Pediatricians made a median salary of $177,130 in 2020. The best-paid 25 percent made $208,000 that year, while the lowest-paid 25 percent made $126,930.
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Best-Paying Cities for Pediatricians
The metropolitan areas that pay the highest salary in the pediatrician profession are Riverside, State College, Salt Lake City, Danbury, and Scranton.
Riverside, California
$280,860
State College, Pennsylvania
$275,730
Salt Lake City, Utah
$275,610
Danbury, Connecticut
$266,300
Scranton, Pennsylvania
$263,740
The 5 Best-Paying Cities for Pediatricians
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Best-Paying States for Pediatricians
The states and districts that pay Pediatricians the highest mean salary are Montana ($268,760), Alaska ($263,390), Utah ($255,900), New Hampshire ($255,170), and Wisconsin ($246,020).
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Physicians and surgeons work in both clinical and nonclinical settings. Clinical settings include physicians' offices and hospitals; nonclinical settings include government agencies, nonprofit organizations, and insurance companies.
How to Become a Physician or Surgeon
Physicians and surgeons typically need a bachelor’s degree as well as a medical degree, which takes an additional 4 years to complete. Depending on their specialty, they also need 3 to 9 years in internship and residency programs. Subspecialization includes additional training in a fellowship of 1 to 3 years.
Pay
Wages for physicians and surgeons are among the highest of all occupations, with a median wage equal to or greater than $208,000 per year.
Job Outlook
Overall employment of physicians and surgeons is projected to grow 3 percent from 2021 to 2031, slower than the average for all occupations.
Despite limited employment growth, about 23,800 openings for physicians and surgeons are projected each year, on average, over the decade. Most of those openings are expected to result from the need to replace workers who transfer to different occupations or exit the labor force, such as to retire.
State & Area Data
Explore resources for employment and wages by state and area for physicians and surgeons.
Similar Occupations
Compare the job duties, education, job growth, and pay of physicians and surgeons with similar occupations.
More Information, Including Links to O*NET
Learn more about physicians and surgeons by visiting additional resources, including O*NET, a source on key characteristics of workers and occupations.
What Physicians and Surgeons Do About this section
Physicians often work closely with other healthcare staff including physician assistants, registered nurses, and medical records and health information technicians.
Physicians and surgeons diagnose and treat injuries or illnesses and address health maintenance. Physicians examine patients; take medical histories; prescribe medications; and order, perform, and interpret diagnostic tests. They often counsel patients on diet, hygiene, and preventive healthcare. Surgeons operate on patients to treat injuries, such as broken bones; diseases, such as cancerous tumors; and deformities, such as cleft palates.
There are two types of physicians, with similar degrees: M.D. (Medical Doctor) and D.O. (Doctor of Osteopathic Medicine). Both use the same methods of treatment, including drugs and surgery, but D.O.s place additional emphasis on the body's musculoskeletal system, preventive medicine, and holistic (whole-person) patient care. D.O.s are most likely to be primary care physicians, although they work in all specialties.
Duties
Physicians and surgeons typically do the following:
- Take a patient’s medical history and perform a physical exam
- Document and update charts and patient information to show findings and treatments
- Order tests and consultations for other physicians or healthcare staff to perform
- Review test results to identify abnormal findings
- Recommend, design, and implement a treatment plan
- Address concerns or answer questions that patients have about their health and well-being
- Help patients take care of their health by discussing topics such as proper nutrition and hygiene
Physicians and surgeons focus on a particular type of practice. Within their area of focus, they also may specialize or subspecialize. The following are examples of types of physicians and surgeons:
Anesthesiologists focus on the care of surgical patients and on pain relief. They administer drugs (anesthetics) that reduce or eliminate the sensation of pain during an operation or another medical procedure. During surgery, they adjust the amount of anesthetic as needed and monitor the patient's heart rate, body temperature, blood pressure, and breathing. They also provide pain relief for patients in intensive care, for women in labor, and for patients suffering from chronic pain.
Cardiologists diagnose and treat diseases or conditions of the heart and blood vessels, such as valve problems, high blood pressure, and heart attacks. Cardiologists may work with adults or specialize in pediatrics (typically newborns through age 21). Although they treat many of the same disorders in either population, cardiologists in pediatric care focus on conditions that patients are born with rather than on those that develop later in life.
Dermatologists provide care for diseases relating to the skin, hair, and nails. They treat patients who may have melanoma or other skin cancers. They may offer both medical and surgical dermatology services.
Emergency medicine physicians treat patients in urgent medical situations. These physicians evaluate, care for, and stabilize patients whose illness or injury requires immediate attention. Unlike many other physicians, who often choose to specialize, most emergency medical physicians are generalists.
Family medicine physicians are generalists who address health maintenance and assess and treat conditions that occur in everyday life. These conditions include sinus and respiratory infections, intestinal ailments, and broken bones. Family medicine physicians typically have regular, long-term patients, who may include all members of the same household.
General internal medicine physicians diagnose and provide nonsurgical treatment for a range of problems that affect internal organs and systems such as the stomach, kidneys, liver, and digestive tract. Internists use a variety of diagnostic techniques to treat patients through medication or hospitalization. Their patients are mostly adults. They may specialize, such as in gastroenterology or endocrinology.
Neurologists diagnose and treat those with disorders of the brain and nervous system, such as Alzheimer’s disease, amyotrophic lateral sclerosis (ALS), and epilepsy. These physicians may specialize in one or more conditions, or they may work as pediatric neurologists to diagnose and manage the care of children with autism, behavioral disorders, or other neurological conditions.
Obstetricians and gynecologists (OB/GYNs) provide care and counsel to women regarding pregnancy, childbirth, and the female reproductive system. They also diagnose and treat health issues specific to women, such as cervical cancer, ovarian cysts, and symptoms related to menopause.
Ophthalmologists diagnose and treat conditions of the eye. Treatment may include surgery to correct vision problems or to prevent vision loss from glaucoma and other diseases. Ophthalmologists also may fit eyeglasses, prescribe contact lenses, and provide other vision services.
Orthopedic surgeons diagnose and treat conditions of or injuries to the musculoskeletal system, which includes bones, muscles, ligaments, and tendons. They may specialize in certain areas of the body, such as the foot and ankle, or in a particular type of practice, such as sports medicine.
Pathologists test body tissue, fluids, and organs and review test results to diagnose diseases. These physicians may choose specializations that include clinical pathology, which focuses on laboratory analysis of bodily fluids, and anatomical pathology, which focuses on examinations of tissue and other samples acquired through autopsy or surgery.
Pediatricians provide care for infants, children, teenagers, and young adults. They specialize in diagnosing and treating problems specific to younger people. Most pediatricians administer vaccinations and treat common illnesses, minor injuries, and infectious diseases. Some pediatricians specialize in serious medical conditions that commonly affect younger patients, such as autoimmune disorders.
Pediatric surgeons diagnose, treat, and manage a variety of disorders and diseases in fetuses, infants, children, and adolescents. These surgeons collaborate with physicians involved in a child’s medical care—including neonatologists, pediatricians, and family medicine physicians—to determine the best treatment options for the child.
Psychiatrists are primary mental health physicians. They diagnose and treat mental illnesses through a combination of personal counseling (psychotherapy), psychoanalysis, hospitalization, and medication. Psychotherapy involves psychiatrists helping their clients change behavioral patterns and explore past experiences. Psychoanalysis involves long-term psychotherapy and counseling. Psychiatrists may prescribe medications to correct chemical imbalances that cause some mental illnesses.
Radiologists review and interpret x rays and other medical images, such as ultrasounds, to diagnose injuries or diseases. They may specialize, such as in diagnostic radiology, which involves reviewing images and recommending treatment or additional testing, or in interventional radiology, which includes diagnosing patients and treating them with minimally invasive techniques.
Physicians in healthcare establishments work daily with other healthcare staff, such as registered nurses, other physicians, medical assistants, and medical records and health information technicians.
Some physicians choose to work in fields that do not involve patient care, such as medical research or public policy.
Work Environment About this section
Surgeons and anesthesiologists usually work in a sterile environment and must follow protocol to maintain it during procedures.
Physicians and surgeons held about 761,700 jobs in 2021. Employment in the detailed occupations that make up physicians and surgeons was distributed as follows:
Physicians, all other280,800Family medicine physicians112,200General internal medicine physicians63,700Emergency medicine physicians39,500Pediatricians, general36,800Anesthesiologists34,100Radiologists32,400Surgeons, all other30,700Psychiatrists27,900Obstetricians and gynecologists23,600Cardiologists20,300Orthopedic surgeons, except pediatric16,800Physicians, pathologists12,100Ophthalmologists, except pediatric12,000Dermatologists10,100Neurologists7,800Pediatric surgeons900The largest employers of physicians and surgeons were as follows:
Offices of physicians53%Hospitals, state, local, and private25Self-employed workers6Federal government5Outpatient care centers4Physicians and surgeons work in both clinical and nonclinical settings. Some examples of clinical settings are physicians' offices and hospitals, including academic hospitals associated with residency programs or schools of medicine. Nonclinical settings include government agencies, nonprofit organizations, and insurance companies.
In clinical settings, physicians may work as part of a group practice or healthcare organization. These arrangements allow them to coordinate patient care but give them less independence than solo practitioners have.
Physicians and surgeons may stand for long periods throughout the day. Other working conditions may vary by specialty. For example, surgeons and anesthesiologists usually work in a sterile environment and must follow protocol to maintain it during procedures.
Work Schedules
Most physicians and surgeons work full time. Some work more than 40 hours per week. Many physicians and surgeons work long shifts, which may include irregular and overnight hours or being on call. Physicians and surgeons may travel between their offices and the hospital to care for patients. While on call, a physician may need to address a patient’s concerns over the phone or make an emergency visit to another location, such as a nursing home.
How to Become a Physician or Surgeon About this section
Physicians and surgeons may work in a medical specialty, such as cardiology, dermatology, pathology, or radiology.
Physicians and surgeons typically need a bachelor’s degree as well as a degree from a medical school, which takes an additional 4 years to complete. Depending on their specialty, they also need 3 to 9 years in internship and residency programs. Subspecialization includes additional training in a fellowship of 1 to 3 years.
Education
In addition to requiring a bachelor’s degree, physicians and surgeons typically need either a Medical Doctor (M.D.) or a Doctor of Osteopathic Medicine (D.O.) degree. No specific undergraduate degree is required to enter an M.D. or D.O. program, but applicants to medical school usually have studied subjects such as biology, physical science, or healthcare and related fields.
Medical schools are highly competitive. Applicants usually must submit transcripts, scores from the Medical College Admission Test (MCAT), and letters of recommendation. Medical schools also consider an applicant’s personality, leadership qualities, and participation in extracurricular activities. Most schools require applicants to interview with members of the admissions committee.
Some medical schools offer combined undergraduate and medical school programs that last 6 to 8 years. Schools may also offer combined graduate degrees, such as M.D.-Ph.D., M.D.-MBA, and M.D.-MPH.
Students spend the first phase of medical school in classrooms, small groups, and laboratories, taking courses such as anatomy, biochemistry, pharmacology, psychology, medical ethics, and in the laws governing medicine. They also gain practical skills: learning to take medical histories, examine patients, and diagnose illnesses.
During their second phase of medical school, students work with patients under the supervision of experienced physicians in hospitals and clinics. They gain experience in diagnosing and treating illnesses through clerkships, or rotations, in a variety of areas, including internal medicine, pediatrics, and surgery.
Training
After medical school, almost all graduates enter a residency program in their specialty of interest. A residency usually takes place in a hospital or clinic and varies in duration, typically lasting from 3 to 9 years, depending on the specialty. Subspecialization, such as infectious diseases or hand surgery, includes additional training in a fellowship of 1 to 3 years.
Licenses, Certifications, and Registrations
All states require physicians and surgeons to be licensed; requirements vary by state. To qualify for a license, candidates must graduate from an accredited medical school and complete residency training in their specialty.
Licensure requirements include passing standardized national exams. M.D.s take the U.S. Medical Licensing Examination (USMLE). D.O.s take the Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA). For specific state information about licensing, contact your state’s medical board.
Board certification in a specialty is not required for physicians and surgeons; however, it may increase their employment opportunities. M.D.s and D.O.s seeking board certification in a specialty may spend up to 9 years in residency training; the length of time varies with the specialty. To become board certified, candidates must complete a residency program and pass a specialty certification exam from a medical certifying board. Examples of certifying boards include the American Board of Medical Specialties (ABMS), the American Osteopathic Association (AOA), and the American Board of Physician Specialties (ABPS).
Important Qualities
Communication skills. Physicians and surgeons need to convey information effectively to their patients and to other healthcare workers. They also must be able to dictate or write reports that clearly describe a patient’s medical condition or procedure outcome.
Compassion. Patients who are sick or injured may be in extreme pain or distress. Physicians and surgeons must treat patients and their families with understanding.
Detail oriented. To ensure that patients receive appropriate treatment, including medication, physicians and surgeons must be precise in monitoring them and recording information related to their care.
Dexterity. Physicians and surgeons must be agile and sure handed, especially when working with extremely sharp medical instruments.
Leadership skills. Physicians and surgeons must coordinate with a team of other healthcare workers to manage patient care or direct medical procedures.
Organizational skills. Good recordkeeping and other administrative skills are critical for physicians and surgeons in both medical and business settings.
Patience. Physicians and surgeons must remain calm and tolerant when working with patients who need special attention, such as those who fear or ignore medical treatment.
Physical stamina. Physicians and surgeons may spend many hours on their feet, including walking between patient visits or procedures. Surgeons may spend a great deal of time bending over patients during surgery.
Problem-solving skills. Physicians and surgeons need to evaluate patients’ symptoms to determine appropriate treatment. In some situations, such as emergencies, they may need to analyze and resolve crises quickly.
Pay About this section
Physicians and Surgeons
Median annual wages, May 2021
Physicians and surgeonsThis wage is equal to or greater than $208,000 per year.
Healthcare diagnosing or treating practitioners$81,270
Total, all occupations$45,760
Note: All Occupations includes all occupations in the U.S. Economy.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics
Wages for physicians and surgeons are among the highest of all occupations, with a median wage equal to or greater than $208,000 per year. Median wages showing the differences in pay between types of physicians and surgeons are not available, but mean (average) annual wages for physicians and surgeons in May 2021 were as follows:
Cardiologists $353,970Anesthesiologists 331,190Emergency medicine physicians 310,640Orthopedic surgeons, except pediatric 306,220Dermatologists 302,740Radiologists 301,720Surgeons, all other 297,800Obstetricians and gynecologists 296,210Pediatric surgeons 290,310Ophthalmologists, except pediatric 270,090Neurologists 267,660Physicians, pathologists 267,180Psychiatrists 249,760General internal medicine physicians 242,190Family medicine physicians 235,930Physicians, all other 231,500Pediatricians, general 198,420Most physicians and surgeons work full time. Some work more than 40 hours per week. Many physicians and surgeons work long shifts, which may include irregular and overnight hours or being on call. Physicians and surgeons may travel between their offices and the hospital to care for patients. While on call, a physician may need to address a patient’s concerns over the phone or make an emergency visit to another location, such as a nursing home.
Job Outlook About this section
Physicians and Surgeons
Percent change in employment, projected 2021-31
Healthcare diagnosing or treating practitioners9%
Total, all occupations5%
Physicians and surgeons3%
Note: All Occupations includes all occupations in the U.S. Economy.
Source: U.S. Bureau of Labor Statistics, Employment Projections program
Overall employment of physicians and surgeons is projected to grow 3 percent from 2021 to 2031, slower than the average for all occupations.
Despite limited employment growth, about 23,800 openings for physicians and surgeons are projected each year, on average, over the decade. Most of those openings are expected to result from the need to replace workers who transfer to different occupations or exit the labor force, such as to retire.
Employment
Projected employment of physicians and surgeons varies by occupation (see table). Population growth and an increasing number of older adults, who have a higher likelihood than young people of experiencing health problems and of needing complex care, is expected to drive overall employment growth for physician and surgeons.
Growing demand for psychiatric care and improved access to mental health services will contribute to demand for psychiatrists.
As rates of chronic illnesses such as diabetes, cancer, and heart disease increase, people will seek high levels of care that use the latest technologies, diagnostic tests, and therapies.
Employment projections data for physicians and surgeons, 2021-31Occupational TitleSOC CodeEmployment, 2021Projected Employment, 2031Change, 2021-31Employment by IndustryPercentNumericSOURCE: U.S. Bureau of Labor Statistics, Employment Projections program
Physicians and surgeons
—761,700783,100321,400—Physicians
29-1210701,300720,700319,400Get dataAnesthesiologists
29-121134,10034,5001400Get dataCardiologists
29-121220,30020,9003600Get dataDermatologists
29-121310,10010,4003300Get dataEmergency medicine physicians
29-121439,50040,80031,300Get dataFamily medicine physicians
29-1215112,200115,90033,700Get dataGeneral internal medicine physicians
29-121663,70065,00021,300Get dataNeurologists
29-12177,8008,0003200Get dataObstetricians and gynecologists
29-121823,60024,0002400Get dataPediatricians, general
29-122136,80037,2001400Get dataPhysicians, pathologists
29-122212,10012,6004500Get dataPsychiatrists
29-122327,90030,30092,400Get dataRadiologists
29-122432,40033,60041,200Get dataPhysicians, all other
29-1229280,800287,50026,700Get dataSurgeons
29-124060,40062,40032,000Get dataOphthalmologists, except pediatric
29-124112,00012,8006800Get dataOrthopedic surgeons, except pediatric
29-124216,80017,3003400Get dataPediatric surgeons
29-124390090020Get dataSurgeons, all other
29-124930,70031,5003800Get dataState & Area Data About this section
Occupational Employment and Wage Statistics (OEWS)
The Occupational Employment and Wage Statistics (OEWS) program produces employment and wage estimates annually for over 800 occupations. These estimates are available for the nation as a whole, for individual states, and for metropolitan and nonmetropolitan areas.
- Anesthesiologists
- Cardiologists
- Dermatologists
- Emergency medicine physicians
- Family medicine physicians
- General internal medicine physicians
- Neurologists
- Obstetricians and gynecologists
- Ophthalmologists, except pediatric
- Orthopedic surgeons, except pediatric
- Pediatric surgeons
- Pediatricians, general
- Physicians, all other
- Physicians, pathologists
- Psychiatrists
- Radiologists
- Surgeons, all other
Projections Central
Occupational employment projections are developed for all states by Labor Market Information (LMI) or individual state Employment Projections offices. All state projections data are available at www.projectionscentral.com. Information on this site allows projected employment growth for an occupation to be compared among states or to be compared within one state. In addition, states may produce projections for areas; there are links to each state’s websites where these data may be retrieved.
CareerOneStop
CareerOneStop includes hundreds of occupational profiles with data available by state and metro area. There are links in the left-hand side menu to compare occupational employment by state and occupational wages by local area or metro area. There is also a salary info tool to search for wages by zip code.
Contacts for More Information About this section
For more information about physicians and surgeons, visit
American Medical Association
American Osteopathic Association
For more information about various medical specialties, visit
American Academy of Family Physicians
American Board of Medical Specialties
American Board of Physician Specialties
American College of Obstetricians and Gynecologists
American College of Physicians
American College of Surgeons
For a list of medical schools and residency programs, as well as for general information on premedical education, financial aid, and medicine as a career, visit