The best and worst states to practice medicine
Medscape’s most recent report ranking the best and worst places to practice medicine offers new insights into which states offer providers the best balance between their professional and personal lives.
The 2023 report rates the 24 best and 5 worst states for practicing medicine based on factors such as compensation, burnout rates, residents’ overall health, tax burden and cost of living. The report also takes into account the cost of malpractice insurance premiums—something that varies widely between regions and has been reported as having significant influence on where physicians decide to practice medicine.
The 15 states voted as the best places to work are:
Idaho
North Dakota
Minnesota
Wisconsin
North Carolina
Utah
South Dakota
Virginia
Nebraska
New Hampshire
Washington
Florida
Oregon
Iowa
Maine
Tennessee
California
Texas
Indiana
Georgia
Colorado
South Carolina
Alabama
Delaware
As far as the states listed as the worst places for physicians to practice, lower compensation, higher tax burdens, higher cost of living, higher malpractice premiums and a lack of job opportunities were all driving factors in their rank.
The five worst states/districts to practice in are:
Washington, DC
Maryland
Connecticut
New Mexico
West Virginia
Malpractice premiums appear to play a significant role in a state’s ranking. Even states with ample job opportunities and low-to-moderate cost of living were ranked poorly due to their high malpractice premiums. With new data revealing that one in three physicians will be sued during their medical career, and with premiums increasing (substantially in some areas) for several years in a row, malpractice insurance is likely to continue to physician workforce for the foreseeable future.
The full report can be viewed here.