medscape Hospitalist Compensation Report 2022

Mary Lyn Koval | August 12, 2022 | Contributor Information

Hospitalist compensation has rebounded following stagnation in the early pandemic — albeit at a slower pace than that of most other physicians.

Over 13,000 physicians, including hospitalists, in more than 29 specialties told us how their compensation fared in 2021 while answering a range of other questions, from how they felt about being physicians to how they supplement their income and how they pay for their own healthcare.

(Note: Values in charts may not total 100% due to rounding.)

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Medscape Hospitalist Compensation Report 2022

Mary Lyn Koval | August 12, 2022 | Contributor Information

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Medscape Hospitalist Compensation Report 2022

Mary Lyn Koval | August 12, 2022 | Contributor Information

Hospitalists earn more on average than non-hospitalist PCPs, whose average annual salary is $260,000, but less than other non-hospitalists, whose average annual salary is $358,000. This year's average income for hospitalists stepped up modestly (about 2%) from our prior report, while that for non-hospitalists overall took a leap (about 10%) as practices reopened and patients ventured out for elective medical care.

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Medscape Hospitalist Compensation Report 2022

Mary Lyn Koval | August 12, 2022 | Contributor Information

A somewhat higher percentage of hospitalists (64%) received an incentive bonus as part of their compensation compared with non-hospitalists (56%). However, non-hospitalists received a larger bonus on average ($51,000) than hospitalists ($31,000).

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Medscape Hospitalist Compensation Report 2022

Mary Lyn Koval | August 12, 2022 | Contributor Information

About one fifth of hospitalists said their income decreased. Of those who lost income, about 6 in 10 attributed it at least in part to the pandemic, down from nearly 9 in 10 who pointed to COVID-related losses in last year's report. Nearly half attributed losses to non-pandemic factors. (Note: Participants could choose both responses.)

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Medscape Hospitalist Compensation Report 2022

Mary Lyn Koval | August 12, 2022 | Contributor Information

Nearly two thirds of hospitalists reported that 2021 brought none of the financial or practice-related ill effects typically associated with the pandemic, a welcome improvement over last year's report (58%). But close to one fifth said they were not given an annual raise, and one tenth said their hours were reduced, similar to last year (16% and 12%, respectively). (Note: Participants could choose more than one response.)

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Medscape Hospitalist Compensation Report 2022

Mary Lyn Koval | August 12, 2022 | Contributor Information

As is typical among physicians in general, male hospitalists make more than their female counterparts. The percentage gap (29%) is about the same as last year's (30%).

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Medscape Hospitalist Compensation Report 2022

Mary Lyn Koval | August 12, 2022 | Contributor Information

Hospitalists' satisfaction with their compensation took a bit of a dip, down from 61% in last year's report.

"I bill separately for my services and often do not get paid a reasonable amount for my service time," one told Medscape. "I often have to submit separate hospital notes to insurance just to get paid." Another lamented her "poor compensation compared to debt burden."

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Medscape Hospitalist Compensation Report 2022

Mary Lyn Koval | August 12, 2022 | Contributor Information

A bit less than half of hospitalists reported a net worth of $1 million or more — about 2 in 10 make between $2 million and $5 million, and about 1 in 20 make more than $5 million. The percentages in each tier of wealth are nearly the same as in our last report.

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Medscape Hospitalist Compensation Report 2022

Mary Lyn Koval | August 12, 2022 | Contributor Information

For the fifth straight year, about two thirds of hospitalists reported having a mortgage on their primary residence, pinning such debt to the top of the chart once again. Close to the same percentages as last year reported having car loans, personal college and medical school loans, and credit card debt, whereas a somewhat higher percentage cited childcare costs (up from 13% in our 2021 report). One tenth of hospitalists said they aren't paying down any expenses or debts, much like last year (12%). (Note: Participants could choose more than one response.)

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Medscape Hospitalist Compensation Report 2022

Mary Lyn Koval | August 12, 2022 | Contributor Information

Hospitalists reported average weekly work hours on par with their pre-pandemic level, after having bumped up to about 55 hours during the first year of the crisis. Non-hospitalists are averaging a bit more than 50 hours per week, up from a 49-hour week before COVID-19 hit.

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Medscape Hospitalist Compensation Report 2022

Mary Lyn Koval | August 12, 2022 | Contributor Information

Hospitalists' patient loads grew again by late in the second year of COVID-19, to about 68 per week. In our 2021 report, hospitalists had reported seeing an average 60 patients weekly before the pandemic and 64 toward the end of the pandemic's first year.

Not unexpectedly, non-hospitalists' average patient load has rebounded following the early waves of the crisis, which kept many away from medical offices. Toward the end of the first year of COVID-19, their numbers had fallen from an average of 78 patients weekly to 73 patients.

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Medscape Hospitalist Compensation Report 2022

Mary Lyn Koval | August 12, 2022 | Contributor Information

Besides treating patients, physicians' tasks include electronic health record documentation, administrative/managerial work, participation in professional organizations, clinical reading, and research. As in prior reports, hospitalists spend more hours per week on paperwork and administration than do non-hospitalists.

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Medscape Hospitalist Compensation Report 2022

Mary Lyn Koval | August 12, 2022 | Contributor Information

Attitudes on the rewards of work have changed little since our prior report.

Hospitalists most frequently cited being very good at what they do as the most rewarding aspect of their job; slightly smaller percentages pointed to making the world a better place or relationships with grateful patients. Last year those shares were 25%, 26%, and 17%, respectively.

Non-hospitalists most often said relationships with patients are their top reward; equal, somewhat smaller percentages said it was making the world a better place or being very good at their jobs. Last year, those shares were 29%, 27%, and 22%, respectively.

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Medscape Hospitalist Compensation Report 2022

Mary Lyn Koval | August 12, 2022 | Contributor Information

For hospitalists, dealing with difficult patients is somewhat more likely to be the top professional challenge than it is for non-hospitalists. Last year, the two groups' attitudes were more closely aligned: 16% and 15%, respectively, said dealing with difficult patients was the most challenging aspect of their jobs.

Non-hospitalists most often pointed to having so many rules and regulations; a similar share of hospitalists again agreed (24% and 20%, respectively, last year). Nearly one fifth of hospitalists cited having to work long hours as the toughest aspect of their jobs (18% last year), compared with 13% of non-hospitalists who felt most challenged by long hours both this year and last.

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Medscape Hospitalist Compensation Report 2022

Mary Lyn Koval | August 12, 2022 | Contributor Information

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Medscape Hospitalist Compensation Report 2022

Mary Lyn Koval | August 12, 2022 | Contributor Information

Close to half of hospitalists took extra work to supplement their income, a larger share than among physicians overall (36%). About one fifth of hospitalists chose medical moonlighting to boost their earnings, whereas a somewhat smaller proportion took on other medical-related work. (Note: Participants could choose more than one response.)

"Physicians are fortunate to have a huge array of potential side gigs available to them," says Sylvie Stacy, MD, MPH, author of 50 Nonclinical Careers for Physicians. "Supplemental income that pays well is not difficult to find."

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Medscape Hospitalist Compensation Report 2022

Mary Lyn Koval | August 12, 2022 | Contributor Information

The challenges of treating patients with COVID-19 and working during the pandemic, and the changing tone of medicine, convinced many physicians to leave the profession and disenchanted many others. If they had to do it all over, a majority of hospitalists (71%) and non-hospitalists (73%) would choose to go into medicine again, but these shares are down somewhat from our prior report (77% and 79%, respectively).

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Medscape Hospitalist Compensation Report 2022

Mary Lyn Koval | August 12, 2022 | Contributor Information

Of the physicians who would choose medicine as their career again, a large majority of both hospitalists and non-hospitalists said they would choose the same specialty, nearly the same as last year (75% and 80%, respectively). However, only 26% of hospitalists said they'd pick the same practice setting, down somewhat from 34% last year.

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Medscape Hospitalist Compensation Report 2022

Mary Lyn Koval | August 12, 2022 | Contributor Information

Nearly 8 in 10 hospitalists have medical insurance coverage through their workplace; that's much higher than the national average. According to research from the Kaiser Family Foundation, about 49% of the US population has insurance coverage through their employer.

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Medscape Hospitalist Compensation Report 2022

Mary Lyn Koval | August 12, 2022 | Contributor Information

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Medscape Hospitalist Compensation Report 2022

Mary Lyn Koval | August 12, 2022 | Contributor Information

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