Rpames and cunikki,
I can see other reasons why a starting doctor would get paid only $50-60K.
1. You have no real experience. You have clinic rotations, but it's a lot different once you actually have to make the decisions. As a recent grad, there are no references your hiring doc can call to see how you handle patients, whether it takes you 1.5 hours to do an eye exam, whether you can really fit a gas perm contact, etc. When you consider this, you see the hiring doc is spending a lot money on an unknown quantity.
2. The hiring doc doesn't really know you, and from interviews they can't tell that much about you. You might interview well but then not get along with staff, have different ideas about when to refer patients and who to refer to, etc. In other words, you might be a great doc with great clinic skills but just not fit in. The hiring doc is again taking a risk.
3. Speaking of risk, I'm a recent graduate, but I've already been associated with a practice in which an employee embezzled tens of thousands of dollars. At another, a married doctor started an affair with an employee which actually affected how they interacted in the clinic. Again, the hiring doc has no idea if you have a drug, drinking, gambling, or any other personal problem that will affect your performance, and again, there are no references to check.
Ideally, the hiring doc will start at a lower salary and agree to increase the pay once you've been around long enough to pull your weight in clinic fees and once the hiring doc has decided you're a good fit.
Commercial places can pay more at the beginning because if you develop a crack habit and run off to Venezuela with the optician, they will just hire another optometrist and optician with no real dent to their bottom line, as it's usually not hard for them to find another doc and plug them into their system. If that type of disaster happens at at a private practice, it's a much bigger problem.
jjmcentee, what type of geographic area are you in? Urban areas tend to have higher salaries than rural ones. Those numbers you gave seem to square pretty well with the urban area I'm in and the people I know.
Tom Stickel
Indiana U. 2001