Physician Compensation
A Comprehensive Guide
Thirty chapters covering the full arc of physician compensation — from the history of fee-for-service medicine to AI-driven pay compression, from wRVU contract mechanics to wealth management strategy. Written for physicians, by a physician-executive.
Know Your Numbers
Understand the benchmarks your employer uses to set your salary — and the methodological limitations they never disclose. Learn what MGMA, AAMC, and Vizient actually measure, and what they miss.
Negotiate Your Contract
Most physicians sign what is placed in front of them. This book gives you a framework for identifying red flags, understanding wRVU mechanics, and negotiating terms that protect your interests.
Build Long-Term Wealth
Delayed earnings, six-figure debt, and compressed career timelines demand a different financial strategy. From PSLF to 457(b) plans, learn the tools available specifically to physician-employees.
Sample — Chapter 11
Physician Compensation Negotiation: Strategies and Tools
“Negotiation is a critical skill for physicians, yet it is often overlooked in medical training. Whether discussing a starting salary, a promotion raise, or adjustments to workload and benefits, effective negotiation can significantly impact a physician’s career earnings and job satisfaction. In a world where health systems have dedicated teams of lawyers and compensation analysts, physicians negotiating alone are at a structural disadvantage — unless they come prepared.”
Chapter 11 covers the full arc of negotiation: from understanding your BATNA and the employer’s internal constraints, to preparing a documented case with benchmark data, to navigating the counter-offer and the periods immediately after signing. It includes worked examples, common red-flag clauses, and a pre-negotiation checklist physicians can use for any contract discussion.
Read the negotiations teaser →What Readers Are Saying
“Finally, a book that treats physicians as the economic actors they are — not just clinicians to be managed.”
— Chief Medical Officer, Regional Health System
“The chapter on non-competes alone is worth the price. I wish I had read this before signing my first contract.”
— Orthopedic Surgeon, Private Practice
“Benchmarks are used against physicians every day. This book tells you what is behind the numbers.”
— Academic Cardiologist, University Medical Center
Table of Contents
30 chapters. 700+ pages. Fully cited.
Andrew Duncan
Author · Founder, Junto Analytics
Andrew Duncan is Chief Operating Officer of the Department of Orthopedic Surgery at the University of Pennsylvania Health System and a doctoral candidate in business at Florida Atlantic University, where his dissertation examines physician compensation methodology using CMS Medicare data.
His work at Penn Medicine gives him a practitioner’s view of how compensation structures are designed and implemented at one of the country’s largest academic health systems. This book bridges that operational experience with rigorous analytical methodology — written for the physician who wants to understand, not just accept, the economics of their work.
Get the Book
Available as a digital download (PDF). Includes all 30 chapters, appendices, and reference lists.
Secure checkout · PDF delivered immediately after purchase
Questions? andrew@juntoanalytics.com
Explore Chapter Topics
Free introductions to each major section of the book.