OK, I hope I'm in the right area, I wanted to post this to residents and attendings b/c I wanted to get a perspective from those who've been out of school a while............ I'm really, really and struggling w/whether or not med school is worth it, by worth it I mean in every way: the financial cost, the rigors of the education process, MOST importantly the extreme tolls residency can take, and, when all is said and done and one's out there making MD $$, the debt and time needed to pay that back.
I'll start out bluntly by saying medicine is not "my dream" or, for me, a "calling". And, frankly when you talk to many docs out there who've been working and are a good 10 or more yrs post res, they will tell you that at the end of they day, medicine is a job. Yes, no arguments from me that it can be a great, rewarding, personally fulfilling job, but when all that new car smell is gone, it's a job. Let me also state that, I was never interested in medicine for money, yes, like everyone I'd like to be paid well, but I originally became interested in med b/c I wanted to work in a capacity that would really stretch every fiber of my being, my intellect, my sense of what it is to be human, sense of community, while also enabling me to do something that, hopefully, resulted in benefit to others. Hey, I liked science and believe in the value of service, so medicine seemed like a great fit.
And now, after all that hard work, I'm admitted to an MD program and I'm looking at a MINIMUM of $300k of debt (at 7.8%--going rate now) when I grad in 4 yrs. Of course, that doesn't include my $65k at 5% I already have. Now, I've used the loan calculator and I"ve crunched some numbers, after a 3 yr residency, that $360K will easily go over $400k from interest alone. Btw, I'm no spring chicken, so I'll be done w/resid at 47yrs, now, realistically, can someone at age 47 pay off a >$400k student loan debt, buy a home, work reasonable hours (say 40-50/wk), and expect to retire before they actually drop dead? I mean, yeah, staying active and working into your golden years is great, but over the age of 65 it's really not going to be feasible to put in 50 hr weeks, not to mention that whole body deterioration thing.
So, I'm asking myself and I guess SDNers out there, is med skool worth it for me? As my user name suggests I'm already an RN, I could become a NP in 2yrs of, IMO really easy classes, and then I could be in a job which would have reasonable hours (40/wk), no debt--as it's easy to work per diem as an RN and go FT to school, and, when done, easily make around $100k. Of course, the thing about me is I LOATHE nursing school and nursing theory is like a hideous joke, it's really the last thing I'd rather study, but then again who wants $400k of debt dancing over their head....
And for those who will tell me about PSLF, IBR, HRSA, and the military, let me just say this, PSLF I'd do in a snap, heck I want to work in community/public health, but I REALLY WORRY about how long the feds will keep the PSLF program afloat when our economy keeps sinking like a stone. They're already chipping away an subsidzd loans, who's to say that shortly after 2017 (the first year people can start cashing in on that loan discharge) the feds wont decide, "oh ****, we really actually do need those indentured servants--I mean student borrowers--to keep paying us back" This student loan debt bubble is going to burst long before I get to the point of being able to even ask for loan discharge.
So, there you have it, I do want to be a doc I'm not a starry eyed pre med, I just want a fulfilling, challenging job, but I also want a life, I want to be able to spend time w/family and friends, to not work insane 50, 60 or 70 hr weeks, I'd like to buy a house and I dont want to have to work myself into a grave. But, knowing what I do, and I think I'm fairly well educated about what the whole process entails, I'm just not sure if the whole darn thing is worth it.....🙁
I'll start out bluntly by saying medicine is not "my dream" or, for me, a "calling". And, frankly when you talk to many docs out there who've been working and are a good 10 or more yrs post res, they will tell you that at the end of they day, medicine is a job. Yes, no arguments from me that it can be a great, rewarding, personally fulfilling job, but when all that new car smell is gone, it's a job. Let me also state that, I was never interested in medicine for money, yes, like everyone I'd like to be paid well, but I originally became interested in med b/c I wanted to work in a capacity that would really stretch every fiber of my being, my intellect, my sense of what it is to be human, sense of community, while also enabling me to do something that, hopefully, resulted in benefit to others. Hey, I liked science and believe in the value of service, so medicine seemed like a great fit.
And now, after all that hard work, I'm admitted to an MD program and I'm looking at a MINIMUM of $300k of debt (at 7.8%--going rate now) when I grad in 4 yrs. Of course, that doesn't include my $65k at 5% I already have. Now, I've used the loan calculator and I"ve crunched some numbers, after a 3 yr residency, that $360K will easily go over $400k from interest alone. Btw, I'm no spring chicken, so I'll be done w/resid at 47yrs, now, realistically, can someone at age 47 pay off a >$400k student loan debt, buy a home, work reasonable hours (say 40-50/wk), and expect to retire before they actually drop dead? I mean, yeah, staying active and working into your golden years is great, but over the age of 65 it's really not going to be feasible to put in 50 hr weeks, not to mention that whole body deterioration thing.
So, I'm asking myself and I guess SDNers out there, is med skool worth it for me? As my user name suggests I'm already an RN, I could become a NP in 2yrs of, IMO really easy classes, and then I could be in a job which would have reasonable hours (40/wk), no debt--as it's easy to work per diem as an RN and go FT to school, and, when done, easily make around $100k. Of course, the thing about me is I LOATHE nursing school and nursing theory is like a hideous joke, it's really the last thing I'd rather study, but then again who wants $400k of debt dancing over their head....
And for those who will tell me about PSLF, IBR, HRSA, and the military, let me just say this, PSLF I'd do in a snap, heck I want to work in community/public health, but I REALLY WORRY about how long the feds will keep the PSLF program afloat when our economy keeps sinking like a stone. They're already chipping away an subsidzd loans, who's to say that shortly after 2017 (the first year people can start cashing in on that loan discharge) the feds wont decide, "oh ****, we really actually do need those indentured servants--I mean student borrowers--to keep paying us back" This student loan debt bubble is going to burst long before I get to the point of being able to even ask for loan discharge.
So, there you have it, I do want to be a doc I'm not a starry eyed pre med, I just want a fulfilling, challenging job, but I also want a life, I want to be able to spend time w/family and friends, to not work insane 50, 60 or 70 hr weeks, I'd like to buy a house and I dont want to have to work myself into a grave. But, knowing what I do, and I think I'm fairly well educated about what the whole process entails, I'm just not sure if the whole darn thing is worth it.....🙁