How much do doctors get paid during residency in the USA?

U.S. medical residents earn an average annual salary generally ranging from around $60,000 to over $90,000, increasing with each year of training (PGY-1 to PGY-8+), with first-year (PGY-1) residents typically starting near $60,000-$65,000 and senior residents earning more, though compensation varies by institution, location, and length of program. While salaries increase yearly, these modest raises often don't keep pace with inflation or student loan accrual, leading many residents to feel underpaid for their long hours, notes Healthgrades/Medscape 2024 report on resident pay.

Do you get paid during residency in the USA?

1. Do Medical Residents Make Money? Yes, medical residents are paid to work at their hospitals or clinics. Although there is some debate about whether residents should be considered students or employees, most residents consider themselves employees due to the significant difference between school and residency.

Do doctors make money while in residency?

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.
 

How much does a doctor earn in residency in the USA?

The average resident salary is around $64,000 per year. Residents earn significantly less than licensed primary care physicians ($243,000) and specialists ($346,000). Resident salaries rise each year of training, with an additional $2,000-$5,000 for each subsequent year.

How much does a doctor make after residency?

After residency, doctor salaries vary widely by specialty, location, and experience, but generally jump significantly, with primary care physicians often starting around $250k-$300k and specialists earning much more, averaging well over $300k-$400k, with top earners like orthopedic or plastic surgeons clearing $600k+ annually, while lower-paying fields like pediatrics might start closer to $250k-$290k. 

Highest Paid Doctor Specialties in 2026 (💰New Leaders)

What doctor makes $500,000 a year?

Doctors in high-demand surgical and specialized fields like Orthopedics, Plastic Surgery, Radiology, Cardiology, and Gastroenterology often earn over $500,000 annually, with some top earners in Thoracic Surgery or Neurosurgery making significantly more, while even family doctors can reach this level through practice ownership or specialized services.
 

Why do doctors get paid so little during residency?

Yes, in the US, you are paid during residency. However, unfortunately, residents are not paid very much considering the massive number of hours they are expected to work. While most residents are paid a similar amount, some specialties make more or less than others due to how many hours they're expected to put in.

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 happens after 4 years of residency?

After your residency training, you may choose to further sub-specialize by completing fellowships usually lasting 1-3 additional years. At a minimum, you must complete a residency training program to become “board-certified” in any field of medicine.

What is the highest paid residency?

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.
 

Who pays doctors during residency?

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 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. 

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)

What is the highest paid doctor in the USA?

Neurosurgery ranks as the highest-paid specialty, with an average annual salary exceeding $749,140. Specialties such as neurosurgery, thoracic surgery, orthopedic surgery, and plastic surgery are among the highest-paid, with average annual salaries ranging from approximately $600,000 to over $750,000.

Is $75000 a good salary in the USA?

Yes, $75,000 is generally considered a decent to good salary in most of the U.S., placing you above the median household income and comfortably middle-class in many areas, allowing for savings and expenses, but it becomes tight or insufficient in very high cost-of-living cities like New York or San Francisco. Your actual experience with this salary depends heavily on your location (high vs. low cost-of-living area), family size, and financial habits. 

How old are most doctors after residency?

The average age for doctors finishing residency in the U.S. is around 29 to 30, typically after 3-7 years of training post-medical school (which starts around age 26). However, this varies significantly by specialty, with shorter programs (like Family Medicine or Pediatrics) finishing younger (around 29) and longer ones (like Neurosurgery or Plastic Surgery) finishing closer to 32-33; those pursuing additional fellowships can be in their mid-30s.
 

What is the lowest rank of a doctor?

The lowest rank of a fully qualified doctor in the US hierarchy is often an intern (first-year resident) or junior resident, following medical school, while in the UK it's a foundation doctor, both undergoing initial postgraduate training under supervision before becoming independent specialists or general practitioners. They work under senior residents and attending physicians, handling patient care tasks but still learning.
 

Are you officially a doctor after residency?

After passing the third and final USMLE licensing exam and completing a residency program in your chosen medical specialty, you will officially become a licensed doctor and can apply for board certification.

What doctor has the easiest residency?

Some medical specialties, like family medicine, psychiatry, and pediatrics are less competitive, with more residency slots available, making them easier to get into. Specialties like orthopedics and plastic surgery are very competitive because of the rigorous requirements and limited number of residency spots.

Can a resident call themselves a doctor?

The answer is generally “no,” as the ability to use the title is tied to being licensed by the medical board1.

What is the 32 hour rule in medical school?

The "32-hour rule" in medical school admissions refers to a policy where some medical schools focus on an applicant's GPA from their most recent 32 credit hours, often in science courses, instead of their entire undergraduate GPA, benefiting students with a strong upward trend or a solid post-baccalaureate performance. Schools like Wayne State University and LSU Health New Orleans use variations of this to give more weight to recent academic efforts, allowing strong performance in later coursework or post-bacc programs to shine. 

Who 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.
 

Who are the most overpaid doctors?

The highest-paid doctors in the U.S. are neurosurgeons, thoracic surgeons, and orthopedic surgeons. These surgical specialists earn average annual salaries between $650,000 and $760,000, making them the top earners among physicians.

Is it financially worth it to be a doctor?

Is becoming a doctor worth it financially? Yes, doctors can earn a good amount of money, thus ensuring an excellent return on investment. But it takes a long time and effort to become a doctor, so you need to be ready for that.