Endocrinology private practice $ (weight loss/TRT clinic)

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executivewaffle

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I'm a 3rd year medical student. I'm interested in endocrinology. I am fascinated by diabetes, insulin, thyroid issues, constitutional growth delay, growth hormone, TRT, SARMs, anabolic steroids, Cushing's, osteoporosis, CAIS, 5-alpha-reductase deficiency, ovarian insufficiency, acromegaly, and so on. However, from what I've found the compensation for the extra 2-3 years of training does not seem commensurate. I was thinking of opening a clinic for managing diabetes, weight loss, TRT, etc. and was wondering what the money was like for anyone who's gone this route. Also, has anyone done this on top of hospitalist work? Thanks.

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Also, is it worth doing the fellowship if I'm going to do something like a diabetes/weight loss/TRT clinic or should I just go straight IM/family med and do the same thing?
 
You're basically describing PCP bread and butter for the private practice idea. Just do FM or IM with some Endo electives tbh.

If you're really wanting to do the rarer stuff, do the fellowship.
 
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Dime a dozen in the places where there is money to be made. You likely wouldn’t be able to compete in these areas. In the places where there’s a need for it, most are on Medicare or medicaid which wouldn’t even pay enough to cover overhead
 
However, from what I've found the compensation for the extra 2-3 years of training does not seem commensurate.
Fellowship allows for one of two things: much higher pay from specialty training, or not higher pay but the ability to see only your patient population of interest. I'm not going to comment on specifically IM fellowships, but consider that doing a fellowship in X and saying "I want to only see X patients" (or "I want 3 days of X, I'll do one day of general clinic") is marketable.

Also, has anyone done this on top of hospitalist work? Thanks.
If you want to be a hospitalist, youre subspecialty training will be secondary. It is unlikely (but not impossible) a private practice will hire you to do a good proportion of both, unless you are willing to work a lot. If you want to do academics, that is a possibility.

You can very likely find a job where you cover the hospital a week or two a month and have several days of clinic/week on your off weeks, and will make a lot, but you will quickly get burned out. My colleagues who do this are outpatient doctors who cover inpatient a few weeks/year and cancel their clinics those weeks.
 
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