On/Offcall: 8 Charts Reveal Offcall's 2025 Salary Data for Neurology

Welcome back to On/Offcall!

Earlier this week, Offcall was invited to speak at the Women Neurologists Group’s annual conference, where we got a chance to share a brief snapshot of why we’re building Offcall and dive into some of the key data insights we’ve been able to glean about neurology through the Offcall platform.

With the group's permission, we pulled together a 10-slide deck that includes several of the most important compensation takeaways for neurologists, including:

-> What the gender pay gap looks like in neurology
-> How geography impacts salary
-> Which states and cities neurologists are paid the best (and worst)
-> Whether W2, hourly, or RVU-based neurologists are more satisfied in their jobs
And more!

👏Today, we’re making those slides available to everyone! If you’re interested, sign up for Offcall to access the slide deck and see a breakdown of 8 charts revealing up-to-date compensation data trends for neurology.

💬 But this also got us wondering: Would other specialities be interested in getting your own detailed compensation breakdown? 

The Offcall Data Team is available for their next project 😀 SO if you’d like them to do a deep dive into what the latest compensation trends look like in your speciality, let us know! Either reply directly to this email with your name and specialty, or just drop your specialty in the comments, and we’ll work on tackling each one, one by one and release the data in this newsletter!

♻️ Re-post to spread the word and tag someone in another specialty who might be interested!

Know someone who would benefit from joining us? Help us grow our tent by forwarding this newsletter to your physician colleagues and subscribing here.

Why Physicians at Salem Hospital Formed a Union to Take Back Power

This week’s How I Doctor episode tackles one of the most controversial topics for physicians today: Is it time to unionize? 🤔 Residents and physicians across the U.S. are already beginning to do so after watching corporatization take away their autonomy. But is it the right path for all physicians?

Our co-founder Dr. Graham Walker dives into the heart of the debate with Dr. Sean Codier, an emergency doctor who recently led a successful unionization movement alongside his colleagues at Salem Hospital. Together, they unpack some of physicians’ most burning questions:

👉 What unions actually do and why there has been an uptick in physician unionization
👉 The nuts and bolts of what’s involved in a unionization effort
👉 The outcomes Sean’s group has seen thus far
👉 Whether unionization is the right answer for physicians who feel they’ve lost control

This is a conversation that’s happening behind closed doors, but now we’re bringing it out in the open.

🎧 Listen to the episode here

P.S. Tied to this week’s episode, we added a question about union membership to Offcall. The prompt couldn’t be more simple: Are you part of a union? But this will allow us to collect a treasure trove of data about how being in a union is impacting physician compensation, job satisfaction, work hours, and more. Fill out your own information anonymously (and for free) at Offcall to help compile what will be a fascinating data set! 👏

Have You Told Us What You Really Think About AI Yet?

In just a few weeks, we’ll be releasing a definitive physician AI whitepaper covering how physicians really feel about AI tools and their impact, including topics like: How AI could actually improve physician job satisfaction, which AI saves us time vs. just adds more admin noise, and how employers could actually get us excited to adopt new AI tools.

We want every physician who reads this newsletter to be included, so please answer the short questions below (takes 2 mins!), and repost to spread the word! Thank you in advance!

How do you really feel about AI? Take our quick survey

Physician Builder Spotlight: Uli Chettipally

We’re shining light on MD-entrepreneurs! Each week, we feature an entrepreneurial doctor who’s building a cool product, company, or working on a big idea that you definitely want to know about. This week, meet Dr. Uli K. Chettipally, Founder of Sirica Therapeutics, a start-up that is developing a novel device system for autism, using robotics, virtual reality, and video gaming. You can connect further with Uli on LinkedIn.

1. Uli, what inspired you to become a physician entrepreneur? I’ve always been driven by curiosity and a desire to solve problems. As a physician, I saw firsthand the limitations of traditional healthcare systems — how slow they can be to solve problems and how patients sometimes have to suffer. In clinical practice, you can solve problems one at a time. Whereas through entrepreneurship you can solve a problem for millions of people. Becoming a physician entrepreneur was a natural step: It allowed me to combine my clinical insight and research experience with technology and business.

2. Tell us what your company does and what problem you're trying to solve. I founded Sirica Therapeutics, where we are developing technology-enabled therapies for individuals with autism and other developmental differences. Our platform integrates robotics, virtual reality, video gaming, and AI into ‘Cognitive Sensorimotor Therapy’ — a deeply immersive, task-oriented therapeutic experience. The problem we are addressing is two-fold: the lack of effective, personalized therapies and the shortage of trained therapists in this domain. By creating a scalable, enjoyable system, we aim to make effective therapy more accessible and impactful for millions of people.

3. What's your advice to anyone who's thinking about a nontraditional career in medicine? First, embrace your curiosity. If something bothers you or sparks your imagination, that’s usually where the opportunity lies. Second, don’t let your MD identity limit you — you are more than just a clinician; you are also a problem solver, innovator, and a leader. And third, understand that entrepreneurship is a team sport. Build a network, surround yourself with people who complement your skills, and don’t be afraid to learn from others what you don’t know.

4. How can a physician overcome their biggest fear to start a company? Fear is natural. I’ve felt it many times. The best way to overcome it is by starting small and slow. 1) Become an advisor or a small investor to a startup. 2) Offer your services as a part-time Chief Medical Officer. 3) Become a co-founder/founder to a startup and form a team. While you are on this journey, find mentors, learn the craft, and talk to potential users. You don’t need to quit your day job immediately. Make sure you can support your financial health, physical health, mental and social health while you are on this journey.

5. What's the #1 lesson you've learned since building your company that wasn't obvious to you before? Relationships matter more than ideas. You may have the best idea in the world, but if you don’t build trust — with your team, investors, patients, and partners — it won’t go anywhere. I learned that success is as much about people as it is about technology or business models.

6. Name the top resources you found most helpful to get going as an entrepreneur. InnovatorMD.com– the physician innovation community I founded, has been an amazing community for me. This is how I learned everything I know about innovation and entrepreneurship. Also:

- Medical associations – Organized medicine groups are great for building credibility and networks. And understanding the pain points that physicians are facing every day.

- Angel Investor groups – Any healthcare-focused early-stage investor group that brings insight into what investors look for.

- Mentors & peers – Conversations with experienced physician entrepreneurs were priceless.

7. How can other physicians support you? I’d love for physicians to engage with us — whether as collaborators, advisors, users of our technology, or investors. Feedback is invaluable, and so is spreading the word to families who may benefit from our therapies. Physicians can reach out to me directly on LinkedIn or through our website here: www.siricatx.com

Bonus! 3 Questions About How Uli Uses AI
Just for Offcall members: We're making available Uli's answers to 3 questions about AI: 1) What's an actual prompt you're feeding to GPT that's been helpful to your clinical work? 2) What's the AI tool/use case you can't live without? 3) What are your top AI resources to get going as a physician?

Read Uli's answers and sign up for Offcall here. Know someone else who should be featured? Reply or tag them and their company in the comments!

Best Things to Read This Week

Physician vs. healthcare CEO pay: 10 breakdowns (Becker’s Healthcare)
Growing pay disparities, steep proposed Medicare cuts and years of inflation-adjusted declines, are reshaping how much physicians really take home.

Medical Societies Are Facing an Existential Crisis (Medpage Today)
It’s time to adapt to the employed physician era, from Dr. Hemant Kalia, Dr. Mark Adams, and Dr. David Jakubowicz.

The U.S. experiment with profit-driven health care has failed (Stat News)
The corporate takeover of health care has destroyed America’s health, from Dr. Steffie Woolhandler, Dr. David U. Himmelstein, Dr. Adam W. Gaffney, and Dr. Danny McCormick.

Burnout Is Expensive: The Financial Case for Prioritizing Mental Health (WCI)
Burnout takes a far greater toll than just mental exhaustion. It becomes a serious financial liability for both physicians and the organizations for which they work, from psychologist Annia Raja.

Highlights From Our Community

Each week, we celebrate career milestones, launches, & other goings-on in the physician community. Have something to promote? Reply and we’ll feature you.

🤩 Wow, what a milestone, Sharmila Makhija
Founding Dean and CEO Dr. Sharmila Makhija marked the grand opening of the Alice L. Walton School of Medicine in Bentonville, Arkansas devoted to whole-person health and transformative education. See photos from the ribbon-cutting and learn more here.

❤️ A few more HLTH reflections!
Last week, we asked you to tag us in your HLTH reflections, and you delivered! A few more physicians to lift up here for their posts, including Dr. Yimdriuska (Gigi) Magan (here) and Dr. Geeta Nayyar (here).

✅ Way to go, Kristi Olsen
Founder and Chief Strategy Officer of Beginly Health Kristi Olsen recently posted about why this generation of physicians isn’t “soft” but instead refuses to mistake endurance for success. Thank you for speaking up! Read it here.

💯 Excellent essay, Aditi Joshi
Dr. Aditi Joshi wrote an excellent essay about why AI’s promise very much depends on physician agency and reclaiming autonomy. Read it here.

💯 Another great essay, Adam Milam
Dr. Adam Milam wrote about why he takes the assault on health equity personally in the Anesthesiology journal. Read it here.

😱 Scary thought, Neal Shah
CEO of CareYaya Neal Shah reflected on a recent Dutch project where researchers built a social platform with AI agents and extremism flourished. Read more and join the conversation here.

🙂‍↕️ YES, Ge Bai
Dr. Ge Bai shared her reflections on why physician-owned hospitals consistently charge less for the same procedures in the same markets, featuring commentary from Dr. David Russo, Banke Agarwal, and Thomas Lee. Read it here.

👉 Important read, Jeff Terry
U.S. Anesthesia Partners Executive Vice President Jeff Terry reflected on a recent essay from Randy Moore about why the anesthesia “shortage” isn’t fiction, but it also isn’t what most people think. Read more here.

💭 Food for thought, Ramin Rafie
Dr. Ramin Rafie posted about why the term ‘provider’ has a little known derogatory context from Nazi Germany and why the term clinician is much preferred. Read it here.

👏 Thanks for saving lives (literally), Bo Gu
On a flight home from the American Association of Hip and Knee Surgeons, Youlify co-founder and CEO Bo Gu saved a patient’s life mid-air. Thank you! Read this essay from his co-founder Sally Liang to learn the story.

✅ Strong work, Michael Turken
Dr. Michael Turken was quoted in the NYTimes alongside Dr. Ainsley MacLean, Dr. Robert Pearl, Raina Merchant and Dr. Ravi Parikh about how people can safely use AI for health questions. Read the article here.

🗣️ Speak up and speak out, Kumail Hussain
Dr. Kumail Hussain recently went viral for his medical content and got in serious trouble for it. He was featured on The Glaucomfleckens’ podcast discussing his case and about why we need more free expression in medicine. Watch it here.

📖 Worth a read, Lisa Rosenbaum 
Concierge care is having a moment, but is it better care? Dr. Lisa Rosenbaum wrote in NEJM about the topic in an essay entitled, “The Concierge Cure?” Read it here (paywalled)

👀 Watch this webinar, Ali Rahimi
Dr. Ali Rahimi and Dr. Amit Thosani from ALYKA Health presented real-world insights from their new whitepaper on heart health management and how cardiovascular care teams can close gaps that lead to avoidable hospitalizations.Watch it here.

🎉 Congratulations, Amar Kelkar
Dr. Amar Kelkar is starting a new position as Assistant Professor of Medicine at Harvard Medical School. Congratulate him here!

🎉🥳 Also congratulations, Rana Awdish
Dr. Rana Awdish was nominated for the prestigious honor of Mastership in the American College of Physicians. Read more here!

Physician Obituaries

Something new to remember the lives of physicians who left a legacy and have made an impact on our community. Let us know if there’s a physician who we should lift up (you can reply directly to this email or tag us in the comments).

Michigan Medicine announced the passing of Dr. Robert Bartlett, best known as the 'Father of ECMO,' and an active emeritus surgeon at Michigan Medicine and a professor at the U-M Medical School. His contributions to science and research saved numerous lives and changed how we view medicine today. Read his full obituary here.

Be Sure to Sign Up for Offcall!

At Offcall, we believe physicians deserve to be heard, valued, and treated fairly. Everything we do is driven by our commitment to empowering doctors with accurate, reliable, and trustworthy data — to advocate confidently for themselves and ensure their compensation truly reflects their worth.

Learn more and sign up here

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