- Joined
- Jan 18, 2010
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- 198
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First year student here, thinking about taking a year leave and giving consideration to pursuing something else.
I'll just list my concerns here....
1) Debt : I'll have to go into around 250k worth of debt when all is said and done. After I pay it off, it will be closer to 400k-500k. Residency will be 3-5 years of 40k/year pay. Even if I take 3 years of 40k/year pay, subtracted from 400k in loans I'll have to pay back, that is still 280k in the red. If I factor in opportunity cost in financial terms of an average of 100k/year, over 7 years, it is costing me approximately ONE MILLION dollars to become a doctor.
2) Income to Work ratio : I can look forward to a comfortable income, but not one which is extrodinary (presuming I don't get into an uber competitive speciality). Even if I do get into a good speciality, that will come at the cost of having to work much harder. I could take my intelligence and pursue business or finance and make a larger salary if I were to become something like a financial engineer or a quant than any doctor except a heavily specalized one. Not to mention that if I go that route I'll have more career flexibility and a better lifestyle to boot.
3) It seems as if students, residents, and doctors are heavily exploited in the medical system. Students by the onerous amount of debt, residents by the insane work hours and low pay, and doctors with the many responsibilities that are shuffled upon them and the lukewarm earnings. I feel as if many people go into this field for the money and status, I certainly feel this way about most of my medical school classmates. And it seems as if everyone's need for status, attention, weath, power, etc. is only making things worse for doctors and students; it all translates into poorer student and doctor quality of life if what is being focused on is how to function best within a healthcare system rather than focusing at least partilly on living a satisified and fulfilled life.
Also, it really bothers me to consider how screwed up our health care system is compared to the European countries, about how those students pay comparitively nothing to become educated, about how people are more healthy and better taken care of...
4) It depresses me heavily to see doctors, residents, and students who are overworked and overcharged for education, to hear about how we all are expected to make sacrificies for the good of patients, despite the fact that effects of our sacrificies only serve to ultimately treat people like cattle, pad a health care corporation's bottom line, or leave us less healthy physically and emotionally.
I'm thinking of switching gears completely, of going into something like financial engineering to try to pursue the career path of a quantative analyst in large financial institutions around the world. The final reason I'm thinking of this is that...
5) You're not really "in control" if your future: Sure, you're in control of what field of medicine you want to go into, and you might be able to start a practice that can generate some profit (although I think its completely appalling to serve in any for profit medical venture, for what it is worth), but there is a glass celling for most of the medical profession. If you're a great surgeon you'll not typically be making a heck of alot more than a good surgeon, etc. It seems like unless you go into academia or research or politics there is a societal and governmental boundary to all which you can accomplish. I don't like to have my hands tied that much... I need to have more control of my future and an unlimited boundary to what I can do and accomplish, and to be able to have incentives to lead me to those goals.
I've started this path not as someone who was in it for the money or prestige, but as someone who had an interest in human affairs, science, and medicine, and who wanted to do a small part to help humanity out. I'm just at a point where I feel that people who are as idealistic as I am aren't wanted in the medical profession, and that all I'll accomplish is to go into deep debt, to waste my time, and to be miserable if I push through. Better to work in something like finance where I'll still work hard, but have more compensation, be in more control of my destiny, and have the satisfaction of knowing that I'm working more "honestly".
I'll just list my concerns here....
1) Debt : I'll have to go into around 250k worth of debt when all is said and done. After I pay it off, it will be closer to 400k-500k. Residency will be 3-5 years of 40k/year pay. Even if I take 3 years of 40k/year pay, subtracted from 400k in loans I'll have to pay back, that is still 280k in the red. If I factor in opportunity cost in financial terms of an average of 100k/year, over 7 years, it is costing me approximately ONE MILLION dollars to become a doctor.
2) Income to Work ratio : I can look forward to a comfortable income, but not one which is extrodinary (presuming I don't get into an uber competitive speciality). Even if I do get into a good speciality, that will come at the cost of having to work much harder. I could take my intelligence and pursue business or finance and make a larger salary if I were to become something like a financial engineer or a quant than any doctor except a heavily specalized one. Not to mention that if I go that route I'll have more career flexibility and a better lifestyle to boot.
3) It seems as if students, residents, and doctors are heavily exploited in the medical system. Students by the onerous amount of debt, residents by the insane work hours and low pay, and doctors with the many responsibilities that are shuffled upon them and the lukewarm earnings. I feel as if many people go into this field for the money and status, I certainly feel this way about most of my medical school classmates. And it seems as if everyone's need for status, attention, weath, power, etc. is only making things worse for doctors and students; it all translates into poorer student and doctor quality of life if what is being focused on is how to function best within a healthcare system rather than focusing at least partilly on living a satisified and fulfilled life.
Also, it really bothers me to consider how screwed up our health care system is compared to the European countries, about how those students pay comparitively nothing to become educated, about how people are more healthy and better taken care of...
4) It depresses me heavily to see doctors, residents, and students who are overworked and overcharged for education, to hear about how we all are expected to make sacrificies for the good of patients, despite the fact that effects of our sacrificies only serve to ultimately treat people like cattle, pad a health care corporation's bottom line, or leave us less healthy physically and emotionally.
I'm thinking of switching gears completely, of going into something like financial engineering to try to pursue the career path of a quantative analyst in large financial institutions around the world. The final reason I'm thinking of this is that...
5) You're not really "in control" if your future: Sure, you're in control of what field of medicine you want to go into, and you might be able to start a practice that can generate some profit (although I think its completely appalling to serve in any for profit medical venture, for what it is worth), but there is a glass celling for most of the medical profession. If you're a great surgeon you'll not typically be making a heck of alot more than a good surgeon, etc. It seems like unless you go into academia or research or politics there is a societal and governmental boundary to all which you can accomplish. I don't like to have my hands tied that much... I need to have more control of my future and an unlimited boundary to what I can do and accomplish, and to be able to have incentives to lead me to those goals.
I've started this path not as someone who was in it for the money or prestige, but as someone who had an interest in human affairs, science, and medicine, and who wanted to do a small part to help humanity out. I'm just at a point where I feel that people who are as idealistic as I am aren't wanted in the medical profession, and that all I'll accomplish is to go into deep debt, to waste my time, and to be miserable if I push through. Better to work in something like finance where I'll still work hard, but have more compensation, be in more control of my destiny, and have the satisfaction of knowing that I'm working more "honestly".