1. Compensation decline in real terms: Average gastroenterologist pay dropped from $512,000 in 2023 to $495,000 in 2024, reflecting a 3% nominal decline — and because inflation has pushed the equivalent of 2015’s $370,000 salary to around $502,930 today, the 2024 average actually represents a real-term pay cut. This contravenes expectations given rising costs and practice burdens, making it harder for GI practices to sustain independent models.
2. Only 37% of GIs feel fairly compensated: This reflects a persistent misalignment between reimbursement and workload intensity. The dissatisfaction is prompting worries about burnout, retention and the specialty’s migration toward hospital employment.