Priority list for LADOC:
La Dolce Vita, stress free: free from worries about competitors, cash, relationships...
free from worries about drunk homeless people rummaging through my trash and begging me for change on my way to morning coffee that routinely occurs in the "thriving metropolis".
free from having to drive my car around in circles trying to find a parking space.
free from having to pay massive bridge tolls or spend 45 minutes in traffic to go out to dinner
I want to sit in a smoking jacket next to a warm fire with my Wall Street Journal and pipe freshly packed with the Admiral's tobbaco, perhaps a wood barrel aged Aberlour scotch or a 2002 Bordeaux within arms reach.
No friend calling me up to go hang out at some lame as crap Bohemian club in the Haight. No more nights at some back alley wine bar filled with lesbian man haters where I struggle to listen to whatever pathetic musings about politics/change my drink companions endlessly blather on about...About 30 minutes in I begin day dreaming about sucking on the end of a Glock19 hoping to end the misery.
I want quiet. That is my priority.
Right on. Add to that portrait the ability to walk out the back door, survey my 200 acres of wilderness, and proceed to go 20 for 20 on clay pigeons with my 870 wingmaster and you and I are talking Shangri-La.
It is one of the sad ironies of my life that in order to pursue my career, I have been stuck living in major metropolises since the day my young parents dragged their wailing whelp back to the bleak, fog-enclosed prison known as the Sunset District. People talk about the wonderful diversity in cities, but until I was 17, all I knew were concrete parks, garishly painted "box" houses, lily-white Irishmen, and Chinese. I'll take the diversity of Pocatello Idaho over The City any day.
I decided to become eco friendly and not repost the internet copy and paste from "pathstudent" in the above post but I had a question or 2 for the poster. 1#: find me a job in medicine (MD or DO degree) that will pay you $160K with 3 yrs out of college (3rd year med student level) what is the going rate? #2: it seems you copy and post alot of info from internet sites but dont offer your interpretation of the info (if you are a pathologist (or one in training) thats kind of what you should be doing). come on what was the point of the post? im confused. Yes i cry myself to sleep every night that there might be one less lawyer in the world who might to try to press suit against me when I did nothing wrong or my name happens to rhyme with the actual defendant ..... I wonder if all of us quit tomorrow.. that might actually influence the starting salary of new law grads..
But at the same time, if the country continues to decline, the gov't/medicare/the populace may say, "no way are doctors going to make that much while the rest of us take a beating" and cut our reimbursements in half.
Just because the theme of a thread is repetitious, isn't enough reason for it to be deleted. Believe me I am weary of the innumerable "job market sucks!" threads too, but discussion of the pathology job market is both valid and current. You can always ignore threads or posters you don't like.
I could do a lot of things...but I choose not ignore problems like these, especially when it causes deters people from choosing a specialty that they may indeed enjoy and who many in other professions seem to want to always switch into
You bet! I can just hear our President saying, "The days of doctors getting rich off of the sickness and suffering of the taxpayers is over."
Just wait and see: soon people will be saying that a good reason to nationalize health care will be to make sure that people go into medicine for "the right reasons" and "to make sure that this (doctors making money) never happens again."
I could do a lot of things...but I choose not ignore problems like these, especially when it causes deters people from choosing a specialty that they may indeed enjoy and who many in other professions seem to want to always switch into
scurred said:can this thread just be deleted...it's like a bad train wreck that I can't stop looking at. Seriously...it's one of the numerous iterations of the same thread that keeps on popping up and the same posts by the same angry people.
Your interpretation is horrendous, atrocious, and honestly, I feel like people like you should be banned from posting baseless statements
1) If you had any idea about how much physicians get paid in a socialized health care system, rather than just making ignorant statements, then I would say post
2) Whatever healthcare system is created would be a hybrid of what we have now in the states...also, weren't we just talking about how pathologists are being paid quite well in canada, like around 300k...
3) Additionally, if everyone has healthcare, that means more cases which means more money, compensation will not change dramatically in pathology
4) Technology is currently coming to head in pathology and we are seeing a bloom in the number of tests as well as its cost, which will only mean more money for pathologists.
5) personalized medicine will dramatically increase over the next decade and we will also cause a boon for pathologists
3) I am in private practice and I watch over the group (20+ pathologists) finances. The uninsured make up no more than 5% of our accounts. We routinely write these accounts off, since they so rarely pay. However, Medicare/Medicaid make up about 30% of our revenue. I assume that the government option will pay pathologists at the Medicare rate. Do you have any idea what that rate is? In my practice, it is no more than 80% of what I am reimbursed by my private payers. Now, if the 5% that are uninsured are enrolled in Medicare, the bump up to my bottom line will be negligible. However, if a much greater percentage becomes Medicare (because of patients switching from private plans to the government plan), the results would be disastrous for my practice. We would have to lay off at least half of our pathologists to make up for the shortfall (in large part because Medicare also does not pay PCCL).
If someone is basing their career choice on the rantings of selected anonymous internet forum posters, perhaps they shouldn't be in pathology anyway.
Based on government projections and current prices for providing private insurance, it will ultimately be cheaper for an employer, who is mandated to provide coverage at the risk of a penalty, to switch to the proposed government run plan. Given this, many employers will undoubtedly opt to pay into the government plan. The question becomes what will the reimbursement rate be for this proposed plan? One has to assume that it will be substantially less than private plans and more in line with Medicare. Do you really think the government is going to reimburse for their own plan at 120% of Medicare? This shift would result in a drop in reimbursement.
2) Your point is ridiculous...I guess you think that somehow the entire private system, with all their money, is suddenly going to dissolve...please don't inhale the formalin...there will be a hybrid system, as the ones that are currently in place work...
In my experience, from first hand knowledge of people with jobs, or recently accepting jobs:
Average starting pay for a General Pathologist with a Surgical Path Fellowship or Cytopathfellowship - 225K in places like Iowa or Pennsylvania(basically boondocks)
if in a major metropolitan area with same qualifications - 150k
Average starting pay for a General Pathologist at an Academic Institution -(100k-150k)
Average starting pay for a Pathologist with a GI, Hemepath fellowship - (250-350k)
Average starting pay for a Dermatopathologist is (250k-450k)
Dermatopathologist starting at 450K? No way. Unless he has his own gig or clinicians are sending him skin biopsies up the hizzle.
In my experience, from first hand knowledge of people with jobs, or recently accepting jobs:
Average starting pay for a General Pathologist with a Surgical Path Fellowship or Cytopathfellowship - 225K in places like Iowa or Pennsylvania(basically boondocks)
if in a major metropolitan area with same qualifications - 150k
Average starting pay for a General Pathologist at an Academic Institution -(100k-150k)
Average starting pay for a Pathologist with a GI, Hemepath fellowship - (250-350k)
Average starting pay for a Dermatopathologist is (250k-450k)
While the other numbers that you quote are in line with what I have seen with people finishing at my program, this seems kind of high for hemepath. Do you mean someone who does a hemepath and a GI fellowship or that you've seen hemepath fellows and GI fellows getting this starting pay? Hemepath may be more in demand than I thought.
Edit: Oh wait, your profile says that you are a med student. True, or are you a resident? How does a med student get this kind of info anyway?
Interestingly though, CAP surveys also say that rural pathologists make, on average, less (by 5-10%) than urban/suburban pathologists. That probably depends on how you define the terms though.
Those numbers don't sound made up to me.
For those who are saying that GI pathology fellowship is not needed - I will say that without fellowship you are good to go up-to tubular adenoma but when it comes to IMC and submucosal invasion or pseudo-invasion then 20 year experience helps but then 1 year of GI pathology fellowship (BUT AT really busy place with extensive consults - Like MGH, MSK or Hopkins) does make a huge difference.
For those who are saying that GI pathology fellowship is not needed - I will say that without fellowship you are good to go up-to tubular adenoma but when it comes to IMC and submucosal invasion or pseudo-invasion then 20 year experience helps but then 1 year of GI pathology fellowship (BUT AT really busy place with extensive consults - Like MGH, MSK or Hopkins) does make a huge difference.

Speak for yourself, chump.For those who are saying that GI pathology fellowship is not needed - I will say that without fellowship you are good to go up-to tubular adenoma but when it comes to IMC and submucosal invasion or pseudo-invasion then 20 year experience helps but then 1 year of GI pathology fellowship (BUT AT really busy place with extensive consults - Like MGH, MSK or Hopkins) does make a huge difference.
The days of skilled morphologists are numbered. At some point technology will probably eliminate the need to be hyperspecialized and pathologist will just be pilots.
For those who are saying that GI pathology fellowship is not needed - I will say that without fellowship you are good to go up-to tubular adenoma but when it comes to IMC and submucosal invasion or pseudo-invasion then 20 year experience helps but then 1 year of GI pathology fellowship (BUT AT really busy place with extensive consults - Like MGH, MSK or Hopkins) does make a huge difference.