Geography was worse in some ways but private and technical partnership opportunities were much better and it felt easier to lateral out.
I am 10 years out from a top 5 program. At that time, I went deep into spring senior year before I had an offer. I went on half a dozen interviews and most of the positions offered were openly exploitive. I eventually signed with the best of the worst but moved on within 5 years. The comment at the time was, "its cyclical, and this is a down year".
Most toxic specialty in medicine I know of in terms of the disconnect between academic and community/PP docs
Agree, and this is the most important point IMO. I see no indication of initiatives to expand the scope of practice for radiation oncologists, and our intervention will continue to dwindle in terms of definitive management of disease (there may be some exceptions).
💯💯💯
my favorite part is that they all somehow have my cell number and call over and over again in the middle of clinic
It’s not that new grads don’t want to work hard, it’s that we unfortunately can’t always afford the 3-year lower salary. The average student loan is $300-400k. So for the past 4-5 years, we’ve seen our friends in other fields specially tech, get rich while we collected 6-7% interest on our already ridiculously high debt. Now, there’s a hospital employed position that pays $500-550k, it’s eligible for PSLF and usually some quality/productivity bonus VS. the private practice with 3-year partnership track that pays $350k for the first 3 years. That’s about $1M difference, so unless partners are making $1M+ it’s just not worth it.
Not disagreeing, just adding info to the discussion. I left fellowship PGY5 with 120K in debt of HEAL loans at 12 percent interest. 1990ish
This stipulation is doing some real heavy lifting for the rest of your comment...
Plenty
There is a nonzero chance that you will be unemployed at some point.
How many years into the future is this likely to be true. In todays market, demand seems plenty.
I can tell you that hospital employed gigs in the midwest city I am in pay below MGMA median. Supply/demand.
What tier city and how much do they pay?
Allergy is not a lower paying IM subspecialty whatsoever and should not be lumped in with the lower paying subspecialties ie ID endo Nephro etc. Avg for PP allergist is around 350K-450K+ not including partnership models who make even more. Allergy is like the derm of IM (crazy competive now-income potential 400K+ working 35 hours per week? no wonder its gotten the way it is). It is without question the highest paying on average of the lifestyle IM subspecialties
All of the median stats including medscape, MGMA, Marit show a median around 300-320 with the achievable high end of 400. That’s around the same as hospitalist. Sure there are outliers as with any specialty but it’s not the same as median of 550-600 for PP rad onc. It doesn’t seem common to cross 500 in allergy.
You cant use online salaries to predict allergy they make WAY more than hospitalists. Allergy salaries are artificially low online because academics bring them WAY down. Academic allergy salary is lower than like Peds which brings down the median. Avg PP allergist makes 400K+. If youre going into PP you can expect to cross 400K do you have any idea how lucrative shots can be?
Allergy is different because of the wide discrepancy between academics and non-academics. I would not lump Allergy into the lower paying IM subs like nephro ID endo etc and certainly not the same as hospitalist or primary care
Data is often broken down into percentiles, so easy to assume most of the academics are in the lower portion and PP in higher percentiles, but also some break down by practice type.
The only one that I would trust would be Marit but there still isnt enough data. Theres like 10 posts but If you exclude academics (150s or so) the avg already on there is like high 300s and that includes employed which typically pays a little less than private. Of the lifestyle specialties in IM Allergy is the highest when it comes to income and yes it does on avg pay more than Rheum too
Absolutely, so I would say job market for allergy is probably worse than say Rheum (more jobs for sure). But plenty of opportunities to start your own practice or join a group just depends on where you want to practice some areas worse than others (socal virginia right outside of DC and SC coastal areas like charleston or Hilton head are booming rn where as a lot of southern florida is getting bought out by PE which sucks). Like with most specialties working in huge cities like NYC, LA, Chicago youre going to likely be making less as opposed to the suburbs or rural regions. Overall, geo flexibility is fine but worse than say Rheum, Endo etc simply bc they have more jobs since there are simply more rheumatologists and endos. Allergy is a small field but you will without question make more in Allergy
That’s actually a solid number of people making 500+ esp given how low the median is.
