Residency to Reality: The Job Outlook for New Docs

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Residency to Reality: The Job Outlook for New Docs
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What does the employment market hold for new physician recruits? From alternative scheduling arrangements to improved work-life balance, the outlook for doctors is positive.

Roshan Bransden didn’t count how many job offers she received during her recently completed training in family medicine. “It was pretty nonstop throughout all of my PGY-3 year,” she toldShe said that most of the job opportunities were different from the type of position she sought or where she wanted to work.

“If you are a physician and you are willing to go anywhere, you will have hundreds of opportunities,” said Tibor Nagy, DO, an emergency medicine fellow who recently searched for jobs. “It depends on what they want out of their careers.”Nagy said he had fewer options because he was limited by location, staying close to where his wife is finishing her internal medicine residency.

The highest average starting salaries were for surgical and internal medicine subspecialties, according to AMN Healthcare’s 2024 Review of Physician and Advanced Practice Provider Recruiting Incentives. Orthopedic surgery averaged $633,000; urology, $540,000; gastroenterology, $506,000; and pulmonary medicine, $418,000. For comparison, the average starting salaries for primary care doctors were family medicine, $255,000; internal medicine, $255,000; and pediatrics, $233,000.

He said jobs that pay more may require doctors to see more patients. “The hustle may be different. There are definitely tradeoffs,” he toldBransden said the position she begins in January will allow her to work part-time with full benefits, among other perks. “My employer is a membership-based practice, so I'll be able to gift a few memberships to family and friends.” Mohammad Ibrahim, DO, is among a minority of new physicians who have chosen to set up their own practice.

Although he realizes the challenges of starting a private practice, Ibrahim said those who go through graduate medical education can figure out how to adapt and overcome any obstacles. “I think it’s more doable than we are led to believe.” Still, the report noted an increase in recruiting for independent medical practice ownership, which dwindled in recent years, with the majority of doctors today employed likely due to financial obstacles of starting a practice.

Physicians are also opting for the flexibility of temporary, locum tenens work to improve job conditions and address feelings of burnout. Dr Kaydo, DO, as she’s known on Instagram, posts about her experiences as locum tenens. “I found that I could have more flexibility as a locum. I want to be able to take time off when I want and as long as I wanted,” said the full-time family medicine doctor who practices at an outpatient clinic in Philadelphia.

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