But isn’t Acep our lord and savior? Did they forget to save us here?
Not if we don't vote in the right people or push them away from corporate overlords.
ACEP swears they matter and help. Unless the news is bad then it’s not their fault. It’s the most pathetic organization in medicine and that’s saying a lot.
There is a degree of panache of being an academic. It’s hilarious the jobs people will take to “do academics”. The pay is so atrocious I don’t understand how an otherwise intelligent doc can take that job. It’s not all about the money but usually the pay sucks, the system. Sucks, the hours suck and you are always a pawn for the admin kings in academics.
Deep regret not doing psych. I should’ve gone with my gut and not my ego!
And how does that make you feel?
Isn’t that roughly and essentially just $4M FIRE?
I’m not sure how much I identify solely as a physician any more. It’s been a substantial part of my life and was more important to me during college, medical school, residency and immediately after. As time goes by though, it becomes a smaller part of my identity compared to family and everything else.
Many of those specialties are many times hospital employed and/or have other avenues for ancillary income.
I can speak to pain med which can likely be extrapolated to all procedure based specialities. It's all about the facility fees. Don't quote me on exact numbers but hospitals get paid over $500 for Medicare (and more for commercial insurance) for an epidural which takes 5-10 minutes and limited supplies. Also, the downstream revenue I create for ordering MRIs in house is a big moneymaker. I don't collect any part of that specifically but it's baked into the $/RVU they pay me. They are making such a huge margin off our labor that there's always room to increase for cost of living.
In primary care we do see the lower RVU value but larger quality incentives. Plus Medicare has invented a new code for chronic disease management. Its only 0.25 wRVUs but I bet 2/3rds of my patients qualify. So we're talking an extra 100ish wRVUs per month.
It isn't gaslighting when it's somebody's own opinion. To counter your point and raise discussion, there are a lot of other jobs that work nights, weekends, and holidays and pay much, much less than EM. From a risk standpoint, what's the true risk that a lawsuit is going to go above your malpractice limits? About as close to zero as it gets. That is looking at risk from only a financial standpoint and doesn't take into account the emotional and mental toll of being sued which are very real effects.
Comparing us to other jobs isn’t what keeps rates depressed. Compensation is ultimately tied to reimbursement. Lobbyists and the government are what ultimately keep rates depressed along with all the new residencies.
Ah yes, ACEP. The devil we know.
I guess as long as you aren’t comparing yourselves to other workers then compensation won’t be depressed.
Definitely didn't mean to "gaslight" you (hasn't that become such a cliche term over the past few years among the easily offended, though?)
www.medpagetoday.com
With all due respect, salaries in medicine have not kept up at all. My ex-girlfriend is 22 and works as a financial analyst for a mid company where she already makes 175k. This is not uncommon. In five years, she will make more than most physicians aside from the impossibly competitive specialties. All with no debt, no opportunity cost, free food at work (meanwhile residents at my med school get yelled at for taking saltines and ginger ale lmao)
I think your entire world is a little bit skewed. Could compensation in medicine be better? Absolutely. Is there an easy solution to make it better? No, because there is too much out of our control. We can't control the insurance lobbies, we can't control reimbursement, SDGs are typically reliant on one hospital system, etc. The jobs you mention are the exception and not the rule. In general, many jobs that pay comparably to physicians typically come with more hours, stress (I get it, it isn't life or death situations, but I have non-medicine friends much more stressed at their jobs than me), job instability, and on and on. I guess you could counter with many tech jobs in the Bay Area but those aren't the norm.
Actually pretty easy through unionizing. How do you think nurses and cops in NYC make 200k per year, probably more than the average pediatrician in NYC
Who are you going to unionize against? Insurance companies and the government? Do you think they're going to care? The government could just not give you a license or DEA. The insurance companies couldn't care less. Police can unionize against a city. Nurse can unionize against hospitals. It isn't so easy for physicians who aren't employed.
