do yoy put your head on the sand with regards to the cost of getting the MD ?

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$600k is not median in any specialty and you are either being obtuse or naive to keep going back to that. You likely won't be getting that. But even if you hit the lottery and do, you are doing a big disservice to other people on SDN who might get suckered into thinking this is even a realistic number.

isn't median for neurosurgery $700k?

source: http://residency.wustl.edu/Choosing/SpecDesc/Pages/Neurosurgery.aspx

also, ortho is 520k

http://residency.wustl.edu/Choosing/SpecDesc/Pages/Orthopedic Surgery.aspx
 
No. The last medscape survey lists ortho with a much lower figure than you are quoting. I would use that survey as a more conservative and probably more factual starting point. You guys need to come back to reality. For every dozen people who read this thread, ten will earn close to $200k. Two will be the outliers you guys seem to want to peg as "normal" salaries. Whatever.
 
God forbid any of you actually decide during residency that you actually like academics! I didn't think I would when I was a premed, but I loved the atmosphere (tertiary care type cases! teaching med students and residents! being academically productive!) Then you'll have a peon salary under 200,000 like me. But guess what, I'm still paying off my 250,000 worth of loans (over 10 years I might add), driving a new car (a super fancy Honda Civic, ha!), going on 2x vacations a year, and about to buy a house on the east coast.
 
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