Primary care specialty
Pediatrics: Salary, Residency & Career Guide
Health, development and medical care for infants, children and adolescents.
Typical Training
3 years
3-year pediatrics residency
Attending Compensation
$273,665
Average Total Compensation
Employment outlook
+1%
Projected Job Growth
Relative Competitiveness Index
32 / 100
Lower
Start in Medical School
M1 to M4 Preparation
Practical experience, projects and rotation planning.
See the Medical School RoadmapAttending Compensation and State Wages
U.S. Attending Compensation
$273,665
Average Total Compensation
BLS State Median Wages (Separate Data Series)
Highest published state medians. Select another state above for its figure.
Resident Pay by Institution
3-year pediatrics residency.
2026–27 salaries, five published training-institution examples.
Selected institution
University of Michigan, Ann Arbor, MI
$77,049/ year
Pay varies by institution and postgraduate year.
Schedules and Work Setting
Schedule and Call
An outpatient general pediatrician may have predictable visits plus phone coverage; pediatric hospitalists, NICU or PICU physicians cover nights and emergencies. Managing parents and complex care plans can create significant work outside appointments.
Practice Settings
Pediatric practices, children’s hospitals, inpatient services and specialty clinics.
Procedures and Clinical Work
- Well-child assessments
- Immunizations
- Acute illness evaluation
- Developmental screening
Fellowship Training
Fellowship Expectation Index
3 / 5
Fellowship Options
Common Fellowship Duration: 1–3 year(s) beyond residency. Major tertiary subspecialties such as neonatology and pediatric cardiology commonly require three years; some focused training is shorter.
General pediatric outpatient and many hospital careers do not require fellowship, but NICU, PICU, pediatric cardiology, hematology-oncology and other tertiary roles are fellowship-defined.
Direct Practice
General pediatrics and many community practice roles.
Specialized Practice
Subspecialty certification in neonatology, pediatric cardiology, pediatric intensive care and similar fields requires further training.
Choosing a Path
Compare general pediatric continuity with complex tertiary care; the latter often adds several years and dramatically changes call and work setting.
Potential Fellowship Pathways
- Neonatal–perinatal medicine
- Pediatric critical care
- Pediatric cardiology
- Pediatric hematology-oncology
Fellowship Careers From This Residency
Choose a subspecialty to see its training requirements, clinical work and preparation pathway.
Neonatal–Perinatal Medicine (Neonatology)
3 years of fellowship
Explore TrainingPediatric Cardiology
3 years of fellowship
Explore TrainingPediatric Emergency Medicine
3 years of fellowship
Explore TrainingPediatric Critical Care Medicine
3 years of fellowship
Explore TrainingPediatric Hematology–Oncology
3 years of fellowship
Explore TrainingPediatric Hospital Medicine
2 years of fellowship
Explore TrainingSports Medicine
1 year of fellowship
Explore TrainingHospice & Palliative Medicine
1 year of fellowship
Explore TrainingSleep Medicine
1 year of fellowship
Explore TrainingClinical Informatics
2 years of fellowship
Explore TrainingAllergy & Immunology
2 years of fellowship
Explore TrainingPreparing in M1 Through M4
See a well-child visit, a medically complex inpatient consultation and a newborn assessment. The patient and caregiver conversations differ substantially across those settings.
Research or QI
Vaccination access, asthma action-plan follow-up, developmental screening or family-centered discharge improvement can produce measurable child-health value.
Common Mistake
Only considering outpatient well-child visits. The residency may include substantial NICU, PICU, emergency and complex care exposure.
Preparation by Year
- 1Observe a pediatric continuity clinic and a children’s hospital team; notice how caregiver communication changes the plan.
- 2Join a child-health outreach effort where you can measure follow-up, education reach or access; rather than recording one-off volunteer hours.
2027 ERAS Signals: 5.
Ask a resident this: What does the resident continuity clinic look like, and how much ICU versus general pediatrics training is built into the program?
MD vs DO Match Outcomes
1,438 of 1,442 matched to their preferred specialty
570 of 573 matched to their preferred specialty
MD vs DO difference: 0.2 percentage points
Applicant Considerations
The 2024 MD and DO preferred-specialty outcomes were both exceptionally high. Choosing pediatrics is more about discovering your setting and caring for children well than overcoming a large applicant-degree gap.
DO Application Strategy
Evaluate whether children’s hospitals, community programs or rural/community rotations match your practice interests. Seek letters that show how you handle families, teamwork and pediatric clinical decisions.
Job Outlook
+1%
Projected Employment Growth
2025 to 2035, BLS occupational projection
Regional hiring depends on employers, workforce supply and patient demand.
AI and the Specialty
Potential Workflow Changes
Clinical documentation and risk screening may be supported; caregiver communication and child development require contextual judgment.
Sources & Data Notes
Reviewed . National attending compensation uses Doximity's 2026 specialty survey (2025 pay) where available, then verified specialty-specific Medscape, Marit or Salary.com estimates. Doximity, Medscape and Marit report total compensation; Salary.com models base salary. Survey averages, modeled salaries and BLS wage medians measure different populations and must not be interpreted as identical metrics. BLS May 2025 state wages are shown separately and exclude self-employed physicians. The ophthalmology BLS category excludes pediatric ophthalmologists. State figures may be missing, top-coded, or suppressed. Job outlook uses BLS 2025–2035 occupational projections; it is not a local vacancy forecast. Resident stipend examples reflect published institutional scales for 2026 to 2027, by postgraduate year, not specialty. Stanford includes housing in its reported base salary; other institutions handle allowances differently.
The Relative Competitiveness Index uses a fixed score of 25 plus 1.75 times the 2024 U.S. MD preferred-specialty unmatched percentage, rounded, then applies the same 1.225 multiplier to every specialty. Neurological Surgery is 98/100; the score is not the applicant's chance of matching. It is not a 2026 estimate or DO-specific score. The MD and DO percentages compare different unadjusted applicant cohorts who ranked that specialty first. They do not account for application strategy, program selection, scores, or geography. Ophthalmology and urology have separate specialty match processes; other pathways may lack suitable NRMP cohorts.
The 1–5 Fellowship Expectation Index is an editorial assessment of customary career paths, not a measured participation rate or requirement. For residency profiles, compact training labels put specialty years before the clinical base or preliminary year; e.g. 3+1 means three specialty years and one clinical base year, even though the clinical year comes first. Fellowship-defined careers are presented in the separate fellowship explorer. Schedules, procedural scope, preparation suggestions, and potential AI effects depend on the program and practice setting; they are qualitative descriptions, not guaranteed outcomes or forecasts of physician replacement.
For Pediatrics: Doximity 2026, Average Total Compensation, reported under “Pediatrics.” The national estimate must not be treated as a state-specific compensation figure.
Pediatrics: Editorial classification based on common pediatric generalist and subspecialty career pathways. Specialty-specific roadmaps describe illustrative activities, not mandatory publication, shadowing-hour, rotation, or skill requirements. Common fellowship routes: Major tertiary subspecialties such as neonatology and pediatric cardiology commonly require three years; some focused training is shorter.
