2014年2月10日 星期一

美國專科醫師收入

Patients’ Costs Skyrocket; Specialists’ Incomes Soar






Sharp Climb

Salaries in some medical specialties have risen much more sharply than in others.

$350
Diagnostic
radiology
300
250
Hematology
and oncology
200
Dermatology
150
Primary care
100
Figures in thousands, adjusted for inflation to 1995 dollars. The actual dollar figures in 2014 are higher.
50
1995
2012

Rich Doctors, Richer Doctors

Specialists who perform medical procedures command the highest incomes among doctors. The following are median annual compensation by specialty for physicians who are paid by hospitals or health networks.

$920,555Orthopedic surgery: hip and joint
$820,569Orthopedic surgery: spine
$707,252Surgery: neurological
$583,837Cardiology: invasive-interventional
$516,081Dermatology: Mohs surgery
$488,200Gastroenterology
$425,006Hematology/Oncology
$378,009Anesthesiology
$345,726Ophthalmology
$300,000Obstetrics/Gynecology: General
$264,863Neurology
$220,000Internal Medicine: General
$166,754Pediatrics: child development


高雄長庚聽說今年沒有R3願意走腎臟科了(想當年可是曾經發生過一半的住院醫師申請腎臟科fellow的),所以待在醫院的學長學弟們現在要很巴結下來值一線班了。因為新進的住院醫院也是會看新聞或是社會脈動的,目前對於腎臟科的風氣或是誤解,讓人不敢走進來啊,或是說前景堪慮?

看了一下New York Times對於美國醫師的執業收入,在美國做procedure的醫師荷包滿滿,給付調漲的幅度較高,而單純是診療的傳統醫師(primary care physician, internal medicine),聽心音或是開立抗生素或是口服藥物,給付調得較少,是經濟收入弱勢的一群啊(腎臟科也是沒做什麼procedure的)。

文中甚至比較了,開心手術和做個皮膚腫瘤的切除,給付和台灣一樣,開心手術輸了,難怪臉書上那位木容公子對於CVS愈來愈冷心了。

台灣的醫療水準沒有輸美國,但是,給付卻是輸得一蹋糊塗。

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