FM salary

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honeyroastednuts

honeyroastednuts

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how much truth is there to those claiming that FM physicians on average take home 250k?
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Not FM, but I know of IM position in desirable central HCOL areas that pay 220k. I wouldn't be suprised if FM isn't far off or even higher in less desirable or rural areas.
 
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NecFasc92 said:
I know, personally, multiple FM docs making much more than 600 and they aren’t doing shady crap like pill box dude above
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It's a versatile field with a lot of options. And in medicine (unlike other careers), you can easily work more hours doing additional stuff. And, dare I say in 2018 - start your own private practice. The level of business acumen needed to succeed in medicine is not that high compared to other industries, in fact it's extremely low in relative comparison. But a private practice lets you market as you wish and bill those high numbers.
 
I know docs who work in an HMO practice an hour outside of an urban center and they work 9-4 with every seventh week rounding on hospital pts and their own rehab pts (but no appts that week) plus night calls making $250K and up.
 
katiemaude said:
I know docs who work in an HMO practice an hour outside of an urban center and they work 9-4 with every seventh week rounding on hospital pts and their own rehab pts (but no appts that week) plus night calls making $250K and up.
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They're working too hard for that.

Looking at our year end numbers, of the 8 full time FPs in my group who have been here more than 1 year and no extended absence (one of our highest performers got cancer and so was out for 2 months and part time 1 month after that and still managed 215k). The lowest income on the year is 225k. The highest is 440k. The majority are between that 225k and around 300k. That's for M-F 8-5, phone call only twice a month. No rounding, no rehab, usually holidays and pretty much everyone takes a couple weeks vacation here and there.
 
MedicineZ0Z said:
It's a versatile field with a lot of options. And in medicine (unlike other careers), you can easily work more hours doing additional stuff. And, dare I say in 2018 - start your own private practice. The level of business acumen needed to succeed in medicine is not that high compared to other industries, in fact it's extremely low in relative comparison. But a private practice lets you market as you wish and bill those high numbers.
Click to expand...

Yeah, I would say a FM clinic start up is much more feasible in this day and age than a subspecialty startup... not a ton of office equipment and overhead necessary

I know a couple FM folks and outpatient IM folks making 250k+
 
I know residents personally who have signed contracts already for jobs making 250k - 300k. I’ve had friends get offered 350k starting but not take the job because it isn’t 8-5.


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VA Hopeful Dr said:
They're working too hard for that.

Looking at our year end numbers, of the 8 full time FPs in my group who have been here more than 1 year and no extended absence (one of our highest performers got cancer and so was out for 2 months and part time 1 month after that and still managed 215k). The lowest income on the year is 225k. The highest is 440k. The majority are between that 225k and around 300k. That's for M-F 8-5, phone call only twice a month. No rounding, no rehab, usually holidays and pretty much everyone takes a couple weeks vacation here and there.
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LET ME COME WORK WITH YOU IN 5 YEARS!

I WILL BE THE DWIGHT SCHRUTE TO YOUR MICHAEL SCOTT!

I PROMISE!

THE WORLD CHICO...

AND EVERYTHING IN IT!
 
Mona nucleosis said:
The median is ~230k if you average all the sources. If you want money, it's not the field to go into. It's literally the second lowest paying field in medicine.
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I think median salaries are a bit deceptive. Considering the median amount of hours worked per year vs something like a surgical sub specialty. If a FM doc worked the hours vascular surgery works, the median salaries would be quite different.
 
Mona nucleosis said:
The median is ~230k if you average all the sources. If you want money, it's not the field to go into. It's literally the second lowest paying field in medicine.
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I know almost no full time FPs making less than 250.

Besides, the trade off is no nights, no weekends, no holidays, no hospital anything, bankers hours.

I'll gladly take less money for that.
 
Mona nucleosis said:
I'll say it again, second lowest paid field in medicine. The numbers from MGMA, cejka, doximity, etc aren't in a massive conspiracy to specifically drag FM down.

And your hours are nothing special.
https://jamanetwork.com/data/journals/intemed/22518/ild15019f1.png

Nobody with options actually goes into FM lol
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Not a conspiracy no, but let's look at some of that data shall we?

For the most recent Medscape survey, 3200 FPs responded. There are over 130,000 practicing FPs in the US. A 2.5% response rate isn't very good. I'm much more likely to believe the actual salary figures I see every week.

And even if we were to take Medscape's word for it, FM is actually 4th lowest not 2nd lowest.
 
DrGoon said:
he makes bank though
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So do drug lords. Not sure why you're praising a person with no conscience.

Mona nucleosis said:
And most specialists make 400-500k living in urban areas working one regular 9-5 job.
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That's a myth. Most specialists are not making half a million dollars for 9-5 jobs.
 
n = 4. These are buddies from my program who went through FM. 2 took a job at urgent care making $225K doing 36 hours a week and one weekend a month. 2 took a job as a hospitalist in a rural area critical access hospital (<30 inpatient beds, no ICU, 2 bed ED) and make $365K going one week on and one week off. But it's 7 straight days where you can be called about anything and everything. The caveat is that you can always transfer stuff out. The main reason for this kind of money is that the flagship hospital was apparently burning through millions of dollars a year for things like "chest pain rule out" and "shortness of breath" that could easily be observed in a small hospital if there was staff available. Apparently jobs like this aren't that rare if you're willing to go to a less than desirable area and are looking for a quieter pace of life.
 
TypeADissection said:
n = 4. These are buddies from my program who went through FM. 2 took a job at urgent care making $225K doing 36 hours a week and one weekend a month. 2 took a job as a hospitalist in a rural area critical access hospital (<30 inpatient beds, no ICU, 2 bed ED) and make $365K going one week on and one week off. But it's 7 straight days where you can be called about anything and everything. The caveat is that you can always transfer stuff out. The main reason for this kind of money is that the flagship hospital was apparently burning through millions of dollars a year for things like "chest pain rule out" and "shortness of breath" that could easily be observed in a small hospital if there was staff available. Apparently jobs like this aren't that rare if you're willing to go to a less than desirable area and are looking for a quieter pace of life.
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Good God I hope this is true in 5 years when I'll be finishing residency. I came to medical school to do rural family medicine precisely because I DON'T want to live in "desirable" areas - been there done that, and it sucks the soul out of you. I'll turn cartwheels through cornfields if I can work 7on/7off in a rural hospital for north of 300k
 
Make Or Break said:
Hospitalist 350k+ earning potential in Iowa - Sioux City, IA 51104 - Indeed.com

Accepts both IM and FM. The jobs are out there. This is for working 14 12’s.


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  • “Average Census 16-19 per day (Winters are busy, Summers are light). Only day coverage. No Nights (NPs cover nights). Night MD Backup coverage approximately 2 nights every month.”


Sad. Is this because patients don’t get sick at night? If the NPs are good enough to cover nights, they are good enough to cover days. We are our own worst enemy.
 
nimbus said:
  • “Average Census 16-19 per day (Winters are busy, Summers are light). Only day coverage. No Nights (NPs cover nights). Night MD Backup coverage approximately 2 nights every month.”

Sad. Is this because patients don’t get sick at night? If the NPs are good enough to cover nights, they are good enough to cover days. We are our own worst enemy.
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And the job is $300k not $350
 
They don't think theyre working too hard. They come in at 9 for meetings and such, but only see patients from 10-12 and 1-4. The most patients I ever witnessed was 12 in a day. On the 1 of 7 weeks that they round, they don't have office hours and they're usually home by 4 anyway. They do a ton of procedures and enjoy it. The lowest paid one makes 250K. The ones who have been around 8-10 years own a part of the practice so God only knows how much they bring in.... the founding partner is a millionaire many times over. He has recruited well established docs from other states. They practice excellent medicine. FM can be great, even if it’s not your first choice.

QUOTE="VA Hopeful Dr, post: 20579730, member: 49331"]They're working too hard for that.

Looking at our year end numbers, of the 8 full time FPs in my group who have been here more than 1 year and no extended absence (one of our highest performers got cancer and so was out for 2 months and part time 1 month after that and still managed 215k). The lowest income on the year is 225k. The highest is 440k. The majority are between that 225k and around 300k. That's for M-F 8-5, phone call only twice a month. No rounding, no rehab, usually holidays and pretty much everyone takes a couple weeks vacation here and there.[/QUOTE]
 
katiemaude said:
They don't think theyre working too hard. They come in at 9 for meetings and such, but only see patients from 10-12 and 1-4. The most patients I ever witnessed was 12 in a day. On the 1 of 7 weeks that they round, they don't have office hours and they're usually home by 4 anyway. They do a ton of procedures and enjoy it. The lowest paid one makes 250K. The ones who have been around 8-10 years own a part of the practice so God only knows how much they bring in.... the founding partner is a millionaire many times over. He has recruited well established docs from other states. They practice excellent medicine. FM can be great, even if it’s not your first choice.

QUOTE="VA Hopeful Dr, post: 20579730, member: 49331"]They're working too hard for that.

Looking at our year end numbers, of the 8 full time FPs in my group who have been here more than 1 year and no extended absence (one of our highest performers got cancer and so was out for 2 months and part time 1 month after that and still managed 215k). The lowest income on the year is 225k. The highest is 440k. The majority are between that 225k and around 300k. That's for M-F 8-5, phone call only twice a month. No rounding, no rehab, usually holidays and pretty much everyone takes a couple weeks vacation here and there.
Click to expand...
[/QUOTE]

The person making 440K.

How many hours is he/she working a week and how many patients is he/she seeing a day? I assume they are also doing more inpatient and SNF work?
 
sidefx said:
There are lots of specialists earning 400-500k and there are lots working 9-5 jobs, but there are very few doing both...
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If you go to rural America where the only restaurant is KFC and no airport or interstate nearby then you can basically name your own salary and hours.

But there are never any takers and it remains locums land forever.
 

The person making 440K.

How many hours is he/she working a week and how many patients is he/she seeing a day? I assume they are also doing more inpatient and SNF work?[/QUOTE]


Queen: Someone else mentioned the $440K salary but I have no doubt the partners at the practice pull in that much and more. (Let’s just say I know one of them - the founder - has a vanity project that cost a $500K buy in and stood to lose it all but didn’t blink at the “investment.”) The other partners have more admin responsibility and will typically go home at 4 or 5 and then do a couple hours of work when their kids are asleep. It’s still a 35-hr a week workweek on average plus 10-15 hrs admin time. I was seriously considering FM and they got real with me about the figures. It would have been a great lifestyle. The younger docs lived in the city and dealt with the one hour commute. The married ones lived in huge mansions up in nowheresville (still a nice enough place near beaches and within an hour of a major city). If you network in the D.O. FM world especially, it’s very close knit. OMM skills pay well and enhance your value to practices that know how to bill for them. If I didn’t fall in love with another DO-friendly specialty, I would have been ecstatic with a career in FM. As long as you aren’t pining for the OR, it’s a good life.
 
I’ve chatted with a few third year residents that have already signed contracts. Small rural towns within an hour of large metropolis doing 3 clinic days, hospitalist work on the others, and picking up ER shifts at your leisure = $400K+

If you want to be in a big city, your pay will suffer, but if you already know you want to go rural, FM is where it’s at.. big bucks if you do OB work as well
 
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