A National Survey of Compensation and Productivity in Advanced Heart Failure and Transplant Cardiology - Takeaways - MDSpire
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A Nationwide Assessment of Earnings and Work Efficiency in Advanced Heart Failure and Transplant Cardiology

  • By

  • Priyesh A Patel

  • Mark H. Drazner

  • Austin L Seals

  • Christopher Chien

  • Andrew Phillips

  • Conrad Macon

  • Nosheen Reza

  • Sean Pinney

  • Eiran Z. Gorodeski

  • Olivia Gilbert

  • September 16, 2026

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  • 1

    Previously reported findings from this national survey of advanced heart failure and transplant cardiology (AHFTC) physicians showed high job-related intellectual stimulation and satisfaction, alongside dissatisfaction with compensation and work-life balance.

  • 2

    Among 183 respondents, 69% practiced in university settings and 31% in community settings. Approximately 69% were men.

  • 3

    Estimated median compensation was $450,000 among university-based respondents vs $550,000 among community-based respondents (P < .01).

  • 4

    University-based respondents reported lower work relative value unit (wRVU) production even after adjustment for clinical effort. Among respondents with available target-attainment data, 78% in university settings met or exceeded their targets vs 100% in community settings.

  • 5

    Women in community settings reported lower compensation than men despite no significant difference in wRVU productivity. No significant differences in compensation or wRVU productivity were observed between women and men in university settings.

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