Theoretically, can a specialist pay back their 200k loan in 2-3 years?

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i dont think you guys get it
for you these are just numbers
when you're working your ass off for "80" hours a week, seeing hundreds of noncompliant patients and spending all your time filling out bs on crappy emr systems while trying to get the stubborn service upstairs to admit your patient with no time to see your wife or kids, you may be singing a different tune
Fair enough...but to be honest, I have had enough experience at almost every level of income, with grueling work weeks, crappy cars that don't start, and terrible emr systems that I feel comfortable with the statements I have made.

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I want to be a dermatologist, and army/navy/airforce takes doctors who are family practice docs, and also those who specialize in injury medicine or something. Something where they go abroad to iraq to cure injuries of soliders. NOT something I wanna do :p I want to be a dermatologist and deal with teenagers' zits. Plus easy lifestyle+great pay. I wanna have kids too, maybe during residency or after, but at age 30 I'm starting no matter what. Don't wanna be infertile later on and end up hating my life :)
You...um, wow. Read up in the MilMed forums so that you sound a little less like you are making things up. Not that I'm advocating going into HPSP...I think it's a terrible plan for anyone who isn't strongly interested in the military as well as med...just. Wow.
 
I want to be a dermatologist, and army/navy/airforce takes doctors who are family practice docs, and also those who specialize in injury medicine or something. Something where they go abroad to iraq to cure injuries of soliders. NOT something I wanna do :p I want to be a dermatologist and deal with teenagers' zits. Plus easy lifestyle+great pay. I wanna have kids too, maybe during residency or after, but at age 30 I'm starting no matter what. Don't wanna be infertile later on and end up hating my life :)
Actaully the Armed forces takes all types of doctors from all specialties, however, I realize you dont really want to do that and that is fine. There are many ways to pay back those loans. Like I said before, just do your best and if you are sitting pretty in a few years you will be able to land a scholarship or two to help out in easing the burden. Best of luck and watch out for Orgo!
 
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If you read his first post he mentioned he has two young children. Anyway we've figured it out and moved on at this point.


OOH I didn't read that part. Sorry sterling :(
 
Actaully the Armed forces takes all types of doctors from all specialties, however, I realize you dont really want to do that and that is fine. There are many ways to pay back those loans. Like I said before, just do your best and if you are sitting pretty in a few years you will be able to land a scholarship or two to help out in easing the burden. Best of luck and watch out for Orgo!

Thanks. I am still considering MD/PhD programs just in case.
 
You...um, wow. Read up in the MilMed forums so that you sound a little less like you are making things up. Not that I'm advocating going into HPSP...I think it's a terrible plan for anyone who isn't strongly interested in the military as well as med...just. Wow.
I just don't want to travel around too much with the military. I want to be in one place, one state, and have the option of working 3/4 time so that I can raise my future children thoroughly without having to rely on a babysitter for most of the time.
 
What a troll...
I'm not a troll. I don't understand, why do you think I am a troll? What makes me a troll? What is so wrong with what I say? Yeah, so I want to do derm. I will enjoy it, and have enough time to raise kids as well. I am not the kind of person who can "focus everything in my entire freaking life" to just a career. It's a freaking career, people! Do something you enjoy, but you need a leisure life too. Being a derm provides me with both, so I don't freaking see how the hell you consider me to be a troll. I don't understand what is wrong with my thinking? I don't want to travel around for military requirements and get sent to iraq, or some rural area! I want to live where I freaking want to live, in a good area in a city, where my children can go to a good school and participate in meaningful sports, like I was never able to do when I was a child. I also don't want to be one of those parents who is never home because of career. I am doing this career only HALF for me, and the other half for my future children, so they will never be as isolated as I was during childhood. My life is not a career, my life is my life. If i wanna do derm I do derm. All I'm looking for on this forum is the advice I ASK for, not the advice I don't ask for (such as how to live my life, and what choices I should make). No, I am looking only for advice that helps me achieve the choices I already am choosing. I don't understand why I am getting so much bashing. It is my life, and if I have to, I will bust ass to get into a great med school, and bust ass in med school to get into dermatology, and I will do MD/PhD if that means not taking out loans and giving more money to my future children, and a higher chance of getting into derm. Then, I will work 3/4 time as a dermatologist while raising my future children and providing for them. Ok? All I am looking on this forum is for advice regarding my questions, not my choices. People tell me not to do MD/PhD because "you're too selfish, the uni will spend so much money on you and you will go into private practice" blah blah blah. Do you know what? The universities are rich, and we people are poor. So it's not your decision about who is selfish and who is not.
 
OOH I didn't read that part. Sorry sterling :(
No need to apologize, it was my fault for not being clearer in the beginning. Thank you though :)

Edit: is that supposed to be "more clear"? Is "clearer" even a word? ;) (No seriously though, its a good thing I was born to a generation that has google)
 
I'm not a troll. I don't understand, why do you think I am a troll? What makes me a troll? What is so wrong with what I say? Yeah, so I want to do derm. I will enjoy it, and have enough time to raise kids as well. I am not the kind of person who can "focus everything in my entire freaking life" to just a career. It's a freaking career, people! Do something you enjoy, but you need a leisure life too. Being a derm provides me with both, so I don't freaking see how the hell you consider me to be a troll. I don't understand what is wrong with my thinking? I don't want to travel around for military requirements and get sent to iraq, or some rural area! I want to live where I freaking want to live, in a good area in a city, where my children can go to a good school and participate in meaningful sports, like I was never able to do when I was a child. I also don't want to be one of those parents who is never home because of career. I am doing this career only HALF for me, and the other half for my future children, so they will never be as isolated as I was during childhood. My life is not a career, my life is my life. If i wanna do derm I do derm. All I'm looking for on this forum is the advice I ASK for, not the advice I don't ask for (such as how to live my life, and what choices I should make). No, I am looking only for advice that helps me achieve the choices I already am choosing. I don't understand why I am getting so much bashing. It is my life, and if I have to, I will bust ass to get into a great med school, and bust ass in med school to get into dermatology, and I will do MD/PhD if that means not taking out loans and giving more money to my future children, and a higher chance of getting into derm. Then, I will work 3/4 time as a dermatologist while raising my future children and providing for them. Ok? All I am looking on this forum is for advice regarding my questions, not my choices. People tell me not to do MD/PhD because "you're too selfish, the uni will spend so much money on you and you will go into private practice" blah blah blah. Do you know what? The universities are rich, and we people are poor. So it's not your decision about who is selfish and who is not.

I WANT TO GO TO MEDICAL SCHOOL FOR FREE, MATCH INTO THE SPECIALTY WITH THE HIGHEST INCOME TO WORK HOUR RATIO, AND ONLY WORK PART TIME. I DON'T GET WHY YOU GUYS HATE ME!
 
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I'm not a troll. I don't understand, why do you think I am a troll? What makes me a troll? What is so wrong with what I say? Yeah, so I want to do derm. I will enjoy it, and have enough time to raise kids as well. I am not the kind of person who can "focus everything in my entire freaking life" to just a career. It's a freaking career, people! Do something you enjoy, but you need a leisure life too. Being a derm provides me with both, so I don't freaking see how the hell you consider me to be a troll. I don't understand what is wrong with my thinking? I don't want to travel around for military requirements and get sent to iraq, or some rural area! I want to live where I freaking want to live, in a good area in a city, where my children can go to a good school and participate in meaningful sports, like I was never able to do when I was a child. I also don't want to be one of those parents who is never home because of career. I am doing this career only HALF for me, and the other half for my future children, so they will never be as isolated as I was during childhood. My life is not a career, my life is my life. If i wanna do derm I do derm. All I'm looking for on this forum is the advice I ASK for, not the advice I don't ask for (such as how to live my life, and what choices I should make). No, I am looking only for advice that helps me achieve the choices I already am choosing. I don't understand why I am getting so much bashing. It is my life, and if I have to, I will bust ass to get into a great med school, and bust ass in med school to get into dermatology, and I will do MD/PhD if that means not taking out loans and giving more money to my future children, and a higher chance of getting into derm. Then, I will work 3/4 time as a dermatologist while raising my future children and providing for them. Ok? All I am looking on this forum is for advice regarding my questions, not my choices. People tell me not to do MD/PhD because "you're too selfish, the uni will spend so much money on you and you will go into private practice" blah blah blah. Do you know what? The universities are rich, and we people are poor. So it's not your decision about who is selfish and who is not.

maybe it's because you post threads where some people actually give you real responses and all you say is "lolz you guys are so funny"
 
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I WANT TO GO TO MEDICAL SCHOOL FOR FREE, MATCH INTO THE SPECIALTY WITH THE HIGHEST INCOME TO WORK HOUR RATIO, AND ONLY WORK PART TIME. I DON'T GET WHY YOU GUYS HATE ME!
What is so wrong about this? Please explain. Am I just extra competition that you dont like?
 
I'm not a troll. I don't understand, why do you think I am a troll? What makes me a troll? What is so wrong with what I say? Yeah, so I want to do derm. I will enjoy it, and have enough time to raise kids as well. I am not the kind of person who can "focus everything in my entire freaking life" to just a career. It's a freaking career, people! Do something you enjoy, but you need a leisure life too. Being a derm provides me with both, so I don't freaking see how the hell you consider me to be a troll. I don't understand what is wrong with my thinking? I don't want to travel around for military requirements and get sent to iraq, or some rural area! I want to live where I freaking want to live, in a good area in a city, where my children can go to a good school and participate in meaningful sports, like I was never able to do when I was a child. I also don't want to be one of those parents who is never home because of career. I am doing this career only HALF for me, and the other half for my future children, so they will never be as isolated as I was during childhood. My life is not a career, my life is my life. If i wanna do derm I do derm. All I'm looking for on this forum is the advice I ASK for, not the advice I don't ask for (such as how to live my life, and what choices I should make). No, I am looking only for advice that helps me achieve the choices I already am choosing. I don't understand why I am getting so much bashing. It is my life, and if I have to, I will bust ass to get into a great med school, and bust ass in med school to get into dermatology, and I will do MD/PhD if that means not taking out loans and giving more money to my future children, and a higher chance of getting into derm. Then, I will work 3/4 time as a dermatologist while raising my future children and providing for them. Ok? All I am looking on this forum is for advice regarding my questions, not my choices. People tell me not to do MD/PhD because "you're too selfish, the uni will spend so much money on you and you will go into private practice" blah blah blah. Do you know what? The universities are rich, and we people are poor. So it's not your decision about who is selfish and who is not.

We think you're trolling because most people who've made it this far have read enough to know that A) you still have a lot to see before you know for sure what specialty is right for you and B) dermatology is one of the most competitive specialties but apparently you think they've got a seat with your name on it for some reason.

Stick around the forums, keep reading, and cool your jets ace. You'll get on the right track eventually.
 
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Because you're annoying, naive, arrogant, and presumptuous.
Because we can already hear the reallllly annoying "OMG guys my life is so ruined because I didn't get into Harvard for free so now I can't do derm which is MY LIFE'S AMBITION even though I don't know what it really entails!" thread and it burns our ears.
 
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What is so wrong about this? Please explain. Am I just extra competition that you dont like?

Because it only happens to less than 0.01% of Americans.

Make sure you finish each step. Did you start college yet? Do you have all A's. Remember, not everyone can get a 4.0. Like others said, it is VERY, VERY rare to get a full scholarship.

Derm is also VERY rare to get. Not everyone who wants Derm will get it. It's good to have dreams. However, what people are annoyed about is that they aren't sure if you realize that Derm is one of the hardest to match into, and you have to go to med school realizing you might not even scratch the surface to the "uber-competitive" specialties.
 
Because we can already hear the reallllly annoying "OMG guys my life is so ruined because I didn't get into Harvard for free so now I can't do derm which is MY LIFE'S AMBITION even though I don't know what it really entails!" thread and it burns our ears.
But thats not how I phrase my questions. My end goal is derm, and to be debt free to give my children the support they want.
 
What is so bad about planning ahead? Yes, im arrogant. But naive+presumptious=planning ahead.
Not in the slightest. Planning ahead doesn't mean you're being naive. If anything, planning ahead expresses a lack of naivety. As for being presumptuous, that isn't necessarily the case. I wouldn't say both are too intertwined however. I feel like you're biting off a bit more than you can chew at this point. You have a goal. Stick with it. Research it. Learn about it. Perhaps not make a thread for every question you have. If you're truly devoted to a career path, you'll be needing to do the research anyways.
 
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I want to be a dermatologist, and army/navy/airforce takes doctors who are family practice docs, and also those who specialize in injury medicine or something. Something where they go abroad to iraq to cure injuries of soliders. NOT something I wanna do :p I want to be a dermatologist and deal with teenagers' zits. Plus easy lifestyle+great pay. I wanna have kids too, maybe during residency or after, but at age 30 I'm starting no matter what. Don't wanna be infertile later on and end up hating my life :)

Sounds like your incentives for entering medicine are off. You may really want to think about why you're even choosing to go down this path... You have absolutely no idea what it entails to successfully graduate medical school and to match into dermatology.
 
Sounds like your incentives for entering medicine are off. You may really want to think about why you're even choosing to go down this path... You have absolutely no idea what it entails to successfully graduate medical school and to match into dermatology.
And thats is why I ask questions to learn about it. I dont want to hear how "i'll never make it because ts too competitive", no, i want to know what ittakes to achieve my dream, even if it is unlikely in terms of statistics. Gosh, people. "You dont know about it, so dont ask about it'. Um, the point of these things called "questions" is to ask about something you dont know about. *gasp*.
 
What is so bad about planning ahead? Yes, im arrogant. But naive+presumptious=planning ahead.

Naive + presumptuous = making 50 inane threads about your ridiculous hypothetical life before you even graduate high school, not that it matters because you'll probably forget about medicine and move on to your next $400k/year / 30 hour a week fantasy after switching majors 6 weeks into your freshman year of college.
 
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This is the most motivated troll that I have ever seen. Either that or the OP is excruciatingly naive about pretty much everything imaginable..
 
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Naive + presumptuous = making 50 inane threads about your ridiculous hypothetical life before you even graduate high school, not that it matters because you'll probably forget about medicine and move on to your next $400k/year / 30 hour a week fantasy after switching majors 6 weeks into your freshman year of college.
Um, i have already been in college for 2 years, but deciding to go on a 5 year plan and taking 3 more years to graduate. I have known even before I started college that I wanted to be a doctor.
 
Thanks. I am still considering MD/PhD programs just in case.

Speaking as a research technician in the field, don't. Just don't. Science is not a backup plan, it's a passion. You're wasting the PI's time, you're wasting money and you're wasting an opportunity better spent on someone else who lives for research. If you cannot understand how fantastically rude and arrogant your approach to medicine and research is, print out these conversations and take them to your pre-med advisor. Maybe a face-to-face reality check will knock some sense into your juvenile skull.
 
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What is so wrong about this? Please explain. Am I just extra competition that you dont like?

You can make threads to ask questions and get real advice (although 25 is a lot). Like I said, many people have actually tried to give you real advice. But when your question includes comments like "I want to get into Harvard so I can get a full ride from other schools" or what you need to do to show service to underserved populations to boost your chances of acceptance, or how you're just going to do an MD/PhD, that's not planning ahead.. and people aren't going to want to give you constructive advice
 
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Speaking as a research technician in the field, don't. Just don't. Science is not a backup plan, it's a passion. You're wasting the PI's time, you're wasting money and you're wasting an opportunity better spent on someone else who lives for research. If you cannot understand how fantastically rude and arrogant your approach to medicine and research is, print out these conversations and take them to your pre-med advisor. Maybe a face-to-face reality check will knock some sense into your juvenile skull.
I understand that I am arrogant and selfish, and a narcissist. The only way to convince me not to pursue something, is to tell me why it wouldnt benefit me personally. I dont give a flying pig about how a rich university wasted 0.001 % of their monthly income on educating me forfree. I dont care about other people who would be "better candidates". The only way to convince me not to do something, is to tell me how it wouldnt benefit me personally. If it benefits me personally, then I will not care what kind of inconvenience that causes to others. Survival of the fittest and it's a dog eat dog world.
 
And thats is why I ask questions to learn about it. I dont want to hear how "i'll never make it because ts too competitive", no, i want to know what ittakes to achieve my dream, even if it is unlikely in terms of statistics. Gosh, people. "You dont know about it, so dont ask about it'. Um, the point of these things called "questions" is to ask about something you dont know about. *gasp*.
That's not the point I was trying to make. What I'm saying is that, you cannot possibly fathom the amount of blood, sweat, and tears that goes into actually achieving such a feat. You're striking a nerve with this thread because you graze through this territory so whimsically. You should really worry about merely getting into ANY medical school, let alone getting any scholarships from top tier schools and landing a dermatology residency... but no worries, you'll understand the reality of it all the further along you walk on this path.
 
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I understand that I am arrogant and selfish, and a narcissist. The only way to convince me not to pursue something, is to tell me why it wouldnt benefit me personally. I dont give a flying pig about how a rich university wasted 0.001 % of their monthly income on educating me forfree. I dont care about other people who would be "better candidates". The only way to convince me not to do something, is to tell me how it wouldnt benefit me personally. If it benefits me personally, then I will not care what kind of inconvenience that causes to others. Survival of the fittest and it's a dog eat dog world.
troll -.-
 
troll -.-
Um, no I am not. If I were a troll, I'd have better things to do than post on the student DOCTOR network. Especially 25 threads that are good med related questions.
 
Um, no I am not. If I were a troll, I'd have better things to do than post on the student DOCTOR network. Especially 25 threads that are good med related questions.

You do have better things to do than post here. Like just focusing on your school work and however many research projects/volunteering activities you have going on since you still have 4 years to continue working towards medical school. And actually, they are not all good med related questions.
 
Let's say someone becomes a dermatologist, graduates residency, and has 200k debt. They start out making 250k a year. Malpractice costs 50k a year, so they end up with 200k a year (dermatologists usually don't work for hospitals, so have to pay their own malpractice insurance). Minus taxes, equals 160k a year (assuming they pay like 20% taxes total? Idk. Correct me on this). Let's say they live off of 40k a year (plenty of families live off of that amount) and don't get any other loans (they will only get used cars for under 5k, and will rent a cheap apartment for this time).

That leaves them 120k a year to pay back towards the loan. Let's say they have 200k loan right after residency.
They pay 120k first year. 80k left. Let's say percent interest is 10%. That means they have 88k to bay back. Second year, they pay 88k, and still have 32 extra k to spend on themselves.

I have posted on other forums about this, and everyone kept telling me how "this is impossible" and "it takes doctors 10+ years to pay back debt". But assuming that the doctor lives with THIS lifestyle (even if they have kids; lots of families live on 40k a year with kids) for a couple of years, without any expensive vacations, car payments or house payments (hey, it's only 2 years), can they pay back their loan in those 2 years?

It's possible.

That's just one narrow example. But essentially, a main reason people don't attack their loans like that is because they don't need to, and the lifestyle sacrifices a single person in their early twenties is willing to make are very different from the sacrifices someone with a family in their 30s is willing to make.

This pins it down pretty well. My personal plan is to try my best to live like a pauper for a few years after residency, so I know where you're coming from, OP.
 
Um, no I am not. If I were a troll, I'd have better things to do than post on the student DOCTOR network. Especially 25 threads that are good med related questions.
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In theory, a medical graduate could do a three year residency, and then "live like a resident" for another two years while an attending, and make huge loan payments. Is this really possible? Of course it is. Graduates do five year residencies all the time, or do a two year fellowship.

In reality, doctors are financially ******ed and live paycheck to paycheck. If their income goes up by $150,000 then so do their expenses. Instantly. It's just the nature of the profession.

There was a funny thread here a few years ago where payroll had a snafu and was going to be two days late. Doctors called payroll frantically because all these mortgages and boat payments and car payments and private school tuition payments were going to bounce. Doctors making $30,000 a month had so little float they were going to be insolvent on account of their paycheck showing up on a monday instead of the previous friday. It was unreal.

I know it's true. I just wish it weren't.
 
I understand that I am arrogant and selfish, and a narcissist. The only way to convince me not to pursue something, is to tell me why it wouldnt benefit me personally. I dont give a flying pig about how a rich university wasted 0.001 % of their monthly income on educating me forfree. I dont care about other people who would be "better candidates". The only way to convince me not to do something, is to tell me how it wouldnt benefit me personally. If it benefits me personally, then I will not care what kind of inconvenience that causes to others. Survival of the fittest and it's a dog eat dog world.

You are showing an incredible lack of maturity. If you have it all figured out, just go do it all yourself and quit asking for approval. People will give advice to serious questions, and there are many who have answered you and given you good advice. But when you start being arrogant and blatantly saying that you'd do an MD/PhD just to go to school for free, see that's where you get annoying.

People in this forum are compassionate students who want to go into medicine for the right reasons. Not for the money. You are clearly showing that money is all you care about, and therefore are disrespecting a lot of people on this forum. People who are thousands of dollars in debt and still choose specialties that require long hours and low reimbursements.

Please, grow up. One day, hopefully, you'll understand the real passion to study medicine -to serve OTHERS. Medicine is more than a career, it is a LIFESTYLE whether you like it or not. That is how your colleagues are going to see it.. and if you want their respect you better learn that early on. If you just want a career, and money, and a perfect little family with your lawyer husband please do something else. Stay away from a profession of kind, selfless individuals looking to serve.
 
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Um, no I am not. If I were a troll, I'd have better things to do than post on the student DOCTOR network. Especially 25 threads that are good med related questions.
 
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Streampaw, I seriously hope you don't write most of these things in your AMCAS personal statement. Because after reading your posts, I don't think there's a single med school (not even Caribbean) that would want to accept you. And then you can say goodbye to that full scholarship, dermatology residency, $400k/year, and a good future for your kids.
 
I want to be a dermatologist, and army/navy/airforce takes doctors who are family practice docs, and also those who specialize in injury medicine or something. Something where they go abroad to iraq to cure injuries of soliders. NOT something I wanna do :p I want to be a dermatologist and deal with teenagers' zits. Plus easy lifestyle+great pay. I wanna have kids too, maybe during residency or after, but at age 30 I'm starting no matter what. Don't wanna be infertile later on and end up hating my life :)

It honestly sounds to me you want to go into money for the money, not to help people, which is disgusting. You've made threads about hating volunteering too. This attitude won't get you far at all.
 
Your posts belong in hSDN, where nobody without a good helping of patience and a bracing shot of vodka would ever stumble across them.
 
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Your posts belong in hSDN, where nobody without a good helping of patience and a bracing shot of vodka would ever stumble across them.
hSDN is quite a bit better than this. This isn't the type of content that any SDN reader should have to encounter, regardless of age.
 
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Just a quick question Streampaw- how do you expect to get ii's, let alone full scholarships to some of the best schools in the country with this on your resume:

"Right now I am a junior. I went to a community college for two years, took gen chem year at community college. Now I am taking the rest of my pre-med requirements at portland state. (ochem, bio, physics). I also took one year of calc at community college.
My gpa right now is around a 3.6."
 
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If you are SO confident and think you are going to med school that gives a free ride + matching into derm....well I guess it's good to be eager. I mentioned it's very rare, because this is far from the typical scenario. Anything is possible. However, being "arrogant" means nothing. In fact, you better hide any trace of arrogance to classmates. It's better to know the reality of the situation, and like others mentioned, be grateful/thankful to get accepted to any school.

First thing is first, you need to finish school. Cause...right now, there is NO guarantee you'll have a good GPA. You need to work on that first by getting through classes. You haven't even scratched the surface to tackle the MCAT let alone figure out a derm career. I'm sure you have other specialty career plans other than derm(since...if that's the only specialty you can see yourself doing, you might be setting yourself up for severe depression if you fail to match, or worse, find out you hate it in med school).
 
hSDN is quite a bit better than this. This isn't the type of content that any SDN reader should have to encounter, regardless of age.

Instead of the poop hotdog, we should ask whether we would be willing to put up with all of OP's posts in order to get into our top med school.
 
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Instead of the poop hotdog, we should ask whether we would be willing to put up with all of OP's posts in order to get into our top med school.
Apparently yes. Acceptances for everyone!!
 
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The only way to convince me not to do something, is to tell me how it wouldnt benefit me personally. If it benefits me personally, then I will not care what kind of inconvenience that causes to others. Survival of the fittest and it's a dog eat dog world.

You would be wasting your time. You're probably wasting your time pursuing medicine, but you're definitely wasting your time posting here. Why don't you go talk to your lawyer boyfriend, seeing as you two have such a healthy relationship? I'm sure he could give you some pointers on self-serving arrogance.
 
I understand that I am arrogant and selfish, and a narcissist. The only way to convince me not to pursue something, is to tell me why it wouldnt benefit me personally. I dont give a flying pig about how a rich university wasted 0.001 % of their monthly income on educating me forfree. I dont care about other people who would be "better candidates". The only way to convince me not to do something, is to tell me how it wouldnt benefit me personally. If it benefits me personally, then I will not care what kind of inconvenience that causes to others. Survival of the fittest and it's a dog eat dog world.
So you are a psychopath?
 
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I understand that I am arrogant and selfish, and a narcissist. The only way to convince me not to pursue something, is to tell me why it wouldnt benefit me personally. I dont give a flying pig about how a rich university wasted 0.001 % of their monthly income on educating me forfree. I dont care about other people who would be "better candidates". The only way to convince me not to do something, is to tell me how it wouldnt benefit me personally. If it benefits me personally, then I will not care what kind of inconvenience that causes to others. Survival of the fittest and it's a dog eat dog world.

You're not alone in this attitude, and you wouldn't be the only physician out there whose primary goal is financial independence and a wealthy lifestyle. What people are advising you is that, in your 'survival of the fittest' world, you aren't nearly as fit as you think you are. For example, dermatology: it's competitive. As in, less than 1 spot for each medical school competitive. My school had around 10 applicants for derm each year I was there. All of them were always AOA (top 10% of the class), all of them had 250+ step one scores, and generally at least several of them had taken an extra year to do research exclusively in dermatology. We never had more than three people match. The rest all got shunted into internal medicine. Matching derm is like winning the lottery: it will happen to someone, it won't happen to you.

If your career goals are primarily financial, then treat your career as an investment. The highest potential rates of return are in penny stocks and volatile commodities, since they can increase their value by orders of magnitude overnight. However the best investors don't put their money into tech startups and bitcoins. Investment isn't about the best case scenario, it's about the average rate of return. So, to treat medicine as an investment: stop asking questions about full ride scholarships and derm residencies and start asking questions about more average scenarios. Of course derm would make medicine a worthwhile investment for you, but would PM&R? Family Medicine? Of course a full scholarship would be nice, but how much are you practically willing to put towards debt each month for the first 10 years of your career? Of course it would be nice to be obscenely wealthy, work part time, retire early and live in SoCal/New York but you're much more likely to get helpful advice about how to achieve one of those goals than on how to achieve all of them.
 
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You're not alone in this attitude, and you wouldn't be the only physician out there whose primary goal is financial independence and a wealthy lifestyle. What people are advising you is that, in your 'survival of the fittest' world, you aren't nearly as fit as you think you are. For example, dermatology: it's competitive. As in, less than 1 spot for each medical school competitive. My school had around 10 applicants for derm each year I was there. All of them were always AOA (top 10% of the class), all of them had 250+ step one scores, and generally at least several of them had taken an extra year to do research exclusively in dermatology. We never had more than three people match. The rest all got shunted into internal medicine. Matching derm is like winning the lottery: it will happen to someone, it won't happen to you.

If your career goals are primarily financial, then treat your career as an investment. The highest potential rates of return are in penny stocks and volatile commodities, since they can increase their value by orders of magnitude overnight. However the best investors don't put their money into tech startups and bitcoins. Investment isn't about the best case scenario, it's about the average rate of return. So, to treat medicine as an investment: stop asking questions about full ride scholarships and derm residencies and start asking questions about more average scenarios. Of course derm would make medicine a worthwhile investment for you, but would PM&R? Family Medicine? Of course a full scholarship would be nice, but how much are you practically willing to put towards debt each month for the first 10 years of your career? Of course it would be nice to be obscenely wealthy, work part time, retire early and live in SoCal/New York but you're much more likely to get helpful advice about how to achieve one of those goals than on how to achieve all of them.
Hmmm. Well,, if I dont match into derm, I will also try for radiology. Pm&r sounds like it doesnt have a bad lifestyle either, so thats not out of the question. I dont think I would enjoy family medicine though. I have to match into something specialized with a good lifestyle and pay.
 
Hmmm. Well,, if I dont match into derm, I will also try for radiology. Pm&r sounds like it doesnt have a bad lifestyle either, so thats not out of the question. I dont think I would enjoy family medicine though. I have to match into something specialized with a good lifestyle and pay.

That's not really how the process works..
Also, you "have to match" into something specialized... so if you don't are you just going to quit medicine and do something else?
 
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