I've heard a lot of people mention that you can earn more in rural/underserved areas. Does anyone have any insight on this? Outside of service corps I have not heard of dentists going to rural areas to make money. Just an FYI I'm from a rural area and would love to find myself back to my home town or somewhere like it.
Just for some background, my husband graduated from dental school 11 years ago, spent 4 years in the Army (HPSP), and 2 1/2 years as an associate before buying his current practice 4 1/2 years ago. Now I've decided to go to dental school and am applying this cycle.
My husband was an associate in a small town of about 11,000 (probably serviced a population of about 20,000 from the surrounding areas), with 5 local dentists. He stayed busy and made decent money. The cost of living was low and we loved the small town (I grew up in two rural areas and was used to it).
When we decided we needed to be closer to extended family we started looking at practices to buy that would bring us back to the Western US. We narrowed down the stack of prospectuses to our top four. One was rural, the other three in the suburbs of major metro areas. We spoke to the owner of the rural practice. He loved it there, his wife didn't. We looked at all of the quality of life factors for us and decided not to go look at the practice.
We ended up buying one of the practices in the suburbs. Income potential was less while cost of living was more, but we felt like it was worth the trade off for us and our kids. We knew we could be happy in a rural location, but the opportunities we have living in a metro area tipped the scales in that direction for us. Each person/family would have to decide their own list of things that contribute to their quality of life. Our list would obviously be different from other's lists.
For us, here are the pros and cons of each:
Rural Area
Pros: Small town atmosphere, good income potential, low cost of living, fewer places to spend money!
Cons: Small town atmosphere (yes, it had it's downside), busy medicaid-based practice, limited shopping/recreation/services, quality of education, distance from extended family (long drive, far from airport, three time zone difference when visiting!),
Metro Area
Pros: Income potential, education system, access to shopping/recreation/services, proximity to extended family (still a long drive but not AS long, close to airport, same time zone)
Cons: more competition so more time and money spent on marketing dental practice, higher cost of living, traffic,
This being said, every rural area is going to have
numerous variables that affect income potential. Questions anyone who is considered practicing in a rural location should ask: What is the population? How close are the nearest services currently? Are there other dentists in the area and how many? Can it support a quality dentist to patient ratio? Have you had enough experience/training to be able to provide treatments that could save patients the trip to a specialist? Are you honest and naturally good with people (word will get out quickly in a small town if you don't click with people easily, or if they feel you are encouraging treatment they don't need)? What is the main industry/economy in this community? Is it something that can fluctuate (the answer to almost every industry is "yes"). If so, what will you do so that your practice can weather the natural ebb and flow of the local economy? One other thing to consider, as this happened in the rural area I grew up in, what will you do if you are the only dentist in a rural community and a couple of years in someone else decides to "open up shop"? In a metro area someone could open a new office right down the street and it would likely not even have a noticeable effect. In a rural community this could be very difficult on your practice.
Those are just a few thoughts from my experiences, which I know will differ drastically from others. Hopefully it's some good food for thought!