Salary of EM physician

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drmg456 said:
What are the salaries an EM physician can expect
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Check Emergency Medicine sticky
 
The above post was # 1000! I want to cry!! +pad+
 
congratulations on post 1000! those numbers are... an abstract concept for me right now (with a year and a half of med school and residency to go). what does one do with $200,000 a year? pay off those student loans, i guess!
 
substanceP said:
congratulations on post 1000! those numbers are... an abstract concept for me right now (with a year and a half of med school and residency to go). what does one do with $200,000 a year? pay off those student loans, i guess!
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It's amazing that no matter how much you make, it never seems to be enough. Well, not really, it just seems that you aren't having a ton left over like you thought you would....Expenses pop up, such as med school loans, mortgage, kids, furniture, etc....
It's sad, my wife and I have a 2 doc income, and we still wonder where it all goes. And believe me, we are relatively frugal. I drive a Toyota 4Runner, and my wife drives a VW Beetle...Good thing is that other than mortgage and med school loans (about $1M combined :scared: ), we have no consumer debt. We pay a huge amount of extra money toward our variable rate med school loans, since the rates are going up up up. SO I guess that would be where a lot of our extra money goes......
Not to rain on your fantasies of making the huge $$, but along with that huge salary comes a lot of expenses....
But hey, it's all worth it, and I wouldn't trade it for the world. 👍
 
Spyderdoc,

So how much do taxes usually siphon off of a salary like $200,000 in California? Just curious since I'm hoping to return to California after med school/residency.
 
awdc said:
So how much do taxes usually siphon off of a salary like $200,000 in California?
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A whole lot more than they do in tax-free Texas.

Take care,
Jeff

PS, yes, I know we have sales taxes. I'm just getting another pro-Texas post in. It's my job as a Texan post-padder. +pad+
 
I'm looking at my paystub, and for about $200k, the total taxes taken out is just over $70k. The amount to the great state of CA is about $15k for income tax and $850 to CA mandated disability tax. The rest goes to the feds.

Even though I am married, I claim single with zero dependents for my deductions. I get some of this back at the end of the year, usually a couple thousand. I know that this is not the wisest way to "save" money since you are basically giving Uncle Sam your money to use interest free for a year, but I would rather over pay a little than have to pay a big chunk at the end of the year....I will probably fine tune it a little so it more evens it out, but I will wait another year, since we have a baby on the way, I just changed jobs and am now getting gross checks, have a rental property, etc...Like I said before, the more money one makes, the more complicated things get....

Good luck with your move. I am very happy in CA despite the high taxes, and wouldn't want to be anywhere else....One nice thing here is that malpractice is relatively cheap due to malpractice reform (MICRA law). I start at around $5k/yr and will max out at around $18k in about 4 years with an excellent top rated company....
 
As far as salary and taxes you can find out your federal tax burden pretty easily. If you are married have a house (mortgage write off) save some for retirement (401k) you can bring your federal taxable income down to like 150K you would have to pay like 25k in federal. Now there is a LOT of variability in that. But to see what your tax burden would be

http://www.irs.gov/pub/irs-pdf/i1040tt.pdf

Keep in mind thats what you pay on your taxable income not your gross income. Things like mortgage interest, state income tax, 401K savings, health insurance, property taxes all come out. Its a start.
 
I think what spyderdoc is trying to say is, Mo' money, Mo' problems.
 
WilcoWorld said:
I think what spyderdoc is trying to say is, Mo' money, Mo' problems.
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Thanks Biggie.. Of course there is also the Mo' Money, Mo Hoes argument but if you are married like me then thats out..
 
EctopicFetus said:
Thanks Biggie.. Of course there is also the Mo' Money, Mo Hoes argument but if you are married like me then thats out..
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According to Tupac, no matter where I go, I see the same hoes.

Definately true for me... the same ho has been married to me for 2.5 years.

Q
 
QuinnNSU said:
Definately true for me... the same ho has been married to me for 2.5 years.
Q
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Ive been married almost as long.. and the same holds for me. i dont know how she puts up with me. I guess it makes me a lucky man. We started dating in 96...
 
My wife and I once saw a set of pictures in some magazine labelled. "He's lucky and she doesn't realize it" Its been our motto ever since. I'm just glad she hasn't figured out how true it is.
 
ERMudPhud said:
My wife and I once saw a set of pictures in some magazine labelled. "He's lucky and she doesn't realize it" Its been our motto ever since. I'm just glad she hasn't figured out how true it is.
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MudPhud your last post was # 30,000 on the EM forum!
 
awdc said:
Spyderdoc,

So how much do taxes usually siphon off of a salary like $200,000 in California? Just curious since I'm hoping to return to California after med school/residency.
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If you made 200000 in California this year you would pay approximately 18,000 more in taxes than someone in Texas. (Max state tax rate 9.3%)
 
Desperado said:
If you made 200000 in California this year you would pay approximately 18,000 more in taxes than someone in Texas. (Max state tax rate 9.3%)
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On that 200K you will likely have only 150K in taxable income.. In Ca if you are married you could pay 10K in state taxes

http://www.ftb.ca.gov/individuals/tax_table/index.asp

Then your Federal Taxes would be on AGI of 140K vs 150K for someone is Texas, FL, Tenn, Alaska, NV and a few other states.. in texas you would pay an extra 2800 in federal taxes for a difference of about $6200.

If you were single using the same 150K adjusted income you would pay almost 12K to the state and would "save" it $2800 in Federal taxes for a difference of 9200.
 
I think more than taxes or anything else, turtle his the nail on the head here. There are COL calculators all around but believe me.. 200K will get you a LOT more in Texas than 250K in Cali or 300K in NYC.

Take a look at what a $500,000 house in Houston, Dallas, El Paso or Austin will run you and compare that with LA and NY. HUGE difference. Most of the COL IMO is in the cost of housing.. Food is basically the same everywhere, so is electricity, so are clothes, but housing is key!
 
My guess is a $500,000 house in Houston or Dallas will cost you about the same in LA or NY. The difference is how many sq ft you'll get: 5000 vs 500.
 
Whoops.. i meant what it will get you. thats what happens when a 3 month old is yelling it ruins the train of thought
 
EctopicFetus said:
MudPhud your last post was # 30,000 on the EM forum!
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I need some sort of red-faced "I'm so embarrassed" smiley
 
ERMudPhud said:
I need some sort of red-faced "I'm so embarrassed" smiley
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You should add to your sig line that you were the 30,000th post on the EM forum! 👍 Biggest achievement EVER! 😀
 
drmg456 said:
What are the salaries an EM physician can expect
Click to expand...

central maryland ER run by university
70K patients per year
$110/hour
about 10% more in bonuses
10% 401K contribution
full time was 32 hours but most worked more.
www.salary.com has a paycheck analyzer depending on what state you live in and the amount of deductions, etc. you may have.
hope this helps
 
EctopicFetus said:
Then your Federal Taxes would be on AGI of 140K vs 150K for someone is Texas, FL, Tenn, Alaska, NV and a few other states.
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In Alaska, state government pays YOU! /bad russian accent
 
alison_in_oh said:
In Alaska, state government pays YOU! /bad russian accent
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I have heard that one resident iin Chicago got an offer of 600K in Alaska, is it true?
 
drmg456 said:
I have heard that one resident iin Chicago got an offer of 600K in Alaska, is it true?
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NO Fing way. Best I heard was ~200 per hour. With standard EM work hours of 1800 hours per yr you are talking salary of 360K + bonuses (say 10-15%) and other perks.

Realistically most make 180-250K (not including bonuses) the upper levels on here might know better.
 
EctopicFetus said:
NO Fing way. Best I heard was ~200 per hour. With standard EM work hours of 1800 hours per yr you are talking salary of 360K + bonuses (say 10-15%) and other perks.

Realistically most make 180-250K (not including bonuses) the upper levels on here might know better.
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As far as work hours and schedules.. You are looking at ~1800 hours per yr, schedules are really different depending on the hospital and their needs etc. Some 8 hr shifts, some 9 hour shifts, some 10 hour shifts, some work 12's.
 
drmg456 said:
I have heard that one resident iin Chicago got an offer of 600K in Alaska, is it true?
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Man, if that were true, this Texan would be on the first plan to Anchorage the day after graduation.

Outdoor photography is my hobby and it just don't get any better than Alaska as far as I'm concerned. To live there with incredible photo ops out my back door and earn 600K a year would be sheer bliss. Hell, I'd still be able to afford a Texas ranch.

Thanks, you've given me something to dream about. Sadly, it is likely only a dream. That's a pretty unlikely scenario.

Take care,
Jeff
 
EctopicFetus said:
As far as work hours and schedules.. You are looking at ~1800 hours per yr, schedules are really different depending on the hospital and their needs etc. Some 8 hr shifts, some 9 hour shifts, some 10 hour shifts, some work 12's.
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1800 is a tad high, I am guessing. I did have one place that wanted to hire me with 1800 hours a year... most were around 1600.

BTW, to make math easier, 1600 hours a year, at 100 an hour, is, well, 160k.

So if you think $150 an hour... then think 240k.

Obviously, you work more hours, you make more. BUt I think 100 an hour is a good cut off for math to make it easier in my teeny brain.
Q
 
Quinn, I thought most of the places that offered you jobs were offering a little more than $100 per hour. Also, niner I thought had better offers than that or were you just doing it for the math.
 
EctopicFetus said:
Quinn, I thought most of the places that offered you jobs were offering a little more than $100 per hour. Also, niner I thought had better offers than that or were you just doing it for the math.
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Hi

I have seen recruiters posting 200k salary for Pediatricians, some times 250.......so 600k is not that impossible for an Em physician, like 1800 times 200 =360 and with the bonuses and overtime, I think y9ou can stretch it to 600k, just think a nurse practitioner made above 200k(more than Cook County president John Stroger) by doing overtime in govt of Chicago, so I believe it's realistic
 
drmg456 said:
Hi

I have seen recruiters posting 200k salary for Pediatricians, some times 250.......so 600k is not that impossible for an Em physician, like 1800 times 200 =360 and with the bonuses and overtime, I think y9ou can stretch it to 600k, just think a nurse practitioner made above 200k(more than Cook County president John Stroger) by doing overtime in govt of Chicago, so I believe it's realistic
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Working in the ED? I dont think so.. I did a rotation there and there are PAs but I didnt see a single NP in my whole month there. On top of that I did a bunch of other rotations there as well.

Lastly my advisor is a very high up guy there and all I can say is that they make good money but an NP making 200K+ seems very very unlikely based on what he told me the jr and even sr attendings make.
 
EctopicFetus said:
Working in the ED? I dont think so.. I did a rotation there and there are PAs but I didnt see a single NP in my whole month there. On top of that I did a bunch of other rotations there as well.

Lastly my advisor is a very high up guy there and all I can say is that they make good money but an NP making 200K+ seems very very unlikely based on what he told me the jr and even sr attendings make.
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You are right, in Cook county there is no NP(this NP was working in one of the peripheral hospitals of Cook County, it was a big news in the local newspapers), I was just generalizing, in terms of the salary the Em physician should make in light of the fact that NP and CRNA easily whisk away 200k
 
Jeff698 said:
Man, if that were true, this Texan would be on the first plan to Anchorage the day after graduation.

Outdoor photography is my hobby and it just don't get any better than Alaska as far as I'm concerned. To live there with incredible photo ops out my back door and earn 600K a year would be sheer bliss. Hell, I'd still be able to afford a Texas ranch.

Thanks, you've given me something to dream about. Sadly, it is likely only a dream. That's a pretty unlikely scenario.

Take care,
Jeff
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The lucrative Alaskan jobs are never in or near beautiful Anchorage. I got an offer as a PA years back to work in Yacutat, where the best surfing on the west coast is. Of course you have to wear a full wet suit including face cover because the water is 39 degrees, and don't fall off your board of they will be scraping you off the rock-beech! And it rains 297 days a year there. The other lucrative Alaskan doc jobs are in Bethel, McGrath, the isles, and often Fairbanks and north of the circle. No 600K per year is going to get me to leave Texas for that mess. So I'm with you on that Jeff...its all a dream I would guess.
 
corpsmanUP said:
No 600K per year is going to get me to leave Texas for that mess. So I'm with you on that Jeff...its all a dream I would guess.
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I suspect you can also get the bug bucks working in the green zone.
 
Hey I am a Floridian but I would do a year or 2 if they really did pay 600K per yr or at the min I would work a few months or so.. We are talking about 50K per month!
 
EctopicFetus said:
Quinn, I thought most of the places that offered you jobs were offering a little more than $100 per hour. Also, niner I thought had better offers than that or were you just doing it for the math.
Click to expand...
Initially, the first job offers I was getting was around that. The more I snooped around and interviewed (and heard about unadvertised jobs) the better the pay became. 🙂

Q
 
Wow.. If you say so. Just seems incredibly high pay.. Who knows.. Ill take your word for it cause I dont know all that much about Alaska.
 
wertyjoe said:
However, if your looking for a great investment and love the outdoors this is the place. If you don't like the snow/cold, moose fighting in your backyard, or mosquitoes eating you alive then stay in the lower 48.
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So, maybe I'll keep that dream alive for a bit longer.

BTW, I've always bitched and moaned about how incredibly large the Texas gulf coast mosquitoes were. After a summer in Alaska, I decided to shut up about them. 🙂

Take care,
Jeff
 
The reason I know all of this is that my family wants me to practice in Alaska when I finish up and we just had a long conversation about the ER docs salary a few days before Christmas. Like I said this info is legit. Its not something I heard from a cousin, who heard it from friend, who heard from a patient sitting in the ER. Its straight from the horses mouth and this person is in a position to know. However, I'm only in my first year of med school and I have no idea what residency I will pursue so why not give out a little info. If I were in residency I probably wouldn't be opening my mouth at all and besides who knows what wages will be like in 7-8 years.

I know a little about that area because my whole family lives there except for me. Some family members owned a construction business and pretty much built most of the kitchens for all the new developments in the valley.

My family moved up there as soon as I graduated from high school and has been living there ever since (about 12 -13 years). I never had the balls to move up there permanently but I used to work on the North Slope 2 weeks on/2 weeks off and commute back to ND.

My family has been pressuring me a long time to move up there so maybe in 7-8 years I might go.

Werty
 
drmg456 said:
You are right, in Cook county there is no NP(this NP was working in one of the peripheral hospitals of Cook County, it was a big news in the local newspapers), I was just generalizing, in terms of the salary the Em physician should make in light of the fact that NP and CRNA easily whisk away 200k
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wow, if NPs are making that much, or at least some of them, then I think Docs, should be averaging double... i mean if they can work overtime and find ways to make double the salary, then why shouldnt ER Docs, or any other Docs for that matter... i am sure there are some MDs out there who found ways to increasae there salaries
 
Jeff698 said:
A whole lot more than they do in tax-free Texas.

Take care,
Jeff

PS, yes, I know we have sales taxes. I'm just getting another pro-Texas post in. It's my job as a Texan post-padder. +pad+
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Don't forget good old tax-free Florida, too. Our sales tax is only 6%. Yep, life's grand here in America's wang.
 
Deuist, I am from Fla as well. Sales tax is higher in Dade county. On top of that the property taxes there are simply insane!
 
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