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Professional IssuesA dramatic drop in PA salary,but just a dip for NPsBy Michelle Perron Pronsatikyyle kielinski/tom Whalen/Doris mohr➼ In our still fragile economy, the fact that nursepractitioner and physician assistant salaries decreased in2011 is not surprising. What is surprising is how dramaticallydifferent those declines are.The 2011 National Salary Survey of NPs & PAs found thatthat the average full-time salary paid to PAs dropped by $2,006compared to 2010, while the average NP salary dipped byonly $187.Job market observers told ADVANCE for NPs & PAs that this decrease in PA wageslikely reflects an overall trend of declining salaries for PAs and NPs in specialty settings.“This impacts the PAs more because they have been overrepresented in thespecialties,” commented Renee Dahring, MSN, NP, a career consultant who writesfor our Career & Workforce column and our Career Coach blog. “Many specialtyemployers used to hire only PAs, but over this past year, more and more are openingthe positions to NPs, too. No doubt these employers have also noticed that NPsdon’t make as much money as PAs, so the influx of NPs into these areas has probablyhelped depress PA wages down closer to the NP level.”Survey MethodsWe conducted our annual survey using an online questionnaire created with softwarefrom Zarca Interactive, a Virginia-based company specializing in online datacollection. The survey was live from July 1 through Oct. 31, 2011.The 2011 survey drew a larger response than our first survey of the two professions,conducted in 2010. We collected 4,414 usable responses, and these represented3,116 NPs and 1,298 PAs.➤Michelle Perron Pronsati is the editor of ADVANCE for NPs & PAs. To contact her, sendan email to mpronsati@advanceweb.com.ADVANCE for NPs & PAs19
Professional IssuesTable 12011 Nurse Practitioner Salaries Over Time, 2001–20112011 results based on 3,116 NP responses2011 2010 2009* 2007* 2005* 2003* 2001*Average full-time salary $90,583 $90,770 $89,579 $81,397 $74,812 $69,203 $63,172Average part-time hourly rate $47.63 $43.77 $45.85 $40.32 $36.80 $33.89 $32.53*Source: The National Salary Survey of Nurse Practitioners, conducted biennially by ADVANCE for Nurse Practitioners from 2001 through 2009.2011 Physician Assistant Salaries Over Time, 2001–20112011 results based on 1,298 PA responses2011 2010 2009 2007 2005 2003 2001Average full-time salary $94,870 $96,876 $93,105* $86,214* $81,129* $76,039* $71,046*Average part-time hourly rate $50.52 $51.11 — — — — —*Source: American Academy of Physician Assistants National Physician Assistant Census Reports.Full-Time SalariesIn 2011, the average NP working fulltime earned a salary of $90,583, whilethe average PA working full time earned$94,870 (Table 1).Although PAs continued to outearnNPs in 2011, the gap is getting smaller.In 2010, the average PA took home $6,106more in full-time salary than the averageNP. But in 2011, the difference droppedto $4,287.Part-Time RatesThe National Salary Survey of NPs & PAsalso collects data on hourly rates paid forpart-time positions. In 2011, the averageNP working part time earned an hourlywage of $47.63 – an increase of $3.86 perhour over 2010. PAs experienced a slightdrop in hourly pay: The average PA workingpart time earned an hourly wage of$50.52, a 59-cent decline over 2010.Practice SettingAs usual, the most fascinating resultsare in the category of salary by primarywork setting (Table 2). We have organizedthese results in descending order. The topsalaries for NPs were paid in emergencydepartments, neonatal units and retailhealth clinics (the first time convenientcare has broken into the top 10). For PAs,mental health settings, surgery settingMen still make morethan women in bothprofessions, but thegender gap narrowedfor NPs in 2011.Among NPs, thedifference in salariespaid to men vs. womendropped from14.6% to 6.4%.and emergency departments deliveredthe highest pay rates.The data show some surprising salarydeclines. NPs in cardiology clinicsearned 10.42% less than in 2010, and NPsin oncology clinics earned 7.59% less.The biggest drop occurred in aestheticsand skin care practices, where NPsearned 10.42% less in 2011 than theydid in 2010.Among PAs, aesthetics and dermatologynotched the largest decline accordingto practice setting, a drop of 12.49%.Other salary cuts of note for PAs includea 9.92% drop in cardiology practices anda 7.77% drop in gerontology settingscompared to 2010.For the first time this year, we tabulateddata about part-time rates according topractice setting (Table 3).Gender Gap UpdateMen still make more than women in bothprofessions, but the gender gap narrowedfor NPs in 2011 (Table 4). Among nursepractitioners, the difference in salarydropped from $13,085 in 2010 to $7,396in 2011.Female PAs lost ground in 2011, withthe salary difference between men andwomen increasing from $11,007 in 2010to $13,327 in 2011.The gender breakdown of each pro-20 ADVANCE for NPs & PAs
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Page 5 and 6: Here&NowFebruary 2012 • Volume 3,
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Page 9 and 10: First&Foremostis published by Merio
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