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2021 AAPM Salary Survey posted

Misc.

I'm seeing surprisingly very little change across nearly all experience levels compared to the anecdotal evidence I've been hearing from colleagues over the last couple of years.

This is somewhat reinforced by the thread from last year where people speculated the survey was predicting a bit low as well.

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People speculating it estimates low and when I ask for the survey number in negotiations given my experience it’s typically met with “that’s 10-15% higher than anyone pays. We do our own research and don’t trust the surveys”

u/tsacian avatar

Any company can cite their “own research” that conveniently undervalues your contribution to the tune of 30k. Market value is market value. Just shop around and they will pay. The salary survey is low, but people still accept under-market jobs without negotiating.

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u/Designer-Many6073 avatar

The salary survey has many long standing problems. Currently the floor in therapy is around 200k in reality. Established people don't want to move due to housing. It's an amazing time to be coming out of residency. People who are established should be getting offers from other institutions and working with their employers to bridge the divide. You can't play that card too often, but this is the time to do it.

u/spald01 avatar

What level of experience are you saying that floor is. I wouldn't say graduating residents are all getting 200k+ offers right now...

u/Designer-Many6073 avatar

Right, no one will offer that upfront. It's called a negotiation. Graduating residents can get 200k. Just not at an academic institution and not with a second or third offer to leverage against.

u/spald01 avatar

I agree it's possible for a resident to start at that level, but it's far from the standard if it requires working in non-ideal locations in a likely solo physics role of a very difficult clinic. The vast majority of graduating residents are looking for continued mentorship and some flexibility as they sit for their boards that first year out.

I just don't want any future resident graduates to get the wrong idea seeing this is all and want to stress that this is only a salary for a very very specific situation and not what they should expect as a true floor...or else they're going to likely be very offended when they get their first few offers.

u/Designer-Many6073 avatar

It's not great to accept or offer a low number either. That just results in turnover. I'm not a resident or near-resident so I'm not biased in this. I'm fully board-certified with 10+ year experience. We are looking to expand and hire, which is way I was asking what others had to do to find people. I thought 200k out of residency was odd too (and until recently it was), but when you realize how hard it is to get board-certified people, it's not all that unreasonable.

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u/tsacian avatar

I would say immediate. If i was a graduating therapy resident (in the US), id be asking for slightly over 200k. For sure, 200k is a floor for therapy physicists after board certification.

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u/MedPhys90 avatar

$200k for a new-out-of-residency physicist is ludicrous. As chief and RSO, board certified, 24 years of experience I should be at $300k. I don’t think a new grad is going yo get $200k

it is an actual fact that there are grads from 2021 residency who got hired at over 200k a year

It is most definitely possible (but not likely), it is usually at a cost that may not be worth it. There are truly some hellhole clinics out there. I've seen them offer on both sides of the spectrum (laughably low and "ludicrously" high).

u/MedPhys90 avatar

True

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u/tsacian avatar

It is a fact, and you should be happy for them, and using it to propel your own salary as chief. So many people seem to back admin excuses to underpay their own physicists, thats ludicrous.

u/MedPhys90 avatar
  1. Never did I say I wouldn’t be happy for someone getting whatever they could from a salary negotiation. I’m always for people getting what they can.

  2. I’m not “backing admin”. What I did is describe current salary situations. It would not be a “fair”, I hate that word, or equitable state of affairs to pay a chief who has 20+ years of experience, board certification, is also the RSO $230k and then pay a junior physicist $200k. That is also ludicrous.

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u/tsacian avatar

It isnt fair, but institutions always try to limit salaries. I can say for certain that based on your qualifications you are severely underpaid.

Fact: (board eligible) juniors make 200k. Keep in mind that the eligibility process is very different than it used to be. These are now residency trained physicists, junior or not. I say that as a non-residency physicist.

Fact: Board certified physicists make close to your salary the first year immediately after board certification. (210-220k).

Fact: It is not ludicrous. It is the market. What i find ludicrous is the situation you are in. Good luck.

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u/PandaDad22 avatar

Hospital gets a huge Covid bailout. They cut compensation and salaries are flat. ☺️

The salary is on the lower end but not actually that inaccurate. You have to understand that there is a lot of variety in clinical positions. Someone fresh out of residency can be a one trick pony at a large low paying public/academic center, another can be running point solo in a shithole rural area. This is why I've seen fresh graduate salaries range from $120k to $200k.

Also most people here are younger. If you go into the field you'll meet a lot of people who are "lifers" that have settled into clinic with no desire to leave. In my experience this is a sizable population and the consequences of that stability is negligible yearly raises. If say only 10% of physicists are open to relocation, their new high salaries is not enough to disrupt the status quo.

Lastly the surveys lag in time just based on the time difference between when the salary is given and when this is posted which is about a year and a half.

It seems low because a lot of H1B

u/tsacian avatar

H1B, but board certified? I dont think that can be the case.

I see some H1B work in consulting group that have around 100k-130k out of residency. They have no chance to negotiate

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Either the survey is low or a lot of posts here have been lying about their salary lol