Is between $8000 to $9000 reasonable or too low?
After federal income tax, that could be accurate or high.Is between $8000 to $9000 reasonable or too low?
Typically new grad associate dentists make $450-600 a day based on the market. The more rural, the higher the pay, and vice-versa.Is between $8000 to $9000 reasonable or too low?
That's what they were saying 5-10 years ago when I started dental school. Yet the bubble continues to grow. Also I think Cold Front's numbers are pretty accurate.Jesus. This is totally not sustainable. I give it 5-10 years before half the private dental schools either shutdown or start running into deep problems.
With regards to schools closing, there were at least 5-6 schools that opened last decade, and plans to open 2-3 more within couple of years. So it seems there is no slowing down in expanding the high cost of Dental education.It is certainly unsustainable, but as long as dental students have the highest student loan repayment rate of any profession lenders will continue to see us as a safe gamble and schools will continue to charge a premium for tuition. I think it will be a while yet before anything changes. When it does, it will greatly benefit everyone already in the market though just like it did in the 1980s and 1990s after the dental school collapse in the 1970s.
Even with the military's pay chart, there's too many variables to consider to throw out a single numberJust incase it comes up, for military, it's closer to $6,500/mo after all taxes, etc.
With regards to schools closing, there were at least 5-6 schools that opened last decade, and plans to open 2-3 more within couple of years. So it seems there is no slowing down in expanding the high cost of Dental education.
One of the interesting things I track is the global numbers in the entire education system; from private high school, college undergrad to professsional schools. One of the indicators that could slow down dental school matriculation is the high cost of the previous stage(s) of education. It would be a domino effect if college education reaches a tipping point, we could see multiple d schools having difficulty filling their classes, which will blow a big hole in the financial and operational structure of those schools.
There is also other potential catalysts to the current bubble. The student debt market is now about $1.5 trillion, which was under heavy scrutiny under the out going president's administration, where the origination of federally backed student loans (the vast majority of student loans) was entirely transferred to the US government. Under Trump administration, it will shift to a more receptive approach, shifting student loans to private lenders. We all know that's going to add more fuel to the fire by increasing lending cost. Future grads could be paying higher debt with even higher cost. Investors are betting this will change to the latter. Shares of the largest private student lender by origination volume, SLM Corp., or Sallie Mae, have led the charge since the November election, rising over 50%, along with other financial indexes that anticipate pro-Trump policies.
This is an interesting time to see this whole thing unfold. We are at getting closer to the cusp.
There is chatter in Congress now on how to cool off this growing bubble, and they are considering putting caps on how much a student can borrow. They are hoping to particularly go after the Gard Plus loans, which is the "blank check" portion of the loans for graduate students. For whatever reason, the plus loans currently has no limits, and empowered schools to increase tuitions and related expanses as a result.^^ This. You sir understand just how f****d this countries new grads with debt are going to be.
On a side note I took a bunch of economics courses in undergrad and every prof I had told us the same thing, the next big bust is coming. Look at how the economy has jumped up and on what its propped itself on and you'll soon realize just how bad it's going to be when the s**t hits the fan. It's going to make 2008 look like a joke.
Just incase it comes up, for military, it's closer to $6,500/mo after all taxes, etc.
Even with the military's pay chart, there's too many variables to consider to throw out a single number
1. State Tax. Even in a state with state tax, some state won't require service members to pay their share depending on different qualifying factors
2. BAH. Varies too much. Can vary from 12k a month to like 30k a year
3. Tax liability. Congress is trying to push for 1 salary system by 2017. Which means BAH will now be part of your taxable income if it passes
The average number I came up with is much lower than yours. Shows how variable it can be even when we're just considering the 'average'
We still have the problem of undergraduate loans, residency loans, private practice loans, and beyond to make dentistry as a profession viable in the long term.
Cold Front, you da real MVP in SDN when it comes to breaking it down to numbers and economics in general.
What are the consequences of a student loan bubble bursting?
Well I know you asked Cold Front but from my view we have to examine what a bubble really is, and it is basically fake money. So basically the question is who absorbs the losses when we realize all of this spent money isn't ever going to be paid? The first casualties in this will be people who took out loans they couldn't afford and their children. These loans are not forgivable even in bankruptcy so they will persist. This scenario will first apply to the people who defaulted on those loans and stopped paying all together. Their credit will be shot, in some cases their wages will be garnished and their licenses could be revoked in professions like dentistry.Cold Front, you da real MVP in SDN when it comes to breaking it down to numbers and economics in general.
What are the consequences of a student loan bubble bursting?
https://forums.studentdoctor.net/threads/what-does-an-army-dentist-make.1146209/Whats the current pretax totals for the military? I understand BAH will vary depending on location but I would like to see what the theoretical yearly salary would be before taxes have been removed.
Well I know you asked Cold Front but from my view we have to examine what a bubble really is, and it is basically fake money. So basically the question is who absorbs the losses when we realize all of this spent money isn't ever going to be paid? The first casualties in this will be people who took out loans they couldn't afford and their children. These loans are not forgivable even in bankruptcy so they will persist. This scenario will first apply to the people who defaulted on those loans and stopped paying all together. Their credit will be shot, in some cases their wages will be garnished and their licenses could be revoked in professions like dentistry.
The scenario will later play out with the people who kept up with their payments but on a low income based plan in mostly the same ways when that IRS tax bubble hits on the loan forgiveness year assuming those people havent saved to prepare for the bubble hit. Retirement for most will disappear as will inheritance for their children. The IRS in theory could even jail these people for tax evasion.
The money that cannot be collected by the banks and by the IRS after all the blood is drained from the students will lead to huge projected profit losses for the loan holders leading those stocks to crash and possibly go bankrupt or get bailed out by the government. As for the IRS losses they will make our deficit worse and given the size of the debt could even effect our credit rating as a country.
Should none of this happen by 2020-2025 I believe the millennial generation of very educated very poor people will refuse to let their children apply to the expensive schools which is really starting to look like even the state schools now to prevent them from the burden of debt that has hung over their heads their entire adult life. This will force the less good colleges that cost a lot to start closing down first followed by all but the top tier named schools that cost a lot. Price will be the new ranking, when that happens the system flips on its head. The millennial who made it out without debt and made money will see how little an undergrad degree is worth now and will likely also be unwilling to pay the $500,000 for undergrad for their kids which is what it will cost by 2025 if not more. They also will not let their kids take the loans.
Colleges will quickly start to fall and the US will no longer have the institutional capacity to educate its young adults past high school and our national educational standing will plummet. Our high intellect jobs will no longer have a pool to hire from and will have to lower standards, automate with AI, or outsource. Low skill jobs will all ready be mostly automated so all these kids with just a hs level education will be left without jobs.
The country will have to pick either mass poverty or a universal income with super high taxes for the super super rich who own all the robots. If universal income is not picked there will be no more consumers left to buy goods and the whole economy will collapse.
Or maybe on the other hand things will just work themselves out on their own.
Where did you see anything that says BAH will be taxable if this 1 salary system is approved? The whole point of BAH is so someone stationed in West Virginia and PCS's to NY or San Diego can still live a relatively normal quality of life; it's an equalizing factor.Even with the military's pay chart, there's too many variables to consider to throw out a single number
1. State Tax. Even in a state with state tax, some state won't require service members to pay their share depending on different qualifying factors
2. BAH. Varies too much. Can vary from 12k a month to like 30k a year
3. Tax liability. Congress is trying to push for 1 salary system by 2017. Which means BAH will now be part of your taxable income if it passes
The average number I came up with is much lower than yours. Shows how variable it can be even when we're just considering the 'average'
http://www.aetc.af.mil/News/Article...icle/1038676/fy-17-ndaa-impact-on-airmen.aspxWhere did you see anything that says BAH will be taxable if this 1 salary system is approved? The whole point of BAH is so someone stationed in West Virginia and PCS's to NY or San Diego can still live a relatively normal quality of life; it's an equalizing factor.
To tax it would harm those stationed in higher cost of living areas.
Does that mean BAS would get taxed too?
Not calling you out or anything, just wondering where you read this.
It's interesting that you mentioned the IRS, or tax payers in real terms. We should ought to think about the long term consequences of the growing IBR (income based repayment) program in the past few years. It has been used as damage control to prevent or slow down the default rates in student loans. If IBR didn't exist, the default rates would have been much higher.Well I know you asked Cold Front but from my view we have to examine what a bubble really is, and it is basically fake money. So basically the question is who absorbs the losses when we realize all of this spent money isn't ever going to be paid? The first casualties in this will be people who took out loans they couldn't afford and their children. These loans are not forgivable even in bankruptcy so they will persist. This scenario will first apply to the people who defaulted on those loans and stopped paying all together. Their credit will be shot, in some cases their wages will be garnished and their licenses could be revoked in professions like dentistry.
The scenario will later play out with the people who kept up with their payments but on a low income based plan in mostly the same ways when that IRS tax bubble hits on the loan forgiveness year assuming those people havent saved to prepare for the bubble hit. Retirement for most will disappear as will inheritance for their children. The IRS in theory could even jail these people for tax evasion.
The money that cannot be collected by the banks and by the IRS after all the blood is drained from the students will lead to huge projected profit losses for the loan holders leading those stocks to crash and possibly go bankrupt or get bailed out by the government. As for the IRS losses they will make our deficit worse and given the size of the debt could even effect our credit rating as a country.
Should none of this happen by 2020-2025 I believe the millennial generation of very educated very poor people will refuse to let their children apply to the expensive schools which is really starting to look like even the state schools now to prevent them from the burden of debt that has hung over their heads their entire adult life. This will force the less good colleges that cost a lot to start closing down first followed by all but the top tier named schools that cost a lot. Price will be the new ranking, when that happens the system flips on its head. The millennial who made it out without debt and made money will see how little an undergrad degree is worth now and will likely also be unwilling to pay the $500,000 for undergrad for their kids which is what it will cost by 2025 if not more. They also will not let their kids take the loans.
Colleges will quickly start to fall and the US will no longer have the institutional capacity to educate its young adults past high school and our national educational standing will plummet. Our high intellect jobs will no longer have a pool to hire from and will have to lower standards, automate with AI, or outsource. Low skill jobs will all ready be mostly automated so all these kids with just a hs level education will be left without jobs.
The country will have to pick either mass poverty or a universal income with super high taxes for the super super rich who own all the robots. If universal income is not picked there will be no more consumers left to buy goods and the whole economy will collapse.
Or maybe on the other hand things will just work themselves out on their own.
Just incase it comes up, for military, it's closer to $6,500/mo after all taxes, etc.
not if you are in hscp 😉
It's interesting that you mentioned the IRS, or tax payers in real terms. We should ought to think about the long term consequences of the growing IBR (income based repayment) program in the past few years. It has been used as damage control to prevent or slow down the default rates in student loans. If IBR didn't exist, the default rates would have been much higher.
Here’s the problem: at the end of the IBR repayment period (usually 20 years), the borrower’s remaining balance is forgiven. Yes, you are off the hook! When interest rates are low, as they are now, an IBR borrower pays down his/her balance more quickly, and so will receive a smaller amount of forgiveness at the end of the repayment period.
However, when interest rates go up, like they just did last 12 months (and more rate increases expected this year and beyond) more of the borrower’s IBR payment must go towards paying down the interest that accumulates every month. This means the loan’s principal diminishes more slowly. Under some circumstances, ALL of the borrower’s payment goes toward interest, meaning the principal balance actually goes up, a phenomenon known as "negative amortization".
Taxpayers may be on the hook for tens of thousands of dollars of loan forgiveness at the end of a borrower’s repayment period—or, if interest rates rise significantly, hundreds of thousands. Now this is interesting.
Imagine a dental student on IBR who graduated 5 years ago when interest rates were all time low, and in 15 years their loans are forgiven when interest rates could be higher (much higher), the IRS and tax payers on the hook for the original balance or more. This is happening, and will lead to a major unintended consequences.
This year alone, interest rates could go up a full 1%, and 2-3% more expected next 5 years alone. So our IBR friends are helping the bubble grow without knowing it. I would be very surprised if IBR still exists in 5 years.
HSCP is a good move, especially in your area where the BAH is really up there. Are you also getting COLA?not if you are in hscp 😉
HSCP is a good move, especially in your area where the BAH is really up there. Are you also getting COLA?
Something to keep in mind is your date of enlistment and your date of discharge and commissioning. I'm not sure if you're aware, but you need at least 4 years and 1 day of enlisted service to get the O-3E paygrade. Anything below that, you will be commissioned as an O-3, with 3 years of service. You will not get the "E" designation, even after you pass your 4 year mark (in ODS probably).
Hopefully you enlisted as early as possible and can hold off your commissioning as long as you can, this way your DD214 can list over 4 years of service when you do swear in.
If you already knew this, disregard. Just a friendly heads up so you don't get blindsided.
Yes and no.I mostly agree with the points made here except that IBR REPAYE and PAYE are fixed interest rate programs so payments or amount owed won't change based on interest rate changes, just income changes. Still the rates were not set according to the record low rates and many of us with Grad Plus loans are locked in at 7%+ interest rates which leads to the problems you described. When the government took over ownership of most of the student loans under Obama the government became the organization that profited from the interest rates and the income tax on the loan forgiveness, in most cases this would at least repay the principle by the end of the 20-25 year term, even if they payments were so low they never went toward the principle, however they were not trying to break even, they were trying to make a profit and budgeted according spending extra to the idea that they would profit on all of these student loan interest rates instead of the banks.
HSCP is a good move, especially in your area where the BAH is really up there. Are you also getting COLA?
Something to keep in mind is your date of enlistment and your date of discharge and commissioning. I'm not sure if you're aware, but you need at least 4 years and 1 day of enlisted service to get the O-3E paygrade. Anything below that, you will be commissioned as an O-3, with 3 years of service. You will not get the "E" designation, even after you pass your 4 year mark (in ODS probably).
Hopefully you enlisted as early as possible and can hold off your commissioning as long as you can, this way your DD214 can list over 4 years of service when you do swear in.
If you already knew this, disregard. Just a friendly heads up so you don't get blindsided.
Yes sir; those smart enough (like yourself) to pursue the HSCP have an excellent deal on their hands. Great decision made.
I tend to agree with you about this. However, as an alternative view, I recently spoke with a student who is in the 2nd or 3rd year (I don't remember which) of her service commitment and said that she regrets it. I was surprised when she told me that many of her classmates are making a lot more money than she is and that she would have been better off just going straight into practice.
Lol. So many "sky is falling" posts after trump has been elected. IF we see a shift to private lenders, that will be a good thing, because it wouldn't take a genius to figure out that medical/dental students pay back their loans at a very high rate. In this case, there will be no shortage of loaners, and with high competition we'll probably get much better rates than what we are currently receiving from the government.There is also other potential catalysts to the current bubble. The student debt market is now about $1.5 trillion, which was under heavy scrutiny under the out going president's administration, where the origination of federally backed student loans (the vast majority of student loans) was entirely transferred to the US government. Under Trump administration, it will shift to a more receptive approach, shifting student loans to private lenders. We all know that's going to add more fuel to the fire by increasing lending cost. Future grads could be paying higher debt with even higher cost. Investors are betting this will change to the latter. Shares of the largest private student lender by origination volume, SLM Corp., or Sallie Mae, have led the charge since the November election, rising over 50%, along with other financial indexes that anticipate pro-Trump policies.
You bring up a very important point. Given what you just told me about your contact, it sounds like she valued income over the service to our troops. I'm not judging here, it's her life to live, but clearly, her decision is at odds with her true desires/priority. Hence the unhappiness.
I don't find it surprising though that her civilian classmates are making more money than she is; that's the nature of military pay your first few years out, and you will make more as a civilian dentist than a military dentist right out of school. But I think financially, HPSP beats non-HPSP.
Cases like that of hers are the reason why people in the military dentistry subforum constantly tell others: "Don't do it for the money."
I guess this depends on the personality of the dentist, because if an office manager tried to do talk down to me I would rip them a new ***hole.@Cello ...another thing; I didn't want to write this here before because it might unnecessarily depress people, but I feel compelled to show that both military and civilian routes have their downsides.
One of my relatives is a dentist at a corp. in a mid-sized, underserved city. She was telling me about a phone conversation she had with a fellow colleague of hers (who graduated from school 12 yrs ago).
The colleague was SO frustrated with how civilian dentistry is going right now. Here are some things that were said, word for word.
- "Nobody respects us dentists. Office manager talks down to us. Patients feel entitled to our care."
I guess this depends on the personality of the dentist, because if an office manager tried to do talk down to me I would rip them a new ***hole.
hahaha. inb4 someone whips out the Neil Degrasse tyson meme."Officer Managers hate him!"
just to add to your response
I agree that civilian dentists make more in the first 4 years compared to military but considering that BAH and BAS aren't taxable, lower base pay means lower tax bracket, and your BAH could go up as high as $2,800 (in SD for example) I don't see a big difference in salary. Also let's not forget about being DEBT free either.
HPSP definitely wins financially.
Some of her other gripes included only being able to do basic restorations and having to refer everything else out. She also complained about only having one patient at a time due to limited space. Apparently they spend a lot of their time in the "office" while the patient is getting numb where she works. But hey, at least her assistant has time to apply the rubber dam that way!
Some of her other gripes included only being able to do basic restorations and having to refer everything else out. She also complained about only having one patient at a time due to limited space. Apparently they spend a lot of their time in the "office" while the patient is getting numb where she works. But hey, at least her assistant has time to apply the rubber dam that way!
Is she Army?
I was talking to an army dentist on dental town. She turned down the 2 year AEGD and is now doing endo residency instead in the army. Sorry of the lack of spacing lol
Here's what she had to say when I asked her about her experience
I am still in- I will have 8 years of service in June. I signed a three year contract last July so that I could do the 2 year AEGD that the army offers but I don't want to do it at this point because I have had enough of the army. I wrote a very long reply to another HPSP student so I will paste that..some info may be extraneous but hopefully it will give you lots to think about. I did a one year when I graduated in 2008 at Ft Carson. It was very good. You get to do lots of prostho- ( removable is limited due to age of soldiers), molar endo, thirds, tons of perio surgery including implant placement/restoration, crown lengthening, ginivectomies, apically positioned flaps, bone grafts/socket preservation, connective tissue grafting, some pedo. Some other residents or other programs did molar re-treats, apicoectomies, sinus lifts. The program is great but afterwards is a total crap shoot. After my one year I went to Egypt and worked in a one dentist clinic so I could do what I wanted with no one watching over me. However we had no lab support so I went a year without cutting a crown. I had no assistant for 3 months of that year so I had to flip my own chair, make all the appointments, do all the hygiene etc. it was ****ty and cut down on my ability to do a wide variety of procedures. After that I went to an 11 doc clinic with an ortho, pedo, endo and OS. It was overseas so we we had the ortho and pedo- In stateside clinics it is rare to have pedo and ortho on staff. I got to do lots of pedo there and two ortho cases, but most stateside units will not have ortho and pedo. Our first commander was an endodontist and he had lots of other things to do outside of patient care so I did a ton of endo in those two years. He left and we got another commander who was very "number" driven. He wanted to show an increase in patient appointments so he limited us to one hour appoinments 4/5 days a week. the fifth day was out "specialty day" where we could book whatever we wanted. It is hard to do a crown prep, molar endo, set of thirds or perio surgery in one hour (45 minutes really with anesthesia and flipping chair) so that turned into operative appointments mostly, crown delivery, simple single tooth extraction etc. Also if the specialist were not booked a certain number of weeks, 63As were not allowed to do specialty procedures. It was very limiting. No matter how much we complained he wouldn't budge. After that my time was up in the army but I signed to continue living overseas in Korea. We were two hours away from nearest specialist so we keep a lot of things in house. My OIC is very hands off and doesn't meddle in our schedue so long as we are filling time adequately. Command used to let us go to work with the specialists to shadow and do cases but his replacement commander is making us use leave or comp days for it. If you do the one year program, you will be credentialed to do more procedues in clinic than if you do not do the program. Every new duty location you have to have previous supervisors rate your skills to determine what procedures you can do unsupervised, with supervision and not at all. For example, only periodontists, oral surgeons and 63B can place implants, even if you placed them in the one year program. Since I did the one year I got credentialed for molar endo and removal of thirds etc, but there were dentists in my clinic who did not do the one year and she was not credentialed to do molar endo unsupervised. She was pissed about it. Right now there is an optional program called ACP which is for the one year AEGD graduates. It requires clinic cases after completion of the program including 10 perio surgeries, 10 molar endos, 10 prosth cases, 100 extractions 20 of them being surgical 50 hours of CE and some miltary related tasks like setting up field equipment. If you finish the program (which I did) you can get a retention bonus after payback is complete. 18 k a year for 2 year contract, 27k a year for a 3 year contract and 35 k a year for a 4 year contract. I signed for a three year contract last July to do the 2 years masters but as I said I want to drop the position. As far as patient selection. I block half the day for myself to schedule patients that I want to do what I want and the front desk sticks patients in my schedule the rest of the day. it is very frustrating bc dentists don't agree on things so I may get a patient with things marked for treatment that I would just monitor or things that we missed. Other days I do annual exams all day- upwards of 30 soldiers. Those days suck but if you see fun stuff that you want to do you can schedule it your self. Sick call can be crazy but you also get goodies there- lots of endos and thirds etc. There have been times that we were short on hygenists for a while so docs had to do prophies one day a week. If I did not have my schedule blocked, the front desk could fill me 60 days out with fillings easily. I hate seeing new patients bc I spend the first appointment re-doing exam maybe updating x-rays and modifying tx plan. Once I get them in again then I can start to get to work the way I want to. So I gave a long answer and lots of different things to think about- short answer is that it totally depends on your command, OIC and duty location. Amalgam line is common, but I am lucky to have missed it for the most part. 63B are expected to be doing a lot of surgery, prosth, thirds and molar endo. If you go the Bravo route you will most likely have more control over your schedule and freedom in practice. At least from what I have seen. But my current OIC finished the bravo program and was made OIC of a hectic clinic and spends most of his time doing busy work and going to meetings. That is my nightmare after spending two years doing the program and why I am going to rescind my spot.
Major pros- debt free, got to live in Egypt, Italy and korea and see 38 countries over 6 years. Soldiers are easy patients to work on. No hassle of insurance or malpractice leave work at home. great benefits get to do fun things like airborne school, go to the range etc.
Cons- dont get to pick where you live. Moving 5 times in 7 years has been horrible for my personal life- i just want to settle down at this point in my life. No control over practice supplies hiring staff etc. You take the CE that they offer. Scope of practice is limited. I have never regretted joining,but at this point I don't want to stay.
I don't want to work five days a week so i'd prefer to get out, have more time to myself and live modestly working fewer hours.
Please feel free to ask anything else
Alexa
This question is pretty simple actually. In an average city, at an average practice, you can probably guarantee $500 base pay per day minimum with a percentage of production or collection if you earn over $500 as a percent of that number. So, work with that number. If you have training in higher margin procedures you can easily exceed the $500 figure.
One key problem with that idea.... It's not just having the training in higher margin procedures, you also need to be in a practice with an ample number of patients who have interest in having those higher margin procedures performed by you!! It's a great thing to have the clinical skills to do a certain procedure.... It's a WAY better thing to have the skills and a ample number of patients willing to pay you for those same procedures!
And that doesn't even get into the concept that for some new grad situations going into an existing practice, some owners will essentially (and IMHO wrongfully) "cherry pick" off some patients who may need and/or are willing to pay for some of the higher margin procedures that the new associate saw first and treatment planned said procedures....
I think Coldfront's original reply to this thread was spot on and very realistic across a vast amount of the country today. The numbers can work, the key component, and this is a BIG issue for some, is that the "dentist lifestyle" that they're expecting from day 1 after graduation, realistically can happen, but it is far more likely to happen SLOWLY over time after say year 3 or year 5 or year 10.....
I was talking to an army dentist on dental town. She turned down the 2 year AEGD and is now doing endo residency instead in the army. Sorry of the lack of spacing lol
Here's what she had to say when I asked her about her experience
I am still in- I will have 8 years of service in June. I signed a three year contract last July so that I could do the 2 year AEGD that the army offers but I don't want to do it at this point because I have had enough of the army. I wrote a very long reply to another HPSP student so I will paste that..some info may be extraneous but hopefully it will give you lots to think about. I did a one year when I graduated in 2008 at Ft Carson. It was very good. You get to do lots of prostho- ( removable is limited due to age of soldiers), molar endo, thirds, tons of perio surgery including implant placement/restoration, crown lengthening, ginivectomies, apically positioned flaps, bone grafts/socket preservation, connective tissue grafting, some pedo. Some other residents or other programs did molar re-treats, apicoectomies, sinus lifts. The program is great but afterwards is a total crap shoot. After my one year I went to Egypt and worked in a one dentist clinic so I could do what I wanted with no one watching over me. However we had no lab support so I went a year without cutting a crown. I had no assistant for 3 months of that year so I had to flip my own chair, make all the appointments, do all the hygiene etc. it was ****ty and cut down on my ability to do a wide variety of procedures. After that I went to an 11 doc clinic with an ortho, pedo, endo and OS. It was overseas so we we had the ortho and pedo- In stateside clinics it is rare to have pedo and ortho on staff. I got to do lots of pedo there and two ortho cases, but most stateside units will not have ortho and pedo. Our first commander was an endodontist and he had lots of other things to do outside of patient care so I did a ton of endo in those two years. He left and we got another commander who was very "number" driven. He wanted to show an increase in patient appointments so he limited us to one hour appoinments 4/5 days a week. the fifth day was out "specialty day" where we could book whatever we wanted. It is hard to do a crown prep, molar endo, set of thirds or perio surgery in one hour (45 minutes really with anesthesia and flipping chair) so that turned into operative appointments mostly, crown delivery, simple single tooth extraction etc. Also if the specialist were not booked a certain number of weeks, 63As were not allowed to do specialty procedures. It was very limiting. No matter how much we complained he wouldn't budge. After that my time was up in the army but I signed to continue living overseas in Korea. We were two hours away from nearest specialist so we keep a lot of things in house. My OIC is very hands off and doesn't meddle in our schedue so long as we are filling time adequately. Command used to let us go to work with the specialists to shadow and do cases but his replacement commander is making us use leave or comp days for it. If you do the one year program, you will be credentialed to do more procedues in clinic than if you do not do the program. Every new duty location you have to have previous supervisors rate your skills to determine what procedures you can do unsupervised, with supervision and not at all. For example, only periodontists, oral surgeons and 63B can place implants, even if you placed them in the one year program. Since I did the one year I got credentialed for molar endo and removal of thirds etc, but there were dentists in my clinic who did not do the one year and she was not credentialed to do molar endo unsupervised. She was pissed about it. Right now there is an optional program called ACP which is for the one year AEGD graduates. It requires clinic cases after completion of the program including 10 perio surgeries, 10 molar endos, 10 prosth cases, 100 extractions 20 of them being surgical 50 hours of CE and some miltary related tasks like setting up field equipment. If you finish the program (which I did) you can get a retention bonus after payback is complete. 18 k a year for 2 year contract, 27k a year for a 3 year contract and 35 k a year for a 4 year contract. I signed for a three year contract last July to do the 2 years masters but as I said I want to drop the position. As far as patient selection. I block half the day for myself to schedule patients that I want to do what I want and the front desk sticks patients in my schedule the rest of the day. it is very frustrating bc dentists don't agree on things so I may get a patient with things marked for treatment that I would just monitor or things that we missed. Other days I do annual exams all day- upwards of 30 soldiers. Those days suck but if you see fun stuff that you want to do you can schedule it your self. Sick call can be crazy but you also get goodies there- lots of endos and thirds etc. There have been times that we were short on hygenists for a while so docs had to do prophies one day a week. If I did not have my schedule blocked, the front desk could fill me 60 days out with fillings easily. I hate seeing new patients bc I spend the first appointment re-doing exam maybe updating x-rays and modifying tx plan. Once I get them in again then I can start to get to work the way I want to. So I gave a long answer and lots of different things to think about- short answer is that it totally depends on your command, OIC and duty location. Amalgam line is common, but I am lucky to have missed it for the most part. 63B are expected to be doing a lot of surgery, prosth, thirds and molar endo. If you go the Bravo route you will most likely have more control over your schedule and freedom in practice. At least from what I have seen. But my current OIC finished the bravo program and was made OIC of a hectic clinic and spends most of his time doing busy work and going to meetings. That is my nightmare after spending two years doing the program and why I am going to rescind my spot.
Major pros- debt free, got to live in Egypt, Italy and korea and see 38 countries over 6 years. Soldiers are easy patients to work on. No hassle of insurance or malpractice leave work at home. great benefits get to do fun things like airborne school, go to the range etc.
Cons- dont get to pick where you live. Moving 5 times in 7 years has been horrible for my personal life- i just want to settle down at this point in my life. No control over practice supplies hiring staff etc. You take the CE that they offer. Scope of practice is limited. I have never regretted joining,but at this point I don't want to stay.
I don't want to work five days a week so i'd prefer to get out, have more time to myself and live modestly working fewer hours.
Please feel free to ask anything else
Alexa
Her classmates also have a huge load of debt that she doesn't, plus she has a lower tax liability. I think there are a number of ways to look at this.I tend to agree with you about this. However, as an alternative view, I recently spoke with a student who is in the 2nd or 3rd year (I don't remember which) of her service commitment and said that she regrets it. I was surprised when she told me that many of her classmates are making a lot more money than she is and that she would have been better off just going straight into practice.
I wouldn't say that her opinion is particularly common, but now I can say that I know of at least one person who feels that way. There was a thread floating around here a few years ago which gave a bunch of reasons not to go into the military, it was a long time ago (10 years) and a bit tongue-in-cheek, but still worth a read for the alternate perspective.
https://forums.studentdoctor.net/threads/37-reasons-not-to-be-a-military-dentist.447909/
This sort of knowledge and creativity is the reason MWU loans won't scare you and you will do very well financially. Good for you, man.Some of her other gripes included only being able to do basic restorations and having to refer everything else out. She also complained about only having one patient at a time due to limited space. Apparently they spend a lot of their time in the "office" while the patient is getting numb where she works. But hey, at least her assistant has time to place the rubber dam that way!
Anyway, what you said got me thinking. I wonder it would be wise to register one's practice as an s-corp , pay yourself a salary, and then when you pay your student loans the s-corp can use the Student Loan Genius program to match your employee contribution to your student loans with contributions to a 401k. Thus you can minimize your salary to avoid a huge tax liability, pay down your student loans, and match those payments with money towards your 401k through the s-corp. More info about W-2 salary and s-corps here.
I don't know the exact rules for commissioning as far as HSCP, such as whether you do it right after graduation or not. But if you want you can push it as far back as possible. But then comes the possibility of getting a specialty out of school, because those start July 1st and you will already have needed to complete ODS for that and on station. If I had the choice, specialty would take priority.Oh I didn't know that. I enlisted in first week of july. Should I try to schedule ODS date after that date then?
also if I can't get commissioned before my date of enlistment then do I just become an O-3 with 4 years+ experience once that date passes instead of O3E?
thanks
So the student loan genius program would have the matching contribution go towards student loans instead of an investment account?Some of her other gripes included only being able to do basic restorations and having to refer everything else out. She also complained about only having one patient at a time due to limited space. Apparently they spend a lot of their time in the "office" while the patient is getting numb where she works. But hey, at least her assistant has time to place the rubber dam that way!
Anyway, what you said got me thinking. I wonder it would be wise to register one's practice as an s-corp , pay yourself a salary, and then when you pay your student loans the s-corp can use the Student Loan Genius program to match your employee contribution to your student loans with contributions to a 401k. Thus you can minimize your salary to avoid a huge tax liability, pay down your student loans, and match those payments with money towards your 401k through the s-corp. More info about W-2 salary and s-corps here.