Ok...I've been doing some math and I can't figure out where $100,000 has went... It's been my understanding that EM docs make about $200,000 a year. However, it's also been mentioned here that they make $120 an hour. Here's my math...12 hour shifts, 4 times a week, 52 times a year, at $120 an hour comes out to about 300,000 bucks. So we're missing 100 grand. Where does my math not work out? Do EM physicians not work 4 shifts of 12 hours? Do they get a lot of vacation? What's the deal?