Average Starting Salary.

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Lysinee

Lysinee

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I have read a few threads and stickies on the average salary for a full-time general anesthesiologist. I didn't find much current information about the average starting salary for a new graduate near the city and/or suburb. I am sure it varies by the hours, but let's say 140 hrs per month.


Thank you.
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Isn't full time at least 50 hours / week. So not 140 hours for the month but more like 200. Around manhattan I've seen around 275k or so for 50 hours per week starting.
 
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Lysinee said:
I have read a few threads and stickies on the average salary for a full-time general anesthesiologist. I didn't find much current information about the average starting salary for a new graduate near the city and/or suburb. I am sure it varies by the hours, but let's say 140 hrs per month.


Thank you.
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As in many things, the answer is "it depends".

Location matters. Want to work in a big city? You won't make a lot of cash.

Practice type matters. Academic folks don't get paid big bucks. And in private practice, the type of practice matters and the salary difference as an employee compared to what you will make as a partner can vary significantly (partners usually make 2-4x what the employees make).
 
Any info about working in the DMV area, especially near Baltimore.

Thanks.
 
Lysinee said:
Any info about working in the DMV area, especially near Baltimore.

Thanks.
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You made it clear on another forum that you are interested in radiology, anesthesiology and EM and are a first year medical student. Others have given you feedback (some not so nice). My question is what you are trying to get out of this thread. As others have mentioned, noone knows what the anesthesia, EM or radiology market is going to look like in 2018 (when you would be finishing residency if you don't do a fellowship in any specialty)-- and salaries vary WIDELY based on location, academics, private practice, etc.- I have friends in academics in the DMV area who make 200-350 depending on where they are. I have friends in PP who make the same depending on where they work, how many hours they work, etc.-- It's so variable. Since you're from the area, you know that certain parts of the area are uber expensive, others are not. Howard county is pricey but you get awesome public schools, parks, safety, area, etc. Montgomery county is the same. Or you can take it a step down and go to Laurel, Towson, Reisterstown, White Marsh and still have many of the perks without so much price. Or live in Bmore and have city perks but not the others. So the salary you make can go a long way or short way depending on where you work and where you decide to live. You won't know if you're an academics person or a PP person till you do your residency. So you will just have to compare the salaries of all the specialties in general and see where the market is/what things look like when you are applying to residency. Noone expects you to do research in your residency field the summer after your CA-1 year-- because most don't have a clue.

You might also have a completely different personal situation in 6 years that will dictate a lot as well.

Sit back, learn medicine, and figure out what your personality suits third year. Not worth your time time post on forums to anonymous people (especially the allopathic forum where most of the respondents are OTHER medical students) to ask questions about lifestyle and salary when you dont know what moves you. I noticed someone on the allopathic forum replied to you with the following

"Asp: Highest potential earnings are in radiology but the job market is dismal right now. You work hard for your salary.

Anesthesiology is a lot less work than radiology, but also less intellectually interesting. You might be bored.
I would not recommend emergency medicine if you're after lifestyle."

:smack:

This person doesn't know you, and you don't know anesthesiology. So beware of this anonymous advice you seek- as I always say, even mine. Good luck.
 
Sorry to hijack this thread but the subject matter has been brought up before, yet I've neer seen the following question (maybe because it's all too obvious):

WHY do anesthesiologists receive lower compensation/salaries in larger cities?

Most of my friends have moved to larger metropolises because they make significantly more in such places. Also, the cost of living is much higher (generalizing) in big cities compared to that in BFE. Wouldn't it make more sense to get paid more/charge more if your cost of living is higher, like in almost every other industry?
 
iwumd07 said:
Sorry to hijack this thread but the subject matter has been brought up before, yet I've neer seen the following question (maybe because it's all too obvious):

WHY do anesthesiologists receive lower compensation/salaries in larger cities?

Most of my friends have moved to larger metropolises because they make significantly more in such places. Also, the cost of living is much higher (generalizing) in big cities compared to that in BFE. Wouldn't it make more sense to get paid more/charge more if your cost of living is higher, like in almost every other industry?
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Supply Vs Demand
 
iwumd07 said:
Sorry to hijack this thread but the subject matter has been brought up before, yet I've neer seen the following question (maybe because it's all too obvious):

WHY do anesthesiologists receive lower compensation/salaries in larger cities?

Most of my friends have moved to larger metropolises because they make significantly more in such places. Also, the cost of living is much higher (generalizing) in big cities compared to that in BFE. Wouldn't it make more sense to get paid more/charge more if your cost of living is higher, like in almost every other industry?
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Economics, supply and demand; nothing more, nothing less.

Who is having more trouble recruiting anesthsiologists, cities or BFE? Answer that and you've answered who is going to have to pay more to recruit anesthesiologists. Can't compare to other industries; they are disproportionally located more in cities. Anesthesiologists ideally are to be equally distributed among the population.
 
iwumd07 said:
Sorry to hijack this thread but the subject matter has been brought up before, yet I've neer seen the following question (maybe because it's all too obvious):

WHY do anesthesiologists receive lower compensation/salaries in larger cities?

Most of my friends have moved to larger metropolises because they make significantly more in such places. Also, the cost of living is much higher (generalizing) in big cities compared to that in BFE. Wouldn't it make more sense to get paid more/charge more if your cost of living is higher, like in almost every other industry?
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Supply and demand. Other industries (i banking, big law, marketing) require the financial resources of a large city to provide the supply of jobs. Most of these jobs are salaried jobs so you can adjust it based on the increased cost of living for a big city. Medicine on the other hand relies on sick people which can be found equally in large cities and small towns. Since you can practice it almost anywhere, supply and demand kicks in. How many people do you know say "I want to move to BFE when I grow up?" Now contrast that to the number of people who say "I want to move to NYC/Chicago/LA" and you get the picture. Larger supply of physicians means less incentive for the hospital to subsidize your work. In BFE a hospital may be willing to pay a stipend to your group b/c it's hard to attract good anesthesiologists and keep the OR running smoothly. This happens less so in the big cities.
 
Add the fact that med schools and training programs tend to be in big cities. Those are the years that people put down roots. A significant majority of docs take first jobs close to their med school or residency program.
 
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dr doze said:
Add the fact that med schools and training programs tend to be in big cities. Those are the years that people put down roots. A significant majority of docs take first jobs close to their med school or residency program.
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Agreed with what everyone else noted about supply vs demand. If you want to earn $$$, take a job in a smaller city. The pay is higher and the cost of living is lower. If you want to live in a city, you will earn less money and spend more (but have the benefits of living in that city).
 
Narcotized said:
Economics, supply and demand; nothing more, nothing less.

Who is having more trouble recruiting anesthsiologists, cities or BFE? Answer that and you've answered who is going to have to pay more to recruit anesthesiologists. Can't compare to other industries; they are disproportionally located more in cities. Anesthesiologists ideally are to be equally distributed among the population.
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Its actually much more complicated that simply saying "supply and demand." Yes, that is part of it, but it is more because of a balance of payment factors including the large portion of city residents that depend on medicare/medicaid for "insurance" (sic). In fact, this balance of how many of your patients have insurance, and what type of insurance they have, is what will ultimately determine your salary much more than "supply and demand" as most practices are paid entirely by their patients without any 3rd party middlemen.
 
Surfer said:
Its actually much more complicated that simply saying "supply and demand." Yes, that is part of it, but it is more because of a balance of payment factors including the large portion of city residents that depend on medicare/medicaid for "insurance" (sic). In fact, this balance of how many of your patients have insurance, and what type of insurance they have, is what will ultimately determine your salary much more than "supply and demand" as most practices are paid entirely by their patients without any 3rd party middlemen.
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BFE with a terrible payer mix will still have to pay well if they want anesthesiologists. The hospital is going to have to pony up the difference due to..... supply and demand. If the demand wasn't already there to fill the lower paying city jobs, they would then have to pony up as well..... but they don't have to..... supply and demand.
 
Narcotized said:
BFE with a terrible payer mix will still have to pay well if they want anesthesiologists. The hospital is going to have to pony up the difference due to..... supply and demand. If the demand wasn't already there to fill the lower paying city jobs, they would then have to pony up as well..... but they don't have to..... supply and demand.
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Yeah, this exactly. I'm in BFE, the payer mix is horrible, and the hospital pays the group a fat subsidy. And they still have trouble getting people to move and work here.
 
1099 will give the best bank for the buck if you are in the perfect storm. No partnership... from the get go.....

In a fair group.
 
NYC actually has decent starting salaries (I heard 300K+ often). The problem is, these employee track jobs at groups with partners who will go home before you everyday, will take OR call while you stay up all night putting in epidurals, and lay you off in a heartbeat when the volume drops. Making 300k a year doesn't make up for unhappiness @ work-even more so as you get creamed with taxes here.
My plan? CCM fellowship->Academics x 1-2 years-> Live the good life in BFE ( I can always fly back for a weekend)
 
nycitygas said:
NYC actually has decent starting salaries (I heard 300K+ often). The problem is, these employee track jobs at groups with partners who will go home before you everyday, will take OR call while you stay up all night putting in epidurals, and lay you off in a heartbeat when the volume drops. Making 300k a year doesn't make up for unhappiness @ work-even more so as you get creamed with taxes here.
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This is the truest statement said on this board. Everyone asking about $$ should read this statement, think about what it means, then read it again to make sure it sinks in. A good job isn't all about the $$, there are many other factors to consider
 
nycitygas said:
NYC actually has decent starting salaries (I heard 300K+ often). The problem is, these employee track jobs at groups with partners who will go home before you everyday, will take OR call while you stay up all night putting in epidurals, and lay you off in a heartbeat when the volume drops. Making 300k a year doesn't make up for unhappiness @ work-even more so as you get creamed with taxes here.
My plan? CCM fellowship->Academics x 1-2 years-> Live the good life in BFE ( I can always fly back for a weekend)
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It's sad to say but 300k is not going to go far in NYC. Think about what your take home would be. My guess is around 10 to 12k. In a city where a decent 900 square foot apartment is gonna cost you a few thousand a month, it'd be ok if you were single. Add on a wife, kids, private school, saving for college, day care or a nanny, 10 or 12k just doesn't go that far. Now 300k in some places going to go very far. There are also places that aren't exactly bfe but have a reasonable cost of living, taxes are low and its a nice place to live. Those jobs are out there.
 
As a person who does recruitment I always find it shortsighted that people choose one practice over another based on 25-50 thousand starting pay. Remember after taxes that is not much of a money difference over the course of your career.
 
Is it more common to have a partnership with a private group or with the hospital? I heard it takes about 3 yrs to become a partner, if it's offered.
 
Just because you make more in NY doesn't mean you are better off. The costs of living there for $40000 matches the idea of living in a cheaper place with a smaller salary.
 
They're compiled by the State Workforce Agencies that regulate unemployment insurance. If your place of work has payroll taxes then your income may be factored in their estimates. It's the most accurate estimate of salary.

You can find the average in general on that page as well as by geographic location

So be happy, you're probably an outlier! :)
 
Josh1 said:
They're compiled by the State Workforce Agencies that regulate unemployment insurance. If your place of work has payroll taxes then your income may be factored in their estimates. It's the most accurate estimate of salary.

You can find the average in general on that page as well as by geographic location

So be happy, you're probably an outlier! :)
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I agree these numbers are quite a bit lower then the real averages...my guess would be they are low so that if you as an anesthesiologist becomes unemployed they don't have to pay you that much. Just my guess.
 
Josh1 said:
They're compiled by the State Workforce Agencies that regulate unemployment insurance. If your place of work has payroll taxes then your income may be factored in their estimates. It's the most accurate estimate of salary.

You can find the average in general on that page as well as by geographic location

So be happy, you're probably an outlier! :)
Click to expand...


While I am an outlier by a large margin, I also know what most everybody else in the state is making because it was only 3 years ago that I was interviewing for and offered at lots of positions.
 
Josh1 said:
They're compiled by the State Workforce Agencies that regulate unemployment insurance. If your place of work has payroll taxes then your income may be factored in their estimates. It's the most accurate estimate of salary.

You can find the average in general on that page as well as by geographic location

So be happy, you're probably an outlier! :)
Click to expand...

This is not the norm. Of course, it says very little about total package.... but still... those numbers are low.
 
MGMA physician compensation is probably more accurate.
 
I feel for the OP. It's so stressful to be going into medicine now a days because so much is up in the air. Tuition has gone up yet everyone seems to think that the salaries will go down. At some point the decision becomes less about where your passion is and more about allowing for compromise to satisfy other responsibilities in life. It's too bad none of us had a crystal ball where we could know exactly what things will be like in 2018 as one poster pointed out.

RIght now I'm battling between medicine in dentistry. My heart says medicine, but my head says dentistry. Both very interesting careers to me that I can see myself doing.

EDIT: I did not mean to imply in the 1st paragraph that the changes in health care are more stressful to prospective med students than those in industry. I just meant that it's difficult to try and make a responsilbe choice without knowing the future with talk of so much change in the future.
 
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If I had a son / daughter, I would advise becoming a dental specialist if interested in healthcare. I would not let them do medicine. It is not that I don't enjoy taking care of people or anesthesiology, I like both. I am an average resident. The politics and the "educational system" are unbelievably overwhelming. Constant testing, evaluations, fees, hours etc...

Most of the physicians (residents/ young attendings) I know would not become physicians again. A smaller percent (30 -40%?) might....The negativity in medicine is becoming larger. There are a lot of nasty politics. It is easy to "blame" the people who are negative, but I do not. Some people dedicated their life to medicine, and you can see it in the way they act. Then they got burned because they realized that they "lost" out on life. There are many aberrant personalities in medicine because of this that have tried to cope with their sacrifice..

One orthopedic surgeon noted that he spent the "best years" of his life in a hospital working throughout the night. He wished he could have really LIVED during those years.

After medical school you will have to "compete" for a good residency, you may then spend 6 years of your life in a remote location while your friends are able to be near their family or preferred location...with Obamacare, who knows if you ever will be able to relocate in that area...

Be a dentist, go to BFE, take hikes, go to church and enjoy your life..peace


yappy said:
I feel for the OP. It's so stressful to be going into medicine now a days because so much is up in the air. Tuition has gone up yet everyone seems to think that the salaries will go down. At some point the decision becomes less about where your passion is and more about allowing for compromise to satisfy other responsibilities in life. It's too bad none of us had a crystal ball where we could know exactly what things will be like in 2018 as one poster pointed out.

RIght now I'm battling between medicine in dentistry. My heart says medicine, but my head says dentistry. Both very interesting careers to me that I can see myself doing.

EDIT: I did not mean to imply in the 1st paragraph that the changes in health care are more stressful to prospective med students than those in industry. I just meant that it's difficult to try and make a responsilbe choice without knowing the future with talk of so much change in the future.
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Let's all put things into perspective here. If you go to medical you will graduate a residency and you will have a job that pays minimum 150k/yr. You can bitch and complain all you want about reimbursements going down and the long hours you had to work to get there but just remember, you will have a job that pays well. You will be able to afford food, gas, and some niceties. You will be able to send your kids to college. You will also have a skillset that will always be in demand and allow you to have a job for the rest of your life. Your life may not be what you thought it would be but you are still better than most out there. Just remember this the next time you talk to a teach who makes 50k/yr or a 30 something looking for a new job. Perspective is everything in this world and it's very easy to lose it.
 
Thanks for your insight Quirk11. I have a strong interest in orthodontics and have really enjoyed my time spent shadowing him. He has so much autonomy and all his patients seem pretty happy to be there. One of the coolest things to me is that he is able to work three and a half days a week and still make a good living.

Ssmallz, I grew up poor so the idea of 150k and job security sounds amazing. I do think it's too bad that reimbursements are going down. You guys do an extremely important job that requires an amazing skillset. I understand that every morket has its price point but I think that yours is one that is diminished due to artificial forces and a common sentiment of entitlement.

With change on the horizon - how do you guys think the average earnings of physicians will be effected? I saw an MGMA report that showed many physicians making 250+ do you think this will continue in the future?

ssmallz said:
Let's all put things into perspective here. If you go to medical you will graduate a residency and you will have a job that pays minimum 150k/yr. You can bitch and complain all you want about reimbursements going down and the long hours you had to work to get there but just remember, you will have a job that pays well. You will be able to afford food, gas, and some niceties. You will be able to send your kids to college. You will also have a skillset that will always be in demand and allow you to have a job for the rest of your life. Your life may not be what you thought it would be but you are still better than most out there. Just remember this the next time you talk to a teach who makes 50k/yr or a 30 something looking for a new job. Perspective is everything in this world and it's very easy to lose it.
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ssmallz said:
Let's all put things into perspective here. If you go to medical you will graduate a residency and you will have a job that pays minimum 150k/yr. You can bitch and complain all you want about reimbursements going down and the long hours you had to work to get there but just remember, you will have a job that pays well. You will be able to afford food, gas, and some niceties. You will be able to send your kids to college. You will also have a skillset that will always be in demand and allow you to have a job for the rest of your life. Your life may not be what you thought it would be but you are still better than most out there. Just remember this the next time you talk to a teach who makes 50k/yr or a 30 something looking for a new job. Perspective is everything in this world and it's very easy to lose it.
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True, any hardworking physician is going to make six figures, (probably unless Obama achieves his goal of socialized medicine, and those of us who sacrificed 11-15 of our best years, may end up getting paid similarly to public servants), who partied their way through 4 years of a liberal arts degree and enjoyed every minute of their twenties and early thirties.

Those are the best years of your life and it's not unreasonable to expect compensation for the sacrifice of your best years, and the hard work and dedication that physicians put in over those years of education and training which is so much more than any other profession.
 
The question was not about my level of thankfulness, nor my faith. I understand that I am better off than most of the world, and am thankful, in fact I try to give back. I am just relaying information.

I believed the question was more about medicine as a career vis a vis other alternatives. Given debts of 250k - 300K at the end of residency with 6.8% interest rates in this environment, what is your take on this career vis a vis dentistry, accounting etc in the year 2020? I argue that given the time value of money, its not a good investment if others options are open..

If medical school became free / cheap as in other first world countries, thats a different story perhaps...


ssmallz said:
Let's all put things into perspective here. If you go to medical you will graduate a residency and you will have a job that pays minimum 150k/yr. You can bitch and complain all you want about reimbursements going down and the long hours you had to work to get there but just remember, you will have a job that pays well. You will be able to afford food, gas, and some niceties. You will be able to send your kids to college. You will also have a skillset that will always be in demand and allow you to have a job for the rest of your life. Your life may not be what you thought it would be but you are still better than most out there. Just remember this the next time you talk to a teach who makes 50k/yr or a 30 something looking for a new job. Perspective is everything in this world and it's very easy to lose it.
Click to expand...
 
Quirk11 said:
The question was not about my level of thankfulness, nor my faith. I understand that I am better off than most of the world, and am thankful, in fact I try to give back. I am just relaying information.

I believed the question was more about medicine as a career vis a vis other alternatives. Given debts of 250k - 300K at the end of residency with 6.8% interest rates in this environment, what is your take on this career vis a vis dentistry, accounting etc in the year 2020? I argue that given the time value of money, its not a good investment if others options are open..

If medical school became free / cheap as in other first world countries, thats a different story perhaps...
Click to expand...

Medicine has it's issues and many of them have been discussed in this thread. It's certainly not a perfect job but we need to keep everything in perspective.

If someone asked me "should I go into medicine knowing that it will cost me 300k before I start?" I would answer like this

Medicine is a long hard road. When you are finished you will be 8 years older and you will have worked harder in your 20s than other people your age. When you are finished you will have a job that pays >150k for the rest of your life with a skill set that will make you employable as long as you want to work. You will be able to cover your student loan debts w/out a problem, put food on the table, not have to worry about putting gas in your car but you will never live like an NBA baller or CEO. You will be one of the few people in this world who can truly make a difference in other peoples life even if your patients don't always feel the same way. You can mold your future job to fit the lifestyle that you wish to have but you may have to sacrifice money, lifestyle, or location to get what is most important to you. Is medicine the best investment of your $300k tuition? No one knows. Go into it if you want to don't if you don't. Don't worry about the $$ b/c when you're 40 the only thing that matters is if you are happy w/what you do.

What do I think the salary will be in the future? I don't know and guess what no one days. Anyone who says they do is FOS, they are all speculating. If anyone knows what the future holds they should be stock traders. Don't worry what other people say, the $$ will always be there in some form or another.
 
bedrock said:
True, any hardworking physician is going to make six figures, (probably unless Obama achieves his goal of socialized medicine, and those of us who sacrificed 11-15 of our best years, may end up getting paid similarly to public servants), who partied their way through 4 years of a liberal arts degree and enjoyed every minute of their twenties and early thirties.

Those are the best years of your life and it's not unreasonable to expect compensation for the sacrifice of your best years, and the hard work and dedication that physicians put in over those years of education and training which is so much more than any other profession.
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I'm not sure where your numbers are coming from. Most of the people I know who partied hard and got liberal arts degrees are making $20-30/hr or 50k/yr, they are not in your league. The people making >100k are workin their *****es off at whatever they do. Focus on what you do w/your life and if what you are doing makes you happy. Don't worry about others. No one is forcing you "sacrifice the best years of your life". Work hard if you want to, don't if you don't, but don't complain about others.
 
Thanks for your response guys. I get what you're saying in a way. I will most likely go the way of dentistry, and if my grades are good enough, go for a orthodontic residency (I loved the shadowing I did).

The biggest thing that annoys me about medicine is how most the public seems to believe that all your hard work is something that they should be entitled to even if they dont want to pay the price. That is the crux of it. You talk about sacrofice in your 20's and early 30's and took on financial risk to gain your degree. Your degree has real market value because so few have the aptitude and it takes a long time in training. Also, the product you produce is so valuable. So after your sacrofice to bring real value to the market the public turns around and states that they want it at a heavily reduced price or free. Kinda messed up. 150k is a good salary; however; I suspect the market value of an MD is much higher. If I was really sick I would sell my assets to aquire a much needed surgery or medicine. Or do like I do now. Forego the I phone, I pad, and cable / internet and instead buy health insurance.
 
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seinfeld said:
As a person who does recruitment I always find it shortsighted that people choose one practice over another based on 25-50 thousand starting pay. Remember after taxes that is not much of a money difference over the course of your career.
Click to expand...

So, if 25 or 50 is not a big deal, you must the one offering the higher salary right? It's not a big deal, remember.



Are you crazy?
 
Medicine is still one of the safest fields out there. It's very rare to see a doctor get fired. Plus, you can get another job within a week. The future of medicine shouldn't be a concern.
 
Lysinee said:
Medicine is still one of the safest fields out there. It's very rare to see a doctor get fired. Plus, you can get another job within a week. The future of medicine shouldn't be a concern.
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Uh....the real world awaits you.
 
I'm not really in-the-know. However, my take is that whlie there is a great need for medicine, the problem seems to be the ability for people to pay for it. Coastie may be referring to that. Having said that; I think being a physician is a superior position to be in than most other professions.

One interesting career field that I would look into if I was doing it all over again would be: actuary science: Get a double major in finance and mathmatics/stats. By doing some internships and starting to take some actuary exams around the junior year you would be in a good position. I would not go the insurance route but instead business or economics. Though, this job would seem boring compared to being a physician.
 
I can't imagine that the same person could enjoy being an actuary and a physician, much less an anesthesiologist. Statistics. All. Day. Long.
 
ssmallz said:
Perspective is everything in this world and it's very easy to lose it.
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Easy to lose it ... or somehow acquire the wrong perspective from reading too much SDN allo & pre-allo.

Look no further than the oft-claimed, "anyone who can succeed in medical school could've been an iBanker/entrepreneur/whatever making lots of cash" ridiculousness ... :)



Coastie said:
Lysinee said:
Medicine is still one of the safest fields out there. It's very rare to see a doctor get fired. Plus, you can get another job within a week. The future of medicine shouldn't be a concern.
Click to expand...
Uh....the real world awaits you.
Click to expand...

The "rare to see a doctor get fired" and "within a week" bits are pretty optimistic bordering on naive, yeah, but for non-screwups who are at least a little bit mobile geographically ... medicine is pretty safe.
 
yappy said:
One interesting career field that I would look into if I was doing it all over again would be: actuary science: Get a double major in finance and mathmatics/stats. By doing some internships and starting to take some actuary exams around the junior year you would be in a good position. I would not go the insurance route but instead business or economics. Though, this job would seem boring compared to being a physician.
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My father is an actuary and it's very tough out there for actuaries. Just like the rest of business world people just aren't hiring. I graduated residency in July and made more in my first 6 months as an attending anesthesiologist than he made all of last year. There just aren't THAT many jobs out there that pay >300k/yr.

When I mentioned that 150k salary earlier in this thread I was referring to the minimum a physician will make if they decide to go into a PCP type field. If you go into a subspecialty your $$ will increase significantly.
 
Ssalls, Thanks for sharing. This forum is great because you hear alot from people in the industry.

I'm always amazed at how discouraging people can be about going into health care. I was studying biochem today at a starbucks and some old guy saw one of my prep books. His unsolicited advice was "Oh, dont go into anything medical man, you'll be broke for life. Everyone is gonna sue you and malpractice will take all your money away. Remember, a JOB means Just Over Broke."

I cant tell you how many people say **** like this where I'm from. It's hard to tell what is idealogical/political BS and what is wisdom. It is hard enough to stay motivated to study non-stop to get all those A's when everyone (who often have crappy jobs IMO lol) feel the need to take the time and tell you how broke you'll be in the future.
 
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