Emergency medicine physicians in New York City staff the nation's most visited emergency departments, handling patient volumes that exceed most other U.S. markets. The combination of high acuity cases, a large uninsured and underinsured population, and 24/7 operational demands makes NYC EM one of the most demanding — and well-compensated — specialties in the city.
NYC emergency departments managed by large hospital systems like Northwell often employ physicians on productivity models that can boost earnings above base salary. The shift-based schedule of emergency medicine also makes moonlighting at urgent care centers or freestanding EDs feasible, adding $30,000–$60,000 in supplemental income for many attending physicians. NYC's Level I trauma centers command the highest pay due to case complexity.
Emergency Medicine Physician at £239,000 (~$303,530 USD) (single filer): Take-home is approximately £5,640 per bi-weekly paycheck, or ~£146,627 per year after all taxes.
| Career Stage | Annual Salary (GBP) | Approx. Net/Year |
|---|---|---|
| EM Resident | £49,000 | ~£38,800 |
| Junior Attending | £223,000 | ~£138,147 |
| Senior Attending | £274,000 | ~£165,177 |
| Medical Director | £339,000 | ~£199,627 |
| Tax / Deduction | Per Bi-Weekly Check | Annual Amount | % of Salary |
|---|---|---|---|
| Gross Pay | £9,192 | £239,000 | 100% |
| Income Tax (PAYE) | −£3,292 | −£85,583 | 35.8% |
| National Insurance | −£261 | −£6,791 | 2.8% |
| Net Take-Home | £5,640 | ~£146,627 | 61.4% |
At £239,000, your effective total tax rate is approximately 38.6%.
Major employers in London for emergency medicine physicians include NHS, Bupa, AXA Health.
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