Too old to go to med school?

[Mman]

How much $$ (total compensation) is typical for jobs like this?

I think I work in an average private practice job work wise with great pay. Sure I go home early a lot. I make up for it by working late sometimes and overnight and on weekends and holidays. The hours average out to what they average out to, but there are severe swings up and down. In terms of pay, I joined a private group with a partnership track and a buy in. Those are like 4 letter words to some around here, but I knew several of the docs from residency and was not too worried about it being some kind of scam. That's how all the best jobs work and I am reaping the rewards.

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[deleted314957]

Hi guys, I have a pretty lucrative career on Wall Street, however I’m getting kind of tired of it. I used to look up to my buddys dad growing up who was an Anesthesiologist and thought that if I ever became a doctor it would be in Anesthesia. Is 32yo too late to apply to med school? I don’t even really know how it all works. My grades weren’t the best in undergrad, but I feel I could provide a strong application. Thanks for your input

Not too old at all, BUT by the time you apply your MCAT and grades need to be pretty stellar, not what you are alluding to. It will/may also take you a number of years to HAVE that stellar application.

Just as an aside and in my personal opinion, for too many reasons to go into, I would not do it knowing what I now know. (i am retired after long practice).

 

[deleted314957]

What’s does a “lucrative career on Wall Street” amount to?

A hell of a lot more than you will ever make.

 

[deleted314957]

Scientists say that the first person to live to 150 years old has already been born. Experimental therapies are on the horizon that hold the promise of extending human longevity even further. You should choose a career that you'll be happy with for the next 50-70 years at a minimum.

Who the hell wants to live to be 150+?

 

[IMGASMD]

Who the hell wants to live to be 150+?

When you have more money than God

 

[deleted314957]

When you have more money than God

I don’t know about god but i’ve got 8 figure retirement and cannot imagine another 80 years!

 

[Angus Avagadro]

I don’t know about god but i’ve got 8 figure retirement and cannot imagine another 80 years!

8 figures? Well done! Why are you working at all? ??? That's definitely FU money

 

[POW16]

I think I work in an average private practice job work wise with great pay. Sure I go home early a lot. I make up for it by working late sometimes and overnight and on weekends and holidays. The hours average out to what they average out to, but there are severe swings up and down. In terms of pay, I joined a private group with a partnership track and a buy in. Those are like 4 letter words to some around here, but I knew several of the docs from residency and was not too worried about it being some kind of scam. That's how all the best jobs work and I am reaping the rewards.

Nice way to not answer the question.

 

[Guillemot]

Who the hell wants to live to be 150+?

If one had a body and mind that were not deteriorated from age, obesity, and other chronic diseases then Im sure plenty of people.

 

[IMGASMD]

I don’t know about god but i’ve got 8 figure retirement and cannot imagine another 80 years!

I was think Jeff Bezos kinda money.

well done though. It will be a long time, if ever, I get to 8 figure. And to catch up to Jeff, I probably need to live to 1500.

 

[Mman]

Nice way to not answer the question.

if I answer how much money I make nobody would believe it nor is it relevant to a job search for someone else, generic answer is in a nice PP job like that I would expect you to make anywhere from 650-1M+ depending on exact location and how well it is run as a business with income from things other than just clinical care.

 

[GassYous]

if I answer how much money I make nobody would believe it nor is it relevant to a job search for someone else, generic answer is in a nice PP job like that I would expect you to make anywhere from 650-1M+ depending on exact location and how well it is run as a business with income from things other than just clinical care.

Those numbers are very easy to believe with good payor mix leading to high unit values, covering 4 rooms and taking some call.

 

[Mman]

Those numbers are very easy to believe with good payor mix leading to high unit values, covering 4 rooms and taking some call.

if you had a good payor mix and good contract rates and had 4 rooms all the time and worked plenty of call you should be way past 1M

 

[GassYous]

if you had a good payor mix and good contract rates and had 4 rooms all the time and worked plenty of call you should be way past 1M

True. I have low unit value, low call burden, md only, good vacation, ok hours with half that compensation.

 

[We'llBeDoneIn15Minutes]

Who the hell wants to live to be 150+?

Nobody age 40,
but quite a high percentage of those already 100.

 

[BLADEMDA]

if you had a good payor mix and good contract rates and had 4 rooms all the time and worked plenty of call you should be way past 1M

I can tell you that in my area/state the typical coverage is 3-4 rooms, lots of call, 7-8 weeks of vacation with income about 1/2 of the amount listed.
There are maybe 3 practices in a huge state where the partners haven't sold out and are killing it in terms of income. The smart, shrewd new grad with a fellowship should seek out a practice in the Midwest where true partnership is offered and income is over $650K.

"Psuedopartnerships" with USAP or Envision are what most new grads get in my state.

 

[Mman]

I can tell you that in my area/state the typical coverage is 3-4 rooms, lots of call, 7-8 weeks of vacation with income about 1/2 of the amount listed.

that is simply a function of payor mix and contract rates. Contract rates can vary widely from state to state. There are some states in my neck of the woods that have prevailing rates about 30-50% less than neighboring ones. Payor mixes just depend on the locality within a state.

I suggest people figure out which states have better rates and try to work there.

 

[BLADEMDA]

that is simply a function of payor mix and contract rates. Contract rates can vary widely from state to state. There are some states in my neck of the woods that have prevailing rates about 30-50% less than neighboring ones. Payor mixes just depend on the locality within a state.

I suggest people figure out which states have better rates and try to work there.

That's quite easy. Simply look at the CMS rates combined with the self insurance rates. If you work in an area with a lot of CMS your blended unit is likely going to be $40 or less requiring a subsidy. That's how AMCs sells the CEO/CFO on allowing them to take contracts. Their blended unit is higher than almost any single group (except the biggest ones out there) allowing a reduction in the subsidy. But, the truth is the AMCs pay the Docs less, provide poor benefits and understaff services as part of their routine. This allows a higher profit margin for the AMC executives who don't do any kind of real work.

Most CEOs buy into the AMC pitch and "fire" the existing group to save $500K in subsidy money only to get poorer service and lower quality providers.
By the time the CEOs figure this out the AMCs have "non-competes" in place and the hospital CEO is looking at millions in expenses to replace the AMC.
Even then many hospitals bite the bullet and get rid of the AMC.

 

[chocomorsel]

plenty of people in that career are working way more hours than we work and never go home early

Except OP specifically states he dumps work on his juniors and goes home at noon.

 

[betamale]

Hi guys, I have a pretty lucrative career on Wall Street, however I’m getting kind of tired of it. I used to look up to my buddys dad growing up who was an Anesthesiologist and thought that if I ever became a doctor it would be in Anesthesia. Is 32yo too late to apply to med school? I don’t even really know how it all works. My grades weren’t the best in undergrad, but I feel I could provide a strong application. Thanks for your input

Do it. If you're financially set, no reason not to. Try the Caribbean med schools.

 

[chocomorsel]

I think I work in an average private practice job work wise with great pay. Sure I go home early a lot. I make up for it by working late sometimes and overnight and on weekends and holidays. The hours average out to what they average out to, but there are severe swings up and down. In terms of pay, I joined a private group with a partnership track and a buy in. Those are like 4 letter words to some around here, but I knew several of the docs from residency and was not too worried about it being some kind of scam. That's how all the best jobs work and I am reaping the rewards.

You forgot the other 4 letter word. CRNA. Of which you have mentioned before that you do 100% medical direction.
For some people like me, that is a deal breaker. I need a hybrid model at the least.
Gotta be able to sit the stool at times and I can’t handle all those attitudes all the time while playing firewoman.
Otherwise good for you.
CRNAs have ruined a lot in this field.

 

[IMGASMD]

Do it. If you're financially set, no reason not to. Try the Caribbean med schools.

N O !!!!!

 

[bjjmike69]

N O !!!!!

What’s wrong with the Caribbean schools?

 

[sloh]

This was a great thread in that we get an insider's perspective of the investment banking world. Many people (even those who get paid a lot) have bull**** jobs, and this can even include physicians. Make fu money and find meaning elsewhere.

"YouGov, a data-analytics firm, polled British people, in 2015, about whether they thought that their jobs made a meaningful contribution to the world. Thirty-seven per cent said no, and thirteen per cent were unsure—a high proportion, but one that was echoed elsewhere. (In the functional and well-adjusted Netherlands, forty per cent of respondents believed their jobs had no reason to exist.) And yet poll numbers may be less revealing than reports from the bull**** trenches. Here is Hannibal, one of Graeber’s contacts:

I do digital consultancy for global pharmaceutical companies’ marketing departments. I often work with global PR agencies on this, and write reports with titles like How to Improve Engagement Among Key Digital Health Care Stakeholders. It is pure, unadulterated bull****, and serves no purpose beyond ticking boxes for marketing departments. . . . I was recently able to charge around twelve thousand pounds to write a two-page report for a pharmaceutical client to present during a global strategy meeting. The report wasn’t used in the end because they didn’t manage to get to that agenda point.

A bull**** job is not what Graeber calls “a **** job.” Hannibal, and many other of the bull****tiest employees, are well compensated, with expanses of unclaimed time. Yet they’re unhappy. Graeber thinks that a sense of uselessness gnaws at everything that makes them human. This observation leads him to define bull**** work as “a form of paid employment that is so completely pointless, unnecessary, or pernicious that even the employee cannot justify its existence even though, as part of the conditions of employment, the employee feels obliged to pretend that this is not the case.”

https://www.newyorker.com/books/under-review/the-bull****-job-boom

 

[IMGASMD]

What’s wrong with the Caribbean schools?

Now I think others are right.

If you don’t know what’s wrong with Caribbean schools. Either you didn’t do your homework or you are indeed a troll.

 

[bjjmike69]

Now I think others are right.

If you don’t know what’s wrong with Caribbean schools. Either you didn’t do your homework or you are indeed a troll.

Ok ok, I had to say that . That one comment was a troll

 

[We'llBeDoneIn15Minutes]

Make fu money and find meaning elsewhere.

YES! YES!! YES!!!

 

[nimbus]

This was a great thread in that we get an insider's perspective of the investment banking world. Many people (even those who get paid a lot) have bull**** jobs, and this can even include physicians. Make fu money and find meaning elsewhere.

"YouGov, a data-analytics firm, polled British people, in 2015, about whether they thought that their jobs made a meaningful contribution to the world. Thirty-seven per cent said no, and thirteen per cent were unsure—a high proportion, but one that was echoed elsewhere. (In the functional and well-adjusted Netherlands, forty per cent of respondents believed their jobs had no reason to exist.) And yet poll numbers may be less revealing than reports from the bull**** trenches. Here is Hannibal, one of Graeber’s contacts:


A bull**** job is not what Graeber calls “a **** job.” Hannibal, and many other of the bull****tiest employees, are well compensated, with expanses of unclaimed time. Yet they’re unhappy. Graeber thinks that a sense of uselessness gnaws at everything that makes them human. This observation leads him to define bull**** work as “a form of paid employment that is so completely pointless, unnecessary, or pernicious that even the employee cannot justify its existence even though, as part of the conditions of employment, the employee feels obliged to pretend that this is not the case.”

https://www.newyorker.com/books/under-review/the-bull****-job-boom

This reminds me of the union elevator operators at Bellevue Hospital in NYC. They were still at the job more than 2 decades after a new tower was built with automatic (push button) elevators. Their job was to ride the elevator and push the button all day. No one else was allowed to touch the buttons.

 

[bjjmike69]

This was a great thread in that we get an insider's perspective of the investment banking world. Many people (even those who get paid a lot) have bull**** jobs, and this can even include physicians. Make fu money and find meaning elsewhere.

"YouGov, a data-analytics firm, polled British people, in 2015, about whether they thought that their jobs made a meaningful contribution to the world. Thirty-seven per cent said no, and thirteen per cent were unsure—a high proportion, but one that was echoed elsewhere. (In the functional and well-adjusted Netherlands, forty per cent of respondents believed their jobs had no reason to exist.) And yet poll numbers may be less revealing than reports from the bull**** trenches. Here is Hannibal, one of Graeber’s contacts:


A bull**** job is not what Graeber calls “a **** job.” Hannibal, and many other of the bull****tiest employees, are well compensated, with expanses of unclaimed time. Yet they’re unhappy. Graeber thinks that a sense of uselessness gnaws at everything that makes them human. This observation leads him to define bull**** work as “a form of paid employment that is so completely pointless, unnecessary, or pernicious that even the employee cannot justify its existence even though, as part of the conditions of employment, the employee feels obliged to pretend that this is not the case.”

https://www.newyorker.com/books/under-review/the-bull****-job-boom

This pretty much exactly sums up my feelings of my current position.

 

[GassYous]

This reminds me of the union elevator operators at Bellevue Hospital in NYC. They were still at the job more than 2 decades after a new tower was built with automatic (push button) elevators. Their job was to ride the elevator and push the button all day. No one else was allowed to touch the buttons.

They are still around and still pushing buttons

 

[pgg]

What’s wrong with the Caribbean schools?

They're like casinos and pawn shops, rank with the smell of desperation and broken dreams.

 

[Twiggidy]

What’s wrong with the Caribbean schools?

Same thing that’s wrong with the NBA D league

 

[pjl]

I have a close friend worth >100 mil still working as an anesthesiologist. He doesn’t take call and has a lot of time off (26 choice weeks/year).

For some, the happiness received from doing a good job at a career they enjoy greatly exceeds the monetary grind the rest of us work through.

I will say, that guy sure as hell doesn’t do any admin work.

Bjj guy, I don’t think the field is for you though, find a different calling. You have a few flags popping that you will end up unsatisfied.

 

[deleted314957]

8 figures? Well done! Why are you working at all? ??? That's definitely FU money

I said that 8 years ago.

 

[Angus Avagadro]

I said that 8 years ago.

That's awesome. You can fly private if you want to. I hate flying commercial. You have enough to walk away if things get too aggravating. But knowing that brings contentment. My wife is retiring in Dec and she thinks you need MRI if your still working in 2022.

Whoops, just saw on your profile you are retired. Well done! Congrats and enjoy!!

 

[coroner]

They're like casinos and pawn shops, rank with the smell of desperation and broken dreams.

And crypto...?

That's awesome. You can fly private if you want to. I hate flying commercial.

Me too. Airports have turned into the bus station these days. Half the passengers look like slobs and dressed like they just rolled out of bed. I was talking to an interventional radiologist awhile back who made upper 6-figures, and was a year away from retirement (so I'm assuming his net worth might be near 8-figures), and he even said it's not worth it to fly private based on his income.

 

[We'llBeDoneIn15Minutes]

Interventional radiologist awhile back who made upper 6-figures, and was a year away from retirement (so I'm assuming his net worth might be near 8-figures), and he even said it's not worth it to fly private based on his income.

Agree. I'm in his financial class. I'm sorry, I meant the financial class of his cabana boy. But if you ever have looked at private flight costs, it's very high even if you have a very high net worth.

Much more bang for your buck treating yourself to a reasonable first class ticket. Eliminate a lot of the negative flying experience at a fraction of the cost of private.

 

[GassYous]

And crypto...?

Me too. Airports have turned into the bus station these days. Half the passengers look like slobs and dressed like they just rolled out of bed. I was talking to an interventional radiologist awhile back who made upper 6-figures, and was a year away from retirement (so I'm assuming his net worth might be near 8-figures), and he even said it's not worth it to fly private based on his income.

Just get your own plane.

 

[coroner]

But if you ever have looked at private flight costs, it's very high even if you have a very high net worth.

Much more bang for your buck treating yourself to a reasonable first class ticket. Eliminate a lot of the negative flying experience at a fraction of the cost of private.

Agree. I have looked into memberships with Netjets, Wheels Up, etc. It's not cost effective for me as a humble physician. To afford that, I would have to be "wealthy", not just "well-to-do", and have F.U. money to not think twice, i.e. the kind of money to have a Super yacht on the French Riviera.

Just get your own plane.

Good point. I've known quite a few other doctors who had their own private plane (usually in their late 40's and up, after they've paid off their loans, built up some wealth). But it was more of a hobby and to flying regionally. They weren't crossing the ocean or anything to go to Europe, Hawaii, etc.

 

[IMGASMD]

Just get your own plane.

You guys don’t have one already?

 

[<(^_^)>]

Flying in my experience is honestly bad even if you splurge. However in 2029 they allegedly will have supersonic jets which finally seem like a substantial improvement for the $. Cutting down a 15 hour flight to a 6.5 hour flight sounds amazing.

 

[bjjmike69]

Agree. I'm in his financial class. I'm sorry, I meant the financial class of his cabana boy. But if you ever have looked at private flight costs, it's very high even if you have a very high net worth.

Much more bang for your buck treating yourself to a reasonable first class ticket. Eliminate a lot of the negative flying experience at a fraction of the cost of private.

I agree that first class is generally pretty nice. I’ve unfortunately been spoiled over my career and now I find it almost impossible to fly with the proletariat in coach.

 

[deleted162650]

I agree that first class is generally pretty nice. I’ve unfortunately been spoiled over my career and now I find it almost impossible to fly with the proletariat in coach.

You’re still here??

 

[bjjmike69]

You’re still here??

Haha. Well I like to peruse this forum, read the cases, etc. I find it interesting when you all are debating the best way to induct someone, things like that.

 

[deleted162650]

Haha. Well I like to peruse this forum, read the cases, etc. I find it interesting when you all are debating the best way to induct someone, things like that.

Do you guys have an equivalent finance/iBanking forum I could mess around in?

 

[GassYous]

Do you guys have an equivalent finance/iBanking forum I could mess around in?

"Hey guys I'm a doctor but like all medical students I have been contemplating a career in finance, wamc?"

 

[DocVapor]

I suggest you don't go into medicine directly.

Instead, get your feel-goods AND make bank by opening up a private DO school.

You'll have thousands of chumps begging you to let them hand you $80k/year of GAURANTEED government money.

 

[sloh]

I agree that first class is generally pretty nice. I’ve unfortunately been spoiled over my career and now I find it almost impossible to fly with the proletariat in coach.

Spoken like a true wallstreet baller. Keep ballin' brother. Don't go into medicine!

 

[Arch Guillotti]

Agree. I'm in his financial class. I'm sorry, I meant the financial class of his cabana boy. But if you ever have looked at private flight costs, it's very high even if you have a very high net worth.

Much more bang for your buck treating yourself to a reasonable first class ticket. Eliminate a lot of the negative flying experience at a fraction of the cost of private.

Once you fly first class you never go back.

 

[deleted162650]

Too Old to Go to Wall Street?

Hi guys, I have a pretty lucrative career as a physician on the West Coast. However, I'm getting kind of tired of it. I recently watched Wolf of Wall Street, and I think I want to get in on some of that First Class, hookers, and blow thing you guys' got going on. I was also talking to this FinTech guy on an anesthesia forum that makes 400-500K, goes home early, and pawns off his sh** work on the new guys. Is late 30's too late to get into finance? My grades were really good in undergrad, and I can place a mean CSE, but other than that I don't think I really bring anything to the table. Thanks for your input.

Sincerely,
muaythaimattanal




(I'm thinking I'll probably lurk around for 6 months or so before I gather the balls to post it)