Future of ENT

[kenshinoro2009]

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How saturated do you think the market is... I know Optho is crazy saturated in desireable locations (i.e. Cali). How is ENT. What is salary 1st year and 5 years out typically. Thanks!

 

[forbin]

I am still a resident, so take this with a grain of salt... Overall, from what I've heard, the market is excellent for ENTs practically everywhere. Recent graduates from my program (which is not "elite") have had their pick of practices to join. You will generally make less money starting out at more desireable practices/locations (i.e. $125-175K/yr). The advertisements you may see for starting salarys of $300-400K/yr usually have disadvantages (i.e. rural, etc.) An established partner in a general ENT private practice will make $250-300K/year or more (sometimes much more) depending on productivity/work ethic/business savvy/etc. These numbers will probably vary depending on area of the country, type of practice, etc. Academic ENTs will probably make somewhat less than established private practice ENTs, but the difference is not what it used to be.

Would be interesting to hear the take of some of the attendings on this board.

How saturated do you think the market is... I know Optho is crazy saturated in desireable locations (i.e. Cali). How is ENT. What is salary 1st year and 5 years out typically. Thanks!

 

[resxn]

I think forbin was pretty accurate. American Academy of Otolaryngology Administrators (AAOA) says this about avg income in 2006 (the latest year for which data is available):

Annual Gross Receipts per Physician in the following situations:
Avg across All Categories: $771K
Academic: $503K
Private: $815K
General ENT: $791K
all other categories broken down, too many to list

Overhead in each situation:
Avg of all categories: 52.5%
Academic: 37.6%
Private: 54.3%
Multi-specialty Group: 52.4%
Singe-specialty Group: 51.8%
Solo Practice: 75.2%

I'm not sure what the "solo" one is all about. I'm solo (for another 2 weeks anyway) and my overhead is 48% so go figure. My future partner who is also currently solo is 51%. A doc down the road also solo is 52%. If your overhead is over 55% Karen Zupko says you need to do better business. I agree, so I would think that number might be wrong.

Hope that helps some.

 

[bronx43]

I am still a resident, so take this with a grain of salt... Overall, from what I've heard, the market is excellent for ENTs practically everywhere. Recent graduates from my program (which is not "elite") have had their pick of practices to join. You will generally make less money starting out at more desireable practices/locations (i.e. $125-175K/yr). The advertisements you may see for starting salarys of $300-400K/yr usually have disadvantages (i.e. rural, etc.) An established partner in a general ENT private practice will make $250-300K/year or more (sometimes much more) depending on productivity/work ethic/business savvy/etc. These numbers will probably vary depending on area of the country, type of practice, etc. Academic ENTs will probably make somewhat less than established private practice ENTs, but the difference is not what it used to be.

Would be interesting to hear the take of some of the attendings on this board.

Yikes! $125K-175K and $300-400K is a huge difference. But, being in a better location is worth the paycut.
BTW, are you sure about the $250-300K as an established partner in a practice? Other sources cite $300-350K as an average.

 

[resxn]

Yikes! $125K-175K and $300-400K is a huge difference. But, being in a better location is worth the paycut.
BTW, are you sure about the $250-300K as an established partner in a practice? Other sources cite $300-350K as an average.

Look at my figures above. Take the situation you're considering and multiply it by the overhead and subtract that from the gross. If you went with averages ($771K gross receipts) by the average overhead (52.5%) you get the average take home before taxes: $366K.

The numbers above give you lots of ways to dissect the details of what one can make in a number of given circumstances.

Personally, that seems a little high to me for the avg, but these are numbers being reported from surveys. Some people need to report a higher gross receipt and lower overhead to make them "feel" better about themselves. Maybe this is inflated by 10%.

 

[TheThroat]

Look at my figures above. Take the situation you're considering and multiply it by the overhead and subtract that from the gross. If you went with averages ($771K gross receipts) by the average overhead (52.5%) you get the average take home before taxes: $366K.

The numbers above give you lots of ways to dissect the details of what one can make in a number of given circumstances.

Personally, that seems a little high to me for the avg, but these are numbers being reported from surveys. Some people need to report a higher gross receipt and lower overhead to make them "feel" better about themselves. Maybe this is inflated by 10%.

Seems higher than what I see in the Bulletin, but those numbers may be brought down by factoring in Academic salaries as well.