Academic General and Subspecialty Pediatric Promotion Timelines and Lifetime Earnings

What is the association between academic promotion timelines and lifetime earnings of general pediatricians and pediatric subspecialists?In this cross-sectional study of 19 111 academic pediatricians, earlier promotion was consistently associated with significantly higher net present value of lifetime earnings, regardless of subspecialty or salary percentile. Physicians who were never promoted faced financial losses exceeding $2 million to $3 million in some fields and would need to work approximately 10 additional years to match the net present value of peers on a baseline promotion trajectory.These findings suggest that promotion timing is a critical determinant of long-term financial outcomes in academic pediatrics and underscore the need to address disparities in advancement to strengthen and sustain the pediatric workforce.

Corresponding Author: Joshua Daily, MD, MEd, Arkansas Children’s Hospital, University of Arkansas for Medical Sciences, 1 Children’s Way, Slot 512-3, Little Rock, AR (jadaily@uams.edu).

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