Just got my STEP 1 score back

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scoopdaboop

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Scored a 231. Now, based on this, I want to pick a specialty that will offer me the most money and nice lifestyle. Money more important. What specialties will allow me to match at a decent spot - midwest urban town or maybe close to it, that hits these things.

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Radiology hands down. 7 nights on and 14 nights off for 500k/yr.
 
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Scored a 231. Now, based on this, I want to pick a specialty that will offer me the most money and nice lifestyle. Money more important. What specialties will allow me to match at a decent spot - midwest urban town or maybe close to it, that hits these things.
Neurology --> Neuro Hospitalist
400K 7 on 7 Off
Or Neuro interventionalist or critical care.
 
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Neurology --> Neuro Hospitalist
400K 7 on 7 Off
Or Neuro interventionalist or critical care.
Not a great deal IMO. Nocturnists where I will be working make close to that working 7 on/off (night).
 
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Not a great deal IMO. Nocturnists where I will be working make close to that working 7 on/off (night).
That's just the starting pay right out of residency. It does go up from there.
 
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That's just the starting pay right out of residency. It does go up from there.
That's pretty low, I've seen easily like 500K +, and no way I'm working that crappy schedule working 7 12's for 400k lol. You can make that outpatient neurology.
 
That's pretty low, I've seen easily like 500K +, and no way I'm working that crappy schedule working 7 12's for 400k lol. You can make that outpatient neurology.
If you go the neurointerventionalist or critical care route, your can earn a lot more.
 
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Scored a 231. Now, based on this, I want to pick a specialty that will offer me the most money and nice lifestyle. Money more important. What specialties will allow me to match at a decent spot - midwest urban town or maybe close to it, that hits these things.
General Surgery

























JK
 
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Best bang for your buck based on your recent thread: occupational medicine with an MPH.

Psych.
 
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That's pretty low, I've seen easily like 500K +, and no way I'm working that crappy schedule working 7 12's for 400k lol. You can make that outpatient neurology.
Really! I am not sure that most outpatient neuro make 500k/yr
 
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You can do pretty much whatever aside from derm or surgical specialties if you’re not all hung up on prestige or whatever.

Rads is probably your best bet for money. But you should really consider length of training too. Do you really have 8 more years of grind left in the tank? I think that’s why a lot of people go IM. Leaves open the fellowships, but allows you to just get off the train in three years if you’re just over this garbage.
 
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Most money… anesthesia or PMR to pain in private practice. Ethics, questionable. Radiology is close second although you can crush it in GI and cardiology as well, but will have to work hard to secure the spot and grind it out in practice.
 
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That's pretty low, I've seen easily like 500K +, and no way I'm working that crappy schedule working 7 12's for 400k lol. You can make that outpatient neurology.

Don’t know much about neurology but most surgical sub specialists make around that much in urban areas. I assume neurology is quite a bit lower.
 
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You can do pretty much whatever aside from derm or surgical specialties if you’re not all hung up on prestige or whatever.

Rads is probably your best bet for money. But you should really consider length of training too. Do you really have 8 more years of grind left in the tank? I think that’s why a lot of people go IM. Leaves open the fellowships, but allows you to just get off the train in three years if you’re just over this garbage.
Truth right here, you gotta be practical. I myself was super into Rads, did research and all in it. Slowly sinking in that don't have the gas left for training 5+ years and would like to finally do nice things for my family. It's probably IM program into nocturnist gig for me. Plus you can work at med schools as adjunct faculty once per week precepting labs and get paid a nice bonus. And you get to joke around with students and make fun of OMM.
 
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People are throwing around 400k to 500k on this thread as if that's average. We're literally still talking 80th and above percentile earnings here. Most doctors are not going to be making that even if they go into a cush field. Further if you want a good lifestyle you're going to be cutting hours.
 
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People are throwing around 400k to 500k on this thread as if that's average. We're literally still talking 80th and above percentile earnings here. Most doctors are not going to be making that even if they go into a cush field. Further if you want a good lifestyle you're going to be cutting hours.
And some people think 400K is too little lol.
 
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You can do pretty much whatever aside from derm or surgical specialties if you’re not all hung up on prestige or whatever.

Rads is probably your best bet for money. But you should really consider length of training too. Do you really have 8 more years of grind left in the tank? I think that’s why a lot of people go IM. Leaves open the fellowships, but allows you to just get off the train in three years if you’re just over this garbage.
I was always under the impression rads was a 3-year residency, maybe 4 years max. Is that not the case?
 
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I was always under the impression rads was a 3-year residency, maybe 4 years max. Is that not the case?
Rads is an unrelated intern year then 4 years of residency and basically a mandatory fellowship for 6 years total post grad training.

He said 8 years in his reply because the poster just finished step 1 and has 2 more years of school as well.
 
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People are throwing around 400k to 500k on this thread as if that's average. We're literally still talking 80th and above percentile earnings here. Most doctors are not going to be making that even if they go into a cush field. Further if you want a good lifestyle you're going to be cutting hours.
This is just false lol. Median numbers for GI, cards, Heme onc, anesthesia, rads, etc. are well above 400, some mid 500s. And obviously some specialties will offer 400k at much lower hours than 400k in another. Also, 400k is the sweet spot. Anything more is gravy, anything less feels like I'm getting scammed by my employers (which physicians still are I bet even if they make 700k).
 
This is just false lol. Median numbers for GI, cards, Heme onc, anesthesia, rads, etc. are well above 400, some mid 500s. And obviously some specialties will offer 400k at much lower hours than 400k in another. Also, 400k is the sweet spot. Anything more is gravy, anything less feels like I'm getting scammed by my employers (which physicians still are I bet even if they make 700k).
It's implied that if you are employed someone is making money off you. That's how owning a business works. If you are a partner in a private practice then that's not the case, obviously.
 
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This is just false lol. Median numbers for GI, cards, Heme onc, anesthesia etc. are well above 400, some mid 500s. And obviously some specialties will offer 400k at much lower hours than 400k in another. Also, 400k is the sweet spot. Anything more is gravy, anything less feels like I'm getting scammed by my employers (which physicians still are I bet even if they make 700k).

Again, most people aren't going to be doing any of those fields. Hem/Onc doesn't make 400-500k. Gas makes that and potentially more, but largely only in subspecialty. GI is competitive and a road to broken dreams and between clinic, scopes, and hospital consults most of them are some of the most unhappy physicians I've ever met.

Most doctors are going to make somewhere between 220-330k. That's reality, most of my hospitalist friends who are doing 1 on 1 off are base salary 285 + rvus and end up somewhere close to 330-340k.
 
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Again, most people aren't going to be doing any of those fields. Hem/Onc doesn't make 400-500k. Gas makes that and potentially more, but largely only in subspecialty. GI is competitive and a road to broken dreams and between clinic, scopes, and hospital consults most of them are some of the most unhappy physicians I've ever met.

Most doctors are going to make somewhere between 220-330k. That's reality, most of my hospitalist friends who are doing 1 on 1 off are base salary 285 + rvus and end up somewhere close to 330-340k.
this is easily found in this forum in a lot of threads.
 

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Again, most people aren't going to be doing any of those fields. Hem/Onc doesn't make 400-500k. Gas makes that and potentially more, but largely only in subspecialty. GI is competitive and a road to broken dreams and between clinic, scopes, and hospital consults most of them are some of the most unhappy physicians I've ever met.

Most doctors are going to make somewhere between 220-330k. That's reality, most of my hospitalist friends who are doing 1 on 1 off are base salary 285 + rvus and end up somewhere close to 330-340k.
Okay well obviously if you mean all physicians, then the numbers are skewed to primary care docs, because every school matches like 40 percent + to primary care. That's why there's salary information based on specialty, and hence I am asking what I did on this thread.
 
I’m amazed how many physicians, especially those in training, don’t know their worth and don’t know how much revenue they generate. Its baffling.

As is seen in this own thread— Med students, unintelligently, making snide remarks at people thinking 400k isn’t enough. Well, bud, when you generate almost double that and the suits skim off the top then you sure as hell don’t make enough.
 
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this is easily found in this forum in a lot of threads.

It's been stated before that these numbers are higher estimates and reflect people doing significant inpatient workloads where yes the pay is higher, but the lifestyle is far worse as a result. A lot of these numbers are going to be higher than what normal folks are going to get.
 
It's been stated before that these numbers are higher estimates and reflect people doing significant inpatient workloads where yes the pay is higher, but the lifestyle is far worse as a result. A lot of these numbers are going to be higher than what normal folks are going to get.
Never heard that it reflects higher workloads. What I have heard is the number often reflects all the bonuses etc. And it seems much more likely the median roughly correlates with the median number of hours worked in specialty, while 75th, 90th percentile numbers are the ones due to increased work hours or worse location, mix of both.
 
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I’m amazed how many physicians, especially those in training, don’t know their worth and don’t know how much revenue they generate. Its baffling.

As is seen in this own thread— Med students, unintelligently, making snide remarks at people thinking 400k isn’t enough. Well, bud, when you generate almost double that and the suits skim off the top then you sure as hell don’t make enough.
It's all about supply and demand my friend. Nothing more and nothing less. There is a reason working in a big city earns you way less than working in a smaller town. And even then, it doesn't matter how high your salary is, there will always be someone making money off of you, and you will always be taken advantage of. That's how business works, and a Hospital or a clinic is nothing but a business. If you wanna get what you're worth, then go into private practice.

My comment wasn't meant to be derogatory or mocking, but really more about setting up expectations, so when you're fresh out of residency you aren't disappointed by the offers you are getting.
 
This is just false lol. Median numbers for GI, cards, Heme onc, anesthesia, rads, etc. are well above 400, some mid 500s. And obviously some specialties will offer 400k at much lower hours than 400k in another. Also, 400k is the sweet spot. Anything more is gravy, anything less feels like I'm getting scammed by my employers (which physicians still are I bet even if they make 700k).

Just do rads and you’ll coast to 400k to reasonable lifestyle. If you want to maximize the profits, do anesthesia>pain. Sky is the limit.

You can make a lot of money in any specialty but you’ll have to work hard. You alluded you want to coast. I wouldn’t do anesthesia as it’s not a lifestyle specialty IMO, unless you do pain. As with anything, more money means working harder. Also, mid/small towns is where the money is. My hospitalist friends make 400k plus in mid/small towns. I’m a sub specialist surgeon in a major city and 400k-500k would roughly be average for sub specialty surgeons here.
 
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It's all about supply and demand my friend. Nothing more and nothing less. There is a reason working in a big city earns you way less than working in a smaller town. And even then, it doesn't matter how high your salary is, there will always be someone making money off of you, and you will always be taken advantage of. That's how business works, and a Hospital or a clinic is nothing but a business. If you wanna get what you're worth, then go into private practice.

My comment wasn't meant to be derogatory or mocking, but really more about setting up expectations, so when you're fresh out of residency you aren't disappointed by the offers you are getting.
It’s actually not. Medicine doesn’t follow the supply and demand process. You clearly don’t understand the economics of medicine
 
The truth is that if you want to make quick money in medicine right now, hospital medicine is the way to go. 300-400k/yr working (42-50 hrs/wk), but is that sustainable for 10+ yrs?
 
The truth is that if you want to make quick money in medicine right now, hospital medicine is the way to go. 300-400k/yr working (42-50 hrs/wk), but is that sustainable for 10+ yrs?
300 isn't a lot. Also, how is that not sustainable. Sounds average hours for medicine. Just need a social worker to deal with that side of things.
 
The truth is that if you want to make quick money in medicine right now, hospital medicine is the way to go. 300-400k/yr working (42-50 hrs/wk), but is that sustainable for 10+ yrs?

You can make it sustainable i.e do teaching.
 
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300 isn't a lot. Also, how is that not sustainable. Sounds average hours for medicine. Just need a social worker to deal with that side of things.

frustrated head GIF
 
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300 isn't a lot. Also, how is that not sustainable. Sounds average hours for medicine. Just need a social worker to deal with that side of things.
I am new to this game (just graduated a month ago), but I have heard people said being a hospitalist is not sustainable on the long run. But I think 1 week on/off seems to be one of the best schedules for work-life balance. Lets what I think in 6 months.

Being in the 97th percentile of income earners is not bad but things could be better.
 
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Scored a 231. Now, based on this, I want to pick a specialty that will offer me the most money and nice lifestyle. Money more important. What specialties will allow me to match at a decent spot - midwest urban town or maybe close to it, that hits these things.

Income aside - is there a field you may actually enjoy?
 
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Income aside - is there a field you may actually enjoy?
Hard to tell. Haven't started rotations. I'll see in a year. I'm willing to put up with more BS in a specialty if it pays more, of course.
 
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Hard to tell. Haven't started rotations. I'll see in a year. I'm willing to put up with more BS in a specialty if it pays more, of course.

I don’t think there’s anything wrong with being incentivized by some $ - our whole society runs on it. I’m not even necessarily saying ‘don’t do something for the money’ (although I think that’s become a mantra for good reasons). But reimbursements rates and ‘bread & butter’ procedures can change a lot over a career. IIRC RadOnc used to be top dog and GI used to be pretty noncompetitive - and then the demand for their services radically shifted.

It’s probably worth considering that the landscape fluctuates when you choose. It would suck (a lot) to end up with a job you can’t stand that doesn’t even pay what you were expecting.
 
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Money should be one of the primary incentives because medicine is not an easy job. Obviously you should do something you can at least tolerate.

No matter how much some people say they LOVE medicine, if salary suddenly drops from 120k(peds)-250k(neurosurgeon), med school will no longer be competitive...
 
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Money should be one of the primary incentives because medicine is not an easy job. Obviously you should do something you can at least tolerate.

No matter how much some people say they LOVE medicine, if salary suddenly drops from 120k(peds)-250k(neurosurgeon), med school will no longer be competitive...

I think you should balance passion, interest, lifestyle, and money all in the same discussion. It's also interesting in that there are different types of people who can succeed and do well in different settings. For example, I'd have an easier time working 30 hours a week for 25 years for 250k than working 60 hours a week for 10 years for 500k.
I don't want to hustle for a decade so I can early retire. I'd rather work at a calm and steady pace and downsize as needed.
 
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