That top option would be a great option for someone wanting to get the experience of IP without the lifestyle hit. If you don't need to make a ton of money but want the acuity, learning, possible involuntary/court etc it sounds like a good first attending job for someone with a family or wanting to start a family.
Pardon my ignorance but how to they give up employed benefits but pay by the hour? Are you actually clocking in/out for this? Seems like a pretty solid setup pending call for inpatient.
Lol..you just throw that absurd number without any context..
What's the inpatient schedule like out of curiosity? Was looking for a 7 on 7 off schedule.
I can throw even larger numbers! This is 1099, correctional work. I didn't want to dox myself with the location, but its within 40 miles of a large metro.
Honestly Kaiser is starting to sound really good!
Your post is meaningless without context, I can make 600/hr if I see 8 patients an hour so it’s just a meaningless number if you don’t specify the work
No job is perfect but this is the closest to ideal I could realistically imagine finding as far as employed jobs in desirable cities. Especially as an out-of-residency gig, which is when most people really want to have colleagues and support staff (clinical pharmacy specialists!!)
That's what it is
california?
Lol, what more context do you need? It's corrections. Don't know where this poster is located, but in California this is the going hourly rate for corrections/state prison system. You get paid $320/hr whether you sit on your ass or are seeing "8 patients an hour" (though nobody's doing that). There's a reason they pay so much obviously.
You don’t understand the word context? Is it a dangerous setting? Very high cost of living? Very busy? In person or telehealth? Very poor resources? Context is everything.
Maybe I'm misinterpreting, but you've been increasingly prickly around here recently. I hope you're doing okay and taking care of yourself.
Salary is very location dependent.
We can copy and paste MGMA but I'd say that applies to the west, Midwest and south, mid-Atlantic and northeast is still a bit lower on average.
That's good to know. I think they're aware pay is low, there are some raises to be had in the future.
Have a pulse and nod and smile at the right times. You'll be hired in no time.
These threads are always so interesting- often really skewed towards the upper end of the spectrum for salary. Saying "300k should be the absolute minimum" is all well and good, but the only places offering this in my area are really scummy for-profit hospitals with poor patient care and really high workloads.
What region are you in? Maybe the forum skews, but if you break it down: 10% of the country is California and even the academic positions are above $250k now and for a non-academic position it's going to be > $300k almost everywhere. I know in the northeast academic positions are still offering low to mid $200s; my friends at non-academic hospitals in the region though also make > $300k for normal workloads. The Midwest traditionally pays better and that seems to be where the daily offers of 'make $400k in a top 275 university town' come from. I know some isolated regions just can't increase pay (like I've heard that jobs in Vermont pay poorly when they have major recruitment problems) but I think for more than half the country non-academic salaries are starting around $300k on average. I agree not everybody is going to be in the right region to access the average salary (else it wouldn't be the average, many people make less of course), but it's definitely not the case that only for profit systems are paying that. The system I work for is in a desirable region and is very well run, not-for-profit and the starting pay is now > $300k for anybody.
I agree, especially given recent inflation and where salaries were headed before this, if you aren't near 300k it's either to be in a very specific area that is heavily oversaturated or underfunded or taking a job that has a low workload. Either of those reasons is totally fine, there's always a balance of doing the right thing for you/your family and not being underpaid. MBAs make their bonuses underpaying labor, that's literally what they are trained to do and we happen to have some of the highest labor costs of anyone on Earth (i.e. US physicians).
Nice, good setup for 3-5 years and then the world is your oyster. You can stay on and make below average salary with that lifestyle or branch out. If you don't have a burning need for cash and it's a good program I think it makes a lot of sense to take that job.
Honestly not that surprising I see offers like that texted to me from recruiters. Corrections always pay halfway decent but they will make you sit there all day and it’s highly bureaucratic
If you’re in Cali though especially any semi desirable area you better be making above 300k because that just won’t get you too far otherwise. Or have a spouse that produces a decent salary as well. Any of the HCOL areas (especially high tax) you need 300+ to be living a middle class life (nothing wrong with it). Midwestern small nothing cities for sure will pay you great but you need to travel a long way to get a decent meal, have something to do besides staring at a cornfield, and you’ll have to drive a long way or pay a ton for flights to travel.
Oh as a J1 waiver job it's a slam dunk for your three years then. Well done in setting that and congrats on the start of your career as an attending. Being on a J1 at slave labor locations is horrible as they have you by the gonads.Thanks. I am an international medical graduate with no medical school debt. I also needed J1 waiver in underserved. I had received offers as high as 350k annually but I felt the practice was either shady or they worked you like a dog to reach unfathomable RWU. So at least in the beginning, of my career, I chose lifestyle over money
You don't need to be in a nothing city for good pay in the Midwest. Many of the mid size cities and their burbs offer good pay, decent meals and solid enough airports to connect to US cities or get you to Ohare/Atlanta to fly out of the country. You do need to be okay with 4 seasons to the year and not be searching for the next big gala or trying to show off your 6 pack at the beach, but there's certainly a decent chunk of the population that will find it an appealing life.
520k is the top one percent of the US and the top 0.001 percent worldwide, if that’s middle class I don’t know the meaning of the word
I may have exaggerated a bit I actually like a lot of the midwest midsized cities just not personally to live in. Are you truly seeing offers coming out of a "mid-sized" city in the midwest? Like 400+ for 30min OP f/u 60min new. without call or IP job where you aren't on call and covering an ED and consults? Also what is a mid sized city? Madison? Iowa City? Ann Arbor? Akron? I would be surprised if you are getting truly eye-opening jobs in most of those cities.
I'm from NJ, and according to that image only NY, HI, and DC get less out of a dollar than we do. And we pay high income tax (ranked 45 here: State and Local Tax Burdens, Calendar Year 2022 )
So this post just seems so out of touch to me. I make less than $300k (which is taxed more and worth less than most of the country) and am most certainly not living less than middle class life. You may say NJ isn't desirable, but we are the most densely populated state. People aren't cramming in because they want to pay higher taxes.
I'd wonder if this was moreso due to the fact so many are working in NYC and living in NY and CT is not only more expensive, but they have higher taxes than NJ. Cramming into Jersey might just be their best option...
