DrRealistic
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Time Spent Becoming a Doctor
1: Bachelor’s Degree
• 40 hours/week
• 40 weeks/year
• 4 years
= 6,400 hours (to be a competitive candidate for medical school, this number is likely much higher in actuality)
2: Medical School
• 80 hours/week (that’s 2 full-time jobs)
• 48/weeks/year
• 4 years
= 15,360 hours
3: Residency
• 80 hours/week (that’s 2 full-time jobs)
• 50 weeks/year
• 3 years minimum up to 7 years (the first year is known as an internship)
= 12,000 – 28,000 hours
Residencies vary in length depending on the specialty
4: US Medical Licensing Exam
Pass all three parts of the US Medical Licensing Exam (USMLE)
5: Board Certified Specialist
Some additional steps and training are required to become board certified in a specialty.
For instance, to become…
A doctor in internal medicine you must:
• Graduate college with a Bachelor’s degree
• Graduate from medical school
• Pass all three USMLEs
• Take part in a 3-yr residency program
• Pass an internal medicine board exam
Total training/study time: 33,760 hours
A doctor in thoracic surgery you must:
• Graduate college with a Bachelor’s degree
• Graduate from medical school
• Pass all three USMLEs
• Take part in a 5-yr general surgery residency
• Take part in a 2-yr thoracic surgery fellowship
• Pass a thoracic surgery board exam
Total training/study time: 49,760 hours
Doctors spend an average of 40,000 hours training. That’s equivalent to 20 years of full-time work.
For the rest of their career, doctors work an average of 59.6 hours/week.
The average doctor’s career ends at 65. If they finish their residency at 29, they’ll spend 36 years working almost 1 ½ times more than most other Americans.
In other words, it would normally take 54 years to do the work that doctors do in 36.
Money Spent Becoming a Doctor
Undergraduate Student Budget
• Public schools: $22,826/year [formerly $19,338]
• Private schools: $44,750/year [formerly $39,028]
Average medical 4-year undergraduate student loan debt: $100,000
Medical School Student Budget
• Public medical school: $32,993/year [formerly $24,384]
• Private medical schools: $52,456/year [formerly $43,002]
(not include rent, utilities, food, transportation, health insurance, books, professional attire, licensing exam fees, or residency interview expenses)
Average 4-year medical school student loan debt: $200,000
Doctors often graduate medical school with well over $300,000 of student loan debt.

Residency
It would cost a doctor $1,753 per month ($21,037 yearly) just to pay the interest on a $300,000 loan. That’s almost half of a doctors average net residency income of $50,000.
So, for a doctor practicing internal medicine to forbear a $300,000 loan for three years during residency, then repay that loan for 20 years, it would result in an overall loan cost of $687,360. That’s $34,368 per year for 20 years.
Career
U.S. tax code allows deductions of up to $2,500 per year for student loan repayment—but that phases out for incomes between $115,000 and $145,000.
The average US doctor’s salary: $202,948
The average net income after a 28% federal tax rate: $146,123
After non-deductible student loan payments: $111,755
Lifetime Adjusted Net Hourly Wage
To determine a doctors’ overall lifetime hourly wage:
Find their lifetime net income:
(Net Annual Income * Years Worked) + (Residency Income* Years in Residency) – (Student Loan Debt)
• Take the average net annual income ($146,123) and multiply by the average number years worked (36) = $5,260,428
• Add the average net residency income ($50,000) and multiply by the number of residency years (3) = $150,000
• Subtract the total average cost of student debt = $687,360
• Lifetime net income = $4,723,068
Find their lifetime hours worked:
(Average Hours Worked Per Week x Weeks Worked Per Year x Years Worked) + (Hours Spent Training)
• Take the average number of hours worked per week (59.6)
• multiplied by the average number weeks worked per year (48)
• multiplied by the average number of years worked (36)
• Then add the total number of hours spent training (40,000)
• Lifetime hours worked = 142,989
Divide lifetime net income by lifetime hours worked = $33.03 per hour
– Compared to the average high school teacher –
Find their lifetime net income:
(Net Annual Income * Years Worked) + ( Net Pension Income* Years Received) – (Student Loan Debt)
• Take the average net annual income ($47,113) and multiply by the average number years worked (43) = $2,025,859
• Add the average net pension income ($35,507) and multiply by the average number of years received (15) = $532,605
• Subtract the average cost of student debt = $186,072
• Lifetime net income = $2,372,392
Find their lifetime hours worked:
(Average Hours Worked Per Week x Weeks Worked Per Year x Years Worked) + (Hours Spent Training)
• Take the average number of hours worked per week (40)
• multiplied by the average number weeks worked per year (38)
• multiplied by the average number number of years worked (43)
• Then add the total number of hours spent training (6,400)
• Lifetime hours worked = 71,760
Divide lifetime net income by lifetime hours worked = $33.06 per hour… about an apple a day more than a doctor.