In 2025, the healthcare and medical job market continues to evolve rapidly, and resident salaries reflect these ongoing changes. Whether you’re a medical student preparing for residency, a current resident evaluating your options, or simply curious about the earning potential in this field, understanding the average salary, influencing factors, and future trends is essential.
Average Resident Salary in 2025
The average resident salary in the United States in 2025 ranges between $63,000 and $75,000 per year, depending on specialty, location, and institution.
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Median Salary: Around $70,000
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Entry-Level PGY-1: Typically earns $63,000–$65,000
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Senior Residents (PGY-4 to PGY-6): Can earn up to $75,000 or more
These figures are slightly up from previous years, reflecting annual cost-of-living adjustments and increased demand in healthcare services.
Factors That Influence Resident Salary
Several key factors can influence how much a medical resident earns:
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Specialty: Surgical and procedural-based specialties may offer slightly higher stipends.
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Location: Salaries tend to be higher in urban and high-cost-of-living areas (e.g., New York, California).
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Institution Type: Large academic hospitals often have higher funding than community hospitals.
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Unionization: Programs with active resident unions often secure better wages and benefits.
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Funding Source: Federal versus private or hospital-funded programs can impact stipend amounts.
Take-Home Pay for a $103,000 Salary
For residents who pursue additional roles like moonlighting, administrative work, or positions such as senior lead navigator, their total earnings could exceed $100,000 annually.
Assuming a $103,000 gross salary:
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Federal and State Taxes: Approximately 25%–30% depending on the state
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Take-Home Pay Estimate: $72,000–$77,000 per year or about $6,000–$6,400 per month
Note that additional deductions such as health insurance, retirement contributions, and loan repayments may further affect take-home earnings.
Salary by Experience Level
Residency Year | Average Salary (2025) |
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PGY-1 | $63,000–$65,000 |
PGY-2 | $66,000–$68,000 |
PGY-3 | $69,000–$71,000 |
PGY-4+ | $72,000–$75,000+ |
These increases are modest, but they help offset growing living expenses and training costs.
Job Market Trends in 2025
The demand for healthcare professionals, especially in underserved and rural areas, remains high. Here’s what to expect:
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Increased Demand: Especially for primary care, emergency medicine, and psychiatry
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Remote & Hybrid Care Models: Telemedicine roles provide new moonlighting opportunities
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Higher Stipends in Competitive Areas: Some institutions are offering signing bonuses or housing stipends
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Residency Slot Expansion: New federal funding initiatives are gradually increasing the number of GME positions
Benefits Offered to Residents
While salaries might not be high, most programs offer substantial non-cash benefits:
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Health, dental, and vision insurance
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Paid time off and vacation
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Meal allowances or on-call meal stipends
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Education fund for books, exams, and conferences
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Access to mental health and wellness programs
Certifications and Education That Impact Salary
Certain certifications or additional education can boost earnings, even during residency:
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Advanced Cardiac Life Support (ACLS)
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Basic Life Support (BLS)
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ATLS or PALS for emergency/pediatric residents
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Public health or MBA dual degrees
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Leadership programs or administrative fellowships
These can pave the way for leadership roles or side-income opportunities, including research coordination and medical consulting.
Final Thoughts
Resident salaries in 2025 are gradually improving, yet they remain modest compared to the responsibilities shouldered. However, with additional certifications, moonlighting opportunities, and strategic planning, residents can increase their earnings and set themselves up for a rewarding long-term career.
As the medical landscape shifts, keeping informed about pay trends, benefits, and growth opportunities can help residents make empowered career decisions.
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