Hospitalist vs HemeOnc fellowship

[anonperson]

My wife and I are five kids in, and she would still like to have more.

5 kids and wanting more?!?

My brother in Christ, get the vasectomy before exhaustion kills you

At the same time, my wife brings up the age-old arguments about the prestige of being the "smartest doctor" in the room, being the go-to guy for my patients and the lack of intellectual stimulation as a run of the mill hospitalist

No one really cares about being the smartest person in the room.

Not sure why anyone really wants to be the go to guy for their patients. It's annoying and patients will bring up stuff outside your area of expertise.

I see it in obstetrics.

"Ma'am, I don't know what's going on with your ear pain and even if I looked inside, I don't know what I'm looking for."

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You don't sound like your heart is into the fellowship anyways. No shame. You'll be a board certified internist shortly, that's pretty good in my book

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[Splenda88]

It completely is preference, I would not want to round in the hospital all day and dealing with social stuff either. Also as heme/onc that cubicle to cubicle 4 days a week seeing 16-20 pts a day can make you high 6 figures.

I agree that the money in heme is really good. 500-700k/yr is nothing to scoff at. My extent of dealing with social "stuff" is to spend 15 minutes of my time daily talking to social workers. I think hospitalists dealing with social issues is overblown.

 

[eyeeye_captain]

I agree that the money in heme is really good. 500-700k/yr is nothing to scoff at. My extent of dealing with social "stuff" is to spend 15 minutes of my time daily talking to social workers. I think hospitalists dealing with social issues is overblown.

Even years ago at the county and VA we had social workers on the team. It was great, the students all got their placement rock garden that the residents and attendings could basically wave at from the hallway.

“Did they wake up? No complaints? Good. Moving on.”

 

[MD46]

I agree that the money in heme is really good. 500-700k/yr is nothing to scoff at. My extent of dealing with social "stuff" is to spend 15 minutes of my time daily talking to social workers. I think hospitalists dealing with social issues is overblown.

500-700 is low end, more like 800-1.5 as most of us are seeing more patients by choice, at least I see 25-30 a day.

 

[Splenda88]

500-700 is low end, more like 800-1.5 as most of us are seeing more patients by choice, at least I see 25-30 a day.

You are killing it. That's great money right there.

 

[MifflinDunder]

500-700 is low end, more like 800-1.5 as most of us are seeing more patients by choice, at least I see 25-30 a day.

What’s the common range in non-academic malignant heme?

 

[gutonc]

What’s the common range in non-academic malignant heme?

It's all about how much meat you move.

If you see 30 99123s a day, 4 days a week, 46 weeks a year, you're going to pull in >12K wRVU. At $90-100/wRVU, that's an easy 7 figures.

You'll also probably go insane, but you'll be able to afford a really nice inpatient psych facility.

 

[HemeOncHopeful19]

500-700 is low end, more like 800-1.5 as most of us are seeing more patients by choice, at least I see 25-30 a day.

 

[MD46]

It's all about how much meat you move.

If you see 30 99123s a day, 4 days a week, 46 weeks a year, you're going to pull in >12K wRVU. At $90-100/wRVU, that's an easy 7 figures.

You'll also probably go insane, but you'll be able to afford a really nice inpatient psych facility.

lol, start clinic at 830, home by latest 5, Fridays home by 1p, 1:5 call light, 1:5 weekends where I barely need to go in. 6 weeks off, 1 week CME, not too bad.

 

[HemeOncHopeful19]

lol, start clinic at 830, home by latest 5, Fridays home by 1p, 1:5 call light, 1:5 weekends where I barely need to go in. 6 weeks off, 1 week CME, not too bad.

I’m interested in how you see 30 in that time frame. Are you all malignant Heme or do you have a bunch of IDA / Cirrhosis Cytopenias spattered in there?

 

[MifflinDunder]

lol, start clinic at 830, home by latest 5, Fridays home by 1p, 1:5 call light, 1:5 weekends where I barely need to go in. 6 weeks off, 1 week CME, not too bad.

How many patients would you have to see to make 500k?

And are you using EPIC?

 

[MifflinDunder]

I’m interested in how you see 30 in that time frame. Are you all malignant Heme or do you have a bunch of IDA / Cirrhosis Cytopenias spattered in there?

Also curious. 30 solid onc patients and onc histories daily would make me want to quit medicine. I don’t know how people churn and burn in this specialty.

 

[gutonc]

How many patients would you have to see to make 500k?

Half that many.

 

[Splenda88]

My friend used to work with one heme doc in West Virginia and he told me that guy make > 1 mil every year but he was seeing 30+ patients every day.

I thought the norm for hemonc was 18-20 patients per day to make 500-700k/yr. At least, that is the norm where I am now.

 

[gutonc]

My friend used to work with one heme doc in West Virginia and he told me that guy make > 1 mil every year but he was seeing 30+ patients every day.

I thought the norm for hemonc was 18-20 patients per day to make 500-700k/yr. At least, that is the norm where I am now.

That's pretty typical. But you can work more and make more, or work less and make less.

 

[MD46]

How many patients would you have to see to make 500k?

And are you using EPIC?

Use EPIC for EMR, M Modal for dictation, No NP or PA support. I have an RN and a MA along with a good nurse navigator. Inpatient is light as well which helps focus on clinic more. For 500k like around 16 patients a day would be avg, some partners do about that and make 500kish. Senior partner sees around 40-50 a day 4.5 days a week, she made >2mil last year.

 

[MifflinDunder]

Use EPIC for EMR, M Modal for dictation, No NP or PA support. I have an RN and a MA along with a good nurse navigator. Inpatient is light as well which helps focus on clinic more. For 500k like around 16 patients a day would be avg, some partners do about that and make 500kish. Senior partner sees around 40-50 a day 4.5 days a week, she made >2mil last year.

That’s not bad. I just want to make 450-500k without killing myself but interested in malignant heme which isn’t as lucrative with most jobs being in academia. Hopefully that’ll change in a few years.

 

[randomhemoncpd]

It's all about how much meat you move.

If you see 30 99123s a day, 4 days a week, 46 weeks a year, you're going to pull in >12K wRVU. At $90-100/wRVU, that's an easy 7 figures.

You'll also probably go insane, but you'll be able to afford a really nice inpatient psych facility.

for malignant it will be mostly 99214 / 99215. But it is not sustainable at 30/day for 4x/week.

 

[gutonc]

for malignant it will be mostly 99214 / 99215. But it is not sustainable at 30/day for 4x/week.

I'm aware of both of those things. I was setting a floor on the question that was asked about how much money that amount of work would make.

 

[Splenda88]

That’s not bad. I just want to make 450-500k without killing myself but interested in malignant heme which isn’t as lucrative with most jobs being in academia. Hopefully that’ll change in a few years.

Most people in medicine are not killing themselves because they see a few more (emphasis on "few") patients. Physicians should stop with the exaggeration.

Try to volunteer for Habitat for Humanity for a week (40 hrs) during a summer in south FL, and let me know how you feel after that. I did that for 2 wks to pad my AMCAS application. Oh boy!

 

[MD46]

That’s not bad. I just want to make 450-500k without killing myself but interested in malignant heme which isn’t as lucrative with most jobs being in academia. Hopefully that’ll change in a few years.

Pure malignant heme jobs are hard to find, some jobs I interviewed at where they would have their own service in patient to admit and also do transplants were quite busy. Their RVU values were same however due to being mostly inpatient they could generate more. Main thing is if there is a good team, resident, fellow, pharmacist, mid level, good RNs etc, this can effect the quality of life quite significantly and night time calls etc.