GI. Hands down.
No. But you don't get 340B pricing as a solo PP oncologist which is what the question was about.
I think oncology is incredibly well positioned for entrepreneurship now as well. It goes to what it means to be a businessman/entrepreneur? Running your own company?
I told my PD I’m considering locums and I was heavily discouraged. In fact, they made it seem it’s unholy that I’m considering finances. It’s not a field where you can openly declare your intentions to make money, yet.
No **** lmao why would your academic oncologist PD that makes 200k post tax per year want you to make over 1M post tax per year as a young onc with time to compound? I haven’t really heard any good arguments apart from the moral one for not grinding locums and getting compounding as soon as possible in a time when the US dollar is debasing
IMO, entrepreneurship means building a business that has income streams that are not wholly dependent on your individual time and effort. Anybody can grind high paying, shi**y work environment for 7 figures a year. but that's just grinding, that's not entrepreneurship.
As I've said many times, I suspect there are some good locums out there. I'm happy to meet them if you'd like to introduce me to them. I took over a practice that had been using locums for 3 years before I arrived. I've not had a single person tell me "I really miss Dr. X, Y or Z" since I came, I have heard a lot of "thank goodness you're here". I'm a pretty good oncologist and have very good relationships with patients. But I don't think that these attitudes are about me at all.
Are you really asking me what I think about some d-bag social media influencer?
This is probably person-dependent, and they could've been incompetent even if they weren't grinding as a hospitalist.
I know this is hyperbole but it’s a good data point for the full 2 years of onc training may not be completely necessary, most onc docs ditch the heme boards anyway. So a good strategy to avoid the opportunity cost of fellowship by grinding hospitalist.
Yes I am. He’s an oncologist with a lambo that makes more money than 98% of orthopedic surgeons. Seems like a successful career to me. What I wonder is why we don’t see more people replicating this?
Oncology as a specialty selects for people who are passionate about caring for patients with tough diagnoses and often who are at the end of life. Those kinds of people typically consider compensation ONE consideration when deciding on a career but not the ONLY consideration. When you are confronted with death and the fleeting nature of life (and wealth for that matter) you tend to pursue fulfillment broadly rather than just compensation specifically. Additionally, providing substandard care (because of poorly functioning health systems and under-resourced clinics) since it is well compensated, could feel unethical. I don’t know, I’m a 1st year fellow but locums don’t seem appetizing.
I actually did see this. I'm curious how long the opportunity to do something like this would last. I can imagine creating a successful infusion center being great, but this guys setup would be an alternative way to have cash flow to invest in other businesses and stuff instead. Are Cardiology and GI able to replicate his setup? He posts about the locums rates for those specialties being quite high as well.
Again, unless you've got a deal on the drugs (or are willing to prescribe inappropriately...Neulasta, Injectafer, Aranesp and Romiplostim for everyone with chemo associated cytopenias!), the margins on infusion just aren't there anymore for an independent infusion center. I'm aware of at least 2 groups in my region who have closed (or are about to close) in the last year who did so because they couldn't make the margins work on the infusion side while competing against a hospital based group with 340b pricing. The only way to conceivably make this work these days is to set up shop somewhere without another oncology group within 30 or 40 miles (most insurance companies will use that distance to make exceptions for OON coverage). But most people who want to flash the fat cash and drive a Lambo aren't willing to live and work in those places. Thats also how you wind up with someone like Dr. Fata from Season 2 of Dr. Death.
Idk where that oncologist locums dude with the lambo lives but he has videos about commuting with his lambo as his daily driver presumably to undesirable locations because he says he drives for a couple hours
From a quick browse from aya locums offers (they’re one of few companies that flat out post rates online weatherby comp etc aren’t as transparent):
What $ opportunities in GI are you referring to?
Thanks for sharing those rates directly, super helpful to see! Market seems hot right now for locums.
Thanks for the insights there, it sounds like the competition in any city I'd actually want to live in would make this unfeasible for the most part.
Yeah.... Im a prelim IM, my senior on wards told me they wanted to do onc for the money. Nice person and great doc
I know this is an IM forum, but do you have the numbers for rads? Ive tried to look and ask attendings and other residents but no one will say anything. I also get weird looks saying I just want 1099/locum work
