Academic General and Subspecialty Pediatric Promotion Timelines and Lifetime Earnings

In this cross-sectional study of academic pediatricians, promotion timing was associated with lifetime earnings and often more influential than subspecialty or salary percentile. The findings suggest that physicians who were never promoted may need to work an additional 10 years to match the earnings of peers promoted via a baseline promotion trajectory. The findings highlight the financial consequences of delayed advancement and underscore the need for institutional efforts to support timely and equitable promotion across the pediatric workforce.