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I can imagine that the lifestyle of a Sleep doc is relatively relaxed, but how does it pay (in comparison to a general internist for example, as I am an IM R2)?
I can imagine that the lifestyle of a Sleep doc is relatively relaxed, but how does it pay (in comparison to a general internist for example, as I am an IM R2)?
Thanks guys. I wonder how big the discrepancy really is between IM vs Pulm/CC vs Neuro trained sleep docs in terms of jobs/salary. Many of the jobs I have seen listed want Pulm/Neuro trained sleep docs for their group practices. I wonder how marketable an IM trained sleep doc would be. Also, do you think one could practice both general IM and sleep?
Thank you for posting the link shrnkmd.
Now with the ABA stating that sleep medicine is an accredited fellowship option for those coming out of anesthesiology for residency, how competitive would one need to be to land a sleep spot. What would be the pecking order now in terms of those pursuing this fellowship? I was always genuinely interested in sleep, but decided I didn't like Pulm/Crit Care, neurology to make the jump just for sleep (and give up something I did enjoy, anesthesiology). However, now I can have my cake and eat it too. Feels good for once.
You would think that Gas and Sleep are a logical fit -- after all, anesthesiologists spend their time putting people to sleep, right?
Nevertheless, I don't think the fellowship "pecking order" (i.e., pulm = neuro > psych >>> everyone else) will change too fast, mostly for the reason that there aren't a lot of anesthesia people in sleep to begin who can advocate for other anesthesia-trained fellows.
That being said, sleep apnea, at least, is getting more and more attention from anesthesiologists due to the increased risk of peri- and post-op respiritory and cardiac complications among OSA patients. It's increasingly screened for in anesthesia pre-ops, so the specialty does have some stake in sleep medicine.
However . . . there is a big difference between recognizing a sleep disorder in a screening setting and taking on responsibility for long term care of chronic sleep patients, many of whom have things other than sleep apnea. I'm not sure that people initially attracted to the primary modus operandi of anesthesia would find sleep practice to be very appealing, but that's just my take on things.
Based on the above, with regard to your "how competitive would one need to be" question, I would think that at least in the next couple years you'd 1) have to be pretty competitive and 2) have to have a pretty good explanation of why you wanted to go into sleep in order to land a spot.
Coming from a RRT/RPSGT, almost every doctor that I've worked for has been either a Nuero, Pulm, or Cardio. One lab had a phycologist that worked at the lab, and would frequently stay night with us techs. The majority of them were pulm though. All of them had patients outside of sleep.
A phycologist? Damn! I had no idea algae were involved in sleep medicine!
Coming from a RRT/RPSGT, almost every doctor that I've worked for has been either a Nuero, Pulm, or Cardio. One lab had a phycologist that worked at the lab, and would frequently stay night with us techs. The majority of them were pulm though. All of them had patients outside of sleep.
I think anyone that was comfortable in the ICU was doing sleep because they were used to CPAP machines. However these are often sleep apnea mills and not sleep medicine clinics.
This will slowly change after this year as this is the final year of grandfathering into sleep medicine. I think eventually sleep will be mostly neurology and psychiatry along with primary care. Sleep will not continue to be reimbursed like it is right now and also there will be a transition to home studies with improved equipment. This is already happening and this will significantly decrease the motivation for subpsecialties like pulm, ENT, cardiology and anesthesia to enter the field.
Please elaborate. Thanks
Please elaborate. Thanks
A sleep doctor's salary is primarily determined by the type and place of practice he/she chooses. Physicians who are specialists earn an annual median -- meaning half earn more, half less,salary of $339,738.
I believe that the MGMA is publishing (or has published) Sleep Medicine as a separate and distinct entity from Neuro/Sleep, Pulm/Sleep, or Psych/Sleep as had apparently been done in the past.
Dr. Rack,
How would you design a contract for a split practice? Specialty A with Sleep Med, directorship and PSG reading?
I'm thinking of an employed model as private practice would be a little more self-evident with the model you have proposed. And would there be much of a difference in said employed model between hospital vs group?
Thanks!
Necro'd this bad boy because I was curious about one thing: Do non-surgeons who complete sleep fellowships commonly perform sleep surgery themselves or do they refer out the surgeries (to ENT for instance) as is common practice in other medical specialties? Thanks.
Another link on salaries (and appears to be updated annually):
http://www.sleepreviewmag.com/2015/08/sleep-review-salary-survey-2015/
Sleep surgeon = ENT.
or an oral and maxillofacial surgeion
Are these numbers reasonable for sleep medicine?
View attachment 292756
I live in what would be the “Eastern” region and I can tell you that, yes, that’s about right for these parts.Are these numbers reasonable for sleep medicine?
View attachment 292756
I live in what would be the “Eastern” region and I can tell you that, yes, that’s about right for these parts.
I’m a little puzzled by the salary difference between Eastern and Western regions though. $100k difference seems kinda wacky.
Anyone have access to the AASM compensation survey and wouldn't mind sharing some details?
That would be with a pure sleep training or people with Neuro/Sleep or PCC/Sleep?A more realistic snap shot is 300-330, with greater emphasis in 300-315 range.
Sleep from any back ground. The E&M reimbursement is the same regardless of anyone's base specialties. A 99204 will pay the same for doing a sleep consult. Insurance doesn't care if you are IM/FM/Psych/Neuro/PCC/ENT etcThat would be with a pure sleep training or people with Neuro/Sleep or PCC/Sleep?