EM after fifty

[emergentmd]

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The math doesn't make sense to me. How can you possibly be bringing in this much money per patient to earn this much per shift.

How much do you think the average American makes? I assume it's between 30-40k.

4k/24hr shift puts you right at 50K - alittle over the typical american yearly salary

How much do you think a FSED or hospital ER make per insured patient? That should answer your question.

 

[KGflyboy]

4k/24hr shift puts you right at 50K - alittle over the typical american yearly salary

How much do you think a FSED or hospital ER make per insured patient? That should answer your question.

Right... That makes sense. Your original post said you make more in "one shift." I thought you were were implying you make tens of thousands of dollars in "one shift." I'm too literal.

I see now you were adding up how much you would earn by doing one shift per month for an entire year. That math is easier to follow.

 

[Newyawk]

Kinda unrelated Q but since i have so many real em guys here i might as well ask: whats the deal with malpractice insurance? Average cost? Is it paid off for you if youre a hospital employee? Is the average EM income reported before mal insurance or is it factored in as an expense?

 

[The White Coat Investor]

Kinda unrelated Q but since i have so many real em guys here i might as well ask: whats the deal with malpractice insurance? Average cost? Is it paid off for you if youre a hospital employee? Is the average EM income reported before mal insurance or is it factored in as an expense?

$15-20K/year. Yes. Depends, probably usually reported after malpractice.

 

[deleted109597]

Kinda unrelated Q but since i have so many real em guys here i might as well ask: whats the deal with malpractice insurance? Average cost? Is it paid off for you if youre a hospital employee? Is the average EM income reported before mal insurance or is it factored in as an expense?

It's usually rolled into the costs of every job.
Location dependent rates though. You can buy medmal for $5K in Texas.

 

[CajunMedic]

I decided on EM much later in life. I'll be graduating residency at 45 with what little, if any I have saved. I figure I'll grind as long as I can to pay the student loans, and consumer debt off. I've thought of getting back in the Reserves and finishing out a DOD retirement (I've got 10 good years in). I figure I've got 10-15 good working years ahead and I'll start tapering down or working at Podunk General Hospital, Airport, Hair Care, Tire Center, and Crawfish Hut.

- Right now, I'm just sweating the 1st student loan payment in November.

 

[miacomet]

I decided on EM much later in life. I'll be graduating residency at 45 with what little, if any I have saved. I figure I'll grind as long as I can to pay the student loans, and consumer debt off. I've thought of getting back in the Reserves and finishing out a DOD retirement (I've got 10 good years in). I figure I've got 10-15 good working years ahead and I'll start tapering down or working at Podunk General Hospital, Airport, Hair Care, Tire Center, and Crawfish Hut.

- Right now, I'm just sweating the 1st student loan payment in November.

Wow, and I thought I was crazy for starting EM at 35. A decade plus later and I am so ready to be done.

 

[namethatsmell]

I've thought of getting back in the Reserves and finishing out a DOD retirement (I've got 10 good years in).

How many years would you need to be in the reserves to qualify for fed retirement? Thanks for serving.

 

[CajunMedic]

How many years would you need to be in the reserves to qualify for fed retirement? Thanks for serving.

Thanks for the support. Since I have 10 creditable years in, I should only need 10 more and can collect it at 60.

 

[deleted497653]

Thanks for the support. Since I have 10 creditable years in, I should only need 10 more and can collect it at 60.

would working at a VA qualify?

Also second question, if you collect early at 60 with the fed do you collect less per month?

 

[namethatsmell]

Thanks for the support. Since I have 10 creditable years in, I should only need 10 more and can collect it at 60.

If you have any interest in still serving, qualifying for a pension after only 10 years could be a decent deal. Hard to know without the numbers, but I'm sure that won't be your main deciding factor anyway. Good luck.

 

[miacomet]

I know Bird is super happy with his Pain gig and Christimi (sp) is happy in HPM, but I'd love to hear from any docs who have transitioned to occupational medicine or sports medicine, and what they think about the fellowships, their practice, their reimbursement, and their quality of life. Thanks for EVERYONE'S responses.

 

[RustedFox]

I know Bird is super happy with his Pain gig and Christimi (sp) is happy in HPM, but I'd love to hear from any docs who have transitioned to occupational medicine or sports medicine, and what they think about the fellowships, their practice, their reimbursement, and their quality of life. Thanks for EVERYONE'S responses.

They're too busy not being on SDN.