North Carolina Residency Salaries 2025

Comprehensive salary analysis for medical residency programs in North Carolina. Compare compensation across 88 specialties with cost of living adjustments and real value analysis.

$72,175
Average Salary
382
Total Programs
78
Cost of Living Index
$92,537
Adjusted Salary

Salary by Specialty in North Carolina

Average PGY-1 salaries across different medical specialties

SpecialtyProgramsAverage SalarySalary Range
Interventional Pulmonology (IM)2$85,233$83,058 - $87,408
Transplant Hepatology (IM)3$82,555$77,200 - $87,408
Vascular Surgery (GS)4$81,984$75,016 - $86,993
Hand Surgery (ORS)2$81,834$79,895 - $83,772
Orthopaedic Sports Medicine (ORS)3$81,565$78,767 - $83,772
Interventional Cardiology (IM)3$81,284$78,104 - $87,408
Surgical Critical Care (GS)6$81,097$73,848 - $86,993
Complex General Surgical Oncology (GS)3$80,881$78,767 - $82,156
Clinical Cardiac Electrophysiology (IM)4$80,623$76,059 - $85,272
Urogynecology and Reconstructive Pelvic Surgery (OBG)3$79,430$75,850 - $83,840
Emergency Medical Services (EM)4$79,416$70,649 - $100,000
Neuroradiology (DR)3$79,057$75,016 - $82,156
Adult Cardiothoracic Anesthesiology (AN)2$78,889$78,600 - $79,178
Epilepsy (N)3$78,532$75,850 - $80,568
Vascular Neurology (N)3$78,532$75,850 - $80,568
Neuromuscular Medicine (N)3$78,532$75,850 - $80,568
Cytopathology (PTH)3$78,532$75,850 - $80,568
Neurocritical Care2$78,209$75,850 - $80,568
Gynecologic Oncology (OBG)4$78,077$72,238 - $83,840
Forensic Psychiatry (P)2$78,039$72,238 - $83,840
Obstetric Anesthesiology (AN)3$77,876$75,850 - $79,178
Hematopathology (PTH)3$77,536$75,850 - $79,178
Pain Medicine2$77,514$75,850 - $79,178
Thoracic Surgery5$77,306$64,631 - $86,993
Dermatopathology (D)2$77,290$76,999 - $77,580
Geriatric Psychiatry (P)2$77,225$75,850 - $78,600
Reproductive Endocrinology and Infertility (OBG)2$77,225$75,850 - $78,600
Pediatric Anesthesiology (AN)2$77,225$75,850 - $78,600
Forensic Pathology (PTH)3$76,777$64,153 - $87,000
Pediatric Emergency Medicine (EM)3$76,278$72,627 - $80,338
Maternal-Fetal Medicine (OBG)4$75,855$71,338 - $78,600
Complex Family Planning (OBG)2$75,522$70,476 - $80,568
Geriatric Medicine (FM)2$75,494$70,649 - $80,338
Pediatric Gastroenterology (PD)3$75,359$72,627 - $77,580
Rheumatology (IM)3$75,359$72,627 - $77,580
Pediatric Nephrology (PD)3$75,359$72,627 - $77,580
Allergy and Immunology2$75,104$72,627 - $77,580
Pediatric Hematology/Oncology (PD)2$75,104$72,627 - $77,580
Sleep Medicine3$74,727$72,627 - $75,870
Pediatric Hospital Medicine (PD)3$74,727$72,627 - $75,870
Geriatric Medicine (IM)3$74,727$72,627 - $75,870
Gastroenterology (IM)5$74,195$64,559 - $80,338
Infectious Disease (IM)4$74,182$70,649 - $77,580
Nephrology (IM)4$74,182$70,649 - $77,580
Pediatric Pulmonology (PD)2$74,156$72,627 - $75,684
Pediatric Infectious Diseases (PD)2$74,156$72,627 - $75,684
Critical Care Medicine (IM)2$73,599$71,328 - $75,870
Consultation-Liaison Psychiatry (P)2$73,594$71,338 - $75,850
Molecular Genetic Pathology (MG and PTH)2$73,470$69,359 - $77,580
Hematology and Medical Oncology (IM)4$73,367$65,836 - $77,580
Neonatal-Perinatal Medicine (PD)4$73,193$68,591 - $75,870
Child and Adolescent Psychiatry (P)6$73,055$66,915 - $80,338
Pulmonary Disease and Critical Care Medicine (IM)6$72,986$60,851 - $80,338
Endocrinology, Diabetes, and Metabolism (IM)4$72,895$67,482 - $77,580
Pediatric Endocrinology (PD)2$72,531$67,482 - $77,580
Hospice and Palliative Medicine5$72,485$65,836 - $75,870
Pediatric Critical Care Medicine (PD)2$72,427$69,169 - $75,684
Sports Medicine (FM)9$72,161$65,603 - $80,338
Cardiovascular Disease (IM)5$71,092$68,455 - $77,580
Medical Genetics and Genomics2$70,554$69,359 - $71,748
Radiation Oncology3$68,839$66,936 - $69,996
Physical Medicine and Rehabilitation3$68,384$64,631 - $73,682
Radiology3$68,361$63,749 - $71,748
Addiction Medicine (P)2$68,261$66,915 - $69,606
Anesthesiology2$67,792$66,607 - $68,976
Urology4$67,686$64,631 - $70,528
Pediatrics4$67,686$64,631 - $70,528
Interventional Radiology3$67,368$63,749 - $71,748
Neurology5$67,026$64,631 - $71,748
Dermatology4$66,602$58,140 - $71,748
Ophthalmology3$66,444$63,749 - $68,976
Plastic Surgery3$66,174$64,631 - $67,284
Internal Medicine/Pediatrics3$65,755$63,657 - $68,976
Otolaryngology - Head and Neck Surgery2$65,619$64,631 - $66,607
Pathology4$65,545$63,657 - $67,284
Internal Medicine/Psychiatry2$65,390$61,803 - $68,976
Laboratory Genetics and Genomics2$65,203$64,631 - $65,774
Orthopedic Surgery5$64,773$54,816 - $70,528
Child Neurology2$64,344$59,329 - $69,359
Obstetrics and Gynecology8$64,276$60,349 - $68,976
Vascular Surgery2$64,080$61,553 - $66,607
Emergency Medicine7$63,945$57,138 - $70,528
General Surgery6$63,892$60,349 - $68,976
Neurological Surgery3$63,803$59,329 - $70,528
Psychiatry8$63,780$60,349 - $70,528
Family Medicine17$62,703$57,600 - $68,976
Internal Medicine11$61,245$35,000 - $70,528
Transitional Year5$59,895$55,734 - $61,690

Cost of Living Analysis

Real Purchasing Power

While the average salary in North Carolina is $72,175, the cost of living index of 78 means your real purchasing power is equivalent to $92,537 in a location with average cost of living.

Key Considerations

  • • Housing costs vary significantly by city
  • • State income tax rates affect take-home pay
  • • Transportation and healthcare costs
  • • Quality of life factors