The positions of the imperial doctors within the Imperial Hospital have not changed in rank; Director Xiao remains a fourth-grade director, though previously a fourth-grade director was a full position with no rank for the Taiyi Bureau appointees. Now, the fourth-grade position is part-time.
Zhou Man is still a fifth-grade imperial doctor and also holds the position of editor at the Chongwen Pavilion. She calculated in her mind that if she could also take a part-time high-ranking official role at the Taiyi Bureau, wouldn't she then hold three positions?
All three positions are substantial roles, and substantial roles mean not only a salary but also a tax-free field (zhitian).
The salary given to officials by the Great Jin is actually not much. For example, Manbao earns between ten to twelve strings of cash per month from her outside pharmacy, and the consultation fees from her external visits are mostly hers, with the pharmacy only requiring that the herbs come from them.
