cardiology and lifestyle

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icebreakers

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Is it possible to practice cardiology (no specialty or with specialization..i.e EP, interventional) 3-4 days a week, no weekends and still make good money 200-300k?

is it possible to do this in either any other IM specialty or in gen medicine or family practice?

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Yeah , it is possible in any field of medicine , but as you know fully well , it depends on how hard you want to work and what the prevailing economic situation is. For instance, when I was applying for residency/fellowship in the early to mid 90s, Primary care /FM was the big thing because health care cost were going out of control , and gatekeepers were needed to curtail this. I guess as time went by and people/companies felt more will upbeat about their economic situation(also the threat of litigation towards HMOs) and relaxed these restrictions. The financial pendulum then swung towards the specialists and has been there since then.

I suspect with the looming cuts in reimbursement to physicians and the insurance companies writing letters to we primary docs about overutilization of certain tests, this will revert back to the mid 90s of the gatekeepers and annoying redtape. I remember the mid 90s how specialists used to cosy up to the PCPs for business. I think that if you are not going into interventional cards, you can still make something above 200k ,but you need to see a lot more patients in and outpatient. Weekends off at between 200-300k/yr? You must be very lucky.

Pray tell me sir, money is good and necessary , but if your decision of choice of specialization is primarily for money, you get end up being disappointed and unhappy . I wish you good luck , remember medicine is constantly changing and what is hot today , will be a no go area tomorrow.
 
But the PCP life isn't all that bad. My physician is a very successfull and popular physician who probably earns in excess of 500K per year. Yes he "sees" a lot of patients. Let me elaborate upon that. He has several nurses who do pretty much all of the work. They take your vitals. They draw your blood. They take your EKG, lung function tests and any other minor test that he bills for. By the time, the physician sees you, you have had all this work done to you. He just looks at your chart and results and talks to you. He comes in and basically converses with me about sports and my personal life and writes me a prescription and sends me off. So he just made 300 dollars on me for spending 10 minutes with me talking and laughing with me. He is a great physician by the way and I absolutely love this guy so I don't want to give the impression that I'm not pleased with him or that he is unethical. He loves his job and told me: "Primary care is so underrated, I basically get paid to shoot the breeze with people. Who can't love that for a career." Any patient with major complications are referred out to a specialist. This also lowers his liability and protects him from lawsuits. Most of his patients are healthy or are very maneagable which is what he prefers.
 
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Thanks,, that helps a lot to know because in all honesty, primary care is really awesome, its just that after all the effort we put in school and the tons of money in debt, I really would like to earn more than 120k.

This doctor of yours. DOes he have a very hectic lifestyle? does he have weekends off? is he 9-5?


















rahulazcom said:
But the PCP life isn't all that bad. My physician is a very successfull and popular physician who probably earns in excess of 500K per year. Yes he "sees" a lot of patients. Let me elaborate upon that. He has several nurses who do pretty much all of the work. They take your vitals. They draw your blood. They take your EKG, lung function tests and any other minor test that he bills for. By the time, the physician sees you, you have had all this work done to you. He just looks at your chart and results and talks to you. He comes in and basically converses with me about sports and my personal life and writes me a prescription and sends me off. So he just made 300 dollars on me for spending 10 minutes with me talking and laughing with me. He is a great physician by the way and I absolutely love this guy so I don't want to give the impression that I'm not pleased with him or that he is unethical. He loves his job and told me: "Primary care is so underrated, I basically get paid to shoot the breeze with people. Who can't love that for a career." Any patient with major complications are referred out to a specialist. This also lowers his liability and protects him from lawsuits. Most of his patients are healthy or are very maneagable which is what he prefers.
 
icebreakers said:
Thanks,, that helps a lot to know because in all honesty, primary care is really awesome, its just that after all the effort we put in school and the tons of money in debt, I really would like to earn more than 120k.

This doctor of yours. DOes he have a very hectic lifestyle? does he have weekends off? is he 9-5?

He is 8-5 but there are always afternoons he takes off if he needs to. I should preface this by saying, he and his wife work together. They own their practice together. So they did take risks by opening up a solo practice together. Most physicians don't do that any longer. They don't want to take the risks of opening their own practice and the initial overhead it takes to open a practice like that. Internal medicine physicians these days would rather join a group or become hospitalists. I know a lot of the internal medicine physicians who join group practices and then make partner probably earn money in the 200-250K range and that is a conservative estimate.
 
rahulazcom said:
He is 8-5 but there are always afternoons he takes off if he needs to. I should preface this by saying, he and his wife work together. They own their practice together. So they did take risks by opening up a solo practice together. Most physicians don't do that any longer. They don't want to take the risks of opening their own practice and the initial overhead it takes to open a practice like that. Internal medicine physicians these days would rather join a group or become hospitalists. I know a lot of the internal medicine physicians who join group practices and then make partner probably earn money in the 200-250K range and that is a conservative estimate.

Where is this doctors location? What state? Is he in a rural town or a larger city?
 
NRAI2001 said:
Where is this doctors location? What state? Is he in a rural town or a larger city?

I don't want to give their precise location but I will say it's in a city/metropolitan area of over a 1.5 million people in the midwest. Think "city" It's not a rural setting by any means
 
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