7-Figure Anesthesia Salaries?

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
kidthor said:
No.

And that workweek sounds awful. Don't you have non-work life interests? If you work for an AMC you shouldn't be working that hard. Otherwise you're a golden (bronze?) handcuffed serf.


Your best bets are:

1) A true partnership private practice model. Rare yet possible. Also known as the promised land.

or...

2) Academic practice model. You'll be guaranteed to be underpaid, but at least in a quasi-fair socialistic sense.
Click to expand...

Could you give me an idea of how compensation works and estimates for a partner in an AMC like USAP in a desirable city?
Members don't see this ad.
 
LebronManning said:
No debt because doctor dad, so yeah the only thing I'm dwelling on is future income. Anesthesiology still seems like one of the best "bang for your buck." As of right now, it seems that its 4 years residency --> starting 350K up to 550 as a partner (this is suburb of desirable city working 55 hrs). Thats a pretty damn good deal. Working more like 70 hrs might even get me to 600ish which is great. Relative to other specialties, seems like a chill way to make a lot of money without having to talk to annoying patients all day. Radiology definitely competes with anesthesia well on all these fronts at the cost of an extra 2 years of training (including fellowship since its pretty much required in rads).

I mean whats the alternative financially? surgical sub or interventional cards or GI. Very hard to make more than a million these days in any field and so theyre probably gonna hover around 600-700 for IC/GI and maybe 800-1M in Neurosurgery. That comes at the cost of 10x harder residency thats a few years longer too. If its all about the money, I'd argue the free time one would get in anesthesia could lead to more profitable endeavors than being a surgeon or IC/GI and maximizing W2.
Click to expand...

Well the good news is, when you apply to Anesthesia residency, you’ve already got your personal statement done. :thumbup:
 
  • Like
Reactions: 10 users
LebronManning said:
Could you give me an idea of how compensation works and estimates for a partner in an AMC like USAP in a desirable city?
Click to expand...

Not really - I bet AMC-du-jour can't transparently tell you either. Anesthesiology salaries are somewhere in the 300s to 400s range.

I suggest you just pursue whatever field you enjoy and go from there. Don't worry about the money part. You have no debt so you'll be fine. It'd be a joy to take care of patients in any field if you don't have to worry about loans...
 
Last edited:
  • Like
Reactions: 1 users
Members don't see this ad :)
LebronManning said:
partner
Click to expand...

You keep using that word, but I do not think you understand what it means. By definition, employees of AMCs are not partners. The practice is entirely owned by the private equity firm that owns the management company. There may be legacy partners from before the practice was purchased that have a better deal, because they're still on the initial contract period after the bbuyout, but you aren't going to join that subset. There are also some practices (like USAP) that offer "partnership," but that's really an abuse of the term, since they're still employees, with maybe forced purchase of company stock, and perhaps better options for retirement savings or limited profit sharing. They are still not partners, and make nowhere near what partners in lucrative practices make. What motivation do the suits have for paying several hundred thousand extra to people that they view as replaceable cogs?
 
  • Like
Reactions: 2 users
Do you all think ophthalmology has better future prospects and financial outlook than anesthesiology? Wondering if you have insight from ophtho colleagues.
 
Dude, you have no debt. Do what you enjoy, and make a decent living doing it. Don't just go for whatever specialty will get you the highest amount of dollars per hour worked. That road will only lead to misery.
 
  • Like
Reactions: 5 users
LebronManning said:
Do you all think ophthalmology has better future prospects and financial outlook than anesthesiology? Wondering if you have insight from ophtho colleagues.
Click to expand...
If money is your only concern, take ALL the money from your bank account and play tonights Powerball. Otherwise, pick the field that you wouldn't mind doing FOR FREE or else you'll hate your life.
 
  • Like
Reactions: 1 user
Approach this field (medicine) as if AOC is going to be President in 8 years and she somehow gets single payer through Congress and ALL of our salaries are cut in half. That won't happen, but you should choose the field you don't mind doing in case your salary declines someday, which in this country it probably will.
 
Twiggidy said:
Approach this field (medicine) as if AOC is going to be President in 8 years and she somehow gets single payer through Congress and ALL of our salaries are cut in half. That won't happen, but you should choose the field you don't mind doing in case your salary declines someday, which in this country it probably will.
Click to expand...

Wow this is a scary picture to even imagine. Great thought and advice though.

Out of curiosity, why did you choose anesthesiology? Also, as an anesthesiologist in an ACT model, do you have to set up the room and/or wheel the patients to the OR or is that all done by CRNAs and techs?
 
LebronManning said:
Wow this is a scary picture to even imagine. Great thought and advice though.

Out of curiosity, why did you choose anesthesiology? Also, as an anesthesiologist in an ACT model, do you have to set up the room and/or wheel the patients to the OR or is that all done by CRNAs and techs?
Click to expand...
The second is easy to answer: I do my own cases so I make sure all my drugs and equipment are in order, but I don't wheel patients (I'm not an intern)

The first part: It was the shortest line at career day (lol). In all honesty, I have hobbies and interests outside of medicine that I love and I feel like with just about any other field of medicine outside maybe Radiology and possibly Pathology, you have to be committed 100% to your patients nearly 24/7. It's a bit of an exaggeration but I didn't want to do clinic, rounds, answer calls when I'm at home, etc. With anesthesiology I leave work at work more so than my other medical field colleagues. I provide a service to the hospital and surgeons and I'm cool with that and I'm cool with know I'm not going to be the superstar of the hospital no matter how much nurses, especially OB nurse BS that "Im every patients favorite doctor". If I had my personal perfect job setup, I would still do it for half the money, but my job setup isn't perfect, so give me ALL my damn money.

Full disclosure: ENT was my original choice until I got bloody/snotted all over in clinic. Then it was general surgery until I realized my life would suck. The I narrowed it to radiology and anesthesiology. I had a terrible single day on radiology and a great anesthesiology rotation (although admittedly that rotation is nothing like real life so take it with a grain of salt) The ER docs loved me in med school and damn near reserved a spot for me, but ER wasn't my cup of tea.
 
  • Like
Reactions: 1 users
Twiggidy said:
If we're talking about General Surgeons, then yes, the RARE breed may pull more than a million. My response was referring to orthos, uro, plastics, and even vascular......in the right part of the country with the right group and the right patients and if they're busy enough they can easily pull a million.
Click to expand...

The hard part is the patient load. They can all make 7 figs wayyyyyy easier than we can. But they need the patient load, which likely isn't going to happen right after residency. Even if they are fast they can't magically find a new case out of no where.
 
kidthor said:
No.

And that workweek sounds awful. Don't you have non-work life interests? If you work for an AMC you shouldn't be working that hard. Otherwise you're a golden (bronze?) handcuffed serf.


Your best bets are:

1) A true partnership private practice model. Rare yet possible. Also known as the promised land.

or...

2) Academic practice model. You'll be guaranteed to be underpaid, but at least in a quasi-fair socialistic sense.
Click to expand...
If you want an academic job that pays better find one of the quasi academic jobs. They exist. They’re not super rare in the Peds world. But nothing is free, so you will be doing more cases than some slack academic places with 1-2 academic days a week.
Best of both worlds sort of, though to be honest, I’m not interested in a 3or4:1 PP cash cow job running around and working my ass to death. I know few people in PP that are real partners in groups making 6ish and the all work much much harder than I do. It might be tolerable if I was solo 24/7. But the couple jobs that I looked at like that wanted you to move the meat as fast as humanly possible. Efficient practice benefits everyone, but those places were next level. Good for the hungry, not so much for the fat.
 
  • Like
Reactions: 1 users
Members don't see this ad :)
IlDestriero said:
I know few people in PP that are real partners in groups making 6ish and the all work much much harder than I do. It might be tolerable if I was solo 24/7. But the couple jobs that I looked at like that wanted you to move the meat as fast as humanly possible.
Click to expand...

Are these non AMC groups that offer true partnership at some point still around in desirable places? Do you think they'll be around in 10-20 years?
 
LebronManning said:
Are these non AMC groups that offer true partnership at some point still around in desirable places? Do you think they'll be around in 10-20 years?
Click to expand...
AMCs in desirable places don’t have to pay you well because they know someone else will take the job if you don’t. Good example: New York City
 
If you're willing to live in the midwest in a mid sized city, you can pull 600 -700 without too much difficulty if you're with the right group. Again, like others have alluded to, these jobs are generally by word of mouth, ie, you know somebody who gets you an in and will vouch for your abilities and that you're a normal human being and not an asshat. You just gotta work hard and play well with others.

I do probably 80% my own cases, 40-50% cardiac, I will have worked about 630 hours for the first quarter.
 
OTCAwesome said:
If you're willing to live in the midwest in a mid sized city, you can pull 600 -700 without too much difficulty if you're with the right group. Again, like others have alluded to, these jobs are generally by word of mouth, ie, you know somebody who gets you an in and will vouch for your abilities and that you're a normal human being and not an asshat. You just gotta work hard and play well with others.

I do probably 80% my own cases, 40-50% cardiac, I will have worked about 630 hours for the first quarter.
Click to expand...

Is this kinda thing available maybe 45 mins outside of Chicago?
 
OTCAwesome said:
If you're willing to live in the midwest in a mid sized city, you can pull 600 -700 without too much difficulty if you're with the right group. Again, like others have alluded to, these jobs are generally by word of mouth, ie, you know somebody who gets you an in and will vouch for your abilities and that you're a normal human being and not an asshat. You just gotta work hard and play well with others.

I do probably 80% my own cases, 40-50% cardiac, I will have worked about 630 hours for the first quarter.
Click to expand...

My guess would be cities like Columbus, indianapolis, Cleveland compared to Chicago, correct?
 
  • Like
Reactions: 1 users
CyrusHabs7695 said:
Dude you've got like 9 more years until you will be an attending and you're asking about a 700k/year salary for an undisclosed job in Chicago?????
Click to expand...
Exactly. This healthcare system and reimbursement could be a lot different in 9 years and likely for the worse....from the doctor standpoint at least
 
  • Like
Reactions: 1 user
OTCAwesome said:
If you're willing to live in the midwest in a mid sized city, you can pull 600 -700 without too much difficulty if you're with the right group. Again, like others have alluded to, these jobs are generally by word of mouth, ie, you know somebody who gets you an in and will vouch for your abilities and that you're a normal human being and not an asshat. You just gotta work hard and play well with others.

I do probably 80% my own cases, 40-50% cardiac, I will have worked about 630 hours for the first quarter.
Click to expand...


“Without too much difficulty”

Really? Damn. Might have to stay in the Midwest
 
  • Like
Reactions: 1 user
ToKingdomCome said:
“Without too much difficulty”

Really? Damn. Might have to stay in the Midwest
Click to expand...
Per se.....

It has factors involved. I doubt any 600-700k job anywhere is salaried and is likely based on productivity. So you have to factor payor mix, unit value, is there a stipend for being on call, etc. If all of those stars align you can get to 700k but you're really going to work for it.

Keep the math real simple its about 60 units/day, 5 days week, working 52 weeks a year, assuming a unit value of $50. Way simplification of how it works but it gives you an idea what making that kind of money takes
 
  • Like
Reactions: 1 user
Twiggidy said:
AMCs in desirable places don’t have to pay you well because they know someone else will take the job if you don’t. Good example: New York City
Click to expand...

Twiggles,
I agree with the supply and demand premise you presented. But, you mentioned desirable cities and then listed NYC. That didn’t compute for me.
 
D P356 said:
Twiggles,
I agree with the supply and demand premise you presented. But, you mentioned desirable cities and then listed NYC. That didn’t compute for me.
Click to expand...

NYC is desirable to alot of people. Especially young people without families. Makes sense to me.
 
  • Like
Reactions: 1 user
LebronManning said:
No debt because doctor dad, so yeah the only thing I'm dwelling on is future income. Anesthesiology still seems like one of the best "bang for your buck." As of right now, it seems that its 4 years residency --> starting 350K up to 550 as a partner (this is suburb of desirable city working 55 hrs). Thats a pretty damn good deal. Working more like 70 hrs might even get me to 600ish which is great. Relative to other specialties, seems like a chill way to make a lot of money without having to talk to annoying patients all day. Radiology definitely competes with anesthesia well on all these fronts at the cost of an extra 2 years of training (including fellowship since its pretty much required in rads).

I mean whats the alternative financially? surgical sub or interventional cards or GI. Very hard to make more than a million these days in any field and so theyre probably gonna hover around 600-700 for IC/GI and maybe 800-1M in Neurosurgery. That comes at the cost of 10x harder residency thats a few years longer too. If its all about the money, I'd argue the free time one would get in anesthesia could lead to more profitable endeavors than being a surgeon or IC/GI and maximizing W2.

Please correct me if I'm wrong.
Click to expand...

I’m gonna be a “doctor dad” and my son or daughter is paying for med school if they choose to go. Pampered, hand-fed crap does no favors to anyone.
 
  • Like
Reactions: 4 users
MaximusD said:
I’m gonna be a “doctor dad” and my son or daughter is paying for med school if they choose to go. Pampered, hand-fed crap does no favors to anyone.
Click to expand...

Neither does 400k of debt. Plenty of ways to teach your kids a lesson otherwise. Paying for education is enriching your child.
 
  • Like
Reactions: 7 users
Talk about medical loans, I got an email from medical board of California:

Basically it will repay up to 300k medical loan in 5 years if one maintains 30% medicaid caseload. 30% is fairly common in SoCal.

I don't know if there are strings attached to get 60K per year (income level?).
 
MaximusD said:
I’m gonna be a “doctor dad” and my son or daughter is paying for med school if they choose to go. Pampered, hand-fed crap does no favors to anyone.
Click to expand...


I’m another doctor dad. A lot of this is cultural. My immigrant parents paid for most of my education even though they were not rich. I am doing the same for my daughter. I don’t consider her or myself pampered. What else am I gonna spend my money on?
 
  • Like
Reactions: 2 users
LebronManning said:
Neither does 400k of debt. Plenty of ways to teach your kids a lesson otherwise. Paying for education is enriching your child.
Click to expand...

Then these kids better get some scholarships. Paying for your kid's education may doesn't enrich your child any more than the person paying it themselves. Paying for your education yourself enriches your own character. I prefer the latter. If you dont want to pay the price of entry, then dont do it.

nimbus said:
I’m another doctor dad. A lot of this is cultural. My immigrant parents paid for most of my education even though they were not rich. I am doing the same for my daughter. I don’t consider her or myself pampered. What else am I gonna spend my money on?
Click to expand...

I come from a similar household, and I agree with this sentiment, however, paying for your kids education is not something that should be expected or considered an entitlement, which is what many in the current generations expect.
 
  • Like
Reactions: 1 user
narcotics999 said:
Talk about medical loans, I got an email from medical board of California:

Basically it will repay up to 300k medical loan in 5 years if one maintains 30% medicaid caseload. 30% is fairly common in SoCal.

I don't know if there are strings attached to get 60K per year (income level?).
Click to expand...


Ooooooo. I gotta look into this.
 
SaltyDog said:
Ooooooo. I gotta look into this.
Click to expand...
You still have loans after all the luxury cars, guns, and hookers?

For your reference:

$220 Million in New CalHealthCares Program!

CalHealthCares Physician Loan Repayment Program Inaugural Application Cycle Begins April 1!
CalHealthCares is a new loan repayment program that incentivizes physicians to provide care to Medi-Cal beneficiaries by repaying educational debt up to $300,000 in exchange for a five-year service obligation. All awardees will be required to maintain a patient caseload of 30 percent or more Medi-Cal beneficiaries. The inaugural application cycle for CalHealthCares opens April 1, 2019.
This program is made possible by Proposition 56, which provided a one-time allocation of $220 million for state loan repayment programs. For this cycle, CalHealthCares will provide approximately 125 loan repayments to qualifying physicians.
Applicants must:
  • Have an unrestricted license and be in good standing with the Medical Board of California
  • Be an active enrolled Medi-Cal provider without suspensions, disbarments or revocations
  • Have graduated from a physician residency program and/or completed a fellowship within the past five-years (on or after January 1, 2014)
  • Have an existing educational loan debt incurred while pursuing a medical degree
  • Not currently be participating in another loan repayment program
  • Practice in California
  • If awarded, maintain a patient caseload of 30% or more Medi-Cal beneficiaries

Application Cycle:April 1, 2019 – April 26, 2019
Awardee Notifications:June 30, 2019
Please visit CalHealthCares.org for more information and to join our informational webinars. You may also contact the Program Director, Adrian Alegre at: [email protected]. The California Department of Health Care Services has contracted with Physicians for a Healthy California to administer the loan repayment program.
 
narcotics999 said:
You still have loans after all the luxury cars, guns, and hookers?

For your reference:

$220 Million in New CalHealthCares Program!

CalHealthCares Physician Loan Repayment Program Inaugural Application Cycle Begins April 1!
CalHealthCares is a new loan repayment program that incentivizes physicians to provide care to Medi-Cal beneficiaries by repaying educational debt up to $300,000 in exchange for a five-year service obligation. All awardees will be required to maintain a patient caseload of 30 percent or more Medi-Cal beneficiaries. The inaugural application cycle for CalHealthCares opens April 1, 2019.
This program is made possible by Proposition 56, which provided a one-time allocation of $220 million for state loan repayment programs. For this cycle, CalHealthCares will provide approximately 125 loan repayments to qualifying physicians.
Applicants must:
  • Have an unrestricted license and be in good standing with the Medical Board of California
  • Be an active enrolled Medi-Cal provider without suspensions, disbarments or revocations
  • Have graduated from a physician residency program and/or completed a fellowship within the past five-years (on or after January 1, 2014)
  • Have an existing educational loan debt incurred while pursuing a medical degree
  • Not currently be participating in another loan repayment program
  • Practice in California
  • If awarded, maintain a patient caseload of 30% or more Medi-Cal beneficiaries

Application Cycle:April 1, 2019 – April 26, 2019
Awardee Notifications:June 30, 2019
Please visit CalHealthCares.org for more information and to join our informational webinars. You may also contact the Program Director, Adrian Alegre at: [email protected]. The California Department of Health Care Services has contracted with Physicians for a Healthy California to administer the loan repayment program.
Click to expand...

Finished residency 6mo too early. Damn it!!!!
 
  • Like
Reactions: 1 user
California had to do this or they wouldn’t have physicians that could afford to live here
 
LebronManning said:
Is this kinda thing available maybe 45 mins outside of Chicago?
Click to expand...

absolutely not. 450 tops and that's if you get lucky. AMCs around Chicago burbs paying somewhere between 350-425 for experienced call-taking physician. why would anyone want to live in IL anyway, #2 out of 50 states for people getting the hell out almost every year; and things ain't gonna get better with jb Pritzker as governor
 
leaverus said:
absolutely not. 450 tops and that's if you get lucky. AMCs around Chicago burbs paying somewhere between 350-425 for experienced call-taking physician. why would anyone want to live in IL anyway, #2 out of 50 states for people getting the hell out almost every year; and things ain't gonna get better with jb Pritzker as governor
Click to expand...
What's #1? (I can venture a guess but I want to see if we're thinking the same)
 
Twiggidy said:
What's #1? (I can venture a guess but I want to see if we're thinking the same)
Click to expand...
Ca? The absolute # means nothing. % more important.

I like Chicago. Inlaws live there and my family visits during non-winter time. Food inexpensive, houses big and cheap, schools good, millennium Park/the big bean fun places for kids, and people nicer.
 
narcotics999 said:
Ca? The absolute # means nothing. % more important.

I like Chicago. Inlaws live there and my family visits during non-winter time. Food inexpensive, houses big and cheap, schools good, millennium Park/the big bean fun places for kids, and people nicer.
Click to expand...
It's pound for pound probably the best major city in the US when all things are considered
 
  • Like
Reactions: 1 user
LebronManning said:
Yeah right. Cold as ****, Cheap (for a reason), high crime, no ocean, no nice scenery in illinois
Click to expand...

You're forgetting the taxes and malpractice issues there....not to mention the major pension problems.

Can't imagine a worse "major city" to practice as a physician honestly
 
You must log in or register to reply here.
Next unread thread

Similar threads

bedrock
anesthesia salary rockies
Replies
49
Views
5K
ambiturner
A
luster
  • Locked
Peds Cardiac Anesthesia Apprenticeship?
Replies
17
Views
1K
Arch Guillotti
Arch Guillotti
U
Mindray Anesthesia Machines
Replies
42
Views
2K
IlDestriero
IlDestriero
TheLoneWolf
490 milligrams of anesthesia
Replies
8
Views
1K
propadope
P
G
MS4: IM->Anesthesia or Buyers Remorse?
Replies
25
Views
2K
medicine2wallstreet
M
Top