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Salary Survey Results

2007 Salary Survey Results: A Decade of Growth


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Discounting Experience
As we've seen in previous surveys, nurse practitioners with a doctorate degree are paid more on average than those with other degrees (up to $3,269 more than NPs with a master's degree). The 3% of our respondents who have doctorates make an average of $84,786 a year (Table 5).

As in 2005, associate-degree holders earned more than NPs with a bachelor's degree. We might chalk this up to experience: NPs practicing with an associate's degree have likely been practicing for a long time. Also, respondents with associate's degrees represent only 1.7% of our total respondents, versus 3.3% of bachelor's degree holders and 92% with a master's degree.

It's tough to put a price tag on experience, but veteran NPs may have to change their expectations if they think "putting in their time" means making a lot more money. As in the past, our survey shows salaries leveling off after several years of practice. The highest salaries went to those in practice for 6 to 15 years (Table 6). This makes a lot of NPs happy, though, since most of our respondents fell in this experience range (44%).



Respondents who have practiced as a nurse practitioner for 16 to 20 years made up to $2,170 less than NPs with fewer years' experience. But in the 26-years-or-more experience range, salaries seemed again to reach roughly the same level as the 6-to-15-years experience range (just a $700 difference between the two). The biggest wage gap was between the least experienced NPs and the NPs with 6 to 10 years experience - an almost $7,000 shortfall between the two salaries.

"Experience is not the most important thing I look at when offering someone a job," explained Glenda Clemens, NP, a practice owner in Norman, Okla., who pays each nurse practitioner the same flat rate and then gives bonuses based on the clinic's profit. "Some NPs with a lot of experience also have a lot of negativity. I hire based on how well they fit our team in terms of personalities, knowledge base, desire to be of service to those less fortunate, and willingness to be responsible."

The Gender Gap...Again
The gender breakdown of our survey showed that men still typically make more than women. This year's salary divide was $7,735 (Table 7). And this gap isn't explained by practice setting: Our survey results show that the percentages of men and women in high-paying settings are almost identical.



The salary divide could be seen as slightly encouraging, though, because it seems to be narrowing. Nurse practitioners who are women now make 8.7% less than NPs who are men, down from our 2005 survey's 11.7% shortfall.


2007 Salary Survey Results: A Decade of Growth

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Mike, after about ten years of engineering training resulting in a PhD, I do in fact make about what a NP or PA makes. But you should not be wanting NP/PA salaries to fall. You should want them to rise, but for our profession to have an even greater rise than theirs does. BOTH professions are severely underpaid.

Lauren, Tina, I'm sorry, but the bottom line is that the training of a PhD engineer is every bit as difficult as the training of an MD and just as long. I took my basic science ten years ago and scored 13 on the physical science portion of a practice MCAT with NO review of the physical sciences because the MCAT physical science questions are child's play in comparison with what is asked of engineers. Engineers not only have to understand science, they have to be able to do so both qualitatively and quantitatively using mathematical tools that make most MDs, NPs and PAs weak in the knees. In fact, to most engineering students, MCAT physical science exam is a joke.

Engineering PhDs just graduate with far less debt. I don't need the MD's large salary to service debt and malpractice insurance, though. As for responsibility for life and death- engineers bear even more responsibility over life and death than do you. That is why licensure standards for engineering are so tough. You don't see it or understand why, though, because you trust an engineer with your life every day when you walk inside a building, step on an airplane, or even drink water from the sink that has been treated by a plant run by engineers. Your health and safety is constantly in the hands of engineers, and because we are so good at what we do professionally because our training is so rigorous, you never even have to think about how much you do trust us with your life.

These comments are not made to belittle the work you do as a NP, only to tell you that you completely misunderstand the difficulty and intensity of the work required to prepare a PhD engineer. If salaries are truly based on the difficulty of the skills required by the profession to learn, engineering PhDs should be on the same level as an MD, and these people should be the highest paid groups of people in the country.

As for comments about family time being used for study to get an NP, do you even realize how long many engineering PhDs delay the start of a family? I'm 28 and have never had a girlfriend! Don't complain to me about your education taking up family time- YOU HAVE ONE!




Mark November 15, 2009



To Mike the engineer,
I do hope you stubble upon this page again. I can't help but feel sorry for you. You or family members have obviously never been ill or had care delivered by a NP. I challenge you to spend one day in a local hospital and watch what RNs do at the bedside. NPs do not provide bedside care but this is because we have advanced training and we are diagnosing and treating patients. However, to make to this point, we have to be RNs first with a bachelors degree and then go on to get a masters to become a NP. So when you talk about years of education, you don't have that much on us. Also, an engineer does not balance life and death in his or her hands. You have to take into consideration the kind of work we do. You walk into our offices, practices, and hospitals and expect us to tell you exactly what is wrong with you and fix it in the smallest amount of time possible. Not only do we try to meet all of your health needs, we also provide education to you and your family, spend time with your family as they deal with the stress of your illness, and as a NP, provide all of this care at a reduced rate than a physician. Lastly, if you are not satisfied with your salary, which from what I hear in the area that I live, engineers tend to do very well, do something else. Don't use your dissatisfaction of your salary to try and bring down health care workers who do some of the greatest, most compassionate care in the country.


Lauren ,  RN, BSN, FNP/MSN studentSeptember 27, 2009
TN



As a new NP of approx 6 months i have enjoyed my new role However i still work as a staff nurse as my salary as a staff nurse is at least 20-30 thousand more than as an NP. There is something very wrong with a system that pays more money to less educated nurses with less responsibity. New grads are manking more than NP's. this is a system with multiple problems where new grads are paid more than 30 yr nurses with advanced degrees. There should be an ability to advance salaries as experience and responsibity increases. NO NP should make less money than new nurses. We the community of NP's need to show group support and educated the public on what we do and why we are worth more than a new grad out of nursing school. We need to demand pay equal to our experties, education and experience.

marla schlesinger,  NP,  SubacuteSeptember 16, 2009
tarzana, CA



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