Matt Leiszler, MD AMSSM Fellows Matters Sub-Committee Purpose of the Survey
•Fellowship Committee started this survey in order to help guide primary care sports medicine residents and fellows with:
Board certification data Practice Setting options Distribution of clinical time Purpose of the Survey
•Fellowship Committee started this survey in order to help guide primary care sports medicine residents and fellows with:
Salary details Contract details Negotiation of contracts—know the data! The Survey • Sent to all active AMSSM Members
• 27 Questions on SurveyMonkey
• Self-Reported Data
• Total of 512 Physicians Completed Survey
• In practice: • 0-1 year: 123 • 6-10 years: 89 • 2-3 years: 87 • 11-20 years: 100 • 4-5 years: 62 • 21+ years: 36 Primary Board Certification • Physicians in practice 0-1 year (108 Responses):
• Family Medicine: 67% (72 responses) • Physical Medicine & Rehab: 14% (15 responses) • Pediatrics: 9% (10 responses) • Internal Medicine: 5% (5 responses) • Emergency Medicine: 4% (4 responses) • Medicine-Pediatrics: 2% (2 responses) Fellowship Training • Physicians in practice 0-1 year who completed a sports medicine fellowship (119 Responses):
• Overall: 97% completed sports medicine fellowship
4/5 of those that had not completed a fellowship reported planning to apply this year Salary Data •Overall Average (486 responses): $220,000
•Physicians in practice 0-1 year (n=89):
Average Salary: $181,100
Salary Range: $75,000 to $310,000
69% of those surveyed reported salary <$200,000
51% between $150,000 and $200,000 Salary Data: 0-1 Years in Practice Annual Salary
20 18 16 14 12 # 10 8 6 4 2 0 Salary Data •Physicians in practice 2-3 years (n=77):
Average Salary: $208,800 Range: $95,000 to $600,000 Without $600,000 outlier, Average Salary: $203,700
•Physicians in practice 4-5 years (n=54):
Average Salary: $221,500 Range: $115,000 to $470,000 49% between $175,000 to $215,000 Regional Salary Data: 0-1 Year in practice $195,000 (n=3)
$198,800 (n=8)
$182,300 (n=15) $214,200 (n=12) $177,700 (n=15) $160,700 (n=7) $140,600 (n=9)
$150,000 (n=8) $198,200 (n=11)
(n=0) Regional Salary Data: 0-3 years in practice $176,100 (n=9)
$190,200 (n=18)
$217,700 (n=28) $206,200 (n=17) $197,900 (n=31) $165,900 (n=11) $168,400 (n=19)
$182,300 (n=15) $198,600 (n=18)
(n=0) What is your clinical practice setting? In Practice 0 - 1 Year (n=86)
Private Practice Only
Academic Only
Mixed Private Practice / Academic
College Only
Mixed College / Academic
Private Practice / College / Academic
Mixed Private Practice / College
0 10 20 30 40 50 60 70 Salary: Private Practice vs Academic vs College/University $201,200 (8 responses) In Practice 0-1 Year Academic (Medical Education)
$170,600 $165,000 (9 responses) (4 responses) $165,000 (4 responses)
Private Practice College/University
$185,200 $165,700 (51 responses) (7 responses) What is your clinical practice setting? Physicians in practice 0-3 years (n=165)
Private Practice Only
Mixed Private Practice / Academic
Academic Only
College Only
Mixed College / Academic
Mixed Academic / College
Private, College, & Academic
0 10 20 30 40 50 60 Percentage Salary: Private Practice vs Academic vs College/University
$191,800 (16 responses) In Practice 0-3 Years Academic (Medical Education)
$181,250 $165,000 (24 responses) (8 responses) $182,000 (5 responses)
Private Practice College/University $210,000 $197,600 (6 responses) $172,200 (84 responses) (16 responses) How are you paid?
• Physicians less than two years into practice (n=90): Salary: 93% 59% of these physicians are only on Salary Incentive: 40% 6 physicians reported being paid by Incentive only Contract/Hourly: 1% Last year was 7% By Academic Rank: 4% Other Fee for Service: 2% Grant Support: 2% Professional Team Retainer: 0% If you are paid by salary, how are you paid? • Physicians less than two years into practice(n=80):
Clinical—Outpatient care: 99% Clinical –Sideline event coverage: 26% Administrative Activities: 23% Teaching Activities: 21% Clinical—Pre-participation exams: 19% Clinical—Training room: 14% Clinical—Inpatient care: 14% Academic writing and research activities: 9% If you are paid by incentive, how are you paid? •Physicians less than two years into practice(n=44):
Clinical productivity with overhead deduction: 61% Clinical productivity without overhead deduction: 36% Academic production: 5% Work outside of billed patient care: 5% Group production bonus: 5% Production incentive based on supervision: 0% What is your specific clinical practice setting type? Sports Medicine Clinic 68% Orthopedic Clinic 34% Athletic Coverage 27% Family Medicine Clinic 26% Fellow seeing patients 14% Multi-Specialty Clinic 13% Resident seeing patients 11% Medical Education 10% Emergency Department 5% PM&R Clinic 5% Urgent Care 5% Pediatric Clinic 4% Pediatric Orthopedic Clinic 4% Federally Qualified Health Center 3% Occupational Medicine 2% Internal Medicine Clinic 1% Student Health 1% Concierge Medicine 1% 0% 10% 20% 30% 40% 50% 60% 70% 80% How many hours per week in these activities?
21-25 hrs 50 hrs 26-30 hrs 2% 2% 1% 11-15 hrs 4% 6-10 hrs 3%
On-Call 1-5 hrs (92 responses) 15%
0 hrs 73% How many hours per week in these activities?
11-15 hrs 1% 6-10 hrs 11%
0 hrs Event Coverage 27% (92 responses)
1-5 hrs 59% Owning Private Practice: Ancillary Services In practice less than 2 years (29 Responses) Sports Psychology Services Video Motion Analysis MRI Strength/Conditioning Services Clinical Nutrition Services Clinical Exercise Testing Massage Therapy Services Compartment Pressure Testing Urgent Care PRP Injections Physical Therapy Durable Medical Equipment Sales Musculoskeletal Ultrasound X-ray 0 5 10 15 20 25 Contracts
•Utilize 3rd Party for reviewing contract? (n=88)
Yes: 16% 30-50% in prior years No: 81% Not sure: 3% RVU Data •Physicians in practice 0-3 years:
Average RVUs/year (n=56): 4,660 RVU/year Range of RVUs/year (n-56): 1,250 - 9750 RVU/year
Average $/RVU (n=53): $50.3/RVU Range of $/RVU (n=53): $13.6/RVU - $140/RVU
25th %ile for $/RVU: $36.8/RVU 50th %ile for $/RVU: $45.3/RVU 75th %ile for $/RVU: $60.0/RVU RVU Data •Physicians in practice 4-5 years:
Average (n=25): 4870 RVU Range (n=25): 1250 to 9750 RVU
$/RVU Average (n=21): $48.4/RVU Range $/RVU (n=21): $17/RVU to $132/RVU Questions?
Matt Leiszler [email protected] Cell Phone: (918) 633-8028