Look closely at the trend in salary expectations for physicians in various specialties over the past three years, as shown in an annual survey, and you'll see the fingerprints of managed care. Pay expected by family physicians and internists, often sought after by HMOs to play a "gatekeeper" role, has tended to move upward, unlike that of three specialties more dependent on consulting and hospital services.

Note: The survey draws on a national database of residents, fellows and physicians new to practice within the past one to three years, all of whom are actively pursuing practice opportunities across the United States.

SOURCE: PHYSICIAN SERVICES OF AMERICA, LOUISVILLE, KY.