Recruiting guide

Recruiting an OB-GYN.

Babies arrive at night and on holidays, so every obstetric practice is really a call schedule. Candidates weigh how often they will be on the labor floor overnight, and many now choose laborist shifts or gynecology-only work that leaves the night to someone else.

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  • Labor and delivery call
  • Laborists
  • Rural maternity care
  • Fellowships

What does an OB-GYN earn?

Mean annual wage
$279,040
Median annual wage
$292,910
Employed nationally
21,260

Obstetricians and Gynecologists (SOC 29-1218), BLS, May 2025 release, published May 15, 2026: May 2025 National Occupational Employment and Wage Estimates, Excel file (oesm25nat.zip), U.S. Bureau of Labor Statistics.

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Highest mean wage, by state

StateMean annual wageEmployment
Louisiana$397,99080
Utah$385,660200
Vermont$376,67090

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Most employed, by state

StateEmploymentMean annual wage
New York2,750$306,240
California1,610$272,520
Texas1,460$248,730

Ranked among the states and the District of Columbia where BLS publishes both the mean wage and the employment figure; 12 of the 51 are left out because BLS withholds or top-codes a figure or has no row. The obstetrics and gynecology salary page has every state, the metro areas and BLS’s caveats.

The BLS figures for obstetricians and gynecologists are a mean of $279,040 (BLS, May 2025 release) a year, a median of $292,910 (BLS, May 2025 release) and about 21,260 (BLS, May 2025 release) employed. Gynecologic oncologists and maternal-fetal medicine physicians are counted in the same occupation, so the average mixes subspecialists with general OB-GYNs in community practice.

Pay is often a salary with production incentives plus call pay, and the call arrangement decides much of the offer's real value. Laborist positions pay per shift with no clinic, and candidates compare the two on hours as much as on income.

Where do OB-GYNs look for jobs?

Where new hires come from
Most new hires come straight from residency
Who employs them
Hospital-employed obstetric groups, private practices, laborist programs run by hospitals or national companies, academic departments and community health centers.
Who you compete with for candidates
Laborist and hospitalist programs with predictable shifts, gynecology-only practices with no deliveries, and subspecialty fellowships.

Residents finish a four-year program and decide in the final year whether to practice general obstetrics and gynecology, do laborist work or start a fellowship in maternal-fetal medicine, gynecologic oncology, reproductive endocrinology or urogynecology.

Residents lean on faculty and on attendings they met during rotations, and the reputation of a hospital's labor floor travels fast among them.

Job boards that carry obstetrics and gynecology

BoardSpecialtiesHow it chargesPrice as recorded Source
CareerMDAll specialtiesFreeFree CareerMD job database page
DocCafeAll specialtiesPrice on requestQuote on request DocCafe employer FAQ
Doximity Talent FinderAll specialtiesPrice on requestQuote on request Doximity Talent Finder page
Health eCareersAll specialtiesPrice on requestNot shown on its pages Health eCareers employer store
HospitalRecruitingAll specialtiesPer posting$150 per 90-day posting HospitalRecruiting pricing page
IndeedAll specialtiesFree, with paid optionsFree post; Sponsored Job budget set per job Indeed pricing page
JAMA Career CenterAll specialtiesPer posting$533 per 30-day posting JAMA Career Center pricing page
LinkedIn JobsAll specialtiesPrice on requestVaries; not listed LinkedIn post jobs page
NEJM CareerCenterAll specialtiesPer posting$775 per 30-day posting NEJM CareerCenter pricing page
PhysEmpAll specialtiesSubscription$150 per month PhysEmp post a job page
PracticeLinkAll specialtiesPrice on requestQuote on request PracticeLink job posting page
PracticeMatchAll specialtiesPer posting$299 per 30-day posting PracticeMatch job posting page
ZipRecruiterAll specialtiesPrice on requestNot listed ZipRecruiter plans page
No board in the directory is limited to this specialty; every board here takes all specialties. Prices are as each board publishes them, read on its own pages.

Every board’s listing, with its posting lengths and how CV access is sold, is in the job board directory; what a physician job posting costs compares them.

Locum tenens agencies that place physicians in every specialty

AgencySpecialties as the agency states themHow it charges Source
All Star Healthcare SolutionsMore than 85 specialtiesPrice on request All Star Healthcare Solutions home page
Alumni Healthcare StaffingNot statedPrice on request Alumni Healthcare Staffing page for facilities
AMN HealthcareNot statedPrice on request AMN Healthcare locum tenens staffing page
Aya LocumsNot statedPrice on request Aya Locums home page
Barton Associates12 specialties and 149 subspecialtiesPrice on request Barton Associates home page
CompHealthNot statedPrice on request CompHealth page for employers
Consilium StaffingAnesthesiology, cardiology, emergency medicine, family medicine, gastroenterology, hospital medicine, internal medicine, neurology, OB-GYN and morePrice on request Consilium Staffing home page
Hayes LocumsNot statedPrice on request Hayes Locums page for medical facilities
Interim PhysiciansNot statedPrice on request Interim Physicians coverage request page
Jackson and CokerVirtually every major specialty; more than 1,500 placements a year, as it statesPrice on request Jackson and Coker home page
LocumTenens.comMore than 60 physician specialtiesFree, with paid options LocumTenens.com physician staffing page
Medicus Healthcare SolutionsNot statedPrice on request Medicus Healthcare Solutions home page
VISTA Staffing SolutionsOver 60 specialtiesPrice on request VISTA Staffing Solutions home page
Wapiti Medical StaffingPhysicians (MD and DO), physician assistants and other cliniciansPrice on request Wapiti Medical Staffing home page
Weatherby HealthcareMore than 100 specialtiesPrice on request Weatherby Healthcare home page
No agency publishes what it bills a facility; each quotes by assignment. The specialty coverage is the agency’s own description, read on its pages.

The locum agency directory has each agency’s states, malpractice coverage and physician pay where it states them.

What does an open OB-GYN position cost?

The worked example

The recruitment cost calculator’s own example with obstetrics and gynecology chosen: a position open 120 days, a locum covering 60 of them at 40 hours a week, one posting on each of CareerMD, DocCafe, NEJM CareerCenter and PracticeMatch for the whole time, and a contingency agency as well.

Revenue the empty schedule does not bring in
$332,744 (estimate from AMN Healthcare (Merritt Hawkins), 2019)
Locum cover, physician pay only
$51,429 to $68,571 (estimate from Locumstory (CHG Healthcare), 2025)
Agency fee
$55,808 to $83,712 (estimate from MedStaff Nationwide, 2026)
Job board spend
$4,296, plus a quote
Total, boards and agency
$444,277 to $489,323 (estimate from AMN Healthcare (Merritt Hawkins), 2019; Locumstory (CHG Healthcare), 2025; MedStaff Nationwide, 2026)

The total leaves out one board priced by quote: the calculator has no published figure there for obstetrics and gynecology, so it asks for yours.

Figures from the recruitment cost calculator, with each published figure’s publisher and year beside it; the days, the locum cover and the boards are the calculator’s example choices, not a recommendation.

What the calculator has for obstetrics and gynecology

  • Revenue one physician brings in: $2,024,193 a year (estimate, AMN Healthcare (Merritt Hawkins), 2019)
  • Locum pay: $150 to $200 an hour (estimate, Locumstory (CHG Healthcare), 2025)
  • First-year pay: $279,040 a year (U.S. Bureau of Labor Statistics, 2025)
  • Contingency agency fee: 20 to 30% of first-year pay (estimate, MedStaff Nationwide, 2026)

The survey figure in the calculator is $2,024,193 (estimate, AMN Healthcare (Merritt Hawkins), 2019) a year to an affiliated hospital per OB-GYN, much of it from deliveries and surgery. A practice's own collections are the better input for an independent group.

Locum OB-GYNs are paid $150 to $200 (estimate, Locumstory (CHG Healthcare), 2025) an hour. In a small hospital, a vacancy can threaten the labor unit itself: when the remaining physicians cannot keep the call schedule, the hospital has to decide whether to keep offering deliveries.

Open the calculator with obstetrics and gynecology chosen

Which recruiting channels work for obstetrics and gynecology?

Show the call math. A posting that states how many nights a month the new physician covers, and whether a laborist handles the rest, answers the question every candidate is asking before they call.

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The channels that fit, compared

ChannelWhat it costsWhat to decide
Residency program outreachFaculty contacts, rotation opportunities for residents; no feeWhich programs are close enough that residents might want to stay.
Physician job boardsHealth eCareers: Not shown on its pagesWhether to post the call schedule in the listing itself.
Laborist or locum cover$150 to $200 an hour paid to the physician (estimate, Locumstory (CHG Healthcare), 2025), plus the agency's marginWhether hospital-funded laborist shifts would make the permanent position easier to fill.
Loan repayment positionsStaff time to qualify the site for maternity care awardsWhether your site scores as a maternity care target area within a shortage area.
Contingency search firm20 to 30% of first-year pay (estimate, MedStaff Nationwide, 2026)Whether a rural position that has gone unfilled justifies the fee.

Questions to ask

  • How many nights a month will the new OB-GYN be on call, and is there a laborist?
  • How many deliveries does the hospital do a year, and is that number stable?
  • Does the practice offer gynecology-only options later in a career?
  • Is the site eligible for maternity care loan repayment?

Which rules bite OB-GYN recruiting?

Hospitals subsidize obstetric coverage in many communities, and those subsidies are the payments the federal referral laws scrutinize.

Every federal rule this site cites, grouped by what a practice or recruiter is doing, is on the federal rules page. For the contract itself (pay models, tail coverage, restrictive covenants), read the physician employment contract, clause by clause. These notes describe the rules and cite them; they are not legal advice for a particular offer or contract.

Questions recruiters ask about OB-GYNs.

How long does it take to recruit an OB-GYN?

For a graduating resident, plan for a search across the fall and winter of the final year. A rural position often takes much longer, and hospitals fill the gap with laborists or locums so the unit stays open.

What does an OB-GYN recruiter charge?

Firms working on contingency charge a percentage of first-year pay; in the calculator that is 20 to 30% (estimate, MedStaff Nationwide, 2026) of first-year pay. Laborist companies usually bill the hospital for coverage rather than charging a placement fee.

Where do OB-GYNs look for jobs?

Through their residency faculty and rotations, and on the general physician boards compared in the job board directory.