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Last update: December 16, 2024

5 minutes read

Do Doctors Get Paid During Medical Residency?

Curious if doctors get paid during residency? Discover how medical residents are compensated, factors influencing their salaries, and the financial hurdles they navigate.

By Brian Flaherty, B.A. Economics

Edited by Rachel Lauren, B.A. in Business and Political Economy

By Brian Flaherty, B.A. Economics

Edited by Rachel Lauren, B.A. in Business and Political Economy


So, you're wondering if doctors get paid during their medical residency? While doctors do receive a salary during residency, it's important to note that this compensation is modest compared to what fully licensed physicians earn. Let's dive into the details of how resident doctors are paid and what factors influence their earnings.

Key takeaways

  • Yes, doctors do get paid during residency, but the salaries are significantly lower than those of fully licensed physicians
  • Average annual salary for medical residents is around $67,000 in the U.S. as of 2023, with gradual increases each year
  • Salaries vary based on location and specialty, with some specialties and regions offering higher pay than others

    Understanding resident salaries

    In the United States, medical residents earn an average annual salary of approximately $67,000 as of 2023. This figure comes from the Medscape 2023 Resident Salary & Debt Report and reflects a steady increase over the years. In 2019, the average salary was around $61,200, showing a significant upward trend.

    Yearly salary progression

    Residents receive salary increments as they advance through their training. Here's a breakdown of the average annual earnings by residency year:

    • PGY1: $63,009
    • PGY2: $66,092
    • PGY3: $69,136
    • PGY4: $71,979
    • PGY5: $74,786
    • PGY6: $77,276

    These increases, typically ranging from $2,000 to $5,000 annually, help compensate for the increasing responsibilities and workload that come with advancing in the program.

    Geographic and specialty variations

    Salaries for medical residents aren't uniform across the board—they vary based on geographic location and medical specialty.

    • Geographic differences: In Canada, for example, resident salaries range significantly—from $49,258 in Quebec to over $69,867 in Nova Scotia. In the U.S., cost of living and funding sources can affect salaries in different states or cities.
    • Specialty differences: Certain specialties tend to offer higher residency salaries. Specialties like Plastic Surgery, Specialized Surgery, and Pathology often pay more, whereas Family Medicine, Emergency Medicine, and Internal Medicine might offer lower compensation.

    Additional benefits

    Beyond the base salary, medical residents usually receive a benefits package that can include:

    • Health insurance: Comprehensive medical coverage is typically provided.
    • Vision and dental coverage: Many programs offer plans that cover vision and dental care.
    • Life insurance: Basic life insurance policies are often part of the benefits.
    • Vacation days: Paid time off varies but is a standard benefit.
    • Other perks: Some programs offer meal plans, parking spots, or housing assistance.

    These benefits help offset the demanding nature of residency and contribute to overall well-being.

    TuitionHero Tip

    The weight of student loan debt: Despite earning a salary, many medical residents grapple with substantial student loan debt. According to the Education Data Initiative, the average debt for medical school graduates is around $260,000. Managing this debt on a resident's salary can be challenging.

    Financial strategies for residents

    Residents often explore various options to handle their debt:

    • State loan repayment assistance programs: Some states offer programs that help repay student loans in exchange for service in underserved areas.
    • Student loan refinancing: Refinancing can lower interest rates and monthly payments. For more information, check out “how many times you can refinance a loan.”
    • Income-driven repayment plans: These federal plans adjust monthly payments based on income and family size. Understanding these plans is crucial; learn more about federal student loans here.

    By the way, if you're considering medical school, it's never too early to start thinking about financial planning. Balancing passion with practicality can make your journey smoother!

    Work hours and hourly compensation

    Residency often demands long hours, which can affect how the salary feels on an hourly basis. For instance:

    • A resident earning $60,000 annually working 50 hours per week makes about $23 per hour.
    • If the same resident works 70 hours per week, the hourly rate drops to roughly $16.50 per hour.

    These calculations highlight the intensive workload residents undertake relative to their compensation.

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    Satisfaction with compensation

    Interestingly, only about 24% of residents feel they are fairly compensated. Satisfaction tends to increase slightly in the later years of residency. Factors influencing satisfaction include workload, debt levels, and expectations set during medical school.

    Challenges beyond the paycheck

    While the financial aspects are significant, residents also face challenges that extend beyond their paychecks.

    Emotional and physical demands

    Residency can be an intense period, with long hours leading to fatigue and stress. Balancing clinical duties with personal life requires resilience and effective time management.

    Continuing education

    Residents must stay current with medical advancements, often engaging in self-study or attending additional training sessions. This commitment to learning is essential but adds to their already demanding schedules.

    Navigating the transition to attending physician

    As residents near the completion of their programs, they must prepare for the transition to fully licensed physicians. This includes understanding contract negotiations, potentially relocating, and adjusting to new responsibilities.

    TuitionHero Tip

    Did you know that the longest medical residency program is for neurosurgery and plastic surgery, which can take up to 6-8 years to complete? That's a significant time investment, but for many, the dedication pays off in a rewarding career.

    Why trust TuitionHero

    At TuitionHero, we’re here to help you tackle the financial side of medical residency. From tips on managing student loans to budgeting on a resident’s salary, we’ve got you covered with strategies to make your journey smoother.

    Frequently asked questions (FAQ)

    Resident salaries vary widely around the world. For example, while U.S. residents earn an average of $67,400, residents in countries like Germany and Australia may earn different amounts due to differing healthcare systems and funding. It's essential to research specific countries for accurate comparisons.

    Typically, resident salaries are set by the institution and aren't negotiable. Residency programs usually have standardized pay scales based on postgraduate year levels. However, residents can sometimes negotiate for additional benefits or support, especially in regions facing shortages in certain specialties.

    Due to the demanding nature of residency programs, it's challenging for residents to take on side jobs. The rigorous schedules often leave little room for additional work, and some programs may have restrictions on external employment to ensure residents are rested and focused on their training.

    Yes, several programs assist residents with loan repayment. Federal programs like the Public Service Loan Forgiveness (PSLF) can forgive remaining loan balances after ten years of qualifying payments while working for a nonprofit or government employer. Additionally, some hospitals offer loan repayment benefits to retain talent.

    The cost of living significantly affects how far a resident's salary can stretch. Residents in cities with a high cost of living, like New York or San Francisco, may find their salaries provide less purchasing power compared to those in more affordable regions. Some programs adjust salaries slightly to account for these differences.

    Final thoughts

    Medical residency is a crucial phase in a doctor's journey, providing invaluable hands-on experience. While residents do get paid, the compensation reflects their trainee status and the educational nature of the program. Salaries vary by location, specialty, and year of training.

    Although they help cover living expenses, many residents continue to navigate the financial challenges of significant student loan debt. Understanding these financial dynamics is essential for anyone considering a path in medicine.

    Source


    Author

    Brian Flaherty avatar

    Brian is a graduate of the University of Virginia where he earned a B.A. in Economics. After graduation, Brian spent four years working at a wealth management firm advising high-net-worth investors and institutions. During his time there, he passed the rigorous Series 65 exam and rose to a high-level strategy position.

    Editor

    Rachel Lauren avatar

    Rachel Lauren is the co-founder and COO of Debbie, a tech startup that offers an app to help people pay off their credit card debt for good through rewards and behavioral psychology. She was previously a venture capital investor at BDMI, as well as an equity research analyst at Credit Suisse.

    At TuitionHero, we're not just passionate about our work - we take immense pride in it. Our dedicated team of writers diligently follows strict editorial standards, ensuring that every piece of content we publish is accurate, current, and highly valuable. We don't just strive for quality; we aim for excellence.


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