How likely is it to make $375-400k in Psych?

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Some of the stuff on here is the most humblebraggy ridiculousness….

Yes if your household income is 800k (well over 99th percentile is the US for income) you can save a buttload of money. Yes if your net worth is a million dollars you can afford a car price barely above the average for new cars sold in the US.

Anyway I’d be more concerned you got a terrible deal considering I can pick up a used 2021 model Y AWD with 35,688 miles for 32,100 direct from Tesla.

I honestly think those posters mean well.
I agree with the used comment but I'd want the security of the warranty for 4 years on a electric car plus if one qualifies for the tax ded it's like 40k for new.

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Just for a brief example, if you started with a mere $1000 and compounded at 0.5% daily (less than the midpoint being advertised above), after 10 years you would have....

$81,368,729,469.60. 81 billion dollars starting with $1000 after 10 years. Does that sound reasonable to you?

Do you count weekends?
@Merovinge appears to have based that calculation on 365.2 days per year. The actual average number of days the US financial markets are open is 252. If we use that figure, after 10 years the initial $1000 would have grown only to a mere $287,392,629.78. Much more realistic.
 
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I honestly think those posters mean well.
I agree with the used comment but I'd want the security of the warranty for 4 years on a electric car plus if one qualifies for the tax ded it's like 40k for new.
Yeah. I am trying to be FI as quick as possible. Any big purchase put me a step behind.
 
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I’d say even if a speciality is a lifestyle speciality it’s smart to aggressively save early. Work a bit harder, Clear your loans and get a nice nest egg that can start working for you. And if you do this well and you’re not in a VHCOL area you can then have some piece of mind and know you never have to take a job or have your job push you into anything you don’t want. I want to launch my net worth as high as possible quickly so that the coast can start by 36/37 when I’m nice and young and spry. Just my contrarian thought.
Well yea, it's smart to aggressively save early in any situation with compounding interest. The issue becomes at what cost to lifestyle and happiness are you doing so? I'm younger than your target coasting age and am already seeing significant age-related health changes. Some of the stuff I did in my 20's (was non-trad, so got to do some cool stuff like high level sports) would be impossible for me even now. I think a lot of people underestimate how much the body changes in the 30's. That's also the age when a lot of people have young families which is when kids are most expensive. Nothing wrong with making those sacrifices for those that want to, but some people (and/or their spouses) aren't willing to.

Most physicians can be financially independent in their mid 40s if they complete residency between the age 28-32y. You just have to make it a priority.

If you invest 100k/yr for 12 yrs, you will have 2+ mil using 10% return (S&P500).
Not really. Keep in mind that unless someone graduates early or is accelerated even a 3 year resident graduates at 29 yo, most will finish at least a couple of years later than that, and those shorter fields are typically bottom of the barrel pay other than EM. None of those fields are going to be able to invest $100k/yr as single income unless they're living like a resident and/or hustling. Good luck if they've got other expenses.

Even if they can do that $2mil isn't going to be enough for most physicians to retire on. If someone is just going to be single then sure, but most will probably have kids or at least a partner (which may or may not help financially). Maybe it's doable in a LCOL, but in many places it's not going to be realistic. Maybe people have different definitions of FI, but to me that means never having to work another day if they don't want to.

Some of the stuff on here is the most humblebraggy ridiculousness….

Yes if your household income is 800k (well over 99th percentile is the US for income) you can save a buttload of money. Yes if your net worth is a million dollars you can afford a car price barely above the average for new cars sold in the US.

Anyway I’d be more concerned you got a terrible deal considering I can pick up a used 2021 model Y AWD with 35,688 miles for 32,100 direct from Tesla.
Agree 100%. Most physicians I know do very well, but even most of the surgeons aren't touching $800k/yr. Even for the DINK physician couples I know that's fairly high. I know a few physicians that hit 7 figures, but they are either very savvy or hustling hard (both for the 2 psychiatrists I know).

That being said, you don't need to hit close to that to do well. I've been pretty open about my situation, but I'm in academics making around $300k after benefits (made around $250k in year 1). Single income with spouse in school, kids, bought a good size house and lots of activities. My first 2 years out of residency it has not been difficult to get to $150k in investments/savings and live quite comfortably. In 20 years at a 6% return rate we'll have over $2.5 mil with nothing else accounted for. At 10% return rate we'd have well over $4 mil in my mid-50's. That all said, CoL makes a major difference and I'm sure I couldn't do this if I lived in NYC or SF.
 
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Well yea, it's smart to aggressively save early in any situation with compounding interest. The issue becomes at what cost to lifestyle and happiness are you doing so? I'm younger than your target coasting age and am already seeing significant age-related health changes. Some of the stuff I did in my 20's (was non-trad, so got to do some cool stuff like high level sports) would be impossible for me even now. I think a lot of people underestimate how much the body changes in the 30's. That's also the age when a lot of people have young families which is when kids are most expensive. Nothing wrong with making those sacrifices for those that want to, but some people (and/or their spouses) aren't willing to.


Not really. Keep in mind that unless someone graduates early or is accelerated even a 3 year resident graduates at 29 yo, most will finish at least a couple of years later than that, and those shorter fields are typically bottom of the barrel pay other than EM. None of those fields are going to be able to invest $100k/yr as single income unless they're living like a resident and/or hustling. Good luck if they've got other expenses.
IM/FM residencies are 3-yr and most IM/FM docs can make 350k+ without killing themselves.

Yes, you can invest/save 100k on that salary without living like resident if you live in LCOL/MCOL area.
 
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IM/FM residencies are 3-yr and most IM/FM docs can make 350k+ without killing themselves.

Yes, you can invest/save 100k on that salary without living like residency if you live in LCOL/MCOL area.

Just because they can doesn't mean most do. IM (general) is ~$275k and FM averages ~250k for 2023 reports. Psych average was ~310k. There are internist positions that can pay much higher but similar concepts to psych (volume or undesireable jobs). DPC can pay well, but you have to have the right market.

Again, being able to invest 6 figures is dependent on situation. A family of 5 is going to have a lot harder time doing that than a single physician or a couple. For people with bigger families, daycare is expensive. We paid almost $15k/yr for one kid at a place that was reasonably priced. I know people paying double that for their kids. Families living in places with terrible public schools can easily pay tens of thousands per year to send their kids to private schools. Saving for college for kids is not the same as investing for retirement and 10-15 years from now schools may cost 6 figures per year to attend. Some medical schools (even state schools) already do. So some people may be paying/saving $30k/yr/kid for education, 3 kids could put them at almost $100k/yr just on that, nevermind extra-curricular activities. Good luck investing $100k/yr on a $300k/yr salary in that situation. People with family to help care for kids and good public schools can save a ton, but not everyone has that.

People with no kids don't worry about this. If I didn't have kids or had a different spouse I'd probably be able to hit $350k/yr with a side hustle (I know several where I'm at) and invest $100k/yr easily, probably even $150k/yr, as an academic psychiatrist.
 
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Just because they can doesn't mean most do. IM (general) is ~$275k and FM averages ~250k for 2023 reports. Psych average was ~310k. There are internist positions that can pay much higher but similar concepts to psych (volume or undesireable jobs). DPC can pay well, but you have to have the right market.

Again, being able to invest 6 figures is dependent on situation. A family of 5 is going to have a lot harder time doing that than a single physician or a couple. For people with bigger families, daycare is expensive. We paid almost $15k/yr for one kid at a place that was reasonably priced. I know people paying double that for their kids. Families living in places with terrible public schools can easily pay tens of thousands per year to send their kids to private schools. Saving for college for kids is not the same as investing for retirement and 10-15 years from now schools may cost 6 figures per year to attend. Some medical schools (even state schools) already do. So some people may be paying/saving $30k/yr/kid for education, 3 kids could put them at almost $100k/yr just on that, nevermind extra-curricular activities. Good luck investing $100k/yr on a $300k/yr salary in that situation. People with family to help care for kids and good public schools can save a ton, but not everyone has that.

People with no kids don't worry about this. If I didn't have kids or had a different spouse I'd probably be able to hit $350k/yr with a side hustle (I know several where I'm at) and invest $100k/yr easily, probably even $150k/yr, as an academic psychiatrist.
You really think like rich physicians... private school, private university etc.. for your kids

If the S&P500 continues to return 11%+, only maxing out your 401k/IRA/HSA will get you close to 1.2 mil in 15 yrs.

Only 3.2% of American retire with 1+ mil


Again, if one makes it a priority, you should be able to do it.

I have 7.5 years to see if I will be able to do it in 10 yrs with a family of 4. My number is 2+ mil plus a paid off home. I consider that number to be FI, but will not retire.
 
You really think like rich physicians... private school, private university etc.. for your kids

If the S&P500 continues to return 11%+, only maxing out your 401k/IRA/HSA will get you close to 1.2 mil in 15 yrs.

Only 3.2% of American retire with 1+ mil


Again, if one makes it a priority, you should be able to do it.

I have 7.5 years to see if I will be able to do it in 10 yrs with a family of 4. My number is 2+ mil plus a paid off home. I consider that number to be FI, but will not retire.

My kids go to public school as our system is fortunately good, many places aren't as lucky. State college tuition completely depends on the state. I grew up in IL and going to a private school was actually cheaper than most of the decent state schools after my scholarships. UIC for med school is currently over $80k/yr for IL residents and over $120k/yr for OOS. It would have cost me twice as much to go to my in-state med school in IL as it did my private med school. I know many states are much more affordable, but many state colleges/universities are also a lot weaker. I plan to do what my parents did for me and cover the equivalent of state tuition/COA for my kids (at least for UG). I definitely don't think like a lot of the rich physicians I talk to from that perspective, lol.

The article is nice, but we're not talking about average Americans, we're talking about physicians. As I've repeatedly said, physicians should be able to retire comfortably if they're smart about their finances, even if they don't choose to FIRE and want to live comfortably when younger. It's also not necessarily difficult to FIRE as a physician (though there are better paths) as long as on is keeping perspective that FIRE doesn't necessarily mean FatFIRE by mid-40's like some people seem to be arguing here. Standard age for retirement is still mid-60's, and while it can be quite difficult to truly FIRE by the 40's, it is completely reasonable for physicians to do so by their 50's unless they started very late with little retirement planning before that.
 
My kids go to public school as our system is fortunately good, many places aren't as lucky. State college tuition completely depends on the state. I grew up in IL and going to a private school was actually cheaper than most of the decent state schools after my scholarships. UIC for med school is currently over $80k/yr for IL residents and over $120k/yr for OOS. It would have cost me twice as much to go to my in-state med school in IL as it did my private med school. I know many states are much more affordable, but many state colleges/universities are also a lot weaker. I plan to do what my parents did for me and cover the equivalent of state tuition/COA for my kids (at least for UG). I definitely don't think like a lot of the rich physicians I talk to from that perspective, lol.

The article is nice, but we're not talking about average Americans, we're talking about physicians. As I've repeatedly said, physicians should be able to retire comfortably if they're smart about their finances, even if they don't choose to FIRE and want to live comfortably when younger. It's also not necessarily difficult to FIRE as a physician (though there are better paths) as long as on is keeping perspective that FIRE doesn't necessarily mean FatFIRE by mid-40's like some people seem to be arguing here. Standard age for retirement is still mid-60's, and while it can be quite difficult to truly FIRE by the 40's, it is completely reasonable for physicians to do so by their 50's unless they started very late with little retirement planning before that.
You seem to think YOUR kids will go to medical school.

Can they just do 2-yr at a CC and 2-yr at a state university and not not go to grad school.
 
You seem to think YOUR kids will go to medical school.

Can they just do 2-yr at a CC and 2-yr at a state university and not not go to grad school.
Lol why? The return on investment of medical school is more than financially worth it compared to stopping at a bachelor’s with average performance in literally any college major. Obviously it’s different if you’re a coding savant or IB recruit but that’s like a sub 2% amount of all college students.
 
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Lol why? The return on investment of medical school is more than financially worth it compared to stopping at a bachelor’s with average performance in literally any college major. Obviously it’s different if you’re a coding savant or IB recruit but that’s like a sub 2% amount of all college students.

I’m not sure that “average performance” will get you into medical school. What percentile of undergrad intelligence would you say gets you into med school? Top 1%? 5%? I’m not claiming I know that number. If you relate that percentile to many other fields, you can do well for yourself in many fields.
 
I’m not sure that “average performance” will get you into medical school. What percentile of undergrad intelligence would you say gets you into med school? Top 1%? 5%? I’m not claiming I know that number. If you relate that percentile to many other fields, you can do well for yourself in many fields.
Fair enough, I’d raise the bar to 75th percentile. Which outside of medicine probably leads to 100-150k range at the apex of their career.

I’d posit a 75th percentile student who applied themselves and properly prioritized their efforts with proper guidance (like many of the awesome folk on here volunteer) could get in to a brand new DO school and become a hospitalist making 350k if they kept their head down and did their work.

I assure you a 75th percentile student from State U has absolutely 0 chance at corporate consulting, IB, big tech jobs, or literally any other job I can think of that reliably touches 350k. Even corporate law recruits only from top law schools and the LSAT is far more a test of innate talent than the mcat.
 
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Lol why? The return on investment of medical school is more than financially worth it compared to stopping at a bachelor’s with average performance in literally any college major. Obviously it’s different if you’re a coding savant or IB recruit but that’s like a sub 2% amount of all college students.
I agree. But not everyone wants to go to school for 11 yrs, or has an IQ of 1 standard deviation above average.
 
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I agree. But not everyone wants to go to school for 11 yrs, or has an IQ of 1 standard deviation above average.
If most doctors took the work ethic that they have used getting into med school and then getting through med school and residency and applied it in a field like finance then they would be TREMENDOUSLY successful. I'm talking FATFIRE by age 45
 
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If most doctors took the work ethic that they have used getting into med school and then getting through med school and residency and applied it in a field like finance then they would be TREMENDOUSLY successful. I'm talking FATFIRE by age 45
Not totally sure about that. You need to be a risk taker to succeed in business and based on my experience, at lot of (probably most) doctors are risk-averse.
 
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Not totally sure about that. You need to be a risk taker to succeed in business and based on my experience, at lot of (probably most) doctors are risk-averse.
lol. The people I know (family and friends) who went into consulting and investing banking are just as, if not more, risk averse as the people who went into medicine. McKinsey literally recruits specifically for people with anxious personalities. Yes, it takes a higher level of risk tolerance to go make a startup but most people going into business are not going that route. They’re taking the “cog-in-a-wheel” path that leads up the corporate ladder.
 
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You seem to think YOUR kids will go to medical school.

Can they just do 2-yr at a CC and 2-yr at a state university and not not go to grad school.
lol, I hope they don’t. I also don’t live in IL so the part you bolded wouldn’t apply, just saying that price tag is the reality for many people. Also, physicians children are more likely to become physicians than kids with non-physician parents. Per some sources up to 24x more likely (The Class Ceiling). Any physician with kids who plan to help pay for their UG or grad school should be prepared for exorbitant costs.

I hope my kids are smart enough to go to a good, cheap state school or CC. I didn’t for other reasons, but worked it out pretty well for me. I know many people expensive schools didn’t work out for though.

I’m not sure that “average performance” will get you into medical school. What percentile of undergrad intelligence would you say gets you into med school? Top 1%? 5%? I’m not claiming I know that number. If you relate that percentile to many other fields, you can do well for yourself in many fields.
Intelligence isn’t really the thing that makes med students successful. Yes, a baseline level of intelligence is needed. However, organization and efficiency in learning is the most significant factor imo, followed by work ethic, then “intelligence” is third by a significant margin.

Not totally sure about that. You need to be a risk taker to succeed in business and based on my experience, at lot of (probably most) doctors are risk-averse.
The people I know (family and friends) who went into consulting and investing banking are just as, if not more, risk averse as the people who went into medicine. Yes, it takes a higher level of risk tolerance to go make a startup but most people going into business are not going that route.
Atreides is more correct that it's "risk-tolerance" that is the personality trait, but incorrect that risk-aversion is more common among the rich. High risk aversion is actually more common among middle-class individuals while higher risk tolerance is one of the traits associated with building wealth. Medicine is a bit of an outlier with this our industry in general has a high basement for earnings with high job stability, so those who are less risk averse can still do very well. In most other industries though, high risk aversion is a barrier to significant wealth accumulation without very significant sacrifices. There are sociologists and psychologists who study this for a living and the data for this is pretty decent:

 
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Fair enough, I’d raise the bar to 75th percentile. Which outside of medicine probably leads to 100-150k range at the apex of their career.

I’d posit a 75th percentile student who applied themselves and properly prioritized their efforts with proper guidance (like many of the awesome folk on here volunteer) could get in to a brand new DO school and become a hospitalist making 350k if they kept their head down and did their work.

I assure you a 75th percentile student from State U has absolutely 0 chance at corporate consulting, IB, big tech jobs, or literally any other job I can think of that reliably touches 350k. Even corporate law recruits only from top law schools and the LSAT is far more a test of innate talent than the mcat.

The key word here is “reliably”. If that is the focus, I agree that it is hard to beat medicine.

Take someone that is 75%ile of intelligence and has the determination to work 80 hour weeks for 8+ years (med school plus residency plus possible fellowship) to achieve a high level of success. That person could earn WAY more outside of medicine. There is the potential to crash and burn which makes this path less reliable.

The wealthiest person I personally know states that the best thing that ever happened to him was quitting his dental career after his first job. He could have easily continued at $200k+/year as a dentist for decades as the safe route. He earned tens of millions per year in his other path that had nothing to do with healthcare.
 
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The key word here is “reliably”. If that is the focus, I agree that it is hard to beat medicine.

Take someone that is 75%ile of intelligence and has the determination to work 80 hour weeks for 8+ years (med school plus residency plus possible fellowship) to achieve a high level of success. That person could earn WAY more outside of medicine. There is the potential to crash and burn which makes this path less reliable.

The wealthiest person I personally know states that the best thing that ever happened to him was quitting his dental career after his first job. He could have easily continued at $200k+/year as a dentist for decades as the safe route. He earned tens of millions per year in his other path that had nothing to do with healthcare.
What did this person do?
 
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Well yea, it's smart to aggressively save early in any situation with compounding interest. The issue becomes at what cost to lifestyle and happiness are you doing so? I'm younger than your target coasting age and am already seeing significant age-related health changes. Some of the stuff I did in my 20's (was non-trad, so got to do some cool stuff like high level sports) would be impossible for me even now. I think a lot of people underestimate how much the body changes in the 30's. That's also the age when a lot of people have young families which is when kids are most expensive. Nothing wrong with making those sacrifices for those that want to, but some people (and/or their spouses) aren't willing to.


Not really. Keep in mind that unless someone graduates early or is accelerated even a 3 year resident graduates at 29 yo, most will finish at least a couple of years later than that, and those shorter fields are typically bottom of the barrel pay other than EM. None of those fields are going to be able to invest $100k/yr as single income unless they're living like a resident and/or hustling. Good luck if they've got other expenses.

Even if they can do that $2mil isn't going to be enough for most physicians to retire on. If someone is just going to be single then sure, but most will probably have kids or at least a partner (which may or may not help financially). Maybe it's doable in a LCOL, but in many places it's not going to be realistic. Maybe people have different definitions of FI, but to me that means never having to work another day if they don't want to.


Agree 100%. Most physicians I know do very well, but even most of the surgeons aren't touching $800k/yr. Even for the DINK physician couples I know that's fairly high. I know a few physicians that hit 7 figures, but they are either very savvy or hustling hard (both for the 2 psychiatrists I know).

That being said, you don't need to hit close to that to do well. I've been pretty open about my situation, but I'm in academics making around $300k after benefits (made around $250k in year 1). Single income with spouse in school, kids, bought a good size house and lots of activities. My first 2 years out of residency it has not been difficult to get to $150k in investments/savings and live quite comfortably. In 20 years at a 6% return rate we'll have over $2.5 mil with nothing else accounted for. At 10% return rate we'd have well over $4 mil in my mid-50's. That all said, CoL makes a major difference and I'm sure I couldn't do this if I lived in NYC or SF.
I guess it really depends what are the jobs that you do and the hustle but there is no reason it’s a massive detractor from a good life with time for a social and family life. And for sure there can be changes in what your body allows in your 30s but you’ll experience a lot less regression or none if you make sure to get some walking(IE don’t be sedentary) in and gets some weight training in at minimum 3x a week and eat decent (control bw). I’d also just be contradictory in arguing make the sacrifice of time with family and kids when they are super young and won’t really be forming memories so that you have extra time when they hit 5-7+ and you can really start to be around extra.
If most doctors took the work ethic that they have used getting into med school and then getting through med school and residency and applied it in a field like finance then they would be TREMENDOUSLY successful. I'm talking FATFIRE by age 45
Problem is most seemingly lose that work ethic even once they hit residency and post. Because is most physicians kept up that work ethic they’d also FatFire by 45
 
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I guess it really depends what are the jobs that you do and the hustle but there is no reason it’s a massive detractor from a good life with time for a social and family life. And for sure there can be changes in what your body allows in your 30s but you’ll experience a lot less regression or none if you make sure to get some walking(IE don’t be sedentary) in and gets some weight training in at minimum 3x a week and eat decent (control bw). I’d also just be contradictory in arguing make the sacrifice of time with family and kids when they are super young and won’t really be forming memories so that you have extra time when they hit 5-7+ and you can really start to be around extra.

Problem is most seemingly lose that work ethic even once they hit residency and post. Because is most physicians kept up that work ethic they’d also FatFire by 45
False. 8-10 years of hard work in college and after. Same as what we do. Then life becomes more chill. I have lot of friends in finance. The ones who did this in their mid 30s are not working nearly as hard as they did in their 20s and they are making much more. I'm talking high 6, or 7 figure incomes. I'm talking models and bottles, boats and ho*s type debauchery. Foreign whips. Those guys have it made
 
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False. 8-10 years of hard work in college and after. Same as what we do.
Except we can go into medicine with a good performance at any 4 year accredited uni. I have friends in finance too, no one is giving you the time of day at these high paying finance jobs unless you’re from a target school or your uncle works there. I guarantee you it is a hell of a lot easier to get into a state U make a 3.35 Bio GPA, get a 500 MCAT and go to DO school compared to busting ass starting 9th grade to make sure you get into ivy then, once at an ivy, running around for internships and connections in the hopes that you might land into one of these very few high paying openings while competing against other Harvard and Yale tier students.
 
Except we can go into medicine with a good performance at any 4 year accredited uni. I have friends in finance too, no one is giving you the time of day at these high paying finance jobs unless you’re from a target school or your uncle works there. I guarantee you it is a hell of a lot easier to get into a state U make a 3.35 Bio GPA, get a 500 MCAT and go to DO school compared to busting ass starting 9th grade to make sure you get into ivy then, once at an ivy, running around for internships and connections in the hopes that you might land into one of these very few high paying openings while competing against other Harvard and Yale tier students.
False. I attending a good university but it was not an Ivy or a target school and I know plenty of bros who broke into IB. It happens
 
a good university but it was not an Ivy or a target school and I know plenty of bros who broke into IB
Again, We can debate on the exact cut off for what is a “prestigious” uni. But I assume you would agree that getting a 3.35 gpa and a 500 mcat at literally ANY university is way easier than breaking into IB.
 
Again, We can debate on the exact cut off for what is a “prestigious” uni. But I assume you would agree that getting a 3.35 gpa and a 500 mcat at literally ANY university is way easier than breaking into IB.
I would agree but I would also think that stats for med school admission are higher than that.
 
I know lots of Europeans who understand the American obsession with working hard and being self-sufficient. Some have turned into... American citizens. They've chosen to live and work in America in order to fully reap the benefits of their labor, free from high taxes, corruption, oppression, and/or lack of social mobility in their native country. They work much harder than the average native born American. This is basically the story of America since the beginning.

Also, our excess productivity allows us to spend trillions of dollars to fund guns and bombs to help peeps from the Old Country stave off existential threats to their independence. Money, guns, explosions. That sums up freedom to 'Muricans.
That is a valid point - 'Murica is an amazing country, full of opportunities and potential, and many europeans envy this "american dream" and choose to become american citizens to live it for themselves. The opposite is true as well, and a lot of americans find solace in a more moderate lifestyle that european countries provide. There isn't a right answer, and no one size fits all approach helps.

The line about staving off existencial threats is kinda funny, since the US is one of the largest suppliers of these same existencial threats they handily help to aleviate, but this is not a geopolitical topic, so I'l refrain from comenting further on that regard.
 
False. 8-10 years of hard work in college and after. Same as what we do. Then life becomes more chill. I have lot of friends in finance. The ones who did this in their mid 30s are not working nearly as hard as they did in their 20s and they are making much more. I'm talking high 6, or 7 figure incomes. I'm talking models and bottles, boats and ho*s type debauchery. Foreign whips. Those guys have it made
Gonna disagree unless we compare apples to apples. You are talking about he top 1% of finance making that kind of money which is for sure possible. But then we have to compare to the top 1% of their respective medical field which then the slider of income to work shifts. If we want to use our own personal anecdotes as reliable sources my n=5 of my highest earning friends all hit just 1million and 3 are 2+ working 35-45 hours a week all in their mid 30s. I also know they are outliers and won’t truly use them as examples. I know I could go across the top of finance and find people making great money with decent work life but they are at the top of their game.
 
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Gonna disagree unless we compare apples to apples. You are talking about he top 1% of finance making that kind of money which is for sure possible. But then we have to compare to the top 1% of their respective medical field which then the slider of income to work shifts. If we want to use our own personal anecdotes as reliable sources my n=5 of my highest earning friends all hit just 1million and 3 are 2+ working 35-45 hours a week all in their mid 30s. I also know they are outliers and won’t truly use them as examples. I know I could go across the top of finance and find people making great money with decent work life but they are at the top of their game.

I agree with what you are saying. Medicine has pretty much a guarantee of 200-250k if you go through all the hoops and a job security for as long as you want to work. Other fields have more risk with potential higher $ but you may be let go through that process as well and have to job hop.

For the average accepted medical applicant medicine is still a great financial security long term. I don't think it makes sense to compare top 1% of any other field to medicine as a whole.
 
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I would agree but I would also think that stats for med school admission are higher than that.
Sometimes. Sometimes not. I got in with a ~3.2 GPA and 3.1 sGPA in UG with a 29 MCAT. Granted, I did get a master's from a very reputable program where I had a 3.8 GPA, but honestly that degree was much easier than my UG degree. I also had to apply more than once, but there are definitely med schools (especially newer ones and DO schools) where a 3.8 GPA and >80th percentile MCAT are not necessary at all, people with lower stats just need to be smarter about how they apply and build their application.

Gonna disagree unless we compare apples to apples. You are talking about he top 1% of finance making that kind of money which is for sure possible. But then we have to compare to the top 1% of their respective medical field which then the slider of income to work shifts. If we want to use our own personal anecdotes as reliable sources my n=5 of my highest earning friends all hit just 1million and 3 are 2+ working 35-45 hours a week all in their mid 30s. I also know they are outliers and won’t truly use them as examples. I know I could go across the top of finance and find people making great money with decent work life but they are at the top of their game.
You don't have to be top 1% of the finance field to do well. I know several people who went to small liberal arts schools for businesses and had 6 figure jobs straight out of college. My roommate for most of college did and has been making >$150k for over 10 years (currently making closer to $250k last I talked to him). One of my best friends growing up makes closer to mid 6-figures now. Most of these people were and still are hard workers (not close to I-banking level, but 50 hour weeks are nbd to them) and are very good at networking. If you're the kind of person who just wants to put your head down and work, you're probably going to struggle to make medicine money in finances. If you're a hard worker and know how to network, there are plenty of open doors. I'm not talking about "boats and h*s" money, but they will be millionaires well before I am and some of them already are (in their mid-30's).
 
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Getting back on topic, I got a text this morning from a recruiter I met at a career fair who intermittently reaches out to me. Message was basically:

"Hey Dr. Stagg,

I hope you're doing well. Just wanted to follow up with what you're doing clinically. Not trying to pull you away from what you're doing, but don't want you to miss out on the $400-$550k opportunities available now."

Then asked about times we could connect. If you want a balanced lifestyle, lower patient load, or want a very specific setting (I only want outpatient SMI) or location $375-400k may be difficult to find. If you want all of those things it may not be possible. If you're willing to put in the work and are flexible about moving locations though, there are plenty of opportunities.
 
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Everyone whether tech/finance/medicine will hit 7 figs around 35-40ish if they save and invest early on. The only difference is tech/business may get you there 5-6 years earlier in mid 30s but you'll have to bounce around, be ok with layoffs, play the yes man game, etc... Less debt, earlier start to make money, make some financial mistakes but learn from them.

Medicine you can forget all that and just work hard again assuming you have a solid save/invest plan from the outset but due to loans and late start and all of that you'll probably be in 7 figs NW by around age 40 ish there is less room for mistakes imo. Again I am just saying on average i am sure there are folks already there mid or late 30s on average in medicine too.

Everyone is getting through various paths.
 
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Everyone whether tech/finance/medicine will hit 7 figs around 35-40ish if they save and invest early on. The only difference is tech/business may get you there 5-6 years earlier in mid 30s but you'll have to bounce around, be ok with layoffs, play the yes man game, etc... Less debt, earlier start to make money, make some financial mistakes but learn from them.

Medicine you can forget all that and just work hard again assuming you have a solid save/invest plan from the outset but due to loans and late start and all of that you'll probably be in 7 figs NW by around age 40 ish there is less room for mistakes imo. Again I am just saying on average i am sure there are folks already there mid or late 30s on average in medicine too.

Everyone is getting through various paths.
My point exactly.

If your net worth is not 1+ mil after working for 10 yrs as doc, it's either you live in a VHCOL area or has a "doctor's lifestyle"

Maxing out your 401k/IRA/HSA plus investing 1k/month in an S&P500 index will get 700k+ after 10 yrs. In my opinion, 90%+ of physician who work FT should be able to do that
 
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Everyone whether tech/finance/medicine will hit 7 figs around 35-40ish if they save and invest early on. The only difference is tech/business may get you there 5-6 years earlier in mid 30s but you'll have to bounce around, be ok with layoffs, play the yes man game, etc... Less debt, earlier start to make money, make some financial mistakes but learn from them.

Medicine you can forget all that and just work hard again assuming you have a solid save/invest plan from the outset but due to loans and late start and all of that you'll probably be in 7 figs NW by around age 40 ish there is less room for mistakes imo. Again I am just saying on average i am sure there are folks already there mid or late 30s on average in medicine too.

Everyone is getting through various paths.
5 years earlier is a big deal. Also don’t forget that those guys in finance and tech were making money and enjoying life in their 20s while we were memorizing zoonotic infections and the coagulation cascade. Yes, even the IB guys with their work hours (which generally are not as bad as most residents btw). my friends aged ~30 who went IB are now making 250-700k. The ones who were “less successful” work corporate jobs making between 80 and 200k. Most of the ones in the latter group work 40 hrs a week and will tell you that their jobs are a joke. Not sure what you mean by playing the yes man game but I’m pretty sure resident physicians do that too.
 
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5 years earlier is a big deal. Also don’t forget that those guys in finance and tech were making money and enjoying life in their 20s while we were memorizing zoonotic infections and the coagulation cascade. Yes, even the IB guys with their work hours (which generally are not as bad as most residents btw). my friends aged ~30 who went IB are now making 250-700k. The ones who were “less successful” work corporate jobs making between 80 and 200k. Most of the ones in the latter group work 40 hrs a week and will tell you that their jobs are a joke. Not sure what you mean by playing the yes man game but I’m pretty sure resident physicians do that too.
I was told people who are successful in finance usually work 60+ in their first few years. If that is the case, I wouldn't call that enjoying life.
 
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I was told people who are successful in finance usually work 60+ in their first few years. If that is the case, I wouldn't call that enjoying life.
I know the world of finance very well. Bulge bracket banks can have you working very long hours but you are compensated well for it. Weekends are generally free though except for certain times of year. Smaller boutique banks hours are better and you can still become tremendously successful starting at one of these. Most of the people I know who are older (30s) who started in IB have lateraled over to PE or industry and their lifestyles and income are amazing. The ones who stayed in IB still work fairly long hours but not like a surgery resident. These are the go getters who make high 6 to 7 figs and are hoping to become MDs.

The guys I know who work in finance and related fields but did not go into IB are mostly making ~150k and have worked about 40 hrs a week since they graduated college. I wouldn’t call them unsuccessful.
 
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I was told people who are successful in finance usually work 60+ in their first few years. If that is the case, I wouldn't call that enjoying life.

Compare intermittently working 60ish hrs/week for 3-5 years in finance and actually making 6 figures or close to it off the bat VS 4 years of paying for med school to rack up low to mid six figure debt PLUS and additional 3-5 years of working 60+ hours every week with weekend and overnight call in most fields while making mid (maybe high) 5 figures. One of those sounds like a nicer way to spend your 20’s to me.
 
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Compare intermittently working 60ish hrs/week for 3-5 years in finance and actually making 6 figures or close to it off the bat VS 4 years of paying for med school to rack up low to mid six figure debt PLUS and additional 3-5 years of working 60+ hours every week with weekend and overnight call in most fields while making mid (maybe high) 5 figures. One of those sounds like a nicer way to spend your 20’s to me.
Doctors get the shaft compared to these guys
 
Compare intermittently working 60ish hrs/week for 3-5 years in finance and actually making 6 figures or close to it off the bat VS 4 years of paying for med school to rack up low to mid six figure debt PLUS and additional 3-5 years of working 60+ hours every week with weekend and overnight call in most fields while making mid (maybe high) 5 figures. One of those sounds like a nicer way to spend your 20’s to me.
I wonder about the percentage of people with business/finance/CS degree that make 100-150k bestrewn the age of 23-30. My impression is that it might be only the top 10%.

I always go back to this.

 
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5 years earlier is a big deal. Also don’t forget that those guys in finance and tech were making money and enjoying life in their 20s while we were memorizing zoonotic infections and the coagulation cascade. Yes, even the IB guys with their work hours (which generally are not as bad as most residents btw). my friends aged ~30 who went IB are now making 250-700k. The ones who were “less successful” work corporate jobs making between 80 and 200k. Most of the ones in the latter group work 40 hrs a week and will tell you that their jobs are a joke. Not sure what you mean by playing the yes man game but I’m pretty sure resident physicians do that too.

Can't deny this point. The time spent studying/stressing over SAT, MCAT. USMLE 1,2,3, and CS exam then trying to MATCH and interview domestically and, then yearly residency exams plus all the nonsense politics and complaints during that time you deal with plus board thats how we spent most of our 20 and as a gift most of us had 150-200k debt for our efforts.

100k in your early to mid 20s would have been amazing as a single person vs what most med students did using loan money and eating college level food ramen and instant frozen meals etc.
 
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5 years earlier is a big deal. Also don’t forget that those guys in finance and tech were making money and enjoying life in their 20s while we were memorizing zoonotic infections and the coagulation cascade. Yes, even the IB guys with their work hours (which generally are not as bad as most residents btw). my friends aged ~30 who went IB are now making 250-700k. The ones who were “less successful” work corporate jobs making between 80 and 200k. Most of the ones in the latter group work 40 hrs a week and will tell you that their jobs are a joke. Not sure what you mean by playing the yes man game but I’m pretty sure resident physicians do that too.
I truly have never understood those that complained that med school and residency were so hard they didn’t have a good life. It wasn’t that hard or time consuming. Now where I will agree is the lost opportunity cost of going backwards in net worth while those in fintech were moving forward (as long as they are smart with their work and spending)
 
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I truly have never understood those that complained that med school and residency were so hard they didn’t have a good life. It wasn’t that hard or time consuming. Now where I will agree is the lost opportunity cost of going backwards in net worth while those in fintech were moving forward (as long as they are smart with their work and spending)

And you know, you're doing something actually useful with your life instead of making a big pile of money a bigger pile of money.
 
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I truly have never understood those that complained that med school and residency were so hard they didn’t have a good life. It wasn’t that hard or time consuming. Now where I will agree is the lost opportunity cost of going backwards in net worth while those in fintech were moving forward (as long as they are smart with their work and spending)
Med school is hard if you're trying to match into a competitiive specialty. Even if its easy for you, lack of money limits your ability to do fun things. Many psych residencies are not super demanding but the same cannot be said for most other fields.
 
Med school is hard if you're trying to match into a competitiive specialty. Even if its easy for you, lack of money limits your ability to do fun things. Many psych residencies are not super demanding but the same cannot be said for most other fields.

My psych residency was pretty much like the college experience i didn't really get due to a BS/MD accelerated program. I figure thats pretty much the life i missed out on in my early 20s but luckily i was still mid 20s at the start of it with a somewhat chill residency for the most part so i basically worked out, played tennis, and dated as my main full time hobby.
 
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