Making $$$ in IM

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(nicedream)

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So, how would one make a relative killing in internal med?
Rural practice? Boutique practice in wealthy suburb?
What separates the internists who are "struggling", the ones doing "okay", and the ones banking?
 
(nicedream) said:
So, how would one make a relative killing in internal med?
Rural practice? Boutique practice in wealthy suburb?

The fastest way to make a killing is a KCl injection. Works equally well in suburbs and in rural settings.
 
Wrigleyville said:
The fastest way to make a killing is a KCl injection. Works equally well in suburbs and in rural settings.

Well, I was expecting either moral superiority or sarcasm - so who's going to take the high road now? 😉
 
If you went into medicine to make a boatload of money, now is a good time to get out.

There, I did it. 😉
 
Nobody wants to share their wisdom? Or do you just not want to give away your business plans?
 
(nicedream) said:
Nobody wants to share their wisdom? Or do you just not want to give away your business plans?
I dont think general internal medicine provides a simple way to make "a killing" financially.Were this possible it would be more sought after than it is.If an internist was an entrepreneur he might set up a group practice,sublet medical buildings and make money..in this fashion.There are high end internists in large cities who are paid $$$ up front and do very well,but it it takes the right connections to develop a reputation strong enough to do this.By setting up a practice in a shortage area such as a rural location or medium size city,it will be possible to get busy quickly.You can make good money but be prepared to work hard for it.
 
ny skindoc said:
I dont think general internal medicine provides a simple way to make "a killing" financially.Were this possible it would be more sought after than it is.If an internist was an entrepreneur he might set up a group practice,sublet medical buildings and make money..in this fashion.There are high end internists in large cities who are paid $$$ up front and do very well,but it it takes the right connections to develop a reputation strong enough to do this.By setting up a practice in a shortage area such as a rural location or medium size city,it will be possible to get busy quickly.You can make good money but be prepared to work hard for it.
I mean I dont know if this is legal, probably not. But I know internists that work in university/residency settings that basically work the hell out of their residents. In the mean time they're buying up property and doing business on the side.

again...sucks for teh residents, but most of these attendings are at hospitals taht are extremely IMG friendly. As a result, they konw that the IMGs need them mroe than they need them...soooooooo it basically gives them a license to abuse unfortunately 😎
 
The usual way to make a "relative killing" in internal medicine is by doing a fellowship in cards or GI.

I am not a medicine resident, but I know that procedures reimburse higher than clinic work. So, maybe you can learn how to perform some procedures that are typically done by specialists. For example, stress tests, ultrasound, skin biopsies, etc.
 
Molly Maquire said:
The usual way to make a "relative killing" in internal medicine is by doing a fellowship in cards or GI.

I am not a medicine resident, but I know that procedures reimburse higher than clinic work. So, maybe you can learn how to perform some procedures that are typically done by specialists. For example, stress tests, ultrasound, skin biopsies, etc.

How would one find residency programs that offer adequate instruction in such procedures?
 
Molly Maquire said:
The usual way to make a "relative killing" in internal medicine is by doing a fellowship in cards or GI.

I am not a medicine resident, but I know that procedures reimburse higher than clinic work. So, maybe you can learn how to perform some procedures that are typically done by specialists. For example, stress tests, ultrasound, skin biopsies, etc.


You cannot get paid by Insur. comp. for procedures that are not your sub. You can charge as a PMD not as a sub. You can do a EKG at a IM office, but you are only allowed so bill for what you are. If a Cardo did a EKG, their payment is higher.
 
(nicedream) said:
How would one find residency programs that offer adequate instruction in such procedures?


Most programs Req. you to be able to do some procedures, such as TLC's.
 
hi there,

i was actually shocked to find out that one of our IM residency grads (who went back to his hometown...a rural place in ohio) is now learning to put in pacemakers from another older and established internist whose practice he just joined. apparently, they also do colonoscopies and similar procedures! apparently, once you get your medicine license, you can technically do anything and everything so long as you observe and 'practice' it enough. i find this to be unbelievable...anyone else know about this?!?!?!? so if its true...i guess that's how you can make $$ from IM...well, that and you'd have to go to a rural town where there is a major lack of specialists. you couldn't pay me enough to move to a rural town.
 
You make decent money as a hospitalist.
At my program they make $160 K or $170 K a year
 
Benzo4every1 said:
You make decent money as a hospitalist.
At my program they make $160 K or $170 K a year

Can FPs become hospitalists?
 
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