Name: 2024 年薪酬最低的醫生專業 (Lowest Paid Doctor Specialties in 2024)
Uploaded: 2025-10-17T18:20:05.000Z
Duration: 10 min 56 s

While a neurosurgeon makes over $750,000 a year, the vast majority of medical specialties do not come with such a high paycheck.

雖然神經外科醫生的年薪超過 75 萬美元，但絕大多數醫學專科的薪水並沒有這麼高。

In fact, the gap between lowest paid and highest paid medical specialties is over $400,000.

事實上，薪資最低和薪資最高的醫學專科差距超過 40 萬美元。

Dr. Jubbal medschoolinsiders.com let's break down the eight lowest paid specialties.

Dr. Jubbal medschoolinsiders.com 我們來分析一下薪資最低的八種專科。

But first note that our list doesn't include the pediatric versions of specialties because otherwise this would just be a list of pediatric specialties.

不過首先要說明的是，我們的列表不包含兒科版本的專科，否則這就只會是兒科專科的列表了。

Of the 10 lowest paid physician careers on Doximity's list, eight were pediatric versions of internal medicine specialties.

在 Doximity 名單中薪資最低的 10 種醫師職業裡，有八種是內科專科的兒科版本。

In the number eight spot is internal medicine, at $312,000.

位居第八名的是內科，年薪 31.2 萬美元。

Internal medicine doctors, also known as internists, are the generalists of generalists, responsible for treating a colossal range of medical conditions, whether complex or straightforward, acute or chronic, common or rare.

內科醫師，也稱為內科全科醫師，是全科醫師中的全科醫師，負責治療各種醫療狀況，無論是複雜或簡單、急性或慢性、常見或罕見。

Internal medicine is more difficult to categorize than other specialties because it's so broad, and

內科比其他專科更難歸類，因為它非常廣泛，

it has more fellowship options than just about any other specialty, including cardiology, gastroenterology and hematology oncology.

而且它的進修選項比幾乎任何其他專科都多，包括心臟病學、腸胃病學和血液腫瘤學。

It should also be noted that subspecialties of IM make considerably more than a regular internist.

另外也應該注意到，內科的次專科醫師比一般內科醫師的收入高出許多。

Cardiologists, for example, earn $565,000 a year, making cardiology the seventh highest paid medical specialty.

舉例來說，心臟科醫師年薪 56.5 萬美元，讓心臟科成為薪資第七高的醫學專科。

Generally speaking, internists have a good work life balance.

一般來說，內科醫師有不錯的工作生活平衡。

They might work a regular 9 to 5 in the clinic as a primary care doctor, or it's common for hospitalists to have a model of seven days on and seven days off.

他們可能在診所當全科醫師，過著朝九晚五的生活，或者醫院醫師常見的模式是輪班七天休息七天。

If you're admitting on call, you could work 12 or more hours a day, but

如果你是值班住院醫師，一天可能會工作 12 小時或更久，但

this won't occur every day if you don't further specialize.

如果你沒有進一步專精，這種情況不會每天發生。

Internal medicine is the shortest residency at three years, tied with pediatrics, family medicine, genetics and preventive medicine.

內科是住院醫師訓練時間最短的科別，僅需三年，與兒科、家醫科、基因學和預防醫學並列。

Coming in at number seven is rheumatology.

At $305,000 a year, rheumatology is an internal medicine subspecialty that focuses on diseases of the joints, musculoskeletal system and connective tissue.

風濕免疫科醫師年薪 30.5 萬美元，這是一個內科次專科，專門治療關節、肌肉骨骼系統和結締組織的疾病。

Rheumatologists see quite a range of diseases, including musculoskeletal diseases like osteoporosis and autoimmune diseases like rheumatoid arthritis.

風濕免疫科醫師會處理相當多樣的疾病，包括骨質疏鬆症等肌肉骨骼疾病，以及類風濕性關節炎等自體免疫疾病。

Despite the relatively low pay, rheumatologists have a good work life balance as they see very few emergencies and don't have to worry about being called into work in the middle of the night.

儘管薪資相對較低，風濕免疫科醫師卻有良好的工作生活平衡，因為他們很少會遇到急診，也不用擔心半夜被叫回醫院。

To become a rheumatologist, you'll need to finish two years of fellowship training.

要成為風濕免疫科醫師，您需要完成兩年的進階訓練。

After a three year internal medicine residency.

在完成三年的內科住院醫師訓練後。

You can also add an extra year of training to become dual certified in rheumatology and allergy and immunology.

您也可以額外加一年訓練，同時獲得風濕免疫科和過敏免疫學的雙重認證。

This means that after two three years of extra training beyond the initial three years of internal medicine residency, rheumatologists make on average $7,000 less a year than IM physicians who chose not to specialize.

這意味著，在完成最初三年的內科住院醫師訓練後，再額外接受兩年的訓練，風濕免疫科醫師的平均年薪會比選擇不專精的內科醫師少 7,000 美元。

This is where personal preference and interest come into play.

這就取決於個人偏好和興趣了。

You don't get into rheumatology for the money for some extra context after the same length of training at six years of residency, plastic surgeons make $620,000 a year, which is over 300k more than rheumatologists.

您選擇風濕免疫科並不是為了錢，再提供一點背景資訊，同樣是六年住院醫師訓練，整形外科醫師年薪 62 萬美元，比風濕免疫科醫師多 30 萬美元以上。

That being said, surgical residencies and attending surgeon lifestyles are more demanding and the specialty is more comp to get into.

話雖如此，外科住院醫師訓練和主治醫師的生活方式要求更高，而且該專科的競爭也更激烈。

But that's a discussion for a separate video at number six is family medicine with $301,000 a year.

不過這就留到另一支影片討論了，排名第六的是家庭醫學科，年薪 30.1 萬美元。

Family medicine doctors are the center of primary care and have quite a lot in common with internal medicine physicians.

家庭醫學科醫師是初級照護的核心，與內科醫師有許多共通之處。

One of the main differences is IM physicians focus on adults, whereas family medicine physicians treat the broadest range of ailments and patients, from newborns to seniors and everything in between.

主要差異之一是，內科醫師專注於成人，而家庭醫學科醫師則治療最廣泛的病症和病患，從新生兒到長者，以及介於兩者之間的各種情況。

They are not limited to a single disease, organ or age range.

他們不只侷限於單一疾病、器官或年齡層。

Family medicine offers a great deal of flexibility and a healthy work life balance.

家庭醫學提供了極大的彈性，以及良好的工作生活平衡。

FM physicians work regular nine to five office hours with minimal call, if any.

家庭醫學醫師的工作時間是固定的朝九晚五，幾乎沒有值班。

However, note that since FM is so flexible, if you choose to specialize in hospitalist medicine or emergency medicine, your hours will be closer to what's normal for that specialty.

不過要注意，由於家庭醫學非常彈性，如果你選擇專攻住院醫師或急診醫師，你的工時會接近該專科的常態。

To become a family medicine physician, the you need to complete family medicine residency which lasts three years.

要成為家庭醫學醫師，你需要完成為期三年的家庭醫學住院醫師訓練。

In addition to being one of the shortest residencies, family medicine is also consistently the least competitive medical specialty to pursue.

家庭醫學不僅是住院醫師訓練時間最短的科別之一，也是最不具競爭性的醫學專科。

Check out our Least Competitive Specialties video and download our complete Specialty Competitiveness Index linked in the Description.

看看我們的「最不具競爭力專科」影片，並下載我們完整的「專科競爭力指數」，連結都在說明欄。

At $291,000 a year, endocrinology involves diseases of the endocrine system, which consists of the body's glands like the thyroid, adrenal glands, pancreas and others, and

年薪 29.1 萬美元的內分泌學，涉及內分泌系統的疾病，該系統包含身體的腺體，例如甲狀腺、腎上腺、胰臟等，以及

This intricate network of glands secretes hormones into the bloodstream to regulate a variety of processes including metabolism, reproduction, growth and development, sleep and mood.

這個複雜的腺體網絡會將荷爾蒙分泌到血液中，以調節新陳代謝、生殖、生長發育、睡眠和情緒等多種生理過程。

They commonly see diseases like diabetes, obesity, hyper and hypothyroidism as well as cancers related to the endocrine system.

他們常見的疾病包括糖尿病、肥胖、甲狀腺功能亢進與低下，以及與內分泌系統相關的癌症。

Endocrinologists tend to have a good work life balance thanks to their regular and reasonable hours.

由於工時規律且合理，內分泌學家通常能擁有良好的工作與生活平衡。

Even if they have inpatient duties and are on call, these duties typically aren't intense or high volume.

即使有住院輪班和隨 call 待命的職責，這些工作通常也不會很艱鉅或量大。

On the downside, it takes a long time to become an endocrinologist considering their relatively low medical salary.

另一方面，考慮到相對較低的醫師薪水，要成為內分泌學家需要很長的時間。

You'll need three years of internal medicine residency followed by two to three years of endocrinology fellowship for a total of five to six years post medical school.

你需要三年的內科住院醫師訓練，接著是兩到三年的內分泌學進修，總共是醫學院畢業後的五到六年。

Coming in at number four is geriatric medicine at $289,000.

第四名是老年醫學，年薪 28.9 萬美元。

Geriatric medicine focuses on the unique medical needs of elderly patients, including chronic conditions as well as vulnerabilities like a risk of falls.

老年醫學專注於老年病患獨特的醫療需求，包括慢性病以及跌倒風險等脆弱性。

Geriatric medicine has a similar work life balance to family medicine.

老年醫學的工作與生活平衡與家庭醫學相似。

Thanks to regular 40 to 50 hour work weeks, there are relatively few emergencies as if an elderly patient has a fall or urgent health concern, they'll be sent to the appropriate physician to assist them, such as an emergency medicine doctor or orthopedic surgeon.

由於每週工時約 40 到 50 小時，緊急情況相對較少，因為如果老年病患跌倒或有緊急健康問題，他們會被轉介給適當的醫師協助，例如急診醫師或骨科醫生。

To get into geriatric medicine, you must complete a 3 year FM or IM residency followed by a 1 year geriatric medicine fellowship.

要想成為老年醫學專科醫師，你必須完成三年家庭醫學或內科住院醫師訓練，接著是一年的老年醫學進修。

Again, this is a case in which if you further specialize after IM or fm, you'll actually earn less.

再說一次，這就是一種情況，如果你在內科或家庭醫學之後進一步專攻，你的收入反而會減少。

However, there is high demand for geriatric physicians due to the increasing aging population in the US.

然而，由於美國人口老化日益嚴重，對老年醫學醫師的需求很高。

In third place is preventive medicine with $282,000 a year.

第四名是預防醫學，年薪 28.2 萬美元。

Preventive medicine is focused on preventing health concerns and diseases before they seriously affect their patients quality of life.

預防醫學專注於在健康問題和疾病嚴重影響病患生活品質之前就加以預防。

It's often utilized by primary care physicians who work directly with their patients on prevention methods like improving sleep quality, stress levels, diet and exercise.

這常被初級保健醫師運用，他們直接與病患合作，採取預防措施，例如改善睡眠品質、壓力水準、飲食和運動。

They also watch for early warning signs of health concerns through blood tests, screenings and fitness monitoring.

他們也透過血液檢查、篩檢和體能監測，留意健康問題的早期預警跡象。

Obviously, there are few emergencies in preventive medicine as the specialty is all about catching health issues before they occur.

顯然，預防醫學中的緊急情況很少，因為這個專科就是要在健康問題發生前就加以掌握。

This translates to a healthy work life balance and little to no call responsibilities.

這意味著良好的工作與生活平衡，以及很少或沒有值班的責任。

There are multiple routes to becoming a preventive medicine doctor.

成為預防醫學醫師有多種途徑。

In general, most programs require at least one year of training in a primary care setting followed by a two year fellowship in preventive medicine for a total of three years.

一般來說，大多數課程要求至少一年在初級保健的訓練，接著是兩年的預防醫學進修，總共三年。

In the runner up spot for lowest paid medical specialty is Pediatrics.

薪資最低的醫學專科，第二名是兒科。

Pediatricians provide care for babies, children and adolescents for from birth up to the age of 25.

兒科醫師照護從出生到 25 歲的嬰兒、兒童及青少年。

Pediatrics is essentially internal medicine, but

for younger patients pediatrics is a difficult specialty to generalize as just like internal medicine, it is an enormous field with a wide range of subspecialties.

對於年輕病患來說，兒科是一個很難籠統歸類的專科，就像內科一樣，它是一個龐大範圍的領域，有著各種次專科。

Pediatric residency is three years though there are several fellowship options, many of which are also three years such as pediatric hematology, oncology, pediatric nephrology, pediatric endocrinology and many more unfortunately, this extra training does not result in extra pay.

兒科住院醫師訓練是三年，但有幾個進修選項，其中許多也是三年，例如兒童血液腫瘤學、兒童腎臟學、兒童內分泌學等等，可惜的是，這些額外的訓練並沒有帶來額外的薪水。

In fact, these specialists actually make even less than pediatric generalists, with pediatric hemonc, for example, earning $251,000, about $8,000 less than ordinary pediatricians.

事實上，這些專科醫師的收入甚至比兒科全科醫師還少，例如兒童血液腫瘤科醫師的年收入為 251,000 美元，比一般兒科醫師少了大約 8,000 美元。

This reduced pay is partly because many children are on Medicaid, which has lower reimbursement than commercial insurance.

薪資較低的部分原因是許多兒童使用醫療補助（Medicaid），其給付低於商業保險。

The US Healthcare system runs on a fee for service model, meaning payments are made directly based on the amount of service patients receive, regardless of the quality of those services.

美國的醫療體系是基於服務收費模式運作，這表示付款是直接根據病患接受的服務量來支付，而不管服務品質如何。

Children generally require fewer interventions than adults, which means less money for hospitals.

小朋友通常比成人需要較少的醫療介入，這對醫院來說意味著較少的收入。

Unfortunately, this results in adult specialties earning higher salaries.

不幸的是，這也導致成人專科的收入較高。

We broke down how the fee for service payment model works, as well as how it compares to value based care in a previous video linked in the description below.

我們在下方說明欄連結的先前影片中，有詳細介紹了論量計酬的付款模式如何運作，以及它與價值導向照護的比較。

In the number one spot for lowest paid medical specialty is medical genetics and Genomics at $245,000.

薪資最低的醫學專科是醫學遺傳學與基因體學，年收入為 245,000 美元。

Medical geneticists focus on the relationship between genes and health.

醫學遺傳學家專注於基因與健康的關聯。

They specialize in evaluating, diagnosing, managing, treating and counseling patients of all ages with clinical hereditary disorders through the use of modern molecular, cytogenetic, biochemical and genomic genetic testing.

他們專精於透過現代分子、細胞遺傳學、生化學和基因體學的遺傳檢測，來評估、診斷、管理、治療和諮詢所有年齡層、患有臨床遺傳性疾病的病患。

Even though they are the lowest paid, medical geneticists work 40 to 50 hour work weeks, which translates to a reasonable work life balance.

儘管薪資最低，醫學遺傳學家每週工作 40 到 50 小時，這意味著良好的工作與生活平衡。

Plus there's variety and flexibility in their day to day.

此外，他們日常工作也有多樣性和彈性。

No two days are the same for clinical geneticists.

臨床遺傳學家的每一天都不盡相同。

They can be involved in direct patient care, clinical research, teaching, as well as administrative and supervisory work.

他們可以參與直接的病患照護、臨床研究、教學，以及行政和監督工作。

They also get to work with patients of all ages, from babies to children to adults to the elderly.

他們也會接觸到各個年齡層的病患，從嬰兒到兒童、成人到長者。

This also includes preconception such as if hopeful parents are interested in understanding the reproductive risks related to their personal or family histories.

這也包含孕前諮詢，像是準父母想了解與個人或家族病史相關的生育風險。

The career path is also tied for the shortest residency at three years.

這個職涯路徑的住院醫師訓練時間也是最短的，僅需三年。

To get into a medical genetics residency, you must have at least one residency year in an ACGME accredited primary specialty such as pediatrics or internal medicine, followed by two years of medical genetics and genomics residency training.

要進入醫學遺傳學的住院醫師訓練，你必須至少有一年的 ACGME 認證的主要專科住院醫師訓練，例如兒科或內科，接著是兩年的醫學遺傳學與基因體學住院醫師訓練。

Combined medical genetics and genomics training programs are also available with internal medicine, Reproductive endocrinology and Infertility, and

結合醫學遺傳學與基因體學的訓練課程也有提供，與內科、生殖內分泌與不孕症，以及

If you're an aspiring physician but don't know which specialty you'd like to pursue, our so youo Want to Be series will help you navigate the pros and cons of every medical path.

如果你是一位有志成為醫師，但還不確定想走哪個專科，我們的「你想成為什麼」系列將幫助你瞭解各種醫學路徑的優缺點。

To help you choose the one that's best for you, check out that playlist right up here and watch our Highest Paid Medical Specialties video.

為了幫助你選擇最適合自己的路，請看看這裡的播放清單，並觀看我們的「薪資最高醫學專科」影片。