it's pretty bad. malpractice is horrible.I hear liability is horrendous there. Many physicians choose to work in Indiana for this.
you're absolutely spot on about the partner mills and 4 weeks vacation, competition, all that. suburbs definitely have better gigs than the city does. where my family lives in indiana we are about ~ 30 miles from downtown chicago, just across the border, and compensation/vacation is very good. (closer to 8 weeks. not great, but not 4 either. )Consider that there are 7 graduating programs a year and that few will want to work in far western or southern Illinois, you'll face tough competition for very few jobs in the city. Essentially the amount of work in the city will not change. Very few practicing docs will retire or die (in recent years many had to postpone retirement due to losses in the crash). The plum jobs are actually in the suburbs- Naperville's top job right now. Groups which offer partnership have an average time to partner of 3yrs: 50% buy-in 1st yr, 25% 2nd, full 3rd then partner (maybe). Watch for the mills which eat your pay for 2-3 yrs then cut you loose prior to partner; Remember there's 7 graduating classes of eager recruits each year who just have to stay in Chicago due to lifestyle or spousal demands. Many groups in the city don't even offer partnership anymore and only salary- you'll be working to pay the old partners. In the past two years even many academic jobs dried up due to the economic downturn. Most of the private groups were not hiring unless fellowship trained- pediatric colleagues had the most luck, even cardiac was not providing as much of an advantage.
Having lived and trained in Chicago, the cost of living is too high for me, compensation too low, partnership track too long, malpractice too costly, traffic too time wasting to compensate for the benefits of culture, recreation and food in Chicago. Additionally, if you're living in the burbs at least an hour away for the plum jobs, you're not gonna spend the majority of your time enjoying the benefits of downtown Chitown anyways. Working in WI or IA and living in Chicago? Wasting 2hrs of my life in traffic each day? My current commute to all my various workplaces is 5-15 minutes (shortest to longest commute) now, even in the heaviest traffic. That equals more life lived for me.
They won't be....prepare accordingly.you're absolutely spot on about the partner mills and 4 weeks vacation, competition, all that. suburbs definitely have better gigs than the city does. where my family lives in indiana we are about ~ 30 miles from downtown chicago, just across the border, and compensation/vacation is very good. (closer to 8 weeks. not great, but not 4 either. )
but then again, not everyone is up for a 45 minute commute every day, and it gets sticky on call days. plus, indiana kinda sucks big time.
i'm born and bred from around chicago ,and though i love this city, some of the offers from the bufu towns out in cali, florida, and texas are just too tempting to look away. hopefully they are still there in 6+ years . :-/