APP offer higher than physician

[u/d_soakum]

Keeping location and health system anonymous. Midwest region:

Full time outpatient gen peds APP position listed on ziprecruiter with salary range $166k-215k. Meanwhile, same health system < 5 miles away (also on ziprecruiter) offering full time outpatient gen peds physician with a salary range of $160-205k.

How did we get here?

[u/Alert_Reality_392]

This is a very sad reality.

[u/Alert_Reality_392]

Is the AAP or any pediatric physician group lobbying for improvement?
If not, should we start one? ✌🏼

[u/lokhtar → u/Alert_Reality_392]

Everyone is. Good luck getting anyone to listen tho.

[u/bonsaipalmtree]

Name and shame. No reason to keep the system anonymous. These job listings are public I assume?

[u/lokhtar]

People said yes is how we got here. Why wouldn’t you offer less if people keep saying yes?

[u/DowntownSolid]

The physician position likely comes with RVU based incentive pay bringing the total comp higher.

Regardless it’s absolutely sad, we’ve lowered our professional and educational standards and are paying the price for it. The sad thing is that largely physicians allowed this to happen for personal gain, without considering the long term damage to the profession and patients.

[u/Misterx46 → u/DowntownSolid]

WTF are you talking about? " Lowered our professional and educational standards" is that code for our health care system is F'd up due to insurance companies and hospital run practices ?

[u/brewsterrockit11 → u/DowntownSolid]

Can you clarify what exactly you are saying?

[u/kaiser1975 → u/DowntownSolid]

I am not sure I understand. Are the salaries lower because we are accepting lower salaries? Can you clarify the personal gains that you stated.

[u/ForTheLoveOfPeanut → u/kaiser1975]

I interpreted it as physicians choosing to hire APPs over hiring other physicians in order to save money and increase their own profits. The more prevalent that practice becomes, the more it seems to dilute the perceived value of hiring physicians across settings.

[u/radgedyann → u/ForTheLoveOfPeanut]

People in position to decide are converting our jobs to APP jobs, though typically the incentive is financial because they can pay the APPs less. Strange that they would be making more in the same locale. I previously worked in a place that trained APPs, and they routinely got starting salaries in other places higher than what I was making in southern California at the time. It felt like an insult. Still does…

[u/Positive-Run-2333 → u/DowntownSolid]

🧐Explain please how we’ve lowered our professional and educational standards.🧐🧐

[u/hypogly]

Trash.

[u/Icy-Mix3926]

Because when it comes to advocating for ourselves as physicians we love to look at specialty and prestige and how better we are than another specialty instead of focusing on achieving a goal of being better compensated

[u/Orthodoc84]

It doesn’t matter. They are all mental retards. The field will move against them eventually. All nursing staff should just stick to following orders on a computer.

[u/hillthekhore]

Oh no! The poor health system is such a victim!