Using the most recent yearly figures from the Medscape 2022 Compensation Report and the typical hours spent as provided by the American Association of Medical Colleges, it is not surprising to see primary care specializations at the bottom of the list and specialists at the top. Anesthesiologists work lengthy shifts and earn a middle-of-the-road hourly rate. Dermatologists enjoy a healthy work-life balance and high earnings — it should come as no surprise that it’s one of the hardest fields to break into — but no one is surprised that PCPs are working hard for less money.