Making your own shifts + salary

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jumpbean2

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So I understand ER docs who works in hospitals usually get to create their own monthly shift, enabling them to choose generally how much they want to work, what days, ect..

How much freedom do they have when it comes to this?

Could you work 75 hours a week if you wanted?

Conversely can you strictly limit your hours, say later in your career when your less ambitious?

Also, do hospitals often give overtime rates of 1.25x or even more?

What about holiday shifts? Bonuses?


Can anyone elaborate on this matter?

Thanks
 
So I understand ER docs who works in hospitals usually get to create their own monthly shift, enabling them to choose generally how much they want to work, what days, ect..

How much freedom do they have when it comes to this?

Could you work 75 hours a week if you wanted?

Conversely can you strictly limit your hours, say later in your career when your less ambitious?

Also, do hospitals often give overtime rates of 1.25x or even more?

What about holiday shifts? Bonuses?


Can anyone elaborate on this matter?

Thanks

From my experience:

1. Yes, you can generally "create" your monthly schedule to a point. It depends on the relationship you have with your scheduler and what your mutual understanding is. You can probably request off a good chunk of the month and request to not work a particular shift here and there, but unless you are super-tight with your scheduler, I doubt you can dictate exactly which shifts you want to work and when... unless they're desperate.

2. You could probably work 75h/wk if you wanted, but you'd be toast.

3. You can limit your hours to whatever hours you give your scheduler/job when you agree to sign on.

4. We don't get paid overtime (unless explicitly offered... say they're really tight for a shift and they call you and say we'll pay you an additional $500... I've had that happen to me before).

5. From my experience, holiday shifts are not paid any differently.

6. I don't get vacation pay.

7. I get holiday bonus.
 
I'd like to add that I've been paid a 1000 dollar bonus to take one shift last month (take that, pinipig). 🙂 They were in a real bind; holidays and all. I get paid in like, 3 days.

Can't waaait.

Trying to work more than 50 hours in a week in the ED is... unwise.
 
So I understand ER docs who works in hospitals usually get to create their own monthly shift, enabling them to choose generally how much they want to work, what days, ect..

How much freedom do they have when it comes to this?

Could you work 75 hours a week if you wanted?

Conversely can you strictly limit your hours, say later in your career when your less ambitious?

Also, do hospitals often give overtime rates of 1.25x or even more?

What about holiday shifts? Bonuses?


Can anyone elaborate on this matter?

Thanks

It really depend by the set-up of your group. I'm telling how it work in my group.

1. shift freedom stop where the freedom of the others MDs start. You can ask to have all the week-end off but month that another doctor need all the week-end off probably you have to give-up as you had it the past x months.

2. 75 hrs a week? Again it depend in the group where I work the older attending have enforced a minimum of 12 hours off between shifts, and at least 36 hours off every 6 working days, you lose flexibility but you gain in social time.

3. As the two points above. If it's ok for the others colleagues it's ok for you

4.5. I work in a fee for service (blended fee for service as the boss use to call it) so we don't have bonuses but we try to spread the holiday day in the group.
 
Interesting. I've only just been accepted to med school so I'm sure my opinions on all this are, no doubt, subject to change, but if It were up to me I could see myself at least initially working like 60 hours a week. 5 12 hour shifts a week doesn't seem unmanageable for a new, young doctor. All the attendings on here are probably rolling their eyes about now, though. :laugh:
 
Five eight-hour shifts in a week is enough to make me a very, very, tired and unhappy doc.

(and I'm that "new, young doc" that you referred to).
 
Interesting. I've only just been accepted to med school so I'm sure my opinions on all this are, no doubt, subject to change, but if It were up to me I could see myself at least initially working like 60 hours a week. 5 12 hour shifts a week doesn't seem unmanageable for a new, young doctor. All the attendings on here are probably rolling their eyes about now, though. :laugh:

I work with a guy that is 60, but I thought was 50 y/o, max. He works 20-21 12hr shifts per month. I asked him about that, and he said, "Learn from my example. Don't make the same mistakes I did". His regular gig is Friday-Tuesday nights. He also only sleeps about 5 hours between shifts, works out regularly, and his medicine doesn't suffer.
 
Interesting. I've only just been accepted to med school so I'm sure my opinions on all this are, no doubt, subject to change, but if It were up to me I could see myself at least initially working like 60 hours a week. 5 12 hour shifts a week doesn't seem unmanageable for a new, young doctor. All the attendings on here are probably rolling their eyes about now, though. :laugh:

Working 40 hr per week in EM is like 60 hr per week doing anything else. Working 60 hours per week in EM, is like working 120 hr per week doing anything else.

It's like trying to sprint, for a marathon (on a course with hills).

Don't worry. You'll get to try all of the above.
 
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Interesting. I've only just been accepted to med school so I'm sure my opinions on all this are, no doubt, subject to change, but if It were up to me I could see myself at least initially working like 60 hours a week. 5 12 hour shifts a week doesn't seem unmanageable for a new, young doctor. All the attendings on here are probably rolling their eyes about now, though. :laugh:

You'd be surprised how tired you are after 5x12h shifts in the ER as the attending.
 
You'd be surprised how tired you are after 5x12h shifts in the ER as the attending.

I worked 10 yesterday. 12 today.

I'm beat.

and, now that we're talking money, I want to get paid sooo bad.

My birthday is coming up this weekend. I'm gonna go bananas and buy like, three hockey jerseys.
 
I work with a guy that is 60, but I thought was 50 y/o, max. He works 20-21 12hr shifts per month. I asked him about that, and he said, "Learn from my example. Don't make the same mistakes I did". His regular gig is Friday-Tuesday nights. He also only sleeps about 5 hours between shifts, works out regularly, and his medicine doesn't suffer.

Kind of confused, what mistake was he referring to? I envy those <6hr sleepers that can still function normally.
 
I worked 10 yesterday. 12 today.

I'm beat.

and, now that we're talking money, I want to get paid sooo bad.

My birthday is coming up this weekend. I'm gonna go bananas and buy like, three hockey jerseys.

it's the little things in life.
 
it's the little things in life.

Things aren't cheap, y'know.

I had to retire my most recent one after I had one of my favorite players sign it in person.

I was totally star-struck. Didn't wanna wash my hand after shaking his, etc.
 
So I understand ER docs who works in hospitals usually get to create their own monthly shift, enabling them to choose generally how much they want to work, what days, ect..

How much freedom do they have when it comes to this?

Could you work 75 hours a week if you wanted?

Conversely can you strictly limit your hours, say later in your career when your less ambitious?

Also, do hospitals often give overtime rates of 1.25x or even more?

What about holiday shifts? Bonuses?


Can anyone elaborate on this matter?

Thanks

You don't get to "create your monthly shift" whatever a monthly shift is. You might get to decide how many shifts you want to work, and request a few days off, and perhaps even if you're lucky pick the mix of shifts you'll work. But write your own schedule? Only if you make the schedule and trust me when I say you don't want that job.

My group won't let you work more than 17 eight hour shifts per month. We don't like people burning out. They're not nice to work with. If you can't live on $300-400K then we don't want you in our group anyway.

I think it's relatively easy to find a job where your hours and/or nights are limited, as long as you're willing to make less money.

Hospitals don't employ most groups, and if they did, they certainly wouldn't pay overtime. You're a professional. There's no overtime. Get used to it.

Holiday shifts? Yes, you'll have them. Who did you think covered the ED on holidays? No, the hospital isn't going to pay you more to work it. If your group decides it wants to pay more for holidays, it will pay you less on other days. It's all one pot of money.

Some groups pay you a salary plus bonuses, but again, it's all one pot of money. Divide it up however you like.
 
You mean sweaters, right?
Hipster'd

Hahaha. The New York Islanders former home was in the Nassau Coliseum, which is actually halfway up long island. Now, they've moved to Brooklyn. It is joked that this is their new logo:

tumblr_mcessg9U1O1r4e5zuo1_500.jpg
 
Some shops pay a night, weekend, or holiday shift differential. I would say they are in the minority.

Remember in emergency medicine most of the jobs are structured as independent contract work so although that hourly rate may look good you are going to be paying for a lot of stuff out of pocket.

Some independent contract positions let you submit a schedule and say that you are available on these days. Again, these are in the minority. Most others allow you to request days off for special occasions on an intermittent basis, withthe understanding that you won't abuse the privilege. In general you are expected to work what scheduling assigns and plan your life around it.
 
I'll stop jobbing and give you honest answers.

How much freedom do they have when it comes to this?

Could you work 75 hours a week if you wanted?

Conversely can you strictly limit your hours, say later in your career when your less ambitious?

Also, do hospitals often give overtime rates of 1.25x or even more?

What about holiday shifts? Bonuses?


1. I have a decent degree of freedom. I like to work "2 on, 2 off", or "3 on, 2 off" so that I don't get burnt out on any one thing: be it work or golf or whatever. Sometimes I get a string of four days on in a row. Rarely, five days on. I straight-up refused to work a six-day stretch recently. It wasn't a "hard refusal", it was "listen, we need another solution; I've been a team player as far as I really can here".

2. 75 hours/week... can be done... by either the stupid, or the suicidal.

3. You can absolutely limit your hours. My contract states that in order to keep full-time benefits (health insurance, etc), that I only need to work an average of 120 hours/month. That's 30 hours a week. I usually work closer to 140 because "I'm young and can work, and want the money."

4. Overtime doesn't really exist in a lot of settings, but if the scheduler has a "need" that they just can fill, they can offer you 1.5-2x pay per hour. They even dangled "triple time" in front of me a few weeks ago to 'come in on my day off'. I couldn't do it; I had appointments that could NOT be broken.

5. No bonuses for holidays. A shift is a shift is a shift. You gotta split 'em up amongst the group.
 
Rustedfox, thanks for the info. How does vacation time work for your group. Are you allowed a certain number of weeks/days off per year?

1. No problem.

2. No vacation time. 120 hours/8 hour shifts = 15 shifts. That's 15 days off a month. You can swing enough in a row where you can go on vacay.
 
Hahaha. The New York Islanders former home was in the Nassau Coliseum, which is actually halfway up long island. Now, they've moved to Brooklyn. It is joked that this is their new logo:

tumblr_mcessg9U1O1r4e5zuo1_500.jpg

hey RustedFox, I'm just a pre-med who lurks the EM forum once in awhile since I (think 🙂) EM may be a good fit some day. Particularly love your insights. but anyhow...

The Islanders haven't left Nassau Coliseum just yet. they're new contract with the Barclays center in Brooklyn doesn't start for a few years. they're still stuck in the sewer that is the coliseum for awhile. Bitter die hard Ranger fan as you can see 😀
 
How do lunch breaks work during a shift? Are they paid?


Thanks to everyone who has contributed.
 
Lunch breaks?

It's generally way too busy for a "punch out" lunch break. You eat on the run, or take very short break (5-10 min). Some shifts you might not eat.
 
How do lunch breaks work during a shift? Are they paid?


Thanks to everyone who has contributed.

This is not meant to be offensive, but 1) in the greater scheme of things, lunch breaks (both whether you have time to eat and if you get paid for it) are very low on the 'what is important' in a future career scale and 2) you have many, many steps between you and being at the point of worrying about whether or not you will get a lunch break and if you will get paid for it as an EM attending.

Saw the wood in front of you.
 
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hey RustedFox, I'm just a pre-med who lurks the EM forum once in awhile since I (think 🙂) EM may be a good fit some day. Particularly love your insights. but anyhow...

The Islanders haven't left Nassau Coliseum just yet. they're new contract with the Barclays center in Brooklyn doesn't start for a few years. they're still stuck in the sewer that is the coliseum for awhile. Bitter die hard Ranger fan as you can see 😀


Ha ha. Thanks. So they're still in the Coliseum for the time being? Maaaan. Drag.

I'm a Pens fan (born in western PA), but I have no ill feelings towards the Rangers. Class organization. Excellent management. Star leadership. Even their "enforcers" (Rupper, Asham, et.al) aren't brainless goons. They know when there's a time for pugilism, and when that time is over. There is no "intent to injure". Just look at tonight's game: Asham and T.Glass dropped the gloves off of the opening faceoff... as a show for the fans. They slugged each other for a good 180 seconds, then gave the other a nod of acknowledgement as if to say "Strong fight, bro. Do it again sometime.", skated to the box, and... it was done. No more hijinks. Teams got energy. Fans got a lift. Nobody is going to shoot the other in a nightclub after the game (unlike other sports... *cough* football/basketball *cough*.)

Once the Pens were out of the playoff last year, it became "Go Rangers" for me.

Good luck, amigo. PM me and LMK if I can be of any help.

My teams (in order): PIT. TBL. CGY. WPG. COL.

I hate (in order): PHI. WSH. MTL. NYI... (then all California teams, as.. well.. the Pacific division is a joke... I hope Phoenix does well every year.)

Notice: I have no hatred towards NYR or NJD. I hope they do well every year, too.
 
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How do lunch breaks work during a shift? Are they paid?

If you're going to post on here for any appreciable amount of time, you're going to have to learn to take a beating sometimes. Its "brotherly love". Don't take it personally. When I was a medical student, I got worked over on here, too. Thanks to those who did me the favor.

Think about it this way: being an EM doc is like being a lifeguard, except the pool is "always open". You better eat whilst you sit and watch. And you better eat quickly. There is no: "Hey guys, I'm gonna go on break now. Back in 45 mins."

I wish I had a "gofer" on shift with me. It would be killer. My shop is seriously 200 yards away from a Starbucks and a Chilis. I need caffeine, and I need tacos, often multiple times a shift. My unit clerk can only be convinced to "run" when it suits her... and... she's not wrong. She's busy, too.
 
3. You can absolutely limit your hours. My contract states that in order to keep full-time benefits (health insurance, etc), that I only need to work an average of 120 hours/month. That's 30 hours a week. I usually work closer to 140 because "I'm young and can work, and want the money."

Yep, I quoted myself.

I'm going to limit my own hours here soon. I'm getting toasted. It is affecting my life, and my attitude towards other things. My relationship with the wifey is seriously strained. I caught myself making "a mistake or two" at work. I used to like to do things like go play roller hockey, et al. I live near the best beaches in the USA.

Lately; its been - "Meh. (f)uck it. Whatever. Just gotta go back tomorrow anyways."

Take heed, young wizards.
 
Ha ha. Thanks. So they're still in the Coliseum for the time being? Maaaan. Drag.

I'm a Pens fan (born in western PA), but I have no ill feelings towards the Rangers. Class organization. Excellent management. Star leadership. Even their "enforcers" (Rupper, Asham, et.al) aren't brainless goons. They know when there's a time for pugilism, and when that time is over. There is no "intent to injure". Just look at tonight's game: Asham and T.Glass dropped the gloves off of the opening faceoff... as a show for the fans. They slugged each other for a good 180 seconds, then gave the other a nod of acknowledgement as if to say "Strong fight, bro. Do it again sometime.", skated to the box, and... it was done. No more hijinks. Teams got energy. Fans got a lift. Nobody is going to shoot the other in a nightclub after the game (unlike other sports... *cough* football/basketball *cough*.)

Once the Pens were out of the playoff last year, it became "Go Rangers" for me.

Good luck, amigo. PM me and LMK if I can be of any help.

My teams (in order): PIT. TBL. CGY. WPG. COL.

I hate (in order): PHI. WSH. MTL. NYI... (then all California teams, as.. well.. the Pacific division is a joke... I hope Phoenix does well every year.)

Notice: I have no hatred towards NYR or NJD. I hope they do well every year, too.

There are a few members on this forum whom I respect from afar, and you've now officially made that list haha.

The fight tonight was a great start to our home opener, and I've gotta admit you guys look great this year. Between tonight and yesterday's games you guys just looked ready from the get-go. though I do hate Crosby (sorry but what non-pens fan doesn't, call it jealousy 😀), I respect the penguins organization tremendously also. Malkin is probably amongst my top 5 favorite players in the league, hes just fun to watch, and you guys are consistently a force to be reckoned with. I presume this year will be no different. Also love that you hate PHI, WSH, and NYI. I hate them all, and I kinda hope Scotty Hartnell, John Tavares, and Ovechkin all suffer from concussions sooner rather than later haha. Finding out you love hockey gave you an additional +5 to the respect meter, but well get you back for the butt whooping you put on us tonight 😉

I'm pretty sure EM is definitely what I want, but I know how you med students and physicians get pissed at us pre-meds for saying that haha. Appreciate the offer for help along the way though man, thanks. Will definitely PM you if I have any questions, or want to chat about some puck.
 
There are a few members on this forum whom I respect from afar, and you've now officially made that list haha.

The fight tonight was a great start to our home opener, and I've gotta admit you guys look great this year. Between tonight and yesterday's games you guys just looked ready from the get-go. though I do hate Crosby (sorry but what non-pens fan doesn't, call it jealousy 😀), I respect the penguins organization tremendously also. Malkin is probably amongst my top 5 favorite players in the league, hes just fun to watch, and you guys are consistently a force to be reckoned with. I presume this year will be no different. Also love that you hate PHI, WSH, and NYI. I hate them all, and I kinda hope Scotty Hartnell, John Tavares, and Ovechkin all suffer from concussions sooner rather than later haha. Finding out you love hockey gave you an additional +5 to the respect meter, but well get you back for the butt whooping you put on us tonight 😉

I'm pretty sure EM is definitely what I want, but I know how you med students and physicians get pissed at us pre-meds for saying that haha. Appreciate the offer for help along the way though man, thanks. Will definitely PM you if I have any questions, or want to chat about some puck.

Who cares if you watch hockey? I just want to know if you're still skating. I'm going back to play against my college team in an alumni game in a couple of weeks.

That was good advice you got above about sawing the wood in front of you. I get paid lunch breaks. As long as there aren't any patients to see. If there are I don't get lunch at all. My shop is slow enough that is pretty rare though.
 
My group won't let you work more than 17 eight hour shifts per month. We don't like people burning out. They're not nice to work with. If you can't live on $300-400K then we don't want you in our group anyway.

I.

Am i missing something?!?! That seems way too good to be true, doesnt it? lol

At the upper end you suggsted (400k) thats almsot $250/ hour😱.....I always though EM physicians make around 200-250k....

Also for the record Crosby is my boy haha winning us that G.O.L.D.

Fox, what makes you a Flames fan... thats very random? Are you from Alberta? I notice my team is neither a team you cheer for nor a team you hate haha
 
Fox, what makes you a Flames fan... thats very random? Are you from Alberta? I notice my team is neither a team you cheer for nor a team you hate haha

I'm from western PA, hence the Pens fandom. I now live and work in the greater Tampa Bay area, thus - the Bolts.

Flames fan, yes.... well, I have to admit I was a latecomer to the table there. In medical school, I had two buddies from Edmonton who would not miss watching a game, so I took up Calgary just as friendly antagonism. Then, I really started liking a lot of their players. Iggy is a class, franchise guy. Theo Fleury was also kind of a hero to me. More modernly, I loved Olli Jokinen when he was with the team, and I like Glencross, Jackman, etc. Hudler was a great pickup, so was Cammalleri. Trading Olli made zero sense to me. Now, they're so weak down the center that even I could skate right thru into the zone. G'head and laugh at me, but I even still buy, collect, and trade hockey cards: www.sportscardforum.net


Who is your team ? I'm indifferent to a lot of the western conference.
 
I'm from western PA, hence the Pens fandom. I now live and work in the greater Tampa Bay area, thus - the Bolts.

Flames fan, yes.... well, I have to admit I was a latecomer to the table there. In medical school, I had two buddies from Edmonton who would not miss watching a game, so I took up Calgary just as friendly antagonism. Then, I really started liking a lot of their players. Iggy is a class, franchise guy. Theo Fleury was also kind of a hero to me. More modernly, I loved Olli Jokinen when he was with the team, and I like Glencross, Jackman, etc. Hudler was a great pickup, so was Cammalleri. Trading Olli made zero sense to me. Now, they're so weak down the center that even I could skate right thru into the zone. G'head and laugh at me, but I even still buy, collect, and trade hockey cards: www.sportscardforum.net


Who is your team ? I'm indifferent to a lot of the western conference.

Canucks fan (not the type of fan the rest of the league seems to stereotype ie sore loser haha)

I have a lot of respect for Iginla ever since Trevor Linden (ex-Canuck player) retired. Not sure if you are familiar with Linden but he did a lot for the franchise and hes a great guy (super involved in the community). At Lindens last game, Calgary destroyed the Canucks.... as the game ended the Flames started to head to the dresser room. Iginla pulled them all back out and got the whole Flames team to shake Lindens hand.

In my opinion it doesn't get much classier than that, especially considering the rivalry between the two teams.

ps i always cheer for Pens in the back of mind because of Crosby
 
I have no ill feelings toward the 'Nucks. For a good youTube, search "My name is Johnny Canuck".

I'm not even Canadian, but I get a bit of "Canuck Pride" feeling out of seeing that'n.

I know of Linden. Exactly as you say.

TBL vs. NYI on TV right now. GO BOLTS. Be the Thunder.


UPDATE: As I'm typing this... two fights right off the puck drop between NYI and TBL.


Hahaha.
 
Am i missing something?!?! That seems way too good to be true, doesnt it? lol

At the upper end you suggsted (400k) thats almsot $250/ hour😱.....I always though EM physicians make around 200-250k....

Also for the record Crosby is my boy haha winning us that G.O.L.D.

Fox, what makes you a Flames fan... thats very random? Are you from Alberta? I notice my team is neither a team you cheer for nor a team you hate haha

200-250 per hour is VERY doable.... as is 300-400K/year.

Not picking on any one place, but likely you will not live in downtown Denver, Los Angeles, Seattle, Boston, DC, etc and make that. Our specilaities pay has a close relationship to the desirability of living. On the flip side, I cant imagine someone wanting to live in those places I mentioned.

You also do not need to live in BFE to do well. Traditionally, the South has higher pay than the rest of the country.
 
Lace 'em up, brother. *Stick tap*.

THEO FLEURY!! Yes man I love the guy. When he was a Ranger years ago I couldn't watch a game without my Fleury jersey on. Those were bad years for the blue shirts standings wise, but guys like him, Sandy McCarthy, Pavel Bure, Eric Lindros, and Mark Messier, to name a few, gave you a sense of pride like no other. I know Theo speaks of his Rangers days as terrible because his substance abuse was pretty bad while in NYC, but I loved him.

@ActiveDutyMD awesome that you still lace up! I havent in awhile, it's been mostly golf during my limited free time, but I sure do miss it. Captain in high school, club ice hockey for a year in college, then unfortunately fell off due to other pre-med necessities. it's unfortunate, but good for you still getting out there.
 
I'm from western PA, hence the Pens fandom. I now live and work in the greater Tampa Bay area, thus - the Bolts.

Flames fan, yes.... well, I have to admit I was a latecomer to the table there. In medical school, I had two buddies from Edmonton who would not miss watching a game, so I took up Calgary just as friendly antagonism. Then, I really started liking a lot of their players. Iggy is a class, franchise guy. Theo Fleury was also kind of a hero to me. More modernly, I loved Olli Jokinen when he was with the team, and I like Glencross, Jackman, etc. Hudler was a great pickup, so was Cammalleri. Trading Olli made zero sense to me. Now, they're so weak down the center that even I could skate right thru into the zone. G'head and laugh at me, but I even still buy, collect, and trade hockey cards: www.sportscardforum.net


Who is your team ? I'm indifferent to a lot of the western conference.

Can't dislike Iginla, straight class and an absolute sniper for most of his career. Love Jokinen too, short stint with the Rangers, and he's currently sitting on my bench in my fantasy league, just incase he decides to have a huge year lol. And as far as the lightning, St. Louis and Lecavalier fan til I die.
 
Can't dislike Iginla, straight class and an absolute sniper for most of his career. Love Jokinen too, short stint with the Rangers, and he's currently sitting on my bench in my fantasy league, just incase he decides to have a huge year lol. And as far as the lightning, St. Louis and Lecavalier fan til I die.


Met Marty St.Louis the other day at "fan fest". Guy is 5'8'' with his skates on. Legs like tree trunks.
 
Kind of confused, what mistake was he referring to? I envy those <6hr sleepers that can still function normally.

There's a reason why, at age 60, he has to work as many hours as he does. It's not because he wants to work that much. He needs the money.
 
Met Marty St.Louis the other day at "fan fest". Guy is 5'8'' with his skates on. Legs like tree trunks.

Haha I knew he was small but THAT small? Goes to show you, talent > size, to an extent.
 
I'm 5'7'' in my street shoes. I seriously stood eye to eye with him. He has at least five visible scars on his face.

What a man.

Feels good knowing I'd tower over him. Though I don't think I'd wanna drop the gloves with anytime soon haha
 
I worked 10 yesterday. 12 today.

I'm beat.

and, now that we're talking money, I want to get paid sooo bad.

My birthday is coming up this weekend. I'm gonna go bananas and buy like, three hockey jerseys.

My birthday is this weekend too...and luckily I don't have to work, AND I get paid Friday. except mine is only a residents salary....one day.....
 
200-250 per hour is VERY doable.... as is 300-400K/year.

Not picking on any one place, but likely you will not live in downtown Denver, Los Angeles, Seattle, Boston, DC, etc and make that. Our specilaities pay has a close relationship to the desirability of living. On the flip side, I cant imagine someone wanting to live in those places I mentioned.

You also do not need to live in BFE to do well. Traditionally, the South has higher pay than the rest of the country.

Partner in an independent democratic group in a part of town with a decent payor mix (where say 80% of your patients pay you). That's what you're looking for. Unfortunately, it's becoming more and more rare. I don't live in downtown Denver, I'm far closer to the ski resorts than that! Who wants to drive 2 hours to go skiing?
 
200-250 per hour is VERY doable.... as is 300-400K/year.

Not picking on any one place, but likely you will not live in downtown Denver, Los Angeles, Seattle, Boston, DC, etc and make that. Our specilaities pay has a close relationship to the desirability of living. On the flip side, I cant imagine someone wanting to live in those places I mentioned.

You also do not need to live in BFE to do well. Traditionally, the South has higher pay than the rest of the country.

Me either. This may be of benefit to my future earnings (not sure of specialty yet, but earning less in big cities seems to be the case for many specialties). Living in a big city now for med school is not to my liking, but I love the school, so...
 
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