What would you do if you had to start over?

[PODIATRYCRAZE]

If I had to start over I would do 3 years bachelors, skip senior year and go straight to podiatry. Save a year of my life. And screw science degree. Probably do a 2nd language or finance type degree. (much more useful on the job)

Then during first 2 years of school, survive make it past step 1 while stressing as little as possible. 3rd and 4th year grind hard to get real medical and surgical knowledge. (Spent way too much time studying microscope and pharm crap)

Once matching I would study and work very hard to learn practical medicine. Skip ABFAS which wastes your time on fake knowledge and terrible critical thinking. Go straight to ABPM because any job worth your time will also take ABPM. (I only realized this mid 1st year)

Networking for jobs. I started during intern year and would do the same.

But if you are asking what alternate career I would do? I was afraid of going medical because I would probably end up in family or internal medicine. But now that I know they can branch off into other specialties, I would probably do that. Then circle around back to wound care. It was always a dream to be a doctor so it would have been in my head the next 50 years if I never tried.

Outside of medicine, the smartest financial choice would have been real estate and crypto investing. Maybe strategy consulting but that is similarly competitive and has its own massive set of problems. If I watched more sports or liked socializing more I could have done great as one of our medical reps too. 6 figures with a bachelor degree.

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[Feli]

If I had to start over ...

Narrator: You have practiced podiatry for about one month, guy.

 

[Feli]

... I explained to her that my student debt far exceeded my income. ...

You should've reported your NYC residency for Medicare fraud, got a settlement from it, paid to get a fellowship?
...Then, you would be a podiatry 'leader' and not just an everyday grunt worker DPM and such a realist.

... If somebody offered me 50% collections I would join a practice...

I have seen a few who will do this.
They also edit your collections number southward in many ways before getting to the 50% calc... but minor details.

Then again, a lot of podiatry jobs edit associate collections down even if it's only 30% or 35%.

 

[Retrograde_Nail]

You said you made the hospital almost 3 million dollars in collections. My question is if you did similar work for a PP, will you still generate the same 3 million dollars in collections?

I really don't get what your argument is. You have never worked in PP or worked in the insurance collection model so you can't speak confidently about how PP model works. Just like I have never worked for MSG/Hospital in wRVU system so I can't say much either.

But the fact remains the same and I will repeat "if you work for MSG/Hospital and you are paid in wRVU model then OR favors you however if you work in typical private practice and your income is based on insurance collection then clinic favors you. It's simple as that."

What are you talking about? The hospital bills an insurance company just like a private practice does. I’ve generated 3 million for hospital doing high volume surgery. There is money in surgery if you do it efficiently. Sitting in clinic clipping toenails and doing an injection or orthotic or cam boot does not add to as many dollars as someone billing out 15-20 surgical procedures a week. This is not rocket science.

 

[msion]

What are you talking about? The hospital bills an insurance company just like a private practice does. I’ve generated 3 million for hospital doing high volume surgery. There is money in surgery if you do it efficiently. Sitting in clinic clipping toenails and doing an injection or orthotic or cam boot does not add to as many dollars as someone billing out 15-20 surgical procedures a week. This is not rocket science.

I believe you man. The hospital collected $600,000 just for the pus cases I did for them at one facility in one year. I didn't even count the electives.
Money is there for the hospital, and they profit share the facility fees with employed surgeons. That's really how this model works.

But the problem is you don't own the patients. The hospital provides the platform you are dependent on. Other DPMs will cold call these hospitals where they hire DPMs and try to get in, and perhaps at a lower price tag.

In private practice I can control where these patients get their surgeries done at. I can also say yes or no to Medicaid consults.
Ideal situation is always PP + ownership in an ASC. But these opportunities are pretty much gone for the new generation.

So the claim "surgery doesn't pay" still holds for a great majority of us. I am happy for you that you are making good money in your current position. But let's not generalize that to the whole profession.

 

[619]

What are you talking about? The hospital bills an insurance company just like a private practice does. I’ve generated 3 million for hospital doing high volume surgery. There is money in surgery if you do it efficiently. Sitting in clinic clipping toenails and doing an injection or orthotic or cam boot does not add to as many dollars as someone billing out 15-20 surgical procedures a week. This is not rocket science.

The above highlighted statement shows how very naive and uninformed you are about insurance collection model. Just because you bill the insurance does not mean you will get paid. 10 different docs could bill insurance for the same code and for same procedure and diagnosis, half get paid and half get denied. The 50% that gets paid end up getting paid different amounts. Some get paid more and most will get paid less.

Insurance reimbursement does not make sense and all toes are not equal. So when you make a statement like the above I highlighted. It shows how very naive you are with insurance reimbursement. Insurance reimbursement is actually rocket science. Getting paid by wRVU is not rocket science.

Final note, The 3 million dollars you keep throwing around that you generate for the hospital also comes into question. Just because you bill out $3M does not mean the hospital collected $3M.

 

[Retrograde_Nail]

The above highlighted statement shows how very naive and uninformed you are about insurance collection model. Just because you bill the insurance does not mean you will get paid. 10 different docs could bill insurance for the same code and for same procedure and diagnosis, half get paid and half get denied. The 50% that gets paid end up getting paid different amounts. Some get paid more and most will get paid less.

Insurance reimbursement does not make sense and all toes are not equal. So when you make a statement like the above I highlighted. It shows how very naive you are with insurance reimbursement. Insurance reimbursement is actually rocket science. Getting paid by wRVU is not rocket science.

Final note, The 3 million dollars you keep throwing around that you generate for the hospital also comes into question. Just because you bill out $3M does not mean the hospital collected $3M.

I know exactly how insurance companies reimburse and how it is billed. What are you talking about? Of course not everything gets approved or paid what is billed. What are you talking about?

My monthly data reports demonstrate what I grossed. I assume this is what they got paid for the month based on what was billed out.

You should really tone down how you speak.

 

[air bud]

Also as an employed physician on an RVU model you don't care what gets paid and what doesn't. You are agnostic. You perform the care that needs to be performed. 5 procedures? Paid 100 percent on all of them.

 

[Weirdy]

Cool it guys.

 

[Sole Badguy]

Getting back on topic (not that I didn't like reading about the other posts, it's quite informative)...I was a low GPA, high MCAT applicant without a whole lot of extracurriculars that stand out, so no MD but I guess I might've had a shot at DO if I were to have had to go back and truly start all over again. If that didn't work then I guess I would've kept working my old job. Apparently it pays relatively better now compared to when I started; COVID knocked a bunch out of the workforce so there's more demand now (especially ones with experience). Some job listings pay better than some podiatry associate positions I've seen... 😬

Would not consider starting over from a podiatric standpoint; salary would take too much of a tumble given the crappy job market and I've already settled down where I'm at. But if I was forced to, I'd consider also learning electric guitar and trying to become a rock star while working my new job. At the rate things are going, I've got just as good a chance of becoming one as I do of finding and getting a hospital job.

 

[Dermato Fight Club]

To get back on topic @Retrograde_Nail what sort of pay cut/lifestyle change do you think you would take if say your hospital just hired a new CEO who's son and daughter in law are 3rd year residents at top 50% podiatry residency?

 

[Retrograde_Nail]

To get back on topic @Retrograde_Nail what sort of pay cut/lifestyle change do you think you would take if say your hospital just hired a new CEO who's son and daughter in law are 3rd year residents at top 50% podiatry residency?

Great question...

We become creatures of habit. The more money we make the more we spend on things. Not necessarily me but what we need for our very young family. It's challenging. If I was still single I would be a multi millionaire by now because before I got married I lived very simply. I also had more time for exercising and maintaining more of balanced lifestyle. All that gets thrown out the window when you get married and when you start having kids. It is near impossible when you put in 80-100 hour work weeks when you do high volume.

So some might have to consider the above. I mean taking more than 30% pay cut would be a huge adjustment for my family. It is doable. Taking more than a 50% pay cut would mean bare bones living for a young family with several small children that I am financially responsible for still for a very long time. It would be incredibly challenging. If I was single I would say no problem. But when you throw a wife and several small children it becomes more complicated. So I don't want to hear the criticism from posters who are not married and don't have any kids.

You need to have an alternative plan...

Even more so in podiatry than MD/DO although a lot of MD/DOs are always trying to get better in investing.. ala white coat investor.

My big move was taking my 6 month bonus 1 year ago and putting it all into crypto projects that I had been researching for months. This was back when BTC was around 30K. Despite the significant sideways movement in the crypto market and even the pull back I am still up 2-3x on that money which would be huge for me if that is all I cash out at the end of this. But based on historical trends the crypto market always has a bull run. Which has yet to reveal itself. Things won't get fun until we finally see inflation come under control and rate cuts get implemented. Until then we will see more sideways movement until the end of 2024. The new year should be rather exciting for crypto especially if a president who is pro crypto is elected.

This is my big investment move. Something I put a lot of money into that I have been following for 7 years now and have been through two bull run cycles. I'm battled tested and mentally have a better feel for the crazy cycle than I did before. This leads to better decision making in terms of cashing out.

You can't live your life based on the income you generate from work. You need to break free of this cycle and gain financial freedom from investing in other industries that will give you greater gains in a shorter period of time.

Some invest in stocks, some in crypto, some in real estate, some open up chain restaurants, etc. Whatever you are interested in learn as much as you can and make a calculated investment.

Then maybe we would worry less about the abysmal podiatry job market because we are getting monetary inflows from other sources.

 

[air bud]

Great question...

We become creatures of habit. The more money we make the more we spend on things. Not necessarily me but what we need for our very young family. It's challenging. If I was still single I would be a multi millionaire by now because before I got married I lived very simply. I also had more time for exercising and maintaining more of balanced lifestyle. All that gets thrown out the window when you get married and when you start having kids. It is near impossible when you put in 80-100 hour work weeks when you do high volume.

So some might have to consider the above. I mean taking more than 30% pay cut would be a huge adjustment for my family. It is doable. Taking more than a 50% pay cut would mean bare bones living for a young family with several small children that I am financially responsible for still for a very long time. It would be incredibly challenging. If I was single I would say no problem. But when you throw a wife and several small children it becomes more complicated. So I don't want to hear the criticism from posters who are not married and don't have any kids.

You need to have an alternative plan...

Even more so in podiatry than MD/DO although a lot of MD/DOs are always trying to get better in investing.. ala white coat investor.

My big move was taking my 6 month bonus 1 year ago and putting it all into crypto projects that I had been researching for months. This was back when BTC was around 30K. Despite the significant sideways movement in the crypto market and even the pull back I am still up 2-3x on that money which would be huge for me if that is all I cash out at the end of this. But based on historical trends the crypto market always has a bull run. Which has yet to reveal itself. Things won't get fun until we finally see inflation come under control and rate cuts get implemented. Until then we will see more sideways movement until the end of 2024. The new year should be rather exciting for crypto especially if a president who is pro crypto is elected.

This is my big investment move. Something I put a lot of money into that I have been following for 7 years now and have been through two bull run cycles. I'm battled tested and mentally have a better feel for the crazy cycle than I did before. This leads to better decision making in terms of cashing out.

You can't live your life based on the income you generate from work. You need to break free of this cycle and gain financial freedom from investing in other industries that will give you greater gains in a shorter period of time.

Some invest in stocks, some in crypto, some in real estate, some open up chain restaurants, etc. Whatever you are interested in learn as much as you can and make a calculated investment.

Then maybe we would worry less about the abysmal podiatry job market because we are getting monetary inflows from other sources.

Let the government fund your retirement you can enjoy life and do other things instead of having to save money yourself

 

[Retrograde_Nail]

Let the government fund your retirement you can enjoy life and do other things instead of having to save money yourself

IHS/VA pension is really not that much as its calculated based on your salary and years working at IHS/VA. Maybe in the most favorable situations you may be able to make a 100K annual pension salary but that is going to require a lot of years working at the VA based on their formula. Its good and helpful but not going to put you on easy street either. You will need to have money saved and in other investments in an ideal world.

 

[air bud]

IHS/VA pension is really not that much as its calculated based on your salary and years working at IHS/VA. Maybe in the most favorable situations you may be able to make a 100K annual pension salary but that is going to require a lot of years working at the VA based on their formula. Its good and helpful but not going to put you on easy street either. You will need to have money saved and in other investments in an ideal world.

100kis annually is 2 million at a 4 percent draw rate... so are you going to save 2 million at a current job with increased cost of living, lifestyle creep etc...to be fair I don't completely understand how it is calculated.

 

[Utvolsdpm]

IHS/VA pension is really not that much as its calculated based on your salary and years working at IHS/VA. Maybe in the most favorable situations you may be able to make a 100K annual pension salary but that is going to require a lot of years working at the VA based on their formula. Its good and helpful but not going to put you on easy street either. You will need to have money saved and in other investments in an ideal world.

Is that even possible? The highest base pay right now is 177k even with 28 years of service isn’t that 49k?

 

[air bud]

Is that even possible? The highest base pay right now is 177k even with 28 years of service isn’t that 49k?

Cost of living increase, step raises etc increase the base pay, so 177 is probably 250k in 20 years. And have been surprised how low they do the base pay but makes sense....for instance I know someone offered 125k base pay....with a 125k market pay. So only 125k adjusts up.

 

[heybrother]

Is that even possible? The highest base pay right now is 177k even with 28 years of service isn’t that 49k?

I've seen people discussing this elsewhere on the forum and what's interesting to me is that the language used in the marketing benefits document is "salary". I don't believe a distinction is made between base and market pay in the examples.

 

[heybrother]

2 other interesting things from their materials.

-It appears that you can earn a VA pension before 62 ie. if you try to "FIRE" and say - put in 15 years with VA, it will still start paying even if you are in your 50s. This is interesting because 401ks/ROTHs technically are supposed to pay out at like 59.5 years without penalty though there are exceptions

-The VA takes 4.4% of your salary for the pension. So - pretending you make $250K your whole career - a person who works 15 years pays in 15 x 4.4% x $250K =$165,000 in money they paid in for their pension. They earn a $37,500 pension and essentially regain the money they paid in in 4.4 years. Interestingly though, your yearly contribution is based on your yearly salary ie. it starts lower possibly, but your pension is paid out based on your highest year so you potetially come out ahead sooner if you experience salary growth. That said, if the whole "salary" thing is wrong and its base pay then the value will be smaller than described in these examples.

 

[air bud]

It's base pay. An offered base pay was 125 with market pay of 125. The pension is based on 125 base pay and then it grows due to raises, COLA etc...then it's the highest years x 3. So again in 20 years it's 175 to 200 as the determining number. The 125 is a bonus. Retention bonus at year 13 and other bonuses are just that don't raise your pay. So "salary" is often misleading. Will report more info. Then You get into FERS vs BRS...my understanding is BRS is non contribution defined benefit.

 

[msion]

VA/IHS is sweet in the sense of job security and immunity to malpractice. For some doctors that's a plus.
The most ideal situation is to retain your private practice, and then join VA as a faculty if you are in the area with a residency program. Then you get the best of both worlds as long as you work 20-30 years. Quite a few VA DPMs are like that.

The same works for Kaiser. Lots of the famous Kaiser DPMs would work for Kaiser for xx number of years, then retire to collect the pension, but also join a private practice to continue working.

 

[Forcewielder]

For me, I've been fortunate to have a hospital job where I can clear 500k if I work 5 days a week. However, I do not feel I "earned" this job as much as I lucked into it. It's been good and I hope to do it for my whole career, but because of the saturation in the job market, I feel like at any point the house of cards could tumble down. I wouldn't have this anxiety if I was a MD/DO. They have opportunities to make my money all day long. If I had it over to do again I'd go RN->CRNA all day. I routinely tell students that. They have so many more opportunities and they can make 300k anywhere with opportunities to make 400 or more if they want to travel. My CRNAs always talk about their hobbies, expensive vacations, etc and I just think about how much easier their life is than mine, and there's no chance it was as expensive to get there. Pretty sure the CRNA at my hospital gets 4 weeks of paid leave plus CME as well. He told me his last conference he rented a Lamborghini because his annual CME stipend is so high. Meanwhile I don't get jack except my pay.

 

[Dermato Fight Club]

100kis annually is 2 million at a 4 percent draw rate... so are you going to save 2 million at a current job with increased cost of living, lifestyle creep etc...to be fair I don't completely understand how it is calculated.

I don't know about the rest of you but I plan on retiring in about 10-15 years 22-27 years post residency with about 5 million. Also not planning on touching that for another 10 years after that because I married well.

For me, I've been fortunate to have a hospital job where I can clear 500k if I work 5 days a week. However, I do not feel I "earned" this job as much as I lucked into it. It's been good and I hope to do it for my whole career, but because of the saturation in the job market, I feel like at any point the house of cards could tumble down. I wouldn't have this anxiety if I was a MD/DO. They have opportunities to make my money all day long. If I had it over to do again I'd go RN->CRNA all day. I routinely tell students that. They have so many more opportunities and they can make 300k anywhere with opportunities to make 400 or more if they want to travel. My CRNAs always talk about their hobbies, expensive vacations, etc and I just think about how much easier their life is than mine, and there's no chance it was as expensive to get there. Pretty sure the CRNA at my hospital gets 4 weeks of paid leave plus CME as well. He told me his last conference he rented a Lamborghini because his annual CME stipend is so high. Meanwhile I don't get jack except my pay.

I have three kids and will likely be pushing them MD or DO then CRNA.

They could inherit everything I have now and be well off but I think the other routes offer more. I like the idea of being able of not being tied down to one area. If they're spouse's need to relocate it's not a problem with the other degrees. I really appreciate everyone's input in this thread. I would love to hear from anyone that actually had to do this and maybe it wasn't that bad?

 

[Hybrocure]

For me, I've been fortunate to have a hospital job where I can clear 500k if I work 5 days a week. However, I do not feel I "earned" this job as much as I lucked into it. It's been good and I hope to do it for my whole career, but because of the saturation in the job market, I feel like at any point the house of cards could tumble down. I wouldn't have this anxiety if I was a MD/DO. They have opportunities to make my money all day long. If I had it over to do again I'd go RN->CRNA all day. I routinely tell students that. They have so many more opportunities and they can make 300k anywhere with opportunities to make 400 or more if they want to travel. My CRNAs always talk about their hobbies, expensive vacations, etc and I just think about how much easier their life is than mine, and there's no chance it was as expensive to get there. Pretty sure the CRNA at my hospital gets 4 weeks of paid leave plus CME as well. He told me his last conference he rented a Lamborghini because his annual CME stipend is so high. Meanwhile I don't get jack except my pay.

Tbh if youre making 500k paid CME and paid leave is peanuts

 

[Feli]

...100K annual pension salary but that is going to require a lot of years working at the VA based on their formula...

The main issue will just be that that $100k will have, by the time one gets it, the spending power of $30k or $40k if inflation keeps anywhere near its current pace. I agree totally that people need to learn to invest and create other streams of income besides trading their hours of podiatry for a bit more bonus.

I did not look into the VA/IHS pensions back when I did it as I was at tribal (they just gave 401 match... which then was changed increasingly lower % and vest schedule for subsequent years' hires). The general consensus among MD/DO is loud and clear that the VA job benefits are nowhere near worth the lower pay versus private sector, but for podiatry, we don't have the hospital job options. I think we could do a lot worse than VA (hence the number of apps for most of those podiatrist govt jobs). The pension with a low-ish salary for a DPM is basically just like another mortgage or 401/403 deduction in that it creates a forced savings plan... which is good for most people.

I don't know about the rest of you but I plan on retiring in about 10-15 years 22-27 years post residency with about 5 million. Also not planning on touching that for another 10 years after that because I married well. ...

^^Yes, same plan, significantly lower number as no kids... also made possible largely by partner's good income.
I've got podiatry down to 40-50hrs per week, no weekends, and decent income now. That is very nice after about a decade of bouncing around getting further in debt or not putting much away at various associate-type jobs... but still not looking to work any longer than I need to.

I am beginning to wonder about those people who "don't know what I'd do if I retired" or "like my work and want to keep on doing it awhile." They seriously need to be more imaginative for hobbies and goal-setting. Even pre-internet, there was tons of things to do. Only boring people get bored. I have 1000 things to do every weekend and seem to get 5 or 10 of them done.

I think 99% of the "I'm not ready to retire" people just incurred way too much debt and/or have not put enough money away. Even a lot of the WCI 'on FIRE' username or attitude people who have plenty of MD income keep buying more trucks, more trailers, additional boat, big international trips, whatever. Maybe they do like working awhile longer? Who knows.

 

[Forcewielder]

Tbh if youre making 500k paid CME and paid leave is peanuts

I only get paid if I'm working so there's an opportunity cost that is higher than the actual cost with just about anything. Going to a conference that costs me a couple days of work will rob me of $4-5k. Going on a week long vacation may only cost 10k in actual costs but cost me another 10k in unearned income. Paid leave is not trivial.

 

[MortonExtension]

Bear market is upon us..

 

[air bud]

I only get paid if I'm working so there's an opportunity cost that is higher than the actual cost with just about anything. Going to a conference that costs me a couple days of work will rob me of $4-5k. Going on a week long vacation may only cost 10k in actual costs but cost me another 10k in unearned income. Paid leave is not trivial.

Yes, when production only if not producing not getting paid. It's a vicious cycle. Never been in it before. So f all y'all I am maxing out vacation...but pretty soon will be production only contract and will have to leave to live with this lifestyle and mindset and find balance.

 

[Homo sapien]

Yes, when production only if not producing not getting paid. It's a vicious cycle. Never been in it before. So f all y'all I am maxing out vacation...but pretty soon will be production only contract and will have to leave to live with this lifestyle and mindset and find balance.

I wonder if any people on production only contracts will accept vacation if they're frugal with money. Working without a break is balls

 

[Homo sapien]

Bear market is upon us..

The SP500 is still up to date this year about 8%

 

[Feli]

The SP500 is still up to date this year about 8%

Eh, but inflation has been crazytown. I'd say it's effectively a wash if up 5-8% yearly anymore.

Dips are sweet tho... shares on sale.
I'm always looking to get more GOOG at discount before it splits.
I seldom have the stones to sell into the dips and crashes, but you get more shares for the same money... so it's good overall. 💪

Down market really only hurts the net sellers aka older ppl who are cashing out more shares to get the same income.

 

[Retrograde_Nail]

Bear market is upon us..

I've been in crypto for 7 years. I feel nothing. Buy the blood

 

[MortonExtension]

I've been in crypto for 7 years. I feel nothing. Buy the blood

All btc? Or eth and others?

 

[air bud]

All btc? Or eth and others?

Do not feed the bears, JfC man

 

[Forcewielder]

I wonder if any people on production only contracts will accept vacation if they're frugal with money. Working without a break is balls

It's hard to take time off. In a way, I'd almost prefer having paid leave and make less because it would force me to take it. As it is, I'm always trying to squeeze in a half day when I've got an afternoon personal appointment or work the days around a holiday when most everyone else is off. My hope is that once I'm out of debt and I've got a decent emergency fund that I can justify to myself to slow down, but I'm fairly confident I'll keep chasing personal goals. Such is the life

 

[Dermato Fight Club]

It's hard to take time off. In a way, I'd almost prefer having paid leave and make less because it would force me to take it. As it is, I'm always trying to squeeze in a half day when I've got an afternoon personal appointment or work the days around a holiday when most everyone else is off. My hope is that once I'm out of debt and I've got a decent emergency fund that I can justify to myself to slow down, but I'm fairly confident I'll keep chasing personal goals. Such is the life

Ok so this was me when I first got out. I'm assuming you're within 5 years post residency? I remember working as much as I possibly could. I would work the week between Christmas and New Years' and even though like no patients showed up I would have been much more stressed sitting on my couch thinking of the money I'm losing by not being in the office.

Same went for vacations. Although I would enjoy the vacation, I felt I would be better off by working and making money instead of spending it.

You'll hit a point when working doesn't have the impact that it does now. I'm currently 12 years out and for the past 6-7 I've scheduled at least 1 half day/full day off a month even if I'm not planning on taking a vacation.

My mentality has changed substantially over the past year. I hit 1M in my retirement accounts. When your investments fluctuate on a daily basis almost as much as you make in a week it almost makes work seem inconsequential.

 

[Forcewielder]

Ok so this was me when I first got out. I'm assuming you're within 5 years post residency? I remember working as much as I possibly could. I would work the week between Christmas and New Years' and even though like no patients showed up I would have been much more stressed sitting on my couch thinking of the money I'm losing by not being in the office.

Same went for vacations. Although I would enjoy the vacation, I felt I would be better off by working and making money instead of spending it.

You'll hit a point when working doesn't have the impact that it does now. I'm currently 12 years out and for the past 6-7 I've scheduled at least 1 half day/full day off a month even if I'm not planning on taking a vacation.

My mentality has changed substantially over the past year. I hit 1M in my retirement accounts. When your investments fluctuate on a daily basis almost as much as you make in a week it almost makes work seem inconsequential.

You're correct sir. Less than 5yrs out and between the 200k left in student loans and the mortgage, I love the feeling of working (and making money) as much, or more, than I enjoy most of the hobbies I used to have. Good to know you can throttle it down after having it at this high of a gear for as long as you did.

 

[mandrew]

A quick search of indeed shows ample listings in my state in various cities for family practice docs starting at 200k. This is not the same for podiatry.

Podiatry had 2 listings total. One at 80-120k and another at 180-220k.

I am amazed that there is a Podiatry position available offering a starting salary of $200,000. Where was this.

 

[mandrew]

If you operate at high volumes and can actually operate quickly then there is way more money to be made in the OR. The people who push the “clinic is where the money is at” narrative are podiatrists who spend an hour doing an akin.

I do 40-60 cases a month.

I’m on pace to generate 3 million this year for the hospital. Tell me there is no money in surgery.

You are one in a million

 

[air bud]

You are one in a million

That's one way of putting it

 

[Dermato Fight Club]

I am amazed that there is a Podiatry position available offering a starting salary of $200,000. Where was this.

Podiatrist
MedElite LLC - Lake City, FL
$180,000 - $240,000 a year

INFINITE:

Infinite Medical P.C is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. Our partnership with MedElite Healthcare Management Group, empowers us to focus on what matters most: providing compassionate, personalized care that meets the unique needs of each resident. Together, we champion continuous innovation and collaboration in our shared mission to redefine senior care across the country.



Position Details:


We are seeking a friendly and compassionate Podiatrist to join our team. As a Podiatrist, you will play a crucial role in providing comprehensive care to patients in long-term care facilities. This is an exciting opportunity to make a difference in the lives of patients while working alongside a dedicated team of healthcare professionals.


Responsibilities:

• Perform examinations on patient's legs and feet to identify and diagnose various diseases and conditions.
• Provide treatment for foot and leg injuries, such as fractures, corns, and calluses.
• Recommend and prescribe medication for relieving joint pain and suggest foot orthoses to enhance mobility and alleviate discomfort.
• Offer guidance and advice to patients regarding foot care and overall wellness practices.
• Request additional medical tests as necessary based on the initial assessments.

Requirements:

• DPM license
• DEA License
• Long-term care experience

Benefits:

• Health
• Dental
• Vision
• Company Sponsored Life Insurance
• Short and Long term Disability
• Paid Time Off
• Malpractice insurance

Salary: $180,000.00 - $240,000.00 per year


EEO/AAP Statement: Infinite Medical P.C is an equal-opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences. Infinite Medical P.C is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

 

[heybrother]

 

[HardRoadPaved]

Podiatrist
MedElite LLC - Lake City, FL

Oopphhh ..... Long term care in the boonies of nowhere FL.

Mountaintop Ministries Worldwide, formerly End Time Ministries and commonly called End Timers, was established near Lake City by Charles Meade in 1984. The basis of the ministry was that Lake City would be the only place to survive Armageddon and believers were to stay in an underground bunker on Meade's property.

"Hey honey I got a job that I can literally die at"... wonder if lobsters can survive the apocalypse.

• Provide treatment for foot and leg injuries, such as fractures, corns, and calluses.

"I broke my toe doc, but please trim my nails while I'm here!"

 

[air bud]

View attachment 390720

Sir please keeps the memes in the meme thread.

 

[mandrew]

Podiatrist
MedElite LLC - Lake City, FL
$180,000 - $240,000 a year

INFINITE:

Infinite Medical P.C is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. Our partnership with MedElite Healthcare Management Group, empowers us to focus on what matters most: providing compassionate, personalized care that meets the unique needs of each resident. Together, we champion continuous innovation and collaboration in our shared mission to redefine senior care across the country.



Position Details:


We are seeking a friendly and compassionate Podiatrist to join our team. As a Podiatrist, you will play a crucial role in providing comprehensive care to patients in long-term care facilities. This is an exciting opportunity to make a difference in the lives of patients while working alongside a dedicated team of healthcare professionals.


Responsibilities:

• Perform examinations on patient's legs and feet to identify and diagnose various diseases and conditions.
• Provide treatment for foot and leg injuries, such as fractures, corns, and calluses.
• Recommend and prescribe medication for relieving joint pain and suggest foot orthoses to enhance mobility and alleviate discomfort.
• Offer guidance and advice to patients regarding foot care and overall wellness practices.
• Request additional medical tests as necessary based on the initial assessments.

Requirements:

• DPM license
• DEA License
• Long-term care experience

Benefits:

• Health
• Dental
• Vision
• Company Sponsored Life Insurance
• Short and Long term Disability
• Paid Time Off
• Malpractice insurance

Salary: $180,000.00 - $240,000.00 per year


EEO/AAP Statement: Infinite Medical P.C is an equal-opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences. Infinite Medical P.C is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

Anyone know how many hours per week this position might entail?

 

[mandrew]

For me, I've been fortunate to have a hospital job where I can clear 500k if I work 5 days a week. However, I do not feel I "earned" this job as much as I lucked into it. It's been good and I hope to do it for my whole career, but because of the saturation in the job market, I feel like at any point the house of cards could tumble down. I wouldn't have this anxiety if I was a MD/DO. They have opportunities to make my money all day long. If I had it over to do again I'd go RN->CRNA all day. I routinely tell students that. They have so many more opportunities and they can make 300k anywhere with opportunities to make 400 or more if they want to travel. My CRNAs always talk about their hobbies, expensive vacations, etc and I just think about how much easier their life is than mine, and there's no chance it was as expensive to get there. Pretty sure the CRNA at my hospital gets 4 weeks of paid leave plus CME as well. He told me his last conference he rented a Lamborghini because his annual CME stipend is so high. Meanwhile I don't get jack except my pay.

You “clear” 500k? What does that mean and how many hours do you work per week?

 

[Forcewielder]

You “clear” 500k? What does that mean and how many hours do you work per week?

I mean I gross over 500k in annual collections. I am a 1099 so I can write off my mileage, cme, licensing, malpractice, and other smaller things. Net is still over 400k.

I don't take call because I work rural med and live in the city so my commute sucks. Actually time in clinic or the OR averages 36hrs. I don't take lunch breaks and try to optimize my time seeing patients but I drive an average of 3-4hrs a day. Also get some paperwork or notes to bring home so I probably average 55-60hrs of time working, driving, or doing work related things. Once I get in a better financial spot I'd like to cut that down by 20%, but I am straight production based so I have a hard time turning down work right now.

If you're willing to work, there's definite paths to good money in podiatry. My life is far from typical white collar though

 

[mandrew]

I mean I gross over 500k in annual collections. I am a 1099 so I can write off my mileage, cme, licensing, malpractice, and other smaller things. Net is still over 400k.

I don't take call because I work rural med and live in the city so my commute sucks. Actually time in clinic or the OR averages 36hrs. I don't take lunch breaks and try to optimize my time seeing patients but I drive an average of 3-4hrs a day. Also get some paperwork or notes to bring home so I probably average 55-60hrs of time working, driving, or doing work related things. Once I get in a better financial spot I'd like to cut that down by 20%, but I am straight production based so I have a hard time turning down work right now.

If you're willing to work, there's definite paths to good money in podiatry. My life is far from typical white collar though

Sounds like you are doing quite well, financially. Invest well and you could retire earlier than most