This is why you should specialize

[Mr Cookie Pants]

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Members don't see this ad.

So I'm a Urban give-back Pediatrics rotation, and I'm up with my Pediatrician (no bear suit and pointy kisses) and I see this at the hospital---in a town of 30,000 people. I said something about the Porsche 911 in the parking lot and he said 'what kind of car is that'. Two different mentalities I guess 😛

*before anyone takes this post as overly douchey, I just thought it was funny that the spine guy's F430 Spyder was parked perfectly under their sign.

 

[ahyes]

Yea but he sold his soul to the hospital for that thing

 

[IvyHopeful20]

After spending your 115th hour in the hospital, I suppose you need something nice to fall asleep and crash in.

 

[TheRunner]

No matter how much money I made or inherited or whatever, I would never buy such a car. It's a complete waste of money and an absolutely unnecessary extravagance. Just my 2 cents, of course, but even if I were raking in 1 million + per year, I'd much rather stash it away as opposed to blowing it on a car. (Albeit I'm also a non-trad, so maybe this is just my age showing...)

 

[flatearth22]

No matter how much money I made or inherited or whatever, I would never buy such a car. It's a complete waste of money and an absolutely unnecessary extravagance. Just my 2 cents, of course, but even if I were raking in 1 million + per year, I'd much rather stash it away as opposed to blowing it on a car. (Albeit I'm also a non-trad, so maybe this is just my age showing...)

Worst financial advice ever....especially in our economy.

brb superinflation now my money is worthless while other guys bought cool stuff with their money and can still use it....

 

[Perrotfish]

Worst financial advice ever....especially in our economy.

brb superinflation now my money is worthless while other guys bought cool stuff with their money and can still use it....

So stash it stocks, or commodities, or real estate. If you're really apocolyptic buy gold bara and stash those in a nice rural shelter along with lots of canned food and bottled water.

Though I still think the commodities bubble will burst long before this theoretical hyperinflation happens.

 

[medstudent87]

No matter how much money I made or inherited or whatever, I would never buy such a car. It's a complete waste of money and an absolutely unnecessary extravagance. Just my 2 cents, of course, but even if I were raking in 1 million + per year, I'd much rather stash it away as opposed to blowing it on a car. (Albeit I'm also a non-trad, so maybe this is just my age showing...)

after u take one for a test drive, u might change your tune...

 

[TheRunner]

Worst financial advice ever....especially in our economy.

brb superinflation now my money is worthless while other guys bought cool stuff with their money and can still use it....

Absolutely not. The market trends upward. This fantasy of superinflation is never going to happen. That's just not how it works. "Hmm....I have 3 million dollars. I guess I *could* save for retirement so I don't end up in a state nursing home pissing all over myself and working my way towards a Stage 4 Decub...Nah, buy a yacht instead!"

If you are really worried about hyperinflation (which is an irrational fear), take out all of the student loans you possibly can and buy gold bars. Maybe pick up some guns, ammo and toilet paper while you're at it. 🙄

 

[TheRunner]

So stash it stocks, or commodities, or real estate. If you're really apocolyptic buy gold bara and stash those in a nice rural shelter along with lots of canned food and bottled water.

Though I still think the commodities bubble will burst long before this theoretical hyperinflation happens.

Didn't see this post. Well played.

 

[OveractiveBrain]

Absolutely not. The market trends upward. This fantasy of superinflation is never going to happen. That's just not how it works. "Hmm....I have 3 million dollars. I guess I *could* save for retirement so I don't end up in a state nursing home pissing all over myself and working my way towards a Stage 4 Decub...Nah, buy a yacht instead!"

If you are really worried about hyperinflation (which is an irrational fear), take out all of the student loans you possibly can and buy gold bars. Maybe pick up some guns, ammo and toilet paper while you're at it. 🙄

The people who lost their retirement in stock options, investment portfolios, and the 300 guys making 1 million + who lost their jobs might disagree with you. You should buy the car, buy the yacht, and every once and a while, put some money into your own medical retirement fund (which the government gives you tax credits for now, so you won't be reliant on medicare). People who make 100,000 can get a nice honda (tens of thousands range) and save. People who make a million a year can get a Porche 911 or a mercedes AMG (hundreds of thousands range) and save.

 

[OveractiveBrain]

Absolutely not. The market trends upward. This fantasy of superinflation is never going to happen. That's just not how it works. "Hmm....I have 3 million dollars. I guess I *could* save for retirement so I don't end up in a state nursing home pissing all over myself and working my way towards a Stage 4 Decub...Nah, buy a yacht instead!"

If you are really worried about hyperinflation (which is an irrational fear), take out all of the student loans you possibly can and buy gold bars. Maybe pick up some guns, ammo and toilet paper while you're at it. 🙄

I already have the guns, ammo, and toilet paper. I could use some gold bars though... MREs might be a better initial investment. That, and bulletproof glass or a fallout shelter

 

[TheRunner]

The people who lost their retirement in stock options, investment portfolios, and the 300 guys making 1 million + who lost their jobs might disagree with you. You should buy the car, buy the yacht, and every once and a while, put some money into your own medical retirement fund (which the government gives you tax credits for now, so you won't be reliant on medicare). People who make 100,000 can get a nice honda (tens of thousands range) and save. People who make a million a year can get a Porche 911 or a mercedes AMG (hundreds of thousands range) and save.

You can never save too much money. You can invest your money unwisely, but you can never save too much money.

 

[Law2Doc]

... I just thought it was funny that the spine guy's F430 Spyder was parked perfectly under their sign.

if the guy didn't invest wisely, you are going to see that car disappear back to the bank in the not too distant future. The money is gone from a lot of spine work now that level by level reimbursements have been eliminated. More than a few of these guys are scrambling to learn other procedures now that the carpet has been pulled out of under them.

 

[cbrons]

So stash it stocks, or commodities, or real estate. If you're really apocolyptic buy gold bara and stash those in a nice rural shelter along with lots of canned food and bottled water.

Though I still think the commodities bubble will burst long before this theoretical hyperinflation happens.

There is no bubble in commodities.

Commodities (particularly real money such as precious metals) are a hedge against inflation. People for years have been saying that the gold/silver "bubble" is bursting everytime you see a major correction.

At near 0% interest rates, putting U.S. dollars in a savings account makes no sense.

 

[TheRunner]

There is no bubble in commodities.

Commodities (particularly real money such as precious metals) are a hedge against inflation. People for years have been saying that the gold/silver "bubble" is bursting everytime you see a major correction.

At near 0% interest rates, putting U.S. dollars in a savings account makes no sense.

Agreed. Thankfully there are much better ways to "save" money than savings accounts.

 

[eablackwell]

There's a teacher @ the high school I work at that has a 911. It's all about being wise with your money. You don't need to make $300k+ to afford a Porsche. Also, making that much money doesn't mean you know what a 911 is. Some people aren't really into cars.

 

[Avoidthetiger]

I had never heard of this car...and honestly, if I saw that car 10 minutes from now, after looking at the above picture, I probably still would have no idea what type of car it was.

I'm just not into cars. If it drives and has a working radio, I am happy.

I hope to specialize.

*and yay first allo post. hello*

 

[link2swim06]

if the guy didn't invest wisely, you are going to see that car disappear back to the bank in the not too distant future. The money is gone from a lot of spine work now that level by level reimbursements have been eliminated. More than a few of these guys are scrambling to learn other procedures now that the carpet has been pulled out of under them.

Highly doubt the car is going anywhere, alot of spine people make over 750K currently in pp in rural areas. That car, assuming its brand new is only $200,000.

Thats the equivalent of a person making 75K buying a used Honda. I'd guess he could pay for before the end of the summer.

 

[Law2Doc]

?.. alot of spine people make over 750K currently in pp in rural areas...

Used to. The salary went from $750k to a fraction of that very recently, thanks to changes in insurance reimbursement. The folks whose debts matched their incomes ie multimillion dollar mortgages, several kids in private schools/collages, multiple ex-wives, etc are in serious trouble. Most spine guys are scrambling to figure out how to come anywhere close to earning what they did in prior years.

They used to be able to bill level by level (ie each spinal segment constituted a separate surgery they could bill for even if they fixed them all at the same time). Now they can't. So every procedure they do is now worth a small fraction of what they used to get. It's not hard math to see how they are now SOL.

 

[lrkoehle]

multiple ex-wives

That alimony will destroy you...

 

[link2swim06]

Used to. The salary went from $750k to a fraction of that very recently, thanks to changes in insurance reimbursement. The folks whose debts matched their incomes ie multimillion dollar mortgages, several kids in private schools/collages, multiple ex-wives, etc are in serious trouble. Most spine guys are scrambling to figure out how to come anywhere close to earning what they did in prior years.

They used to be able to bill level by level (ie each spinal segment constituted a separate surgery they could bill for even if they fixed them all at the same time). Now they can't. So every procedure they do is now worth a small fraction of what they used to get. It's not hard math to see how they are now SOL.

The game of surgery (and medicine) is a cat and mouse game. Medicare continues to cut a specific billing code, so then that specialty lobbies for a "new procedure" which replaces that code which pays a ton more. Granted its n=2, but I know two spine docs which clear 1 million a year and will do so this year. Not to mention a quick check of locum tenens shows many 600K+ jobs actively seeking surgeons.

While medicare obviously is going to cut all the low hanging fruit, the specialties that can innovate (make new procedures/billing codes), will retain similar salaries (i.e. derm).

Plus, many physicians recoup more compensation from hospitals, bc hospitals continue to bill patients more for procedure X than they did 10 years ago. Many physician groups in rural areas supplement their salary with this.

 

[Perrotfish]

There is no bubble in commodities.

Commodities (particularly real money such as precious metals) are a hedge against inflation. People for years have been saying that the gold/silver "bubble" is bursting everytime you see a major correction.

At near 0% interest rates, putting U.S. dollars in a savings account makes no sense.

Over the past two decades gold has risen in value by an order of magnitude despite the fact that there has been no increase in the real demand. The reason is that gold has gone from being seen primarily as a real commodity to being seen primarily as an investment (because people don't trust the dollar as you said). So now when people buy gold they are doing it primarily with the goal of selling their gold at a later time for more money. That's the definition of a market bubble. The value of a product is only sustained by the perception that it's value will always increase.

The problem, of course, is that when everyone who buys a product is planning to sell it at a higher price sooner or later the day comes when no one is willing to buy. That's when panic sets in, there's a massive sell off, and a lot of people lose whatever they have when the price self corrects to the value set by the actual market. That's how bubble collapse. It always happens, sooner or later.

We did the exact same thing with real estate not too long ago. Did you see how that turned out?

 

[Law2Doc]

The game of surgery (and medicine) is a cat and mouse game. Medicare continues to cut a specific billing code, so then that specialty lobbies for a "new procedure" which replaces that code which pays a ton more. Granted its n=2, but I know two spine docs which clear 1 million a year and will do so this year. Not to mention a quick check of locum tenens shows many 600K+ jobs actively seeking surgeons.
While medicare obviously is going to cut all the low hanging fruit, the specialties that can innovate (make new procedures/billing codes), will retain similar salaries (i.e. derm).
Plus, many physicians recoup more compensation from hospitals, bc hospitals continue to bill patients more for procedure X than they did 10 years ago. Many physician groups in rural areas supplement their salary with this.

Um, hospitals can't bill patients beyond what reimbursements cover unless they are willing to forego all Medicare patients, so no, this avenue of salary supplementation is gone (actually never existed). You can believe what you want, but the incomes up through this year are not reflective of what anyone in the field expects in the coming year thank to the recent changes. Also if you are seeing 600k jobs on headhunter sites, I would suggest either those ads predate the reimbursement change, or it's a bait and switch situation. Which is why these tend to be singularly bad places for salary info. Think about it-- if you used to make bank billing level by level and now get a single fee no matter how many levels are involved, how can that not cut your take by a huge percentage? Answer - it cuts your income substantially. It's not hard math -- if you used to be able to charge someone 6X for 3 hours of OR time, and now can only bill them X, your salary has just taken a huge hit unless you can up your hours by a factor of 6. But most surgeons weren't working a sixth of a day. If you didn't budget for this kind of hit you are SOL. And the car goes back to the store.

 

[Radonkulous]

There is no bubble in commodities.

Commodities (particularly real money such as precious metals) are a hedge against inflation. People for years have been saying that the gold/silver "bubble" is bursting everytime you see a major correction.

At near 0% interest rates, putting U.S. dollars in a savings account makes no sense.

I have to agree with this. It's more so a hedge against dollar devaluation, which IMO is more imminent than most people think. I don't know how you can say real demand doesn't exist when people are now viewing it as real money rather than the dollar. If anything, demand is only going to go much higher, along with price.

 

[cbrons]

Over the past two decades gold has risen in value by an order of magnitude despite the fact that there has been no increase in the real demand. The reason is that gold has gone from being seen primarily as a real commodity to being seen primarily as an investment (because people don't trust the dollar as you said). So now when people buy gold they are doing it primarily with the goal of selling their gold at a later time for more money. That's the definition of a market bubble. The value of a product is only sustained by the perception that it's value will always increase.

The problem, of course, is that when everyone who buys a product is planning to sell it at a higher price sooner or later the day comes when no one is willing to buy. That's when panic sets in, there's a massive sell off, and a lot of people lose whatever they have when the price self corrects to the value set by the actual market. That's how bubble collapse. It always happens, sooner or later.

We did the exact same thing with real estate not too long ago. Did you see how that turned out?

No, that is the definition of speculation. A "bubble" is when the value of a resource is inflated well beyond its real valuation, a symptom of which is massive speculation. If you want to think gold is a bubble, I will not try and dissuade you from that position because most "expert" investors and economists take your position (which is ironically evidence in and of itself that it is not a bubble). However, it is helpful to think of gold not as an investment per-say but as a store of value (money).

Gold positions do not bear any resemblance to the housing bubble. Every other week you turn on CNBC or a number of channels and you hear people deride gold as a bubble that has yet to burst. In either case, I will not derail this thread but I think this is a good video (at 4 minutes you hear about the absurd things people were doing during both the dot com and housing bubble which in retrospect were so ridiculous I was laughing hysterically).

 

[link2swim06]

Um, hospitals can't bill patients beyond what reimbursements cover unless they are willing to forego all Medicare patients, so no, this avenue of salary supplementation is gone (actually never existed). You can believe what you want, but the incomes up through this year are not reflective of what anyone in the field expects in the coming year thank to the recent changes. Also if you are seeing 600k jobs on headhunter sites, I would suggest either those ads predate the reimbursement change, or it's a bait and switch situation. Which is why these tend to be singularly bad places for salary info. Think about it-- if you used to make bank billing level by level and now get a single fee no matter how many levels are involved, how can that not cut your take by a huge percentage? Answer - it cuts your income substantially. It's not hard math -- if you used to be able to charge someone 6X for 3 hours of OR time, and now can only bill them X, your salary has just taken a huge hit unless you can up your hours by a factor of 6. But most surgeons weren't working a sixth of a day. If you didn't budget for this kind of hit you are SOL. And the car goes back to the store.

1. Dont believe me, let me reference an attending on this site who actually has experience with billing at while an attending level. Many groups are supplemented by what hospitals bill.
http://forums.studentdoctor.net/showpost.php?p=5496030&postcount=33

2. I agree, yes medicare is cutting spine surgery X, however, assuming their lobby isnt crap, they will be able compensate with new billing codes somewhat, etc.

I am not saying spine or any other sub-specialty isnt dropping in reimbursement, I am just saying you are missing my point of how salaries are being stabilized.

Also I think saying a spine doc cant afford a 200K car is alarmist and inaccurate.

Many specialties salaries actually outpaced inflation last year.

 

[Law2Doc]

1. Dont believe me, let me reference an attending on this site...

2. I agree, yes medicare is cutting spine surgery X, however, assuming their lobby isnt crap, they will be able compensate with new billing codes somewhat, etc.

I am not saying spine or any other sub-specialty isnt dropping in reimbursement, I am just saying you are missing my point of how salaries are being stabilized.

Also I think saying a spine doc cant afford a 200K car is alarmist and inaccurate.
Many specialties salaries actually outpaced inflation last year.

First, I have no clue what an EM attending has to do with a very specific change in rules affecting spine surgery. Second, if you are depending on a subspecialty fixing reimbursement changes you lobbying, I think you missed the boat. The rule already got changed, so we know their lobbying efforts were for nil. Third, salary stabilization happens in some specialties, not in others. It's nice to say -- don't worry, everything stabilizes. When it's a big hit, that is head in the sand logic. Fourth, I didn't say they couldn't afford a sports car. What I actually said was that those people who incurred big expenses when their salaries were huge now cannot afford to maintain those expenses. Thus the person who took on a big mortgage when their salary was 700k is in real financial trouble if they contemplated those days never ending. Guess what, this isn't a small group, and I suspect a large percentage of folks who dropped six digits on a car belong to this group. At any rate, by turning to EM attendings for your evidence, it's pretty clear that you don't appreciate what this particular change in reimbursement was all about and how it disproportionately impacts a particular subspecialty. The floor got pulled out on a single very specific field, one that cannot easily stabilize or just find a new billing code. Whatever.

 

[IHeartNerds]

you can't argue with law2doc, he knows everything about every specialty. your puny knowledge shrinks in fear of his multi-page rants. 🙄

guy at my old hospital's residency program went into spine, he signed for 600k a year his first year, starting this summer. not all spine is tears and welfare just yet.

but seeing as how i'm in the field and law2doc's word is that of god, i'm assuming he won't listen.

 

[coldweatherblue]

that car would be a lot cooler if it were 20 years older and the doc had built and raced it himself.. 430 means nothin.. a 911sc scca b-spec? where its at..

 

[link2swim06]

First, I have no clue what an EM attending has to do with a very specific change in rules affecting spine surgery. Second, if you are depending on a subspecialty fixing reimbursement changes you lobbying, I think you missed the boat. The rule already got changed, so we know their lobbying efforts were for nil. Third, salary stabilization happens in some specialties, not in others. It's nice to say -- don't worry, everything stabilizes. When it's a big hit, that is head in the sand logic. Fourth, I didn't say they couldn't afford a sports car. What I actually said was that those people who incurred big expenses when their salaries were huge now cannot afford to maintain those expenses. Thus the person who took on a big mortgage when their salary was 700k is in real financial trouble if they contemplated those days never ending. Guess what, this isn't a small group, and I suspect a large percentage of folks who dropped six digits on a car belong to this group. At any rate, by turning to EM attendings for your evidence, it's pretty clear that you don't appreciate what this particular change in reimbursement was all about and how it disproportionately impacts a particular subspecialty. The floor got pulled out on a single very specific field, one that cannot easily stabilize or just find a new billing code. Whatever.

My link to the EM doc was to prove that hospitals share increased revenues with surgeons to retain them in high demand locations. Which you denied. It has nothing to do with medicare changing billing.

Obviously you have your opinion and I have mine, I am just saying, some people on this forum keep saying the sky is falling (often med students and residents). I am sure spine will adapt, adjust and still continue to profit.

Attending salary is complex, it comes from more than just medicare billing codes. I am done debating, I dont have the readily available stats, and therefore this is a silly argument. However, all my anecdotal evidence across many attendings conflicts with you general sentiments (including spine docs).

/out

 

[Law2Doc]

?.., some people on this forum keep saying the sky is falling (often med students and residents). I am sure spine will adapt, adjust and still continue to profit...

/out

I wouldn't say the sky is falling on medicine generally, but for one of the subspecialties the sky fell pretty significantly this past year. Talking about adaptation is fruitless because it assumes a path that may not be possible. More likely you will simply see people making do with the portion of reimbursement that is still allowed. But you are kidding yourself if you think this is not a big deal for a lot of people.

 

[sineapse]

Probably pushing 50, balding and with a fat pot belly.

Still, a hero.

 

[todds]

My link to the EM doc was to prove that hospitals share increased revenues with surgeons to retain them in high demand locations. Which you denied. It has nothing to do with medicare changing billing.

Obviously you have your opinion and I have mine, I am just saying, some people on this forum keep saying the sky is falling (often med students and residents). I am sure spine will adapt, adjust and still continue to profit.

Attending salary is complex, it comes from more than just medicare billing codes. I am done debating, I dont have the readily available stats, and therefore this is a silly argument. However, all my anecdotal evidence across many attendings conflicts with you general sentiments (including spine docs).

/out

Nobody in this thread is providing any data about this - so its difficult to see what is true. What is available is a great up to date Medscape survey on Physicians salary where we can see which specialties gained and lost more than 10-20% this year.

In their Orthopedics section (they don't have a Neurosurgery section), it seems that pay has stayed somewhat the same. Not sure if they include spine in that - but it seems if its OK

Cards and Radiology got hit the biggest (i think everyone knows that) and Internal and Family I think got some of the biggest jumps.

All in all, I think the OP and everyone should encourage to go into specialties in which you enjoy. There are far too many variables to predict pay WITHIN a specialty and there are far too many variables to predict average salary in the future.

If trends continue in the future, we might see Family and Internal hopefully hitting the 250+ range and and things like Rads coming down to earth a little. Thats probably healthier so there won't be so much discrepancy

 

[jdh71]

No, that is the definition of speculation. A "bubble" is when the value of a resource is inflated well beyond its real valuation, a symptom of which is massive speculation. If you want to think gold is a bubble, I will not try and dissuade you from that position because most "expert" investors and economists take your position (which is ironically evidence in and of itself that it is not a bubble). However, it is helpful to think of gold not as an investment per-say but as a store of value (money).

Gold positions do not bear any resemblance to the housing bubble. Every other week you turn on CNBC or a number of channels and you hear people deride gold as a bubble that has yet to burst. In either case, I will not derail this thread but I think this is a good video (at 4 minutes you hear about the absurd things people were doing during both the dot com and housing bubble which in retrospect were so ridiculous I was laughing hysterically).

cbrons pwnin' economic noobs

 

[jdh71]

back to the OP . . . I know the post was supposed to be tongue-in-cheek, but sadly it's true. What we do is not an easy way to make a living - you may argue that there are specialties that don't work as hard, on a hourly per week basis, but we still carry all of the intellectual heavy lifting, and the medical responsibility, not to mention the legal liability. So if you can find a way to get paid . . . GET PAID homie.

 

[Pedsbro]

http://www.medscape.com/features/slideshow/compensation/2011/


Also, whoever said they hope primary care approaches 250K <----

 

[jdh71]

http://www.medscape.com/features/slideshow/compensation/2011/


Also, whoever said they hope primary care approaches 250K <----

Can you post a synopsis, I'm not signing up for medscape

 

[ArcGurren]

http://www.medscape.com/features/slideshow/compensation/2011/


Also, whoever said they hope primary care approaches 250K <----

That's hardly a bad thing to hope for, PCPs deserve a lot more pay for the amount of work they put in compared to some dermatologist who works 9-4 and mints money. (Not saying that derm shouldn't be paid reasonably, just that it's a bit unfair for primary care to be shafted for working even more).

 

[Pedsbro]

Can you post a synopsis, I'm not signing up for medscape

Shoot, I forgot you have to log in. It's a slide show, so I prefer not to write a synopsis. Signing up is free and you can set your preferences so you NEVER get junk mail from them (I even forgot I was a member and automatically logged in). To be honest, it's a useful site

 

[jdh71]

That's hardly a bad thing to hope for, PCPs deserve a lot more pay for the amount of work they put in compared to some dermatologist who works 9-4 and mints money. (Not saying that derm shouldn't be paid reasonably, just that it's a bit unfair for primary care to be shafted for working even more).

A man only "deserves" to be paid what he can get paid. There is nothing about working more hours that makes one more "deserving" of more pay. You deserve whatever you can con some clowns into giving you.

 

[Pedsbro]

That's hardly a bad thing to hope for, PCPs deserve a lot more pay for the amount of work they put in compared to some dermatologist who works 9-4 and mints money. (Not saying that derm shouldn't be paid reasonably, just that it's a bit unfair for primary care to be shafted for working even more).

Two things:

1. I was laughing cuz it ain't happenin'

2. Those specialists go through more training and for a longer time (i.e. getting paid resident/fellow chump change while also possibly trying to pay off loans or letting that interest fester in forbearance). More work put in should always mean more benefits in the end. Is the gap too large in some cases? Perhaps. But the gap will always and should always be there. Also, a recent malpractice study (sorry don't want to go looking for it) said that primary care is least likely to be sued...while the most likely are in various specialties (more malpractice premiums --> defensive medicine (more tests/procedures) --> more income with the increased risk). These are facts, whether you agree with their underlying causes or relationships.

 

[jdh71]

Shoot, I forgot you have to log in. It's a slide show, so I prefer not to write a synopsis. Signing up is free and you can set your preferences so you NEVER get junk mail from them (I even forgot I was a member and automatically logged in). To be honest, it's a useful site

readers digest version - one liner. too much to ask?

 

[Pedsbro]

readers digest version - one liner. too much to ask?

LOL, dude I'm not doing it..it's 23 slides of a crapload of stats. Is it too much to ask to give a free email address and never check it later to sign up for something that requires no commitment?

Anyway, I was only posting it because someone referenced it earlier and I was curious. Back to Step 1 studying

 

[jdh71]

LOL, dude I'm not doing it..it's 23 slides of a crapload of stats. Is it too much to ask to give a free email address and never check it later to sign up for something that requires no commitment?

Anyway, I was only posting it because someone referenced it earlier and I was curious. Back to Step 1 studying

Is it too much to ask? Yes. You're the one that posted the link. I don't know why you'd expect me to do any more than simply clicking on your link. There's no "do more and extra stuff" implied when you post a simple link.

Summarizing a lot of data into a one liner will be helpful during third year. You should practice.

 

[ArcGurren]

Two things:

1. I was laughing cuz it ain't happenin'

2. Those specialists go through more training and for a longer time (i.e. getting paid resident/fellow chump change while also possibly trying to pay off loans or letting that interest fester in forbearance). More work put in should always mean more benefits in the end. Is the gap too large in some cases? Perhaps. But the gap will always and should always be there. Also, a recent malpractice study (sorry don't want to go looking for it) said that primary care is least likely to be sued...while the most likely are in various specialties (more malpractice premiums --> defensive medicine (more tests/procedures) --> more income with the increased risk). These are facts, whether you agree with their underlying causes or relationships.

I completely agree that if you spend more time in specialty training you should make more money. I just think primary care shouldn't be shafted for how much work they put in and should at least make a reasonable amount of money for the amount they work.

 

[Pedsbro]

Is it too much to ask? Yes. You're the one that posted the link. I don't know why you'd expect me to do any more than simply clicking on your link. There's no "do more and extra stuff" implied when you post a simple link.

Summarizing a lot of data into a one liner will be helpful during third year. You should practice.

 

[Pedsbro]

I completely agree that if you spend more time in specialty training you should make more money. I just think primary care shouldn't be shafted for how much work they put in and should at least make a reasonable amount of money for the amount they work.

👍 Agreed.

 

[ArcGurren]

Basically, this

 

[jdh71]

You're really trying to make your nonsense, my problem? Priceless.

Don't do that on wards.

 

[ArcGurren]

You're really trying to make your nonsense, my problem? Priceless.

Don't do that on wards.

lmao we're on the freaking internet, not the wards. You have no authority or power here.