OB/GYN · Evidence depth: moderate

Gynecologic Oncology

High; complex surgical + chemo management.

Ownership-sensitivity model

The 10 vectors of a physician career.

Every path is scored 0-100 across 10 critical dimensions using public-data signals, modeled assumptions, and verification prompts. Modeled estimate. Not a salary survey. See methodology.

72/100

Income ceiling

Income ceiling

High, built on radical surgery and chemotherapy management.

The reality

You bill for long, complex debulking operations and, at many sites, for administering chemotherapy.

The signal

Combining major surgery with longitudinal oncology care stacks two revenue streams a general OB/GYN lacks.

The catch

The work is hospital- and cancer-center-bound, so there is no facility-fee ownership to leverage.

The verdict

A strong ceiling for a surgical subspecialty, but salary-and-production, not equity, drives it.

32/100

Lifestyle control

Lifestyle control

Low; radical cases and very sick patients dictate the week.

The reality

Multi-hour debulking operations routinely blow up any semblance of a predictable schedule.

The signal

You carry a critically ill postoperative and inpatient census that does not respect clinic hours.

The catch

Time is split unpredictably among the OR, chemotherapy clinic, and the inpatient service.

The verdict

A poor fit for anyone prioritizing schedule control; the acuity owns your calendar.

Premium analysis

8 more dimensions scored, with the reasoning behind each

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The scores are below. Premium adds what sits behind each one: the claim, the signal supporting it, the limitation that weakens it, and what it should change about your decision.

  • Sleep / call burdenLower is better60/100
  • Ownership / facility upsideHigher is better15/100
  • Geography flexibilityHigher is better35/100
  • Innovation / industry adjacencyHigher is better78/100
  • Training opportunity costLower is better80/100
  • Job-market densityHigher is better40/100
  • Malpractice / litigation pressureLower is better65/100
  • Burnout-mismatch riskLower is better70/100

Scores are modeled from the specialty module's evidence and are estimates, not measurements. Confidence and data depth are labeled inside every premium card.

DoctorCalculator modeled income structure

Derived model. Directional

Modeled base range

$430k - $545k

OB/GYN's top fellowship: complex surgery, chemo management, hospital programs.

Production upside

High

Complex surgery + chemo management; hospital service-line economics with the specialty's top comp band.

Ownership upside

Minimal

None meaningful. Gyn-onc is hospital/academic program-based; leverage is program leadership and robotics priority.

Salary-only gap

Low

No ownership gap; the fellowship premium is priced into employed packages because programs must have them.

Modeled estimate. Not a salary survey. Derived model. Directional only. Verify against real offers, contracts, and local mentors. Income scales with payer mix, ownership, and geography. See methodology.

Want the code-level view behind numbers like these? Open the RVU calculator for this specialty's procedures, CMS times, and locality-adjusted Medicare rates.

External benchmark reference

Verify independently

~$480k

External benchmark reference - verify independently. Not ingested DoctorCalculator source data.

AcademicTertiary referralHospital-employed

Best fit

  • The Prestige-Risk Academic. Mission and reputation first. Eyes open about the pay gap.
  • The Procedure-Heavy Wealth Builder. Top-tier income through volume, procedures, production, and ownership.

Poor fit

  • The Lifestyle-First Clinician. A good life on sane hours, and the math actually works.
  • The Protected-Sleep Specialist. Strong income without surrendering your nights.

Premium detail

Common regrets on this path

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2 documented regrets for this path, each with the burnout driver behind it and the question to verify it against a real schedule before you commit. Written from field notes on this specialty, not generic career advice.

This path is described at directional confidence (Evidence depth: moderate). Detailed evidence cards are added as the module is validated; we will not manufacture precision before then.