Those numbers are probably also incorporating Fringe, as well as any TSA/deferred contributions being made based on matching, seniority, etc. Those of us who hold grants know that an employee costs far more than the salary they gross. That still doesn't account for the preposterous numbers being thrown around, but it does close the gap. Performance of Endowments made for chairs can also be handled strangely, such that dividends paid out on the principal during the year could appear as part of total compensation, even though that money is rolled back into the endowment (from which the interest pays part of your salary). A $5 million endowment for a chair in medicine can pay a lot in dividends on a good year.
I have seen this time and again on this site. Some high school student, premed, or med student comes along and says, "I found this website where there are a bunch of people making tons of money, so I can do that too." And then a few of us actually in practice say, "Woah, careful fella, those people may exist, but they're not representative and there is probably more to the story." And then suddenly we're the ones who must be wrong, because *website*. I don't come to this site to spread lies about salary figures. I actively help my fellows negotiate start up packages all over the country in critical care. I see the numbers. I see the offers, and I know the people, both locally and across the country. Maybe critical care medicine is being low-balled compared to others in academia (um, no) but once again, these numbers are not representative.
And, as I said before, there are academics and there are academics. You can be a spine surgeon at Barrow and hold a non-tenure track assistant professorship at Arizona. You operate or are in clinic all day, every day. Maybe you go to grand rounds once a month. You do no teaching, you have no lab. You want to call that guy academic? Fine, and that may be some of what you are seeing from this public data. But it's apples to oranges.
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academic medicine salary
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