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.

60/100

Sleep / call burden

Sleep / call burden

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15/100

Ownership / facility upside

Ownership / facility upside

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35/100

Geography flexibility

Geography flexibility

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78/100

Innovation / industry adjacency

Innovation / industry adjacency

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80/100

Training opportunity cost

Training opportunity cost

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40/100

Job-market density

Job-market density

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65/100

Malpractice / litigation pressure

Malpractice / litigation pressure

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70/100

Burnout-mismatch risk

Burnout-mismatch risk

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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.

Common regrets on this path

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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.