My understanding is that the training is much shorter and less expensive and this is more convenient for a lot of people...I've heard this is one of the reasons.
as a pa you are not limited to 1 specialty like an md. you can do fp for a yr then do peds for 3 yrs then neurology, etcNRAI2001 said:I always wondered, why do people become PA's when it seems like they re just doing everything the physician does, and probably more of the dirty work that he doesn't want to handle? I m sure there are some reasons? Don't mean to flame, just wondering?
emedpa said:as a pa you are not limited to 1 specialty like an md. you can do fp for a yr then do peds for 3 yrs then neurology, etc
we receive generalist training that is rapidly adaptable to any field with a bit of study and on the job training/direction from an md specialist.pa's practice in every medical and surgical subspecialty and can work themselves into a top position in any field in only a few years and change specialties as often as desired.
also the money isn't bad. a good ortho/surgical/er pa makes over 125k/yr with significantly fewer loans to pay back than an md.
went sailing last week with 2 friends, a pa and a doc. the pa owned the boat(34 ft/ $140k sailboat and arrived in a bmw(new 3 series). the doc arrived in his 10 yr old honda.......still paying off his loans......
emedpa said:as a pa you are not limited to 1 specialty like an md. you can do fp for a yr then do peds for 3 yrs then neurology, etc
we receive generalist training that is rapidly adaptable to any field with a bit of study and on the job training/direction from an md specialist.pa's practice in every medical and surgical subspecialty and can work themselves into a top position in any field in only a few years and change specialties as often as desired.
also the money isn't bad. a good ortho/surgical/er pa makes over 125k/yr with significantly fewer loans to pay back than an md.
went sailing last week with 2 friends, a pa and a doc. the pa owned the boat(34 ft/ $140k sailboat and arrived in a bmw(new 3 series). the doc arrived in his 10 yr old honda.......still paying off his loans......
espbeliever said:ok, so ive done a ton of number crunching and im coming down to some fine points to dictate things:
1) how much of the local population would you see as an fp on ave? approx 5-10% ?? more?? less??
2) how much face time does the average patient get with docs? with nurses?
3) approx how much that is billed is recovered?? 60-70%?? more??
sorry... im a number crunching fool.
skypilot said:Just stay away from Enron, internet stocks, and the like. I stick by what I said although I see your point. It is possible to have a negative return in the stock market or the real estate market. I have seen it plenty of times. Doesn't seem possible but it is!
skypilot said:When the investment balance is greater than the loan balance you will finally have a positive net worth. That is a good thing to have.
bigeyedfish said:Sure postive net worth is good, but I wouldn't focus on it like it's a huge milestone. In fact with the loans we have access to, I wouldn't even think twice about it. I'd rather have more money invested sooner, than have a positive net worth sooner.
For example: If you concentrate on investing rather than paying off loans, it is reasonable that in a few years you could have 168k invested. Figuring a 6% return, (pretty conservitive over a 30 year period. The historical return on being broadly invested in the stock market is 10%, and figuring in the recent changes, it's 11.5%. There is no 20 period in history where the market lost money,) after 30 years you'll have over a million dollars. That's without adding a penny to it for 30 years.
Say you concentrate on paying the balance of the loan and don't get that same amount, 168k invested until 4 years later. The same amount over 26 years at the same rate will only earn you about 750k. In that example. getting in the game 4 years later because you want to pay your loans off early is costing you a quarter of a million bucks.
corpsmanUP said:The average physician will make 40% more over a lifetime than a PA, most certainly a conservative estimate. An average PA across all specialties makes about 80K per year. An average physician across all specialties makes about 210K per year. That 250K you are saying the doc lost can easily be made up in a few years.
bigeyedfish said:Huh? Where did I talk about PA's?
emedpa said:if as a solo fp you see a lot of medicare and hmo pts you are not making 80/hr you are making what they think your time is worth. so if they pay 40 dollars for a complete h+p and want 20 worth of labwork( say dip urine and cbc) to go with it you make 20 bucks for a complete h+p on a new pt that takes you an hour. you also have to pay your receptionist, medical asst or rn and coder for that hr in addition to other overhead like rent, electricity, etc. .... I just made those #s up but you get the idea.....
money in fp is made either with procedures, high volume, use of midlevels or a combination of the above. much easier in a group practice than as a solo guy also.....
corpsmanUP said:Physicians in fact make much less than most business professionals but yet still are respected by and large more than they.
novacek88 said:WRONG
Unless you are speaking in reference to CEO's of Fortune 500 companies, Investment Bankers who have reached the VP level and partners (not associates) in consulting firms, (which make less than 1 percent of all business professionals), most business professionals earn far less than doctors. In fact, physicians, still on average, earn more than any other profession, which include lawyers, accountants, bankers etc. It's funny how physicians think all these "Wall-Street guys just make millions and that they could have been one of them had they chosen not to pursue medicine." It's a myth
Lee Burnett said:I'm in a 4-physician group practice. We each see 4-5 patients an hour. We take HMO, PPO, and Medicare. The work environment is fun and relaxed, the work hours are never more than 8 a day, and none of us do hospital work anymore (which is fine, I hate driving 30 minutes to the hospital at 1 AM for an ICU admit).
The 120K/year figure is just not right. Perhaps that number is from old data, or from offices with docs that don't know how to capture charges properly, or from offices that don't bill insurance correctly?
Whatever.
Don't expect to make an orthopod's income. But don't think FM is a low-paid profession either. I feel the amount I make is appropriate for the amount I work. Plus I get enough free time to work on other projects (i.e. SDN) and spend plenty of time with my family.
Lee Burnett said:I'm in a 4-physician group practice. We each see 4-5 patients an hour. We take HMO, PPO, and Medicare. The work environment is fun and relaxed, the work hours are never more than 8 a day, and none of us do hospital work anymore (which is fine, I hate driving 30 minutes to the hospital at 1 AM for an ICU admit).
The 120K/year figure is just not right. Perhaps that number is from old data, or from offices with docs that don't know how to capture charges properly, or from offices that don't bill insurance correctly?
Whatever.
Don't expect to make an orthopod's income. But don't think FM is a low-paid profession either. I feel the amount I make is appropriate for the amount I work. Plus I get enough free time to work on other projects (i.e. SDN) and spend plenty of time with my family.
novacek88 said:WRONG
Unless you are speaking in reference to CEO's of Fortune 500 companies, Investment Bankers who have reached the VP level and partners (not associates) in consulting firms, (which make less than 1 percent of all business professionals), most business professionals earn far less than doctors. In fact, physicians, still on average, earn more than any other profession, which include lawyers, accountants, bankers etc. It's funny how physicians think all these "Wall-Street guys just make millions and that they could have been one of them had they chosen not to pursue medicine." It's a myth
curious1 said:Ummm that's not true in my experience. My buddies who went to law school when I went to medical school all started at $120k. One fellow started at $140k. Plus lots of nice perks (401k match and free child care and free loans for home purchases). Plus a bonus of 20k per year and a raise of 20k per year. .
curious1 said:Almost all of the physicians in private practice with whom I interact think that socialized medicine in some way shape or form is headed our way NO QUESTION. So look north to Canada and look over the ocean to the UK and Europe and re-read the '94 proposals and then you will have some idea of the system under which you will practice in 15 years.
JohnnyOU said:I really doubt that. I've never heard of any lawyer graduating law school and starting off with that kind of salary...even harvard grads going to work at big firms very rarely start anywhere near that high. (I watched THE FIRM, so I'm in the loop )
And the vast majority of them are desperate for clients and money...they don't call them ambulance chasers for nothing.
But then again, I pretty much despise those parasites
Johnny
windsurfr said:Goldfish you are an idiot
You know nothing about medical finance... similar to the majority of the population.
If a doc charges (and usually they have NO say in the charge) 300, medicare will pay 200. Of this the doc will get about 20% when it's all said and done. Thats 40 bucks. For a 15 minute physical... then 10 minutes of organizing, dictating, etc. At a max that is about 100/hr. And that is if you fly patients through and be less thorough.
Such stupid comments... a sorry state of medicine
windsurfr said:Goldfish you are an idiot
You know nothing about medical finance... similar to the majority of the population.
If a doc charges (and usually they have NO say in the charge) 300, medicare will pay 200. Of this the doc will get about 20% when it's all said and done. Thats 40 bucks. For a 15 minute physical... then 10 minutes of organizing, dictating, etc. At a max that is about 100/hr. And that is if you fly patients through and be less thorough.
Such stupid comments... a sorry state of medicine
really doubt that. I've never heard of any lawyer graduating law school and starting off with that kind of salary...even harvard grads going to work at big firms very rarely start anywhere near that high.
ramonaquimby said:what kind of rock are living under?! all the ones i know (and i know many) started $120-140K. it was depressing (for me, not for them, lol...)
firetown said:Entry-Level Lawyer Salaries Remarkably Stable (August 8, 2005 Press Release) The median salary for first-year associates ranged from $67,500 in firms of 2-25 attorneys to $125,000 in firms of more than 500 lawyers, with a first-year median for all participating firms of $100,000. A comparison with figures reported for the prior five years reveals that first-year salaries have remained stable in firms of 251 or more lawyers during this period, with a median of about $110,000. This is in sharp contrast to a 30% increase in the median from April 1999 to April 2000.
http://www.nalp.org/content/index.php?pid=147
You can look at this website for some salary information of lawyers. Some lawyers make over the $100,000 mark in starting salaries but I think a large proportion will still start below that figure unlike most Doctors working full time who are likely to have starting salaries above $100,000. Most of the salary information I have seen put doctors way above what lawyers earn as starting salaries.
flga said:I am married to someone that went to Harvard Law and yes, their salaries are high starting out as a 1st year associate-$100K+ depending on where you live-around $140-$150 in NY, LA and SF (the cost of living is outrageous so in reality this isn't that high of a number) and around $100K in Atlanta. But I have many friends that went to public law schools (UF) and they were lucky to see $70K out of school. For those lawyers that went to a top 5 school they can make a crap load of money at big firms, but it comes at a heavy price-no life at all working every weekend of most months throughout the year, etc. And if you decide to become a partner at a large law firm you can kiss your life goodbye. Those guys are working just as hard as the associates if not more with the added responsibility of having to bring new business to the firm. Unless you are willing to make huge sacrifices as a lawyer, an FP will make more money while keeping his/her sanity. No, it may not be as glamorous as being a hot-shot partner at a big firm, but over the long haul you will have complete control of how much or how little money you want to make.
The above is right on point.
Thats after only 3 years of law school, most doctors don't cross the 100k mark untill after 4 years of med school plus 3-8 years of residency, and about 1000 gray hairs later, or even worse no hairs.