priv. prac. ct

Started by aram
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aram

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Is it possible to go priv. pract. with ct surgery, and if so, what type of lifestyle and salary is to be expected?
 
The CT surgeons I know are in private practice. They are, shall we say, wealthy? By surgeons standards, at least. They are busy, but no more so than any of the other surgeons. It seems like a pretty good gig.
 
Few jobs available for CT surgeons. Cardiologists and interventional radiologists are invading their turf.
 
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Job market is better for neurosurgeons, but not sure how much better. Anyone else have any other thoughts on whether interventional radiologists will invade on their turf? It already seems to be happening from what I have read, but not sure to what extent they will be able to go.
 
every year that the physician salary survey comes out...cardiothoracic surgeons are always on top with the highgest pre-tax average income....who knows if that will ever change
 
every level 1 trauma center needs a neurosurgeon on call 24/7.

nearly 10% of all neurosurgeons in the united states retired last year, and there are fewer than 3000 board certified practicing neurosurgeons in the country for the first time in decades.

orlando has lost its level 1 trauma center due to a shortage of neurosurgeons. while the trial lawyers in florida are largely to blame for this, at the present time you need to go to tampa for level 1 trauma.

neurosurgery has more or less relinquished peripheral stuff to ortho and plastics. while interventional rads is digging into the vascular stuff, this was never a huge part of most neurosurgeons' practices.

ortho has made a small dent in spine, but doubtful that this will progress much further. with regard to intra-dural stuff (brain, spinal cord), i don't think anyone else wants to touch it (with the possible exception of some ent guys... not enough to make a big dent). for the brain, the cord, and trauma, there will always be a need for neurosurgeons.

the field is wide open...
 
I know that some neurosurgery programs have developed interventional neuroradiology fellowships..(by far I think that most of these spots wind up going to neurosurgeons)...perhaps this was in response to Interventional Radiologists moving in on some neurovascular procedures....just a thought....

HT
 
To be clear, ORMC hasn't YET closed. They've obtained an extension until the Fall I think thanks to a cash infusion.

Suffice it to say (understatedly so) that this isn't even a quick fix, not even a bandaid. It's a stall, buying time in the hope that there will be some legislation passed at the state-level (or national, wouldn't that be nice?) to at least begin to fix one of the many problems inherent to trauma care here in the Sunshine state.
 
I want to be a ct surgeon, but I don't want to practice in some small hospital in the middle of nowhere. I want to practice in Los Angeles. Is that possible to get a job like that in a large city?
 
when do you expect to finish your training? if you are a third year med student, then you have at least 8 years until you have to worry about this. it's impossible to know what the market demand for ct surgeons will be then, in particular in a given area. if one group hires 5 new surgeons, the area is saturated. if another group leaves town (or has 4-5 leave), the market is wide open. in a field where a small number of surgeons covers a large population, simple shifts can have huge effects. on the other hand, it's doubtful that there will be a huge shift in either direction in the supply of pediatricians for a market this large. for something like neurosurgery or ct, big market shifts can happen rather quickly, even in a place like la-la-land.

that being said, southern california is a desirable place to live and many will continue to want to live there. this desire to live there has been taken advantage of in the form of lower compensation (same with nyc). if you notice, the big paying jobs are in north dakota and wyoming...

moral of story: figure out what you want to do for a living. then worry about the job market. if you're dedicated to your field, you will get a job and be successful. if your desire to invest 7+ years of post-md training in a field depends upon a given city, consider reevaluating. your spouse may need to live somewhere else, you may run into political turf-wars in that region and need to go elsewhere if you piss-off the big cardiology groups.

if you want to do ct, dive in head first! it's a great field, and the sky is NOT falling... if you first and foremost want to live in so cal, go into plastics or derm...