Women earn less than men in many professions, medicine included. Among full-time physicians, a gender gap in earnings occurs at all levels of income of both primary care physicians and specialists, but is more pronounced at lower income levels (Shih, 2007; Deva, 2007). Women in academic medicine continue to be paid, on average, $11,500- 12,500 less for equal work each year (Wright, 2003; Ash, 2004). Among physician-executives, women have approximately 20% lower incomes than men (Weeks, 2008). Despite the Equal Pay Act of 1963, the disparity persists. Reducing the salary gap is largely dependent on your individual negotiation skills.