If this endodontist is willing to drive far to multiple GP offices, where they save for him a couple of highly paid complex endo cases per day, he'll do very well. A lot of GP offices' owners want to invite the specialists to come work for them. Who wouldn't want to earn additional income by keeping everything in-house? If this endodontist gets 50% (around $800-1000) for each molar endo case at each of these GP offices, he should have no problem paying off that $600k loan. He should be in a much better financial shape than a GP, who owes $300k. The same is true for ortho, perio and OS. The more offices one is willing to travel to and the harder one is willing to work, the higher the income.
Those numbers seem a bit off to me. A molar endo by a specialist in my area is usually $1200. 50% of two cases a day would then be about $1200 a day income.
That's not a great deal more than I earn a day but with quadruple the debt (ignoring compounding interest, which really ought not be ignored with those numbers).
It will get paid off, but it will take a long time... and all assuming it's possible to fill ones schedule with those cases (subtracting cases that turn out to be reversible pulpitis or extraction cases) early on.
Realistically, being that full takes time - your referral base doesn't yet know you. The dentists I've worked for are stuck in their referral patterns. The young DDS's are key.
It's odd to me how confident/ dismissive people are about paying off such numbers early in ones career without apparent concern for ones retirement, mortgage, vacations, cars, insurance, children, childcare, children's college (yes, paying for theirs whilst paying for ones own) after- school activities etc.
I know if it weren't for my wife's job we'd be in bad shape (although, without children, it would be ok). I'm still only a few months from going under after 4.5 yrs out while for the past 2 years earning (apparently) around the top 2% of all incomes nationwide. Staggering.
That's why I tell people it's a "good" job. Debt makes a big difference.
Consider having the power of compound interest (ideally invested, rather than simply sitting earning interest; as in stocks or your own business) on your debt instead of paying out off.
This is my point: those without debt will enjoy a good income and therefore a considerably different financial life than those with hundreds of thousands in debt.
Unless you're living it, I wouldn't dismiss it as manageable.
Recent grad endodontist who came to my practice for interview had $600k loans without taking compound interests into consideration. $6000 a month for 10 years or even longer. That means $10,000 of his monthly gross production goes right into his student loans....
I would rather take some good weekend endo classes, cherrypick easy cases, and buildup my skills. The cost of my education for CEs should be around several thousand dollars maximum.
Good luck with paying back that much loans after traveling to GP's office every day..