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 C$650,000 (~$481,000 USD) (single filer): Take-home is approximately C$13,437 per bi-weekly paycheck, or ~C$349,372 per year after all taxes.
| Career Stage | Annual Salary (CAD) | Approx. Net/Year |
|---|---|---|
| EM Resident | C$134,000 | ~C$98,546 |
| Junior Attending | C$606,000 | ~C$328,912 |
| Senior Attending | C$747,000 | ~C$394,477 |
| Medical Director | C$922,000 | ~C$475,852 |
| Tax / Deduction | Per Bi-Weekly Check | Annual Amount | % of Salary |
|---|---|---|---|
| Gross Pay | C$25,000 | C$650,000 | 100% |
| Federal Income Tax | −C$7,160 | −C$186,155 | 28.6% |
| BC Provincial Tax | −C$4,214 | −C$109,556 | 16.9% |
| CPP (Pension) | −C$149 | −C$3,868 | 0.6% |
| EI (Employment Insurance) | −C$40 | −C$1,049 | 0.2% |
| Net Take-Home | C$13,437 | ~C$349,372 | 53.7% |
At C$650,000, your effective total tax rate is approximately 46.3%.
Major employers in Vancouver for emergency medicine physicians include Vancouver Coastal Health, Providence Health, BC Cancer Agency.
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