New York City....LOL

[Twiggidy]

I’ll let this screenshot speak for itself....

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Members don't see this ad.

 

[deleted171991]

Not necessarily bad, depending on the working time.

 

[Twiggidy]

Add 150k and then maybe.

If you’re single, then sure. Otherwise you’ll never own a home and you better marry another doctor. At least if it were LA the weather would be nice.

 

[Twiggidy]

Not necessarily bad, depending on the working time.

But you are right in that it’s a perfect “mommy track” CCM job

 

[deleted171991]

But you are right in that it’s a perfect “mommy track” CCM job

Unless it's M-F, 120 hour-ICU coverage.

How much do you think a full time anesthesiologist makes in a big city in the Northeast?

 

[Twiggidy]

Unless it's M-F, 120 hour-ICU coverage.

How much do you think a full time anesthesiologist makes in a big city in the Northeast?

That’s true. They don’t mention hours or call

 

[pgg]

Unless it's M-F, 120 hour-ICU coverage.

How much do you think a full time anesthesiologist makes in a big city in the Northeast?

Not enough. It's a wonder any surgery gets done at all.

 

[anbuitachi]

thats pretty competitive package over there

 

[Twiggidy]

Not enough. It's a wonder any surgery gets done at all.

Seriously

 

[facted]

Unless it's M-F, 120 hour-ICU coverage.

How much do you think a full time anesthesiologist makes in a big city in the Northeast?

PP partners in NYC area can approach 550-650. Academics 350-450. All call taking.

 

[deleted126335]

Plenty of well credentialed and well trained people willing to eat it. I was almost one. Family... Comfort of the familiar... leaving both is hard for some people. Not all. Hat tip to the military folks who take it in stride. People just care about different things.

 

[chocomorsel]

That’s definitely not true. Way too high for nyc

I bet it depends on where one works. Plenty of rich people living in NY with good insurance.

 

[facted]

That’s definitely not true. Way too high for nyc

Do you live in the area? Have you held jobs in the area? I personally have been at two jobs in the greater NY area with these salary levels. They do exist. Out of curiosity, which of those two do you think is too high?

 

[chocomorsel]

Don’t currently live in the area but I did for a VERY long time before moving away recently. Both figures are high for NYC, especially private practice. I would have stayed if I saw those figures

Maybe it’s possible that you didn’t know the right people or have the right contacts. Just maybe.
That’s the thing I see in medicine. It’s all about the proper contacts. You could be living in the same city as the next doc who’s pulling in way more than you because he has an in with the right people.
I have no skin in the game and don’t have the right contacts to these well paying gigs myself. Glad I am going the hospital employed route cuz all these proper connections most often keep “the good old boys club” connected IMO.

 

[sevoflurane]

Plenty of well credentialed and well trained people willing to eat it. I was almost one. Family... Comfort of the familiar... leaving both is hard for some people. Not all. Hat tip to the military folks who take it in stride. People just care about different things.

The only thing on my radar is location and retirement. For me, NYC offers neither and my wife grew up in South Hampton.

 

[Twiggidy]

Maybe it’s possible that you didn’t know the right people or have the right contacts. Just maybe.
That’s the thing I see in medicine. It’s all about the proper contacts. You could be living in the same city as the next doc who’s pulling in way more than you because he has an in with the right people.
I have no skin in the game and don’t have the right contacts to these well paying gigs myself. Glad I am going the hospital employed route cuz all these proper connections most often keep “the good old boys club” connected IMO.

You’d be surprised at how “knowing the right people” is important even in hospital employed positions

 

[Twiggidy]

My problem is you can’t even dream of owning a home in NYC or even the greater NYC on a 300k salary unless you’re a trust fund kid. No way I could pay rent to make someone else rich my entire career

As PGG said, I’m shocked surgery even gets done in NYC. But it is all relative. If I’m just babysitting residents and CRNAs then maybe 300k is all I deserve. If I’m sitting the stool, im not getting out of bed for less than 450k at least

 

[sevoflurane]

300k is nowhere even close to MGMA average last I checked. 300k should either come with lots of vacation or less than 40 hour weeks with little to no call or both. Geesh. Why do people take these jobs?

Flat out robbery if this is a 60hr/week gig with 6/7 weeks of vaca.

Please pass on principle alone.

 

[Twiggidy]

Always amazed at how well payed some people are on here. But I can never seem to find these lucrative jobs in real life. Only on here, do the economics seem to be so glorious

Never “kiss and tell” my friend. If I were banging a porn star I probably wouldn’t brag about it

I’d make a good argument that none of the well paid jobs are “advertised” and if they are they’re lying or there’s a catch. 450k in a private practice is what it should be.

 

[Twiggidy]

300k is nowhere even close to MGMA average last I checked. 300k should either come with lots of vacation or less than 40 hour weeks with little to no call or both. Geesh. Why do people take these jobs?

Flat out robbery if this is a 60hr/week gig with 6/7 weeks of vaca.

Please pass on principle alone.

In ridiculous, on cost of living alone I don’t even know how 300k is justified. I agree with you. People out there settling for the class nerd when they could be with the prom king/queen (or at least the runner up). Have some pride

Again, that is unless you have rich parents or a trust fund

 

[DM27]

I've previously worked in the NYC area and I can say that from my experience, while the pay is not good, it generally exceeds 300k. If you search the federal government salaries, some of the Anesthesiologists at the VA make more than 300k.

 

[chocomorsel]

300k is nowhere even close to MGMA average last I checked. 300k should either come with lots of vacation or less than 40 hour weeks with little to no call or both. Geesh. Why do people take these jobs?

Flat out robbery if this is a 60hr/week gig with 6/7 weeks of vaca.

Please pass on principle alone.

I made 300k on my first job. I had 7 weeks vacation but was working about 40 hours a week probably and on call q6. I thought I was banking. I was happy. It was a small sleepy town and the job was a little sleepy too. But I guess I was being robbed blind. LOL

 

[facted]

Don’t currently live in the area but I did for a VERY long time before moving away recently. Both figures are high for NYC, especially private practice. I would have stayed if I saw those figures

Academics that number is accurate for NYC itself. For PP, I said greater NYC which includes Westchester, NNJ, Western LI. That number is very accurate for those areas.

 

[anbuitachi]

Yea you can find those salaries within 1-2 hr drive from NYC if that still counts as greater NYC area... but those are partnerships obviously, which significant risks. Tracks are often 3-5 years now with more on the longer ranger.. Not worth it unless you know you will be living there for at least 8-10 years.

The payer mix in NYC sucks i think, a lot of poor people, medicaid, homeless, etc. And with unionized nursing etc, it's just slow and inefficient.
350-450 sounds accurate for academics, with 4 weeks vacation, standard 50-60 hrs/week

 

[Twiggidy]

I made 300k on my first job. I had 7 weeks vacation but was working about 40 hours a week probably and on call q6. I thought I was banking. I was happy. It was a small sleepy town and the job was a little sleepy too. But I guess I was being robbed blind. LOL

Let’s do just real dirty math.....

300k a year with 7 weeks off .....let’s call it about $6700 a week and with a 40 hr week that’s about 170/hr-ish.....so about $42 per unit but that’s only based on TIME, no start up units or units made on call included, or even a call stipend.

You actually were being robbed. I bet if you went through your case log and tallied them with even CMS units you should’ve made more


I’m not even trying to clown you but give you the info you can go to the next job informed.

 

[facted]

Anyone (non-cardiac) making this in NYC? Speak now or forever hold your peace.

Academic 350-450 still exists in the city. I've got friends doing that.

 

[anbuitachi]

Anyone (non-cardiac) making this in NYC? Speak now or forever hold your peace.

i think 550 maybe , but working very long hours.. like 80+

 

[chocomorsel]

Let’s do just real dirty math.....

300k a year with 7 weeks off .....let’s call it about $6700 a week and with a 40 hr week that’s about 170/hr-ish.....so about $42 per unit but that’s only based on TIME, no start up units or units made on call included, or even a call stipend.

You actually were being robbed. I bet if you went through your case log and tallied them with even CMS units you should’ve made more


I’m not even trying to clown you but give you the info you can go to the next job informed.

Ok. Your opinion. I have since moved on to other jobs. I remember some days being home by 1 pm and always had the post call day off.
My next job won’t be in the OR. Probably not gonna be balling like some of y’all on here but I will somehow survive.

 

[700825]

So just a medical student who wondered by, but I have to ask to those familiar with NYC...is it really that obscenely expensive that you would struggle to own a home in a decent area/raise a family on 300k I'm from the SE so this just seems crazy to me. (not criticizing people criticizing the job offer; I'm all for doctors pushing to be paid what their worth)

 

[nimbus]

This is not anesthesia specific but interesting nonetheless. The range is narrower than what I would have guessed.

 

[facted]

So just a medical student who wondered by, but I have to ask to those familiar with NYC...is it really that obscenely expensive that you would struggle to own a home in a decent area/raise a family on 300k I'm from the SE so this just seems crazy to me. (not criticizing people criticizing the job offer; I'm all for doctors pushing to be paid what their worth)

In the suburbs of NY, for a decent house in a good school district, a house is at least 700k, more like 1 million+ in my town. Then I pay 25k property tax a year along with state income tax, etc... It adds up quick. If you have kids, pre-schools can run at least 10-20k a year. You get the point.

Things aren't much better in NYC.

 

[facted]

This is not anesthesia specific but interesting nonetheless. The range is narrower than what I would have guessed.

View attachment 258950

I think that salaries are somewhat deep depressed in the NE, but really it's the cost of living that makes all the difference. That 350k in Minneapolis for example is a gold mine compared to same in NYC.

 

[Hoya11]

Anyone (non-cardiac) making this in NYC? Speak now or forever hold your peace.

1hr from NYC my perspective:

AMCs 350k
Academic 325k
Private Practive Partner 450-550k

 

[Hoya11]

In the suburbs of NY, for a decent house in a good school district, a house is at least 700k, more like 1 million+ in my town. Then I pay 25k property tax a year along with state income tax, etc... It adds up quick. If you have kids, pre-schools can run at least 10-20k a year. You get the point.

Things aren't much better in NYC.

IMO you can get much more than a "decent" house for 1 million and 25k property taxes, that is an expensive house!

 

[residency2010]

I am working in nyc since finishing residency and making close to 500k. But I take 6-8 calls and average about 65-75 hrs per week. 500k jobs do exist in nyc but u got to work for it. They just increased the base and I am expecting 550. These jobs do exist. I am a generalist.

 

[facted]

IMO you can get much more than a "decent" house for 1 million and 25k property taxes, that is an expensive house!

Where do you live? In southern Westchester where I live, that's unfortunately not true IMO. I wish it was. Not true for my friend in Western Li or NNJ either. Certaintly not true for NYC either.

 

[facted]

1hr from NYC my perspective:

AMCs 350k
Academic 325k
Private Practive Partner 450-550k

NAPA at some sites starts at 350k for no call position 5 days 7-5 or 4 days 7-7.... Just saying. Take call and it goes up.

 

[Twiggidy]

In the suburbs of NY, for a decent house in a good school district, a house is at least 700k, more like 1 million+ in my town. Then I pay 25k property tax a year along with state income tax, etc... It adds up quick. If you have kids, pre-schools can run at least 10-20k a year. You get the point.

Things aren't much better in NYC.

Things are worse in NYC. At least 2 million for a mutli bedroom condo (unless you contribute to gentrification in the outer borough). NYC public schools are trash so now you budget private school. As you said, state and CITY taxes.

There's just no way. If the defense is the NYC is for young, singles with no families, then fine, I'll agree with you, but an anesthesiologist making 300k in NYC trying to own a home and raise a family but have a locums gig at Scores.

 

[Twiggidy]

I am working in nyc since finishing residency and making close to 500k. But I take 6-8 calls and average about 65-75 hrs per week. 500k jobs do exist in nyc but u got to work for it. They just increased the base and I am expecting 550. These jobs do exist. I am a generalist.

There it is. You basically work resident hours to "NYC COL for professional" wages (hey. i do the same out here in the land of sunshine)

 

[2Fast2Des]

1hr from NYC my perspective:

AMCs 350k
Academic 325k
Private Practive Partner 450-550k

Damn I'm an hour from NYC and an associate in a PP group making that AMC money, need to find myself a new gig it seems

 

[GravelRider]

300k seems low for this job and for the region, but as with any job, workload matters in the evaluation. Some sucker new grad will take it because he or she is single and wants to be in the city for a bit. I could have had a lot of fun living in Brooklyn making 300k before I got nailed down. Anyone who does take this job at the listed price won’t last for more than 3-5 years, at most. I bet there is a lot of room for negotiation, but they are dangling this out there to see if a newbie will grab the bait. This job should be advertising at least 400k to be reasonable.

In my opinion, the boroughs and inner suburbs provide poor value to people who want to be in the region and raise a family...unless your combined income is >$1 million. The sweet spot, in terms of value, seems to be the 1-1.5 hour drive radius...you get schools that are pretty close to being on par with the inner suburbs and certainly better than a lot of rural areas. You can get a “decent” house with plenty of space for 500-700k. Many of these regions are on commuter rail access to NYC.

If all else fails, move to Philly, which is significantly cheaper, a short ride away from NYC, and just as fun.

 

[facted]

Damn I'm an hour from NYC and an associate in a PP group making that AMC money, need to find myself a new gig it seems

$350 for a partner in the area is LOW, assuming you're taking call and are not on a partner track (ie: already a partner) Especially in the suburbs. Are you on LI, NJ, or Westchester/HV?

 

[2Fast2Des]

$350 for a partner in the area is LOW, assuming you're taking call and are not on a partner track (ie: already a partner) Especially in the suburbs. Are you on LI, NJ, or Westchester/HV?

No partner track, only as employee but still full call. In Suburban NJ, around 380-390 on productivity, but no bennies so everything out of pocket pretty much. I would love to be making this mythical 450+ numbers, any MD only group around?

 

[deleted162650]

No partner track, only as employee but still full call. In Suburban NJ, around 380-390 on productivity, but no bennies so everything out of pocket pretty much. I would love to be making this mythical 450+ numbers, any MD only group around?

I just threw up in my mouth a little.

 

[2Fast2Des]

I just threw up in my mouth a little.

Well I should mention malpractice is covered, 6/7 wks vacay, and healthcare is subsidized up to certain percentage if you don't make more than base salary. Of all the jobs I interviewed at in this area this was the best one so really not saying much for the market, especially MD only really limits my range

 

[DM27]

Yeah these are all the reasons we left NYC area.

 

[Hoya11]

Where do you live? In southern Westchester where I live, that's unfortunately not true IMO. I wish it was. Not true for my friend in Western Li or NNJ either. Certaintly not true for NYC either.

You are right in the sense that if you compare it to someones house in BFE, they will have a much nicer house.

Two acres and a 4000sq ft new construction in westchester, could be 3 million + in some areas, a 2500 sq f house built in 1985 for 750 is more common here. But that 4000 sq ft house in BFE will cost you 300k. For 300k you are living in a bad neighborhood around here..

 

[deleted162650]

Well I should mention malpractice is covered, 6/7 wks vacay, and healthcare is subsidized up to certain percentage if you don't make more than base salary. Of all the jobs I interviewed at in this area this was the best one so really not saying much for the market, especially MD only really limits my range

OK so there are bennies. Makes it a little less nauseating.

 

[2Fast2Des]

OK so there are bennies. Makes it a little less nauseating.

No 401k as it is and no health insurance paid past 380k earned so it does get nauseating knowing I could be making 100-150k plus if others are able to do in the area. I think I work about 40-50hr average a week, so not too bad overall,

 

[nimbus]

So just a medical student who wondered by, but I have to ask to those familiar with NYC...is it really that obscenely expensive that you would struggle to own a home in a decent area/raise a family on 300k I'm from the SE so this just seems crazy to me. (not criticizing people criticizing the job offer; I'm all for doctors pushing to be paid what their worth)

Timely articles to familiarize yourself with NYC real estate.

A Room With a (New) View (Published 2019)

A Manhattan renter sets out to buy a one-bedroom with an inspiring vista and a kitchen worth cooking in. See if you can guess where he wound up.

www.nytimes.com

How Luxury Developers Use a Loophole to Build Soaring Towers for the Ultrarich in N.Y. (Published 2019)

The spread of these buildings overlooking Central Park is provoking a backlash amid a broader debate about affordable housing, extravagant projects and the city’s identity.

www.nytimes.com

FWIW an old med school friend is a fetal surgeon who makes close to 7 figures in San Francisco. He and his family live in a 100yo 1200sf house. If you need a big house to be happy, these places aren’t for you.