Internal Medicine Specialist Salary

The average salary of internal medicine specialist in US is $197,490.

Physicians who specialize in internal medicine diagnose and offer non-surgical treatment of diseases of internal organs. Known as internists, these physicians primarily provide care for adults with varying internal organ issues. Those who enter this occupation earn a high salary and enjoy a rewarding career.

Median internal medicine salary

  • $197,490 per year
  • $95 per hour

Many people confuse median salary for average salary, but the two terms are not interchangeable. Median represents the salary that is directly in the middle of the highest and lowest salaries. Internists earn a median salary of $197,490 per year, which equates to $95 an hour.

Salary range for middle 50% of internists

  • $177,328 – $224,694
  • $85 – $108 per hour

The middle 50% salary range eliminates the top and bottom 25% of earners. This paints a more accurate picture of how much internists can expect to earn. After removing the bottom and top earners, the salary range equates to $177,328 – $224,694 annually, or $85 – $108 per hour.

Lowest and highest salary

  • Lowest – $158,972 ($76/hour)
  • Highest – $249,462 ($120/hour)

In the early stages of their careers, internists will earn $158,972 per year, or $76 per hour. These physicians have little experience and have just completed their training. Internists with experience or a specialization that is in high demand will earn as much as $249,462 per year, or $120 an hour.

The total salary package

Along with their base salaries, internists also receive benefits and bonuses that increase their yearly earnings. Such benefits might include medical insurance, pension, disability, 401k, time off and Social Security. In total, an internist’s salary package is roughly $267,800 annually.

Cities with the highest paid internists

  • Internists in Washington, District of Columbia make $218,029 a year.
  • Internists in New York, New York earn $232,860 annually.
  • Internists in Chicago, Illinois earn $207,680 each year.
  • Internists in Atlanta, Georgia make $199,169 per year.

States with the highest paid internists

  • Georgia at $247,110 a year.
  • South Dakota at $246,880 per year.
  • Missouri at $246,760 a year.
  • Indiana at $240,570 per year.
  • Kansas at $239,560 a year.

Factors affecting internal medicine salaries

An internist’s salary will be impacted by location of practice, years of experience and specialization or industry.

Internists with many years of experience will earn a salary that reaches or is close to the highest salary.

Specialization or industry will also affect an internist’s salary. Most internists are employed in physician offices, hospitals, outpatient care centers, universities and home health care services. These industries also offer above-average pay, except for the case of universities, which pay significantly less.

Of course, location will also affect an internist’s earnings. States with higher quality health facilities or are well-known for their internal medicine departments will offer higher salaries. According to the Bureau of Labor Statistics, Georgia, South Dakota, Missouri, Indiana and Kansas offer the most pay for this occupation.

Training and certification requirements for internists

Internists go through the same rigorous training that general physicians go through. A doctoral must be earned, residency training must be completed and certification must be earned.

First, prospective internists must earn a bachelor’s degree, preferably in a health-related field. The program must meet the prerequisites for admission into an accredited medical school. Coursework may include advanced organic chemistry, microbiology, calculus, physics and other advanced courses. From here, students must enter their chosen medical school to earn an M.D. or D.O. Coursework will include human anatomy, pharmacology, medical genetics, medical law and ethics, and physiology. Clinical rotations will also be a part of the program, which will give students hands-on experience.

After completing extensive graduate and undergraduate programs, students must then move on to complete several years of GME (graduate medical education). This program will include a one-year internship and a three-year residency. Typically, students must complete eight years of formal education before they can reach this stage. During their residency program, prospective internists will practice under the supervision of experienced physicians. They will gain insightful experience in diagnosis, management of patients and treatment. Over time, resident internists will be given more responsibilities.

It is important to note that some residency programs will specialize in specific areas of internal medicine. If a prospective internist plans on choosing a specialization in the future, it would be beneficial to complete a residency program in a program that specializes in that area. That being said, most residency programs are general and designed to help train internists who will serve as primary care physicians.

All prospective internists must also complete the appropriate licensing exams and pass the required medical certification. These exams include all three steps of the USMLE as well as state licensing exams.

While not always a requirement, most internists will become board certified in internal medicine. This can be achieved by passing the written and oral board exams.

International Internal Medicine Salaries

£75,000 – £116,000 in the U.K.

C$56,526– C$137,027 in Canada

AU$47,835 – AU$170,000 in Australia




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  • Internal medicine specialist do earn a good salary. So no worries for the students who are applying for the residency program. Residency program is a good opportunity.