Oral Surgeon wage?

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sbdento

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If an oral surgeon is making 1.2 million a year in production how much is his salary?

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Impossible to say. What area is he in (ie: rent/utility/tax costs), what procedures is he doing. how big is his staff, does he offer IV sedation, is he in a group practice or solo, does he do most of his procedures in-office or in a OR?
 
Typical overhead in a dental office seems to be around 60% and oral surgery tends to have less overhead than a general practice. So, at 1.2 million in production, you are looking at close to 500k.
 
Typical overhead in a dental office seems to be around 60% and oral surgery tends to have less overhead than a general practice. So, at 1.2 million in production, you are looking at close to 500k.

60%? which dentist do you shadow? most of the dentists that I shadow have an overhead of 45% or below. Usually, overhead should decrease the more you make.
 
you're right but i'm just looking for a ballpark

is he only oral surgeon? or there are others in the practice?

If he is solo... this guy probably takes home 600-800k... but again, its very hard to answer cause everything is an overhead (including how many lights you turn on, how many assistants you keep active during the day, etc etc)
 
Ok, you can't just assume his overhead is 60%. It depends on the specialty! E.g ortho and endo have really low overhead. GP average overhead should be ~50% or less, ideally.

I don't know about oral surgery though.
 
If he is solo... this guy probably takes home 600-800k... but again, its very hard to answer cause everything is an overhead (including how many lights you turn on, how many assistants you keep active during the day, etc etc)

These figures seem about right. But even a slower private practice, the OMS will pocket at least 500K. If it is a well oiled machine, with a huge referral base and he is shucking wizzies and placing implants all day, some OMS can make 2 million.

I don't know much about the mechanics and overhead of a OMS practice, but you also have to think that they are also billing anesthesia to every patient as well. I have heard from 2 different OMS, that this usually makes up 25-30% of their income.

Ok, you can't just assume his overhead is 60%. It depends on the specialty! E.g ortho and endo have really low overhead. GP average overhead should be ~50% or less, ideally.

I don't know about oral surgery though.

It is really safe to assume that he is operating at 50% and that his take home is 600K. If he is operating lower, then he makes more money obviously.

Here are some general stats, posted by Talondriver from this awesome thread: http://forums.studentdoctor.net/showthread.php?t=739665&page=19

You should expect metro practices around 55% and rural around 45% overhead. Here are some norms:
Rent 4-6%
Staff 20-24%
Lab 6-8%
Dental supplies 4-6%
Office supplies 1%
All the other misc like utilities, bank, software etc 7-10%
 
Ok, you can't just assume his overhead is 60%. It depends on the specialty! E.g ortho and endo have really low overhead. GP average overhead should be ~50% or less, ideally.

I don't know about oral surgery though.

no... ortho's overhead is NOT low... who told you that?
 
Ok, you can't just assume his overhead is 60%. It depends on the specialty! E.g ortho and endo have really low overhead. GP average overhead should be ~50% or less, ideally.

I don't know about oral surgery though.

no... ortho's overhead is NOT low... who told you that?

These figures seem about right. But even a slower private practice, the OMS will pocket at least 500K. If it is a well oiled machine, with a huge referral base and he is shucking wizzies and placing implants all day, some OMS can make 2 million.
I don't know about the whole 500k, thats probably in the upper 1-3% of OMFS's nationwide, but, they can easily hit 300-350k a year
 
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Endo has the lowest overhead. Ortho overhead depends on what kind of population you want to cater to.

OMFS making 500k is probably the exception and not the rule. I know for a fact that the equipment and supplies necessary for doing sedation (at least in California) is going up and reimbursement is going down. This is why so many private practice MDs are mad cause their reimbursement is not adjusted for inflation, but their costs keep going up.

You will probably never make 1.2 mil as an OMFS. Those days are over. You will still, no doubt, make around the 250-350K range.

FYI, don''t forget taxes. If you net 600k, you will probably have an after tax income of at the most $450.
 
I don't know about the whole 500k, thats probably in the upper 1-3% of OMFS's nationwide, but, they can easily hit 300-350k a year

You will probably never make 1.2 mil as an OMFS. Those days are over. You will still, no doubt, make around the 250-350K range.

FYI, don''t forget taxes. If you net 600k, you will probably have an after tax income of at the most $450.

I could be totally wrong, but i have shadowed several OMS and they all clear in excess of 800K a year.

First off, most hospital/academic OMS are making in the 225-250K range. Private practice is vastly more. 80% of their work is wisdom teeth and implants.

Lets do some simple math... 4 bony extractions are going to cost $250-450, per tooth, depending on the tooth. Plus GA will be another $400-600. So lets average a case out at $1500, which is on the low end. A very slow OMS office would be doing 4 cases a day, which equates only to about 2-3 hours of surgery a day for an OMS. 1500 x 4 cases a day x 5 days a week = 30K. If we factor in 2 weeks of vactation a year, take 30K x 50 weeks a year = 1.5 million. 50% of that and an OMS nets 750K.

Again, this would be a fairly slow office, with no implants and other surgeries. Sure i am oversimplifying things, but i don't feel that making 500K a year as a private practice OMS is any stretch of the imagination.
 
Maybe its just where I live, but ortho and endo have rather low overhead.
The orthos do crazy cost cutting stuff like sharing the same office.

I'm from socal though, it might be different in other parts of the country.

I wasn't aware that oral surgery practices operated around the same % of overhead as GPs.
That's nice to know 👍
 
Y'all have some good points. Overhead does vary a lot fom office to office however I appreciate the ballpark range. Seems like pulling 50 or 60% of total production is about right.
 
I could be totally wrong, but i have shadowed several OMS and they all clear in excess of 800K a year.

First off, most hospital/academic OMS are making in the 225-250K range. Private practice is vastly more. 80% of their work is wisdom teeth and implants.

Lets do some simple math... 4 bony extractions are going to cost $250-450, per tooth, depending on the tooth. Plus GA will be another $400-600. So lets average a case out at $1500, which is on the low end. A very slow OMS office would be doing 4 cases a day, which equates only to about 2-3 hours of surgery a day for an OMS. 1500 x 4 cases a day x 5 days a week = 30K. If we factor in 2 weeks of vactation a year, take 30K x 50 weeks a year = 1.5 million. 50% of that and an OMS nets 750K.

Again, this would be a fairly slow office, with no implants and other surgeries. Sure i am oversimplifying things, but i don't feel that making 500K a year as a private practice OMS is any stretch of the imagination.

i'll take your word for it. but these HAD to have been guys who were in the game for quite some time. I don't think they would have been people less than 5 years out. Takes time to build a strong referral base. Or am I wrong?
 
i'll take your word for it. but these HAD to have been guys who were in the game for quite some time. I don't think they would have been people less than 5 years out. Takes time to build a strong referral base. Or am I wrong?

You are spot on... the practices i am referring to have been established for 10+ years. It does take a lot of time to build up a referral base to make the cash i am talking about. Most i know, took shifts at a hospital for 2 days a week and then were in private practice the other 3 days until they were able to build up enough clientele to switch full time to private practice.

10 years might seem like a lot to establish yourself, but when you have a 30 year long career, you will be reaping a larger income for a majority of it.
 
This is interesting. I had thought that OS has an easier time starting out because of the relative scarcity of their scope. What is their starting salary tend to be during that 10 year ramp up time. On assumption I had always had is that OS typically made more money during their career when compared to a general dentist; however, if they have 10 YEAR ramp up time to get a full schedule and take anywhere from 4 to 6 years before hitting practice... they most likely would not catch up to a successful GP-associate.
 
This is interesting. I thought that OS had an easier time starting out because of the relative scarcity of their scope. What is their starting salary tend to be during that 10 year ramp up time?

One assumption I always had is that an average OS typically made more money during their career when compared to an average general dentist; however, if they have a 10 YEAR ramp up time to get a full schedule, and it takes anywhere from 4 to 6 years before hitting practice... they most likely would not catch up to a successful GP-associate let alone a GP owner.
 
If an oral surgeon is making 1.2 million a year in production how much is his salary?

Specialties usually have lower overhead than general. Endo has the lowest. It would be unusual to have lower overhead than 50% unless you are in Endo.

I have seen income surveys from the ADA saying that OMS on avg. (in private practice, and also owning the practice) is making ~500k.

OMS residents can make quite a bit over 100K by moonlighting. It's not hard when you are shucking wizzies for a few thousand bucks per mouth.

I don't believe that 10 years is required to "ramp-up." That seems excessive. The specialty has done an excellent job of limiting its numbers (unlike Ortho :laugh: ). As such,
new OMFS grads have good opportunities out there. Keep in mind that although general dentists are shucking more 3rds and Periodontists are placing more implants, when the SHTF for these patients they are referred to...you got it: OMFS.

Armorshell: where are you?
😎
 
This is interesting. I thought that OS had an easier time starting out because of the relative scarcity of their scope. What is their starting salary tend to be during that 10 year ramp up time?

One assumption I always had is that an average OS typically made more money during their career when compared to an average general dentist; however, if they have a 10 YEAR ramp up time to get a full schedule, and it takes anywhere from 4 to 6 years before hitting practice... they most likely would not catch up to a successful GP-associate let alone a GP owner.

10 years is by no means a hard and fast rule. I was simply stating that the practices i was referring too have all been established for 10+ years.

As far as a OMS catching a successful GP, you have to consider that most OMS are still making 250-300K during their time of establishing. You also have to consider their residency + moonlighting wages as mentioned above. Then once they start making 500K-1M it is easy to catch up.

Unless you are referring to the rare GP who makes over 400-500K. Either way, it is a much easier to become a wealthy OMS, then a wealthy GP.
 
10 years is by no means a hard and fast rule. I was simply stating that the practices i was referring too have all been established for 10+ years.

As far as a OMS catching a successful GP, you have to consider that most OMS are still making 250-300K during their time of establishing. You also have to consider their residency + moonlighting wages as mentioned above. Then once they start making 500K-1M it is easy to catch up.

Unless you are referring to the rare GP who makes over 400-500K. Either way, it is a much easier to become a wealthy OMS, then a wealthy GP.

if you go to dentaltown, some of them make it seem like becoming a wealthy GP is easy. Is OMS one of the residencies that the student pays for? or does the student get paid? I've heard some dental residencies, the student has to pay.

I was also wondering if they were ever going to make dental anesthesia a specialty anytime soon.
 
if you go to dentaltown, some of them make it seem like becoming a wealthy GP is easy. Is OMS one of the residencies that the student pays for? or does the student get paid? I've heard some dental residencies, the student has to pay.

I was also wondering if they were ever going to make dental anesthesia a specialty anytime soon.

Omfs residencies are almost all paid during residency years, and tuition during med school years

Dental Anesthesiology will not become an ADA specialty in any sort of foreseeable future

Being a wealthy GP is not easy...dental town is 90% goofballs and blow hards who went to dental school when it was for med school drop-outs
 
First of all, not every OMFS resident WANTS to moonlight, 2nd of all, alot of OMFS residency programs frawn upon it (some don't even allow it)

Even if the resident is able to moonlight, how many days do you think they can do that? are you forgetting how many hours they put into OMS a week? The previous poster mentioning OMFS moonlighters making 100k a year is an imaginary figure. Most residents make between 40-55k a year (depending on location).... you are telling me working that extra 1 or 2 days as a GP is going to earn an an extra 50k a year? yeh not happening lol

And finally, during the 4-6 years of residency, do you know what 6.8 to 7.9% interest rate does to the initial loans? Did you forget about those?

Lets get something straight, Oral surgeons make good income, their averages are well above any average General dentist however, it takes many years to reach that.
 
I know plenty of OMFS that make around 600-800K a year no problem. There are some ambitious few that make just a hair over a million a year. I would say 500K+ is not hard to do as an OMFS. Like others have said though, this is likely to be very dependent on where you live.
 
I know plenty of OMFS that make around 600-800K a year no problem. There are some ambitious few that make just a hair over a million a year. I would say 500K+ is not hard to do as an OMFS. Like others have said though, this is likely to be very dependent on where you live.

But I feel like predents (even if they are good enough to get into OMFS residency) should not bank on making that much. Gastroenterologists, used to make similar to OMFS money figures you are quoting, yet in just a decade their salaries quickly plummeted and now most make around $400k tops. And this was before Obamacare was implemented. Also I've worked at centers that do sedation and everywhere equipment costs and supplies are rocketing, but the reimbursement is not being adjusted for inflation. The profit margin is most certainly not going up.

I feel like the same can happen to OMFS. Also, with chains increasing their dominance and multi-specialty groups growing they will eventually either buy out the GPs or outcompete them. Once you control the GPs you control referrals and thus you control the specialists as well (this is how hospitals have become so dominant in medicine). My guess is that the OMFS will have to increasingly rely on a blend of private practice and less profitable per-diem/contracted work at the above mentioned places instead of straight up private practice.

I am not trying to be an alarmist or pessimist. OMFS does a good job limiting their residency spots (unlike ortho :laugh:) However, I don't think predents should get so starry eyed and have unrealistic expectations. You will NOT become "rich" off of OMFS, or any dentistry related job for that matter, but you will still make a pretty damn good amount of money (especially if you are OMFS). But those million dollar figures so many predents get so uppity about, are a rarity and require an extremely good business acumen. I would vouch that those OMFS making such figures are probably much better businessmen than they are dentists
 
But I feel like predents (even if they are good enough to get into OMFS residency) should not bank on making that much. Gastroenterologists, used to make similar to OMFS money figures you are quoting, yet in just a decade their salaries quickly plummeted and now most make around $400k tops. And this was before Obamacare was implemented. Also I've worked at centers that do sedation and everywhere equipment costs and supplies are rocketing, but the reimbursement is not being adjusted for inflation. The profit margin is most certainly not going up.

I feel like the same can happen to OMFS. Also, with chains increasing their dominance and multi-specialty groups growing they will eventually either buy out the GPs or outcompete them. Once you control the GPs you control referrals and thus you control the specialists as well (this is how hospitals have become so dominant in medicine). My guess is that the OMFS will have to increasingly rely on a blend of private practice and less profitable per-diem/contracted work at the above mentioned places instead of straight up private practice.

I am not trying to be an alarmist or pessimist. OMFS does a good job limiting their residency spots (unlike ortho :laugh:) However, I don't think predents should get so starry eyed and have unrealistic expectations. You will NOT become "rich" off of OMFS, or any dentistry related job for that matter, but you will still make a pretty damn good amount of money (especially if you are OMFS). But those million dollar figures so many predents get so uppity about, are a rarity and require an extremely good business acumen. I would vouch that those OMFS making such figures are probably much better businessmen than they are dentists

I think you make a lot of good points here. However, I think to push them too far a bit... I don't think the effects of chains and reimbursement will be as large as you do. I could be wrong though.

BTW, being "rich" can mean very different things to different people. A discretionary income of 60-70K is rich to me. That said, OMFS would make someone very rich IMO lol. 😀
 
But I feel like predents (even if they are good enough to get into OMFS residency) should not bank on making that much. Gastroenterologists, used to make similar to OMFS money figures you are quoting, yet in just a decade their salaries quickly plummeted and now most make around $400k tops. And this was before Obamacare was implemented. Also I've worked at centers that do sedation and everywhere equipment costs and supplies are rocketing, but the reimbursement is not being adjusted for inflation. The profit margin is most certainly not going up.

I feel like the same can happen to OMFS. Also, with chains increasing their dominance and multi-specialty groups growing they will eventually either buy out the GPs or outcompete them. Once you control the GPs you control referrals and thus you control the specialists as well (this is how hospitals have become so dominant in medicine). My guess is that the OMFS will have to increasingly rely on a blend of private practice and less profitable per-diem/contracted work at the above mentioned places instead of straight up private practice.

I am not trying to be an alarmist or pessimist. OMFS does a good job limiting their residency spots (unlike ortho :laugh:) However, I don't think predents should get so starry eyed and have unrealistic expectations. You will NOT become "rich" off of OMFS, or any dentistry related job for that matter, but you will still make a pretty damn good amount of money (especially if you are OMFS). But those million dollar figures so many predents get so uppity about, are a rarity and require an extremely good business acumen. I would vouch that those OMFS making such figures are probably much better businessmen than they are dentists

1. You can still find GI positions w/750k+
2. Uppity?
3. One can become rich off 100k if they are good w money. Pm me and I'll send you a blog link where someone became financially independent (living off capital) on less than a Dentists salary
 
1. You can still find GI positions w/750k+
2. Uppity?
3. One can become rich off 100k if they are good w money. Pm me and I'll send you a blog link where someone became financially independent (living off capital) on less than a Dentists salary

GI Positions w/ 750k+?. I highly doubt it. The only way to make that much would to be in private practice and even then that is very hard to achieve.
 
Does the 4 or 6 year OMS track have anything to do with wages? It's hard to imagine that it doesn't have some effect.
 
First of all, not every OMFS resident WANTS to moonlight, 2nd of all, alot of OMFS residency programs frawn upon it (some don't even allow it)

Even if the resident is able to moonlight, how many days do you think they can do that? are you forgetting how many hours they put into OMS a week? The previous poster mentioning OMFS moonlighters making 100k a year is an imaginary figure. Most residents make between 40-55k a year (depending on location).... you are telling me working that extra 1 or 2 days as a GP is going to earn an an extra 50k a year? yeh not happening lol

And finally, during the 4-6 years of residency, do you know what 6.8 to 7.9% interest rate does to the initial loans? Did you forget about those?

Lets get something straight, Oral surgeons make good income, their averages are well above any average General dentist however, it takes many years to reach that.

No, I'm saying that moonlighting as an OMS pulling thirds for a chain can net you plenty of extra cash. Many OMS residents on here have discussed the money they make moonlighting doing exactly this, and it is significant.
 
But I feel like predents (even if they are good enough to get into OMFS residency) should not bank on making that much. Gastroenterologists, used to make similar to OMFS money figures you are quoting, yet in just a decade their salaries quickly plummeted and now most make around $400k tops. And this was before Obamacare was implemented. Also I've worked at centers that do sedation and everywhere equipment costs and supplies are rocketing, but the reimbursement is not being adjusted for inflation. The profit margin is most certainly not going up.

I feel like the same can happen to OMFS. Also, with chains increasing their dominance and multi-specialty groups growing they will eventually either buy out the GPs or outcompete them. Once you control the GPs you control referrals and thus you control the specialists as well (this is how hospitals have become so dominant in medicine). My guess is that the OMFS will have to increasingly rely on a blend of private practice and less profitable per-diem/contracted work at the above mentioned places instead of straight up private practice.

I am not trying to be an alarmist or pessimist. OMFS does a good job limiting their residency spots (unlike ortho :laugh:) However, I don't think predents should get so starry eyed and have unrealistic expectations. You will NOT become "rich" off of OMFS, or any dentistry related job for that matter, but you will still make a pretty damn good amount of money (especially if you are OMFS). But those million dollar figures so many predents get so uppity about, are a rarity and require an extremely good business acumen. I would vouch that those OMFS making such figures are probably much better businessmen than they are dentists

The thing about GI is that many of their patients are being treated on the gov't's dime, and their scope reimbursement is directly controlled by the gov't. OMFS and dentistry in general is relatively free from influence by the fed gov't over reimbursements. I would expect OMFS to have much more control over their income and fees than GI docs. Also keep in mind that much of what OMFS is doing isn't covered, such as implants. As the population ages, only more people will want implants.

Oh, and I totally agree about ortho spots.
 
I know someone who just graduated from an OS residency. They are starting out at 250-300k.
 
GI Positions w/ 750k+?. I highly doubt it. The only way to make that much would to be in private practice and even then that is very hard to achieve.

I had seen postings like that in the past; however, here is one that I was able to found posted recently:


Region: Southwest
Starting Income: $500,000 - $700,000
Income Potential: $701,000 - $701,000
Practice Type: Group
Signing Bonus: Yes
Loan Forgiveness: Yes

$500,000 first year, top 90th percentile potential, 1:4 call, GI partnership offering:

Ownership in a new endoscopy center and pathology lab
Partnership with minimal buy-in
Hospitalists and Residents available for admissions and mid level support in the clinic and hospital – very light call
Hospitals with excellent equipment and all sub-specialties available
Clinical research and resident teaching optional
$700 per night for hospital call - consult only!
Student loan forgiveness, stipend, tail coverage, visa sponsorship
You will be living in a rapidly growing city that has been ranked one of the top cities in the country to retire offering:

Tort reform state with low cost of living and 350 days of sunshine
Extremely diverse economy based on higher education, agriculture, healthcare, government research facilities, a rapidly growing retirement community, and other recession-proof industries
Very short drive to two metropolitan areas of over 1,000,000, three major universities, and two Medical Schools
Live within minutes of nationally known ski resorts, fly fishing, major lakes, and mountains
 
I had seen postings like that in the past; however, here is one that I was able to found posted recently:

Yeah GI is a good gig. Needless to say, the fellowship is uber competitive.
 
If an oral surgeon is making 1.2 million a year in production how much is his salary?

Every OMFS I have spoken to (multiple) seem to be making over 500k. Now some don't even own their own practice, but rather travel from office to office pulling third molars primarily and are netting around 500k. A particular oral surgeon I have talked to that recently retired and owned his own practice claimed that he netted over 1 million his last few years in practice before selling it. wow!!😱 Anyways if you get into OMFS financial stress is not something you will be dealing with! lol👍
 
Every OMFS I have spoken to (multiple) seem to be making over 500k. Now some don't even own their own practice, but rather travel from office to office pulling third molars primarily and are netting around 500k. A particular oral surgeon I have talked to that recently retired and owned his own practice claimed that he netted over 1 million his last few years in practice before selling it. wow!!😱 Anyways if you get into OMFS financial stress is not something you will be dealing with! lol👍

Oh brother, this is laughable. And you are speaking from experience?
I'm entering my third year of practice in the Southeast. The golden days are over. Many guys are working a few days at their own office then supplementing with bread and butter at the chains, multi-specialty groups, etc (probably representing greater than 50% of their clinical time). I'm so tired of coming across these threads which focus solely on income potential (and yes, I understand we all need to make enough... Lord knows I have enough loans from med and dental school)
Predents, dental students, those considering this as a career...we don't need more exodontists in our field. OMS roots lie deep in providing a broad scope of surgery, not all financially rewarding but still professionally fulfilling (peds trauma and craniofacial, TMJ, the list goes on). Shadow, extern, gain more exposure before you consider this as a profession. Training is a tough 4-6 year program followed by myriad challenges once in practice. It's best to know what you're getting into. Don't let myths of financial reward cloud good judgment and informed decision making.
 
Oh brother, this is laughable. And you are speaking from experience?
I'm entering my third year of practice in the Southeast. The golden days are over. Many guys are working a few days at their own office then supplementing with bread and butter at the chains, multi-specialty groups, etc (probably representing greater than 50% of their clinical time). I'm so tired of coming across these threads which focus solely on income potential (and yes, I understand we all need to make enough... Lord knows I have enough loans from med and dental school)
Predents, dental students, those considering this as a career...we don't need more exodontists in our field. OMS roots lie deep in providing a broad scope of surgery, not all financially rewarding but still professionally fulfilling (peds trauma and craniofacial, TMJ, the list goes on). Shadow, extern, gain more exposure before you consider this as a profession. Training is a tough 4-6 year program followed by myriad challenges once in practice. It's best to know what you're getting into. Don't let myths of financial reward cloud good judgment and informed decision making.

More posts like this please.
 
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I don't know about the first half of that statement but I agree with the second half of it. Either they're a seedy-CE-pushing-blow-hard or a stereotypical dentist who hates life so much they're contemplating suicide lol.


Omfs residencies are almost all paid during residency years, and tuition during med school years

Dental Anesthesiology will not become an ADA specialty in any sort of foreseeable future

Being a wealthy GP is not easy...dental town is 90% goofballs and blow hards who went to dental school when it was for med school drop-outs

Regarding OMS. I get where Localnative is coming from but a guy I shadowed was fairly open with me and volunteered he was earning in the 400's... is it really that rough out there for OMS? Or are you just suggesting people to be cautious and make sure they have the right intentions? I'm sure 4 or 6 years of residency is quite a gut-check.
 
Regarding OMS. I get where Localnative is coming from but a guy I shadowed was fairly open with me and volunteered he was earning in the 400's... is it really that rough out there for OMS? Or are you just suggesting people to be cautious and make sure they have the right intentions? I'm sure 4 or 6 years of residency is quite a gut-check.

I wonder how much of this has to do with paying back debt. I feel as if most of the established OMS practitioners didn't have the huge boat load of debt that current students will be facing. At least that's what I gleaned from my shadowing experience.
 
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