These figures are the GROSS income. I've known plenty of FMs, IMs, Surgs who say the same thing - substract about 50% for taxes, and another 10-15% for overhead and hospital costs and you're down to a lot less. Mind you, it would still be a sizable pot. If you work in a private clinic, sure you have overhead costs but not nearly as much as doctors in hospital clinicals so if you dream green (which shouldn't be your #1 priority, you're in the business of saving lives, remember?), private clinic is probably the way to go. Of course, this is all from hearsay so take it for what it's worth.