Contract & Benefits

Physician Recruitment Process and Compensation Overview

Financial Security and Professional Value in Academic Medicine

Your compensation at UC Davis Health reflects the University of California system's commitment to attracting and retaining excellent physicians through competitive salaries, comprehensive benefits, and the financial stability that comes with employment by one of the nation's premier public university systems. The two positions offer distinct salary ranges based on their different clinical structures: the Academic Generalist position provides $271,000 to $327,000 annually, while the Academic Hospitalist position offers $300,000 to $400,000 annually based on the number of shifts worked per month. Both positions include membership in the Health Sciences Compensation Plan, creating opportunities for productivity-based incentives that reward clinical excellence and efficiency without creating unsustainable pressure to maximize volume at the expense of quality care or personal well-being.

Unlike private practice models where physician income fluctuates with market conditions, referral patterns, and payer mix, your UC Davis Health salary provides predictable income you can count on for mortgage payments, retirement planning, and family financial security. Unlike employment models where productivity expectations steadily increase to maintain profit margins, your compensation reflects reasonable clinical expectations that allow sustainable practice. The university's non-profit mission means your work serves patients and educational goals rather than generating returns for shareholders or private equity investors, creating alignment between your professional values and institutional priorities.

Compensation Structure and Earning Potential

Your compensation follows the Health Sciences Compensation Plan structure with three components (X, Y, and Z) that combine to create your total annual earnings. The X component reflects your academic rank (Assistant Professor, Associate Professor, or Full Professor), while the Y component provides additional compensation based on specialty and other factors. For Academic Generalist positions, the current base salary for Assistant Professor level starts at $256,000 annually without Labor and Delivery call. Associate Professor base salaries average around $290,000, and Professor level reaches approximately $325,000. These base salaries are benchmarked to median AAMC (Association of American Medical Colleges) salaries for OB/GYN generalist positions, ensuring competitive compensation relative to national academic health center standards.

The compensation for Labor and Delivery shifts adds $18,000 per shift to your annual base salary. Most UWH faculty members take either two or three L&D calls monthly, which increases annual compensation by either $36,000 or $54,000 respectively. For example, an Assistant Professor at the $256,000 base taking three L&D shifts monthly would earn $310,000 annually ($256,000 + $54,000). The Academic Generalist salary range of $271,000 to $327,000 reflects these L&D call payments combined with base salaries, while the Academic Hospitalist range of $300,000 to $400,000 is determined by the number of 12-13 hour shifts worked monthly.

The Z component provides additional payments for extra work beyond your normal schedule, including Saturday clinics, additional call coverage, and other supplementary clinical activities. These Z payments commonly reach $35,000 or more annually after your first one to two years of employment. University Women's Health operates a group bonus plan where the pool of bonus dollars is divided evenly among UWH members (adjusted by percent FTE), creating shared incentives for group productivity and quality outcomes. This collaborative bonus structure contrasts with individual productivity models that can create competition among colleagues and pressure to maximize volume over quality.

Both positions offer opportunities for career development and focused practice areas. Academic Generalist physicians can develop emphasis areas in surgery, laborist/hospitalist work, or outpatient clinic practice over time while maintaining their generalist credentials. This flexibility allows your practice to evolve as your interests develop and the division's needs change, preventing the professional stagnation that can affect physicians in rigidly defined roles. The Academic Hospitalist position similarly allows you to shape your shift preferences and clinical focus based on your strengths and professional goals.

Both positions include annual academic enhancement funds of $5,000 to support your professional development. These funds cover expenses for meetings including travel, lodging, and meals consistent with University policy, as well as books, journals, professional license fees, professional society dues, and limited equipment purchases that enhance your clinical practice or teaching effectiveness. You will also receive six paid continuing medical education (CME) days per year, allowing you to attend educational conferences without using vacation time or reducing income. Additional CME time becomes available when preparing for board examinations, recognizing the importance of maintaining board certification throughout your career.

Your vacation accrual provides two days (16 hours) each calendar month, accumulating to a maximum of 384 hours, equivalent to 9.6 weeks of paid time off. This generous vacation policy, combined with 11 University holidays annually and typically one day of post-call time off after in-house shifts, creates substantial time away from clinical work for personal rejuvenation, family commitments, and the work-life balance essential to preventing physician burnout. Unlike private practices where taking vacation means lost income or burdening partners, your UC Davis Health salary continues regardless of vacation use, and colleagues provide coverage through established systems rather than informal arrangements.

  • Academic Generalist Base Salary: Assistant Professor level starts at $256,000 annually without L&D call, Associate Professor averages $290,000, and Professor level reaches approximately $325,000, all benchmarked to median AAMC standards for OB/GYN generalist positions
  • L&D Call Compensation: Each monthly L&D shift adds $18,000 to annual base salary; most faculty take 2-3 calls monthly, adding $36,000-$54,000 annually to base compensation
  • Academic Hospitalist Salary: $300,000 to $400,000 annually based on negotiated monthly shift commitment, with total compensation determined by number of 12-13 hour shifts you choose to work
  • Bonus Payments (Z Component): Additional compensation for extra clinical work including Saturday clinics and extra call coverage, commonly reaching $35,000+ annually after 1-2 years of employment
  • Group Bonus Plan: University Women's Health divides bonus pool evenly among members (adjusted by FTE), creating collaborative incentives rather than competitive individual productivity pressure
  • Academic Enhancement: $5,000 annual allowance covering conference expenses (travel, lodging, meals per University policy), books, journals, license fees, professional dues, and limited equipment purchases
  • CME Time: Six paid days annually dedicated to continuing medical education, with additional time available when preparing for board examinations
  • Vacation Accrual: Two days (16 hours) monthly accumulating to maximum 384 hours (9.6 weeks), providing generous paid time off for personal use
  • University Holidays: 11 paid holidays annually including major holidays and University-designated days
  • Post-Call Recovery: Typically one day off following in-house call shifts, acknowledging the physical demands of overnight coverage
  • Recruitment Incentives: Potential signing bonus or relocation assistance available for qualified candidates, helping offset moving costs and easing the financial transition to Sacramento

Comprehensive Health and Wellness Benefits

Your benefits package through the University of California system provides comprehensive coverage for you and your family at costs far below private insurance market rates. Medical, dental, and vision insurance options include multiple plan choices, allowing you to select coverage levels matching your family's needs and healthcare utilization patterns. The university subsidizes premium costs substantially, making comprehensive family coverage affordable even on a single income. Preventive care receives full coverage, and the broad provider networks throughout California ensure access to excellent healthcare wherever your family lives within the state.

Life insurance and accidental death and dismemberment coverage protect your family's financial security, with options to purchase additional coverage beyond the basic employer-provided amounts. Critical illness and accident insurance provide additional financial protection against unexpected health events that could otherwise create significant financial hardship. These supplemental benefits cost far less through group university plans than purchasing similar coverage independently, while providing peace of mind that your family maintains financial stability even if serious illness or injury interrupts your career.

The university's comprehensive approach to employee wellness extends beyond traditional health insurance to include mental health support, employee assistance programs, wellness initiatives, and resources addressing the whole person rather than simply treating illness. Access to counseling services, stress management programs, and work-life balance resources acknowledges the challenges physicians face and provides support before problems become crises. This preventive approach to physician well-being contrasts sharply with healthcare employment models that ignore physician burnout until it manifests as departure, disability, or worse outcomes.

  • Medical Insurance: Choice of comprehensive PPO and HMO plans covering preventive care, hospitalization, specialist visits, prescription drugs, mental health services, and emergency care with university premium subsidies making family coverage affordable
  • Dental Insurance: Coverage for routine cleanings, examinations, fillings, root canals, crowns, and orthodontic care for dependent children, maintaining oral health without significant out-of-pocket expense
  • Vision Insurance: Annual eye examinations, prescription glasses, contact lenses, and discounts on laser vision correction procedures
  • Life Insurance: Basic employer-paid life insurance with options to purchase additional coverage at group rates significantly below individual policy costs
  • Disability Coverage: Short-term and long-term disability insurance protecting income if illness or injury prevents you from practicing medicine
  • Mental Health Support: Comprehensive coverage for counseling, therapy, and psychiatric care with parity for mental health services equivalent to medical care coverage
  • Wellness Programs: Health assessments, fitness center discounts, nutrition counseling, stress management resources, and preventive health initiatives

Retirement Security and Long-Term Financial Planning

Your retirement benefits through the University of California Retirement Plan provide true pension security increasingly rare in modern employment. You choose between two comprehensive retirement options: Pension Choice, which combines a traditional defined benefit pension with supplemental 401(k) contributions, or Savings Choice, which offers a standalone 401(k) with higher university contributions. Both options include substantial employer contributions that accelerate retirement savings far beyond what most physicians achieve through individual retirement accounts or private practice profit-sharing plans.

The Pension Choice option provides a defined benefit pension calculated based on the X component (your academic rank-based salary) plus the X' multiplier (used mostly by clinical departments to give more credit toward retirement) times your years of service times your age. This formula ensures pension payments reflect both your salary progression and longevity of service. The pension guarantees monthly income throughout retirement regardless of market performance or longevity, eliminating the anxiety of outliving retirement savings that plagues many Americans. The supplemental 401(k) component allows additional tax-advantaged savings and investment control, with university contributions to both the pension and 401(k). Total employer contributions can reach 10% or more of your salary depending on your specific plan election and years of service.

The Savings Choice option provides a standalone 401(k) with university contributions reaching up to 8% of salary, offering investment control and portability advantages. This option appeals to physicians who prefer managing their own investments, anticipate career mobility, or want to maximize control over retirement assets. You can contribute pre-tax dollars to traditional 401(k) or 403(b) plans for deferred compensation, or after-tax dollars to Roth IRA options for tax-free growth. Regardless of which retirement plan you select, university contributions dwarf the typical 3-4% matching common in private sector employment, demonstrating institutional commitment to employee financial security and long-term retention.

  • Pension Choice Option: University of California Retirement Plan (UCRP) defined benefit pension calculated as (X + X') times years of service times age, plus supplemental 401(k) with employer contributions, providing guaranteed retirement income combined with investment growth potential
  • Savings Choice Option: Standalone 401(k) plan with employer contributions up to 8% of salary, offering investment control and portability while building substantial retirement assets through combined employee and employer contributions
  • Contribution Options: Can contribute pre-tax dollars to 401(k) or 403(b) plans for deferred compensation, or after-tax dollars to Roth IRA for tax-free growth and withdrawal in retirement
  • University Contributions: Total employer retirement contributions can exceed 10% of salary depending on plan selection and service years, far surpassing typical private sector retirement benefits
  • Vesting Schedule: Reasonable vesting requirements ensure you retain substantial retirement benefits even if your career path eventually leads elsewhere, while full vesting occurs after several years of university service
  • Investment Options: Diverse investment choices within 401(k) plans including target-date funds, index funds, actively managed funds, and self-directed brokerage accounts for sophisticated investors
  • Retirement Planning Resources: Access to financial advisors, retirement planning tools, educational workshops, and personalized consultation helping you optimize retirement strategies and ensure financial security

Professional Liability Protection

Your malpractice insurance coverage through UC Davis Health provides occurrence-based protection for all clinical work performed within university facilities and scope of employment, eliminating the tail coverage concerns that plague physicians in private practice or claims-made coverage models. This means if a patient files a lawsuit years after you leave UC Davis Health for any reason, the university's insurance covers your defense and any settlement or judgment, protecting your personal assets and future income from litigation related to care you provided during university employment. This security contrasts sharply with private practice models where departing physicians must purchase expensive tail coverage or risk personal liability for past clinical work.

The university's legal defense team includes attorneys experienced in medical malpractice defense, expert witnesses, and resources to mount vigorous defense against unfounded claims or negotiate reasonable settlements when appropriate. You will not face the anxiety of hiring and paying for your own defense attorney, or the financial exposure that comes with inadequate coverage limits. The institutional support during litigation provides emotional and practical assistance during what is invariably a stressful process, rather than leaving you isolated to navigate the legal system alone.

  • Coverage Type: Occurrence-based malpractice insurance covering all clinical work performed within UC Davis Health facilities and scope of employment, with university assuming responsibility for defense and indemnity
  • Coverage Limits: Substantial coverage limits meeting California practice standards and protecting against catastrophic claims exceeding typical individual policy limits
  • No Tail Coverage: Occurrence-based coverage eliminates need to purchase expensive tail coverage if you leave UC Davis Health, as university coverage protects you for clinical work performed during employment regardless of when claims are filed
  • Legal Defense: Experienced university legal team provides defense against malpractice claims, handling all aspects of litigation and settlement negotiations
  • Risk Management Support: Access to risk management consultants, peer review processes, and resources helping you practice defensively and minimize malpractice exposure

Additional Financial Benefits and Lifestyle Support

Beyond core compensation and benefits, your employment includes numerous provisions enhancing financial security and quality of life. Flexible spending accounts allow pre-tax contributions for dependent care and healthcare expenses, reducing tax liability while covering childcare costs or medical expenses not fully covered by insurance. Long-term care insurance options help you plan for potential future needs at group rates substantially below individual policy costs. Pet insurance, legal insurance through ARAG, and adoption assistance demonstrate the breadth of benefits addressing diverse employee needs and life circumstances.

UC Davis Health participates in the Public Health Service Loan Forgiveness program, potentially allowing forgiveness of qualifying federal student loans after 120 months (10 years) of eligible employment and payments. This program provides significant financial relief for physicians carrying substantial educational debt, with loan balances forgiven tax-free after meeting program requirements. The institution also offers mortgage origination programs that may provide favorable terms or assistance for home purchases, making homeownership more accessible in the Sacramento region's competitive real estate market.

Tuition discounts make higher education more accessible for your children or yourself if pursuing additional degrees, supporting lifelong learning and family educational aspirations. The university's commitment to work-life balance includes generous paid time off policies, parental leave provisions exceeding California statutory requirements, and recognition that physicians need adequate time away from clinical work to maintain well-being and avoid burnout. These benefits combine to create total compensation packages that often exceed higher nominal salaries in private practice when you account for the true value of comprehensive benefits and institutional support.

  • Flexible Spending Accounts: Pre-tax contributions for dependent care (childcare, eldercare) and healthcare expenses (copays, deductibles, dental, vision), reducing tax liability while covering family expenses
  • Public Health Loan Forgiveness: Qualifying employment for federal student loan forgiveness after 120 months of payments, providing substantial financial relief for physicians with educational debt
  • Mortgage Programs: Access to mortgage origination programs potentially offering favorable terms or assistance for home purchases in the Sacramento region
  • Parental Leave: Comprehensive paid leave for new parents exceeding state requirements, supporting family bonding time without financial hardship during critical early parenting period
  • Paid Time Off: Generous vacation accrual (up to 9.6 weeks maximum), 11 University holidays, post-call recovery days, and sick leave provisions allowing adequate time for personal rejuvenation, family commitments, and health needs
  • Tuition Benefits: Discounted tuition for employee and dependent enrollment in University of California degree programs, making higher education more affordable
  • Long-Term Care Insurance: Access to group rates on long-term care insurance helping protect assets and plan for potential future care needs
  • Legal Insurance: ARAG legal insurance providing access to attorneys for personal legal matters including estate planning, real estate transactions, and family law
  • Adoption Assistance: Financial support for employees building families through adoption, covering agency fees and legal expenses
  • Pet Insurance: Group rates on pet insurance helping manage veterinary costs for family pets

Your compensation and benefits at UC Davis Health provide financial security, comprehensive risk protection, and quality-of-life support that allows you to focus on clinical excellence, teaching, and the aspects of medicine that drew you to this career. The combination of competitive salaries, exceptional benefits, and institutional stability creates a foundation for long-term career satisfaction and personal well-being, whether you choose the generalist pathway combining continuity care with hospital-based practice, or the hospitalist model offering focused inpatient work with schedule flexibility.

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