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How neurologists are paid: Part 2: Private practice, research grants, academic and nonclinical activities
Peter D Donofrio1, Gregory L Barkley1, Bruce H Cohen1
1Vanderbilt University Medical Center (PDD), Nashville, TN; Henry Ford Hospital (GLB), Detroit, MI; Children's Hospital Medical Center of Akron (BHC), OH; Texas Neurology (DAE), Dallas; Emory University (GJE), Atlanta, GA; University of Maryland (BS), School of Medicine, Baltimore; University of Calgary (JRB), Alberta Children's Hospital, Canada; and American Academy of Neurology (AB), Minneapolis, MN.
Abstract:
Part 1 of this series focused on factors influencing payment for patient care services. In Part 2, we review compensation models for nonpatient activity such as medical legal reviews, committee participation, and collaboration with the pharmaceutical industry. Compensation to neurologists in private practice is commonly in the form of guaranteed salary and bonuses. Salary for neurologists in academic medicine has changed considerably over the past 3 decades, from small departments with faculty supported by grants and volunteer faculty, to large departments with faculty split between those with research grant support and those focusing on patient care and teaching. Compensation models in academic medicine range from straight salary without bonus to straight salary with personal or shared bonus and salary based on relative value units.
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