Do you get paid during residency in the USA?

Yes, you absolutely get paid during a medical residency in the USA, as it's considered a paid job where you earn a salary (stipend) that increases yearly, but it's relatively low for the extensive hours worked, averaging around $60,000-$70,000 annually for first-year interns and rising with each year of training. Residents also receive benefits like health insurance, and pay varies by location, specialty, and institution.

Do you get paid during residency as a doctor?

Yes, doctors absolutely get paid during residency, but it's a salary/stipend for their on-the-job training, not a full physician's wage, typically ranging from around $60,000 to over $70,000 annually, increasing slightly each year, with benefits like health insurance included. While they earn money, it's often seen as modest given the long hours, with compensation varying by location and specialty, notes the American Medical Association (AMA) and Medscape.
 

Do you make money when you're in residency?

National Averages By Training Year

Across the U.S., the average residency salary ranges from $60,000 to $70,000 per year. First-year residents (PGY-1), often referred to as interns, typically earn on the lower end of that scale, with annual stipends averaging $58,000 to $61,000.

Do you get paid while being a resident?

Topics. The average medical resident is earning around $75,000 annually, according to Medscape's 2025 Resident Salary and Debt Report. Average salary for U.S. residents increased 6.5% this year, a jump from the 4% increase that Medscape reported in their 2024 report.

What doctor makes $500,000 a year?

Doctors in surgical and high-demand procedural specialties frequently earn over $500,000 annually, with top earners often being Neurosurgery, Orthopedic Surgery, Plastic Surgery, Cardiology, and Thoracic Surgery, driven by complex skills, high demand (especially with aging populations), and lucrative elective procedures or emergency needs. Other fields like Radiology, Gastroenterology, Urology, and Anesthesiology also see average incomes exceeding this threshold.
 

How Much Do Resident Doctors Make?💸 Per Hour Breakdown!⏱️

How much do you make in your first year of residency?

First-year medical residents (PGY-1) typically make between $58,000 and $70,000 annually, with averages often cited in the mid-$60,000s, though exact figures vary significantly by specialty, location, and institution. Salaries increase each year, with some specialties like Surgery or Dermatology paying more, while Family Medicine might pay less, and location (city vs. rural) also influences the amount. 

Which residency pays the most?

The highest-paying medical residencies are typically in surgical and procedural specialties like Orthopedic Surgery, Neurosurgery, Plastic Surgery, Cardiology, and Radiology, often paying over $60k-$65k+ annually during residency and leading to much higher physician salaries post-residency, though resident pay varies significantly by PGY year and location. While actual resident salaries rise with training level (PGY), these fields promise the greatest long-term earning potential, with some surgeon roles averaging $650k+ after training.
 

Can you work while in residency?

These limitations mean residents can work no more than 80 hours per week, no more than 24 consecutive hours on duty, cannot be on-call more than every third night, and should have one day off per week.

Is residency harder than med school?

Yes, residency is generally considered harder than medical school, but in a different way; medical school is academically intense with exams, while residency trades academic pressure for real-world responsibility, longer hours, physical exhaustion, critical patient-care decisions, and emotional stress, though it's where you truly become a doctor. Residency shifts focus from book learning to hands-on, high-stakes clinical practice, often involving 80+ hour weeks, overnight calls, and constant responsibility for patients' lives, making it more draining on stamina and time. 

What benefits do residents get?

Frequent benefits for residents

The benefits most commonly provided to residents included: Paid maternity leave—offered at 100% of residency programs in the study. Paid paternity leave—98.7%. Long-term disability insurance—90.1%.

How long are you a resident doctor in the USA?

How Long Are Medical Residency Programs? Residency program length isn't always the same across the board. Depending on the program, specialty, and even your career path, your residency program can last anywhere from three to seven years.

What happens after 3 years of residency?

Residency comes first, and the length of the program varies with specialty; the shortest are 3 years and the longest are 7 years. After your residency training, you may choose to further sub-specialize by completing fellowships usually lasting 1-3 additional years.

Is residency in the USA worth it?

Residency in USA – Pros:

Better pay and work-life balance due to enforced duty-hour rules. Strong academic and research exposure for those aiming to build a teaching or research career.

What are the hardest residencies?

What are some of the Hardest Residency Specialties to Match?

• Cardiothoracic Surgery.
• Vascular Surgery.
• Dermatology.
• General Surgery.
• Neurosurgery.
• Orthopedic Surgery.
• Ophthalmology.
• Otolaryngology (ENT)

Do I get paid while doing residency?

Yes, medical residents get paid a salary or stipend, but it's significantly lower than fully licensed physicians, typically ranging from around $60,000 to $75,000+ for first-year residents (PGY-1) and increasing with each year of training (PGY-2, PGY-3, etc.). This pay is a salary or stipend meant to cover living expenses during the intense, hands-on training period, with amounts varying by location, hospital, and year of residency.
 

Do doctors work 7 days on 7 days off?

Yes, many hospital-based doctors, especially hospitalists, work a common "7 days on, 7 days off" schedule, working long shifts (often 12 hours) for a week, including weekends, then having a full week off, which allows for long periods of rest but can lead to burnout during work weeks. This schedule ensures continuity of care for patients but is just one model, with other specialties like emergency medicine or surgery having different patterns, and some doctors even prefer more frequent, shorter shifts.
 

Do you get weekends off during residency?

Depending on how this is divided across your schedule, you may have both Saturday and Sunday off of work, or a “golden weekend.” Furthermore, outpatient clinics are usually closed on Saturdays and Sundays, so if you're on an ambulatory or elective block, you'll probably have weekends free during the rotation.

What is the lowest paid doctor?

The lowest-paid doctor specialties consistently fall in primary care and certain pediatric subspecialties, with Pediatrics often cited as the lowest overall, followed by Public Health/Preventive Medicine, Family Medicine, and pediatric subspecialties like Endocrinology, Rheumatology, and Infectious Diseases. These roles offer lower compensation than surgical or high-demand adult specialties, often due to the broad nature of primary care and the focus on children's health, though they provide excellent work-life balance for many.
 

What's the easiest residency to get into?

The easiest residencies to get into are generally Family Medicine, Internal Medicine (especially community programs), Pediatrics, Psychiatry, and Pathology, due to higher demand, more available spots, and less stringent score requirements compared to surgical fields, though "easiest" is relative and depends on your profile. Family Medicine and Pediatrics consistently rank as the least competitive, offering broad training and often better work-life balance with regular hours. 

Is 30 too old for residency?

No, 30 is generally not too old for residency; many start in their late 20s or early 30s, and while some competitive specialties might prefer younger applicants, your experience, performance in medical school, and application strength often matter more than age, with success stories common across many fields.
 

Is residency hourly or salary?

The hourly rate of residents varies significantly because while pay is based on a set salary, the number of hours worked can vary by specialty, institution, and year of training. For example, if the resident salary is $60,000 a year and the physician works 50 hours a week, they make approximately $23 an hour.

Who pays for residency salaries?

Residents are paid by the organization they are employed by whether that is a hospital, healthcare system or university. Medicare SOMETIMES makes payments to hospitals through the DGME program for having residents but that amount depends on #residents employed there and share of patients on Medicare.

How many hours do residents work?

It is a supervised clinical training period and an intensive, full-time job—requiring 60-80 hours per week—which provides physicians, also referred to as residents or trainees, with hands-on experience and increasing autonomy in delivering health care under the guidance of experienced attending physicians.

What jobs in the US pay $300,000 a year?

Jobs paying $300,000 or more in the U.S. are typically senior roles in technology, finance, law, and medicine, including roles like CEOs, Chief Technology Officers, Investment Bankers, Partner-Level Lawyers, Surgeons, and Specialized Physicians, along with top-tier Sales Directors, Management Consultants, and Private Equity Executives, often relying on bonuses, commissions, or profit-sharing for high earnings. High-income careers without traditional degrees can also be found in tech entrepreneurship, high-level skilled trades, and top-performing sales.