I think this thread is misleading. I posted before about what my girlfriend makes working full-time.
http://forums.studentdoctor.net/threads/little-pay-in-fm.1020919/#post-14549357 "She makes about $120k/year."
I take it back, she made about $130k/year when she started, and in year 2 they bumped her to $140k/year with 4 hours of "admin" time. I think if she stays, and commits to staying long-term, they might bump her up again to $150k/year with a day of admin time. The only other NHSC site in the area pays about $100k to starting grads to work full-time. Her NHSC commitment is up soon, which I thought would be liberating, but there are a few job listings in the area and they all pay poorly, dominated by large healthcare systems with no physician owned opportunities in sight.
Of the residents she graduated with--in an urban area in the northeast--starting salaries were in the low $100k range with little room for advancement, i.e. similar to what she's making here in a small city location in the south. One went to a very busy California practice making high 100s and promptly left because they totally overwhelmed him with volume. One grad went to his father's practice in rural South Carolina and makes good money. Yes, that's where the money is.
I think the salaries in this thread have been incredibly misleading and are not typical based on our experience. My girlfriend is afraid of the flames and meanness she'll get if she posts the reality of the situation on this forum. Personally, I think family practice should be renamed to something like "rural medicine". Sure, there are jobs around the cities, but they don't generally have pediatrics (unless it's very poorly reimbursing medicaid volume), and they don't generally have OB, unless you're within academics. Sure the academic positions exist, and my girlfriend's residency program did offer to hire one of her co-residents full-time for $80k/year plus bonus (guaranteed $130k/year yay). It seems that urban and near urban jobs pay poorly for a high volume of adult outpatients. Meanwhile, there's tremendous encroachment by midlevels which is driving down current and future earning potential.
Any suggestions for where to find local jobs are welcome. We're at a loss.