28% of physicians say they don't earn enough for what their family needs. The lowest-paid specialty still makes $266,000.

Medscape's 2026 physician compensation report surveyed roughly 6,000 doctors across 29+ specialties, and the numbers tell a stranger story than "doctors are underpaid." Average pay rose 3%, barely clearing inflation, and nine specialties were flat or down. Jimmy and Justin unpack what the data says about physician pay, negotiation, and the 40% side-gig statistic.

What you'll learn:

  • Why primary care averaged $298K and specialists $417K — and which specialties outpaced inflation
  • What percentage of physicians negotiated their compensation, and how many just took what they were given
  • Why "we don't negotiate" pay models push high performers out
  • The paradox: 53% feel personally fairly paid, but 61% say the profession is underpaid
  • What the 40% side-gig number reveals about autonomy and moral injury

Resources mentioned:


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