Are there still lifestyle specialties besides derm?

[scootad.]

The other week your Circadian rhythm cycle is all screwed up and you don't know whether to adjust back to daytime or keep a zombie night schedule. Suffice it to say its not for everyone.

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Members don't see this ad.

 

[Foot Fetish]

I am a radiologist. I make $$$ for each study that I read. I've figured out how to use voice macros and templates to create a report for almost any patient in 15 seconds. I work at night from 10 PM to 7 AM. I work 7 days on, and 7 days off. I make more than almost any of my friends. I think I have the best job ever.

Do you work from home or do you have to go in to the office?

 

[Slack3r]

Of course I have no actual experience doing this...

That explains it.

 

[akwho]

I am a radiologist. I make $$$ for each study that I read. I've figured out how to use voice macros and templates to create a report for almost any patient in 15 seconds. I work at night from 10 PM to 7 AM. I work 7 days on, and 7 days off. I make more than almost any of my friends. I think I have the best job ever.

Would you be able to describe your voice macros and template process in more detail? I'm trying to become efficient at dictating OR reports and consult notes for a surgical sub specialty.

 

[Psai]

I am a radiologist. I make $$$ for each study that I read. I've figured out how to use voice macros and templates to create a report for almost any patient in 15 seconds. I work at night from 10 PM to 7 AM. I work 7 days on, and 7 days off. I make more than almost any of my friends. I think I have the best job ever.

Yeah but did you graduate from georgetown?

Would you be able to describe your voice macros and template process in more detail? I'm trying to become efficient at dictating OR reports and consult notes for a surgical sub specialty.

Write up a template, copy/paste and just remember to change the name at the top each time.

 

[TooMuchResearch]

Would you be able to describe your voice macros and template process in more detail? I'm trying to become efficient at dictating OR reports and consult notes for a surgical sub specialty.

It depends on your EMR, dictation software, and operating system.

With the right combination, you can make magic happen.

 

[Gastrapathy]

Night shift forever is bad for you. Lots of articles on the subject. It may be that effects can be minimized with various strategies but it's not for the faint of heart.

For example:
http://oembeta.bmj.com/content/early/2014/10/08/oemed-2013-101993

 

[Jalby]

It's actually pretty easy. I have a room that I keep completely dark and airconditioned. I work, walk my dog, and at 8 AM go there adn go to sleep. My circadiane rhythm actually thinks night is day after the first day or two. And the rest of the time I just sleep when I want to sleep. i have never used an alarm to wake up. I sleep great.

 

[FootballFoot]

Back to the topic, what do you all think will the the chances of derm losing it's lifestyle status in the future? Like rad and anesth did?

 

[PhillyMed777]

Back to the topic, what do you all think will the the chances of derm losing it's lifestyle status in the future? Like rad and anesth did?

What do you define as good lifestyle? Derm doesn't generally work nights or weekends, but it isn't the only specialty who can say this. Have you spent a day in a typical derm practice? The pace is relentless and the paperwork as well.
Rads and anesthesia are services that are needed in the middle of the night and the weekends. Derm generally isn't. You could argue that gas and rads work more hours now, but the fact is that there was always a need for these services at off hours. That's where the distinction lies.

 

[LostinLift]

Night shift forever is bad for you. Lots of articles on the subject. It may be that effects can be minimized with various strategies but it's not for the faint of heart.

For example:
http://oembeta.bmj.com/content/early/2014/10/08/oemed-2013-101993

Evidence indicates the effects are due to shifting the circadian rhythm, if you stay on the same schedule these will be minimized. All those studies primarily looked at people who had a rotating schedule and most likely did not practice good sleep hygiene. Like Jalby said if you keep to a schedule, and sleep in a dark, cool room, +/- melatonin and tinted glasses before sleep time, you will be in much better shape.

 

[muhali3]

Back to the topic, what do you all think will the the chances of derm losing it's lifestyle status in the future? Like rad and anesth did?

derm is non-hospital based and can easily do cash-only cosmetic work. this is always going to be true.

 

[IlDestriero]

Back to the topic, what do you all think will the the chances of derm losing it's lifestyle status in the future? Like rad and anesth did?

Radiology and anesthesia were never a "lifestyle" specialty in the sense you all seem to suggest in this post. They have predictable hours, high income potential, and can be eat what you kill in nature. That's how it got the "ROAD" status. EM is definitely a player here as well now in some places, though management companies see them as a way to profit as well. Good jobs will be harder to find. I would never work for a management company. I'd do solo pediatric dental anesthesia first. No investor is going to profit on my work with none of my liability.
The fields haven't lost their "status", though it's harder to find/get a good job than it was ~10 years ago. The sky is falling so often over on the Gas forum, yet everyone is making more money than ever. Several sold out for a 7 figure payday at a capital gains tax rate. The horror, the horror. The appeal of radiology is obvious with minimal patient contact and predictable hours/call. Anesthesia is the same. Some newer players (CRNAs and management companies) are in the game, but it's still a good job if you are a superior physician and are flexible about your location. There are great jobs in good locations, I have one, but they're harder to find and harder to secure. Rads is the same.
HOWEVER, the highest paying jobs will ALWAYS be a specialist surgeon who owns his own practice and works his/her ass off. Or anesthesia pain management about a decade ago. Many business savvy physicians can find other profit centers as well and increase their income significantly by owning and operating them. (Labs, aging centers, cosmetic BS, new age hocus pocus, medical marijuana, billing, etc.) I have plenty of anesthesia friends in the real world and a handful of radiology ones as well. They are definitely not crying into their cup of noodles wondering where they went so wrong. Things were much, much worse in the mid 90's when the sky was falling, and the partners were still all making mid to high 6 figures.


--
Il Destriero

 

[Psai]

Radiology and anesthesia were never a "lifestyle" specialty in the sense you all seem to suggest in this post. They have predictable hours, high income potential, and can be eat what you kill in nature. That's how it got the "ROAD" status. EM is definitely a player here as well now in some places, though management companies see them as a way to profit as well. Good jobs will be harder to find. I would never work for a management company. I'd do solo pediatric dental anesthesia first. No investor is going to profit on my work with none of my liability.
The fields haven't lost their "status", though it's harder to find/get a good job than it was ~10 years ago. The sky is falling so often over on the Gas forum, yet everyone is making more money than ever. Several sold out for a 7 figure payday at a capital gains tax rate. The horror, the horror. The appeal of radiology is obvious with minimal patient contact and predictable hours/call. Anesthesia is the same. Some newer players (CRNAs and management companies) are in the game, but it's still a good job if you are a superior physician and are flexible about your location. There are great jobs in good locations, I have one, but they're harder to find and harder to secure. Rads is the same.
HOWEVER, the highest paying jobs will ALWAYS be a specialist surgeon who owns his own practice and works his/her ass off. Or anesthesia pain management about a decade ago. Many business savvy physicians can find other profit centers as well and increase their income significantly by owning and operating them. (Labs, aging centers, cosmetic BS, new age hocus pocus, medical marijuana, billing, etc.) I have plenty of anesthesia friends in the real world and a handful of radiology ones as well. They are definitely not crying into their cup of noodles wondering where they went so wrong. Things were much, much worse in the mid 90's when the sky was falling, and the partners were still all making mid to high 6 figures.


--
Il Destriero

Hire me

 

[zero0]

Radiology and anesthesia were never a "lifestyle" specialty in the sense you all seem to suggest in this post. They have predictable hours, high income potential, and can be eat what you kill in nature. That's how it got the "ROAD" status. EM is definitely a player here as well now in some places, though management companies see them as a way to profit as well. Good jobs will be harder to find. I would never work for a management company. I'd do solo pediatric dental anesthesia first. No investor is going to profit on my work with none of my liability.
The fields haven't lost their "status", though it's harder to find/get a good job than it was ~10 years ago. The sky is falling so often over on the Gas forum, yet everyone is making more money than ever. Several sold out for a 7 figure payday at a capital gains tax rate. The horror, the horror. The appeal of radiology is obvious with minimal patient contact and predictable hours/call. Anesthesia is the same. Some newer players (CRNAs and management companies) are in the game, but it's still a good job if you are a superior physician and are flexible about your location. There are great jobs in good locations, I have one, but they're harder to find and harder to secure. Rads is the same.
HOWEVER, the highest paying jobs will ALWAYS be a specialist surgeon who owns his own practice and works his/her ass off. Or anesthesia pain management about a decade ago. Many business savvy physicians can find other profit centers as well and increase their income significantly by owning and operating them. (Labs, aging centers, cosmetic BS, new age hocus pocus, medical marijuana, billing, etc.) I have plenty of anesthesia friends in the real world and a handful of radiology ones as well. They are definitely not crying into their cup of noodles wondering where they went so wrong. Things were much, much worse in the mid 90's when the sky was falling, and the partners were still all making mid to high 6 figures.


--
Il Destriero

Don't listen to him kids. The end is near, CRNAs and corporate buyouts and such

Nobody should apply to gas.... for 3 more years. After that I don't care wtf you do

 

[Rekt]

Radiology and anesthesia were never a "lifestyle" specialty in the sense you all seem to suggest in this post. They have predictable hours, high income potential, and can be eat what you kill in nature. That's how it got the "ROAD" status. EM is definitely a player here as well now in some places, though management companies see them as a way to profit as well. Good jobs will be harder to find. I would never work for a management company. I'd do solo pediatric dental anesthesia first. No investor is going to profit on my work with none of my liability.
The fields haven't lost their "status", though it's harder to find/get a good job than it was ~10 years ago. The sky is falling so often over on the Gas forum, yet everyone is making more money than ever. Several sold out for a 7 figure payday at a capital gains tax rate. The horror, the horror. The appeal of radiology is obvious with minimal patient contact and predictable hours/call. Anesthesia is the same. Some newer players (CRNAs and management companies) are in the game, but it's still a good job if you are a superior physician and are flexible about your location. There are great jobs in good locations, I have one, but they're harder to find and harder to secure. Rads is the same.
HOWEVER, the highest paying jobs will ALWAYS be a specialist surgeon who owns his own practice and works his/her ass off. Or anesthesia pain management about a decade ago. Many business savvy physicians can find other profit centers as well and increase their income significantly by owning and operating them. (Labs, aging centers, cosmetic BS, new age hocus pocus, medical marijuana, billing, etc.) I have plenty of anesthesia friends in the real world and a handful of radiology ones as well. They are definitely not crying into their cup of noodles wondering where they went so wrong. Things were much, much worse in the mid 90's when the sky was falling, and the partners were still all making mid to high 6 figures.


--
Il Destriero

Is there any opposition on the Gas side to selling out/losing contracts to CMGs? I know EM is pretty much bending over and taking it for whatever reason.

 

[Slack3r]

Back to the topic, what do you all think will the the chances of derm losing it's lifestyle status in the future? Like rad and anesth did?

Unless someone decides they need emergent derm coverage 24/7, I doubt it. It's an inherently low acuity, outpatient specialty.

 

[FootballFoot]

Radiology and anesthesia were never a "lifestyle" specialty in the sense you all seem to suggest in this post. They have predictable hours, high income potential, and can be eat what you kill in nature. That's how it got the "ROAD" status. EM is definitely a player here as well now in some places, though management companies see them as a way to profit as well. Good jobs will be harder to find. I would never work for a management company. I'd do solo pediatric dental anesthesia first. No investor is going to profit on my work with none of my liability.
The fields haven't lost their "status", though it's harder to find/get a good job than it was ~10 years ago. The sky is falling so often over on the Gas forum, yet everyone is making more money than ever. Several sold out for a 7 figure payday at a capital gains tax rate. The horror, the horror. The appeal of radiology is obvious with minimal patient contact and predictable hours/call. Anesthesia is the same. Some newer players (CRNAs and management companies) are in the game, but it's still a good job if you are a superior physician and are flexible about your location. There are great jobs in good locations, I have one, but they're harder to find and harder to secure. Rads is the same.
HOWEVER, the highest paying jobs will ALWAYS be a specialist surgeon who owns his own practice and works his/her ass off. Or anesthesia pain management about a decade ago. Many business savvy physicians can find other profit centers as well and increase their income significantly by owning and operating them. (Labs, aging centers, cosmetic BS, new age hocus pocus, medical marijuana, billing, etc.) I have plenty of anesthesia friends in the real world and a handful of radiology ones as well. They are definitely not crying into their cup of noodles wondering where they went so wrong. Things were much, much worse in the mid 90's when the sky was falling, and the partners were still all making mid to high 6 figures.


--
Il Destriero

Thank you.

In terms of career satisfaction, would you say that owning one's own practice is the most ideal work environment for a physician? (Assuming a specialty that is amenable to that).

 

[Jabbed]

If "lifestyle" concerns are important/crucial in the way that they appear to be to you on the basis of your post, you have no absolutely no business being a physician. Medicine is not a job. Physicians are not technicians. I would never want to entrust my own care to a practitioner who had chosen his or her specialty chiefly on the merits of its hours or pay.


Sent from my iPhone using SDN mobile

*groan*

 

[PremedSurvivor]

And Im fed up with people who disparage anyone who doesnt share their romanticized notions of medicine..Not all of us had physician parents. Its not an idealistic fairy tale world for everyone...when you grow up poor, its impossible to look past the financial aspect of your career ambitions. Im not saying im doing medicine for the money, but im not ashamed to admit that thats a major factor. Its a means of huge social mobility for people like me, whose parents worked as janitors...the fact of the matter is that im going to be making at least 5x what either of my parents made. Of course i think about that. I want to have the means to care for them and pay them back for the sacrifices they made for me, to allow them to experience some of the things they could never afford for themselves...and to give my children the things that I never got to experience in my own childhood. That doesnt mean I care less about my future patients. I can and will care just as much as any other physician out there. As long as youre practicing good, evidence-based medicine and producing good outcomes, who really cares what your incentive is??? Im sick of this martyrdom culture. There should be no shame in wanting a nice lifestyle if you work for it and earn it.

THANK YOU!!

Not to mention, a lot of us will leave medical school with financial obligations that our peers won't. I for one, need to figure out how to pay off my loans WHILE helping provide for my father because he is on disability.

 

[username456789]

If "lifestyle" concerns are important/crucial in the way that they appear to be to you on the basis of your post, you have no absolutely no business being a physician. Medicine is not a job. Physicians are not technicians. I would never want to entrust my own care to a practitioner who had chosen his or her specialty chiefly on the merits of its hours or pay.


Sent from my iPhone using SDN mobile

This is by far the worst post in this thread.

 

[zero0]

If "lifestyle" concerns are important/crucial in the way that they appear to be to you on the basis of your post, you have no absolutely no business being a physician. Medicine is not a job. Physicians are not technicians. I would never want to entrust my own care to a practitioner who had chosen his or her specialty chiefly on the merits of its hours or pay.


Sent from my iPhone using SDN mobile

You might be shocked to hear this but you but you probably already have... many times

Anyway, just because the dude plunging a knife into your eye went into the field for practical reasons doesn't mean he isn't good at his job.

 

[PL198]

It's actually pretty easy. I have a room that I keep completely dark and airconditioned. I work, walk my dog, and at 8 AM go there adn go to sleep. My circadiane rhythm actually thinks night is day after the first day or two. And the rest of the time I just sleep when I want to sleep. i have never used an alarm to wake up. I sleep great.

you're basically my hero

 

[FindMeOnTheLinks]

If "lifestyle" concerns are important/crucial in the way that they appear to be to you on the basis of your post, you have no absolutely no business being a physician. Medicine is not a job. Physicians are not technicians. I would never want to entrust my own care to a practitioner who had chosen his or her specialty chiefly on the merits of its hours or pay.


Sent from my iPhone using SDN mobile

lol premeds


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[jw3600]

If "lifestyle" concerns are important/crucial in the way that they appear to be to you on the basis of your post, you have no absolutely no business being a physician. Medicine is not a job. Physicians are not technicians. I would never want to entrust my own care to a practitioner who had chosen his or her specialty chiefly on the merits of its hours or pay.


Sent from my iPhone using SDN mobile

Yeah because when the US wanted to win gold in Olympic basketball they went and got the dudes from the YCMA that play for the love of the game. They made sure no athletes who played for money were on the team to ensure the purest of intentions from their squad.

 

[Lord_Vader]

How is the lifestyle for hematology/oncology? I know the pay has taken a hit because of decreased medicare reimbursements but is the lifestyle generally 9-5 with weekends off or no?

 

[petrosgp]

If "lifestyle" concerns are important/crucial in the way that they appear to be to you on the basis of your post, you have no absolutely no business being a physician. Medicine is not a job. Physicians are not technicians. I would never want to entrust my own care to a practitioner who had chosen his or her specialty chiefly on the merits of its hours or pay.

"If "lifestyle" concerns are important/crucial in the way that they appear to be to you on the basis of your post, you have no absolutely no business being a pilot. Piloting 747s is not a job. Pilots are not technicians. I would never want to entrust my own travel to a pilot who had chosen his or her job chiefly on the merits of its hours or pay."

Grow up. Medicine is a job, just like every other job on the planet.

 

[neusu]

"If "lifestyle" concerns are important/crucial in the way that they appear to be to you on the basis of your post, you have no absolutely no business being a pilot. Piloting 747s is not a job. Pilots are not technicians. I would never want to entrust my own travel to a pilot who had chosen his or her job chiefly on the merits of its hours or pay."

Grow up. Medicine is a job, just like every other job on the planet.

Would you be okay if, at 5-o'clock, I signout in the middle of your brain tumor resection and go home for the night?

 

[petrosgp]

Would you be okay if, at 5-o'clock, I signout in the middle of your brain tumor resection and go home for the night?

Medicine is not unique in that the job often does not end at the turn of the clock, hence why I say it is just like any other occupation. I would not be okay with that in the same way that I would not be okay if my waiter brought me just the appetizer and then clocked out for the night.

 

[username456789]

Would you be okay if, at 5-o'clock, I signout in the middle of your brain tumor resection and go home for the night?

No one has suggested anything remotely resembling this, and your lackluster attempt at entirely misrepresenting others' position on the matter (essentially the definition of a strawman) does nothing to weaken their argument.

 

[vendtex]

Medicine is not unique in that the job often does not end at the turn of the clock, hence why I say it is just like any other occupation. I would not be okay with that in the same way that I would not be okay if my waiter brought me just the appetizer and then clocked out for the night.

I've often had a change in waiters due to shift changes, but I've never had them called as they were driving home like I was yesterday.


Sent from my iPhone using Tapatalk

 

[neusu]

No one has suggested anything remotely resembling this, and your lackluster attempt at entirely misrepresenting others' position on the matter (essentially the definition of a strawman) does nothing to weaken their argument.

Indeed, they haven't. They have, however said it is unrealistic for doctors (ER, hospitalists, et al.) to be expected to follow a patient they are managing past an arbitrary shift point. Why is that unrealistic, but for a surgeon it's expected? Pilots on long-haul flights routinely change mid-flight.

My point is, previously all doctors were expected to finish the work before leaving. Attempts at creating a better lifestyle erode patient safety, it has been shown sign-outs are responsible for errors. Given the current trend of desirability of the life-style, I would not be surprised to see in the future this mindset bleeds in to surgical fields as the doctors in training make it a priority.

 

[Psai]

Indeed, they haven't. They have, however said it is unrealistic for doctors (ER, hospitalists, et al.) to be expected to follow a patient they are managing past an arbitrary shift point. Why is that unrealistic, but for a surgeon it's expected? Pilots on long-haul flights routinely change mid-flight.

My point is, previously all doctors were expected to finish the work before leaving. Attempts at creating a better lifestyle erode patient safety, it has been shown sign-outs are responsible for errors. Given the current trend of desirability of the life-style, I would not be surprised to see in the future this mindset bleeds in to surgical fields as the doctors in training make it a priority.

When the system treats you like a widget instead of a professional, you can't be surprised when people stop taking pride in their work and lose their sense of professional responsibility

 

[TheGreatDekuTree]

Medicine is simply not worth it for 150k

And yes, there are things you simply don't understand yet. Sure, at face value 150k is not an unreasonable salary. However, in medicine you have to factor in the fact that you just spent 4 years of lost wages on med school + tuition (with loans for some people) and 3-6 years of wages 1/3 of that. All of this at 60-80hr weeks (potentially) with lots of stress and responsibility.

Plus, when you grow up.. which you will, you may learn that you can burn through 150k yr a lot quicker than you may think, and even without some crazy amount of luxurious spending. Tax man takes 50k, rent/house, car, food, clothes, kids? vacation? savings?

You may be farther ahead than me in medical school, but I guarantee you are not farther ahead in life. Insulting and demeaning people on the internet is something you will hopefully grow out of someday. In all seriousness, I hope that you find a balance in life and can be happy with wherever you end up.

 

[JB50]

so much wit itt. I love it.

 

[asdf123g]

Can anyone TLDR what they think are lifestyle specialties. This thread went off topic pretty fast...

 

[bashwell]

Can anyone TLDR what they think are lifestyle specialties. This thread went off topic pretty fast...

Please define what you're looking for when you say "lifestyle".

 

[MOHS_01]

Okay. Pick another metric. How about infant mortality rate? The US is 38th, right between Brunei and Belarus. Sure you can find most faults with every measurement, however if it is reproducible across multiple measurements, it is hard to say that there isn't some truth to it.

I'm not saying it is medicine's fault. The fault is multi layers deep. However the arguments of "public versus private" and "money versus lifestyle" don't address the problems. They just ignore them.

Edit:
The 2015 statistics put US infant mortality rate 57th lowest in the world, right between Croatia and Serbia. But we beat them in gold medals in Rio, so there's that.

How do we do on cancer survival?

Well, I'm a physician-scientist and have a lower FTE based on salary from the NIH, but 50% is around 2,000, 95% is close to 5,500, but that is for a 0.3 FTE.

I wonder how many months it takes me to get to 2000 wRVU's? 5500? Now I'm going to have to do a spreadsheet. SMH

 

[MOHS_01]

Thank you.

In terms of career satisfaction, would you say that owning one's own practice is the most ideal work environment for a physician? (Assuming a specialty that is amenable to that).

I can tell you that it has not been all that fun over the past 5-6 years.

on edit -- make that 4-5 years

 

[SurfingDoctor]

How do we do on cancer survival?

I suspect you know, the US does pretty good on that. It is not all bad, but that doesn't mean it couldn't be better.

 

[MOHS_01]

I suspect you know, the US does pretty good on that. It is not all bad, but that doesn't mean it couldn't be better.

Of course I knew... the same way you know the confounding reasons for our poor outcomes in other metrics are... well... confounding.

You did say to pick a metric.

 

[SurfingDoctor]

You did say to pick a metric.

You got me there... picking a positive one. I'm proud.

 

[Syndicate]

Sorry for the 6+ month bump but just wanted to say that I think you can make money in almost any field, except Peds and some IM sub specialties like palliative care, nephrology and geriatrics. I'm only a medical student still but here's what I've seen from attendings I've rotated with who all make a lot:

Psychiatry -> outpatient psych while taking some inpatient duties
Anesthesia -> pain fellowship
Radiology -> volume volume volume efficiency efficiency efficiency
Rad Onc -> don't need to explain
Plastic surgery -> cosmetics; just don't do inpatient burn unit
EM -> 36 hours/week = 300k+
PM&R -> plenty of money and relaxation (mix of inpatient + outpatient = 250k+ working <50hr/week)
ObGyn -> REI clinic =$$$
General Surgery -> MIS fellowship = $$$
Orthopedic Surgery, Neurosurgery -> $$$ but work hard
Ophtho -> initially suck up to partners in pp so you can become partner, then $$$
ENT -> outpatient pp group = $$$
Pathology -> 300k+ working <50 hrs/wk as long as you don't work in cities > 200k population
IM -> Cardiology = cath all day if invasive, outpatient pp if noninvasive; both 300k+
IM -> GI = colonoscopy all day; guaranteed 300k+
IM -> Heme/Onc -> pp = guaranteed 300k+
IM -> pulm/cc = guaranteed 300k+ but you work >60hrs/week
IM -> endocrine/rheum = 250k with closer to 40hrs/wk
Family med -> open own practice

I think I got majority of specialties. Please correct me if I'm dead wrong about any of the above. Just my observations..

 

[sazerac]

Peds -> NICU, or marry one of the doctors in the previous post

 

[DetectiveAlonzo]

Not true about peds. Hell, full time peds taking call and covering a level 2 NICU make 250+. People never take into account that peds has one of, if not the, largest population of part time docs in medicine. Add in the fact that overall peds docs work less hours by choice and you get the perception that peds docs get paid crap.

Or PICU or Cards. All three make more than the monetary value posted via the bump.

Just wanted to chime in that I enjoy when you offer ur input on something ChiTown.

You a bawse.

Keep killin' it bruh bruh.

 

[bashwell]

Not true about peds. Hell, full time peds taking call and covering a level 2 NICU make 250+. People never take into account that peds has one of, if not the, largest population of part time docs in medicine. Add in the fact that overall peds docs work less hours by choice and you get the perception that peds docs get paid crap.

Or PICU or Cards. All three make more than the monetary value posted via the bump.

Completely agree. I know a general peds who makes $300+ working usually 4 days per week (~35-40 hours), maximum 5 days/week but that's not at all often in a year, rarely works nights, rarely works weekends, and living in a nice suburb outside a major city. He's been in PP for about 3 years. He tells me the secret is he has really good payer mix. He says he works with a couple of female pediatricians who prefer part-time work, and as someone who works full-time, he's more than happy to stay later than they do, so he picks up extra patients etc. that his part-time colleagues don't want or aren't there for. And he says this is not uncommon from what he has seen. He knows several other general pediatricians like him too. I'm not interested in peds, but for those who are, this isn't bad. Not at all.

 

[exsanguination]

Completely agree. I know a general peds who makes $300+ working usually 4 days per week (~35-40 hours), maximum 5 days/week but that's not at all often in a year, rarely works nights, rarely works weekends, and living in a nice suburb outside a major city. He's been in PP for about 3 years. He tells me the secret is he has really good payer mix. He says he works with a couple of female pediatricians who prefer part-time work, and as someone who works full-time, he's more than happy to stay later than they do, so he picks up extra patients etc. that his part-time colleagues don't want or aren't there for. And he says this is not uncommon from what he has seen. He knows several other general pediatricians like him too. I'm not interested in peds, but for those who are, this isn't bad. Not at all.

EM resident in a metropolitan area here with a peds residency and this is what I hear from the graduating residents. It seems like in medicine you can really make how much or as little as you want depending on how hard you are willing to work and find a location where the demand outweighs the supply.

 

[JB50]

So I admittedly feel like I should know this but how are doctors able to fluctuate their pay so much? Is it base salary + patient compensation? I guess IDK how the range can be so crazy for a single specialty.


tlr how do docs get paid bro

 

[smq123]

So I admittedly feel like I should know this but how are doctors able to fluctuate their pay so much? Is it base salary + patient compensation? I guess IDK how the range can be so crazy for a single specialty.


tlr how do docs get paid bro

How a doctor makes money?
How a doctor makes money (Part II)

Enjoy.

 

[JB50]

How a doctor makes money?
How a doctor makes money (Part II)

Enjoy.

That's pretty clutch. Thanks! Gonna give your sig link a read as well.