To present updated information regarding compensation patterns for FMIGS graduated physicians in the United States beginning practice during the last ten years, focusing on variables impacting differences in salary including gender, fellowship duration, geographic region, practice setting and practice mix.
An online survey was sent to FMIGS graduates between March 2019 to April 2019. Information on physicians’ demographics, compensation (based on location, practice model, productivity benchmarks, academic rank and years in practice), and attitudes toward fairness in compensation was collected.
Online Survey PATIENTS OR PARTICIPANTS: FMIGS graduates practicing within the United States.
E-mail Survey MEASUREMENTS AND MAIN RESULTS: We surveyed 298 US FMIGS surgeons graduating during the last 10 years (2009-2018). Response rate was 48.7%. Most respondents identified as female (69%). The majority, (84.8%), completed 2 or 3-year fellowship programs. After adjustment for inflation, the median starting salary for first post-fellowship job was $252,074 [223986, 279983] (Table 1-1). Median time at first job was 2.6 years and median total salary at current year rose to $278,379.4 [241437, 350976]. Median salary for respondents entering a second post-fellowship job started at $280,945 [261409, 329603]. Significantly lower compensation was reported for female FMIGS at initial post-fellowship jobs and was consistently lower than males over time. Most FMIGS graduates (59.7%) reported feeling inadequately compensated for their level of specialization.
A trend toward higher self-reported salaries is noted for FMIGS fellowship graduates in recent years with significant differences in compensation between males and females. Among OB/GYN subspecialists, FMIGS graduates earn significantly less than other fellowship trained physicians with median salaries that are lower than those of generalist OB/GYN physicians.

Copyright © 2020. Published by Elsevier Inc.

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