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deleted407021
Keep it on the DL manPsych. I know some one who works 80 hour weeks & makes over 700k.
Keep it on the DL manPsych. I know some one who works 80 hour weeks & makes over 700k.
Dunno the details of the position, but I know they turned it down and went with a 400k offer.That seems insane, 500k for midwest ER seems high but attainable. For 900, how many hours? nights? locums?
you can make money in almost any field, except Peds and some IM sub specialties like palliative care, geriatrics, ID. I'm only a medical student still but here's what I've seen from attendings I've rotated with who all make a lot:
Psychiatry -> outpatient psych while taking some inpatient duties easy 300k
Anesthesia -> pain fellowship 400k+
Radiology -> volume volume volume efficiency efficiency efficiency 400k+
Rad Onc -> don't need to explain
Plastic surgery -> cosmetics; just don't do inpatient burn unit
EM -> 36 hours/week = 300k+
PM&R -> plenty of money and relaxation (mix of inpatient + outpatient = 250k+ working <50hr/week)
Neurology -> stroke/ICU easy 400+
ObGyn -> REI clinic or MFM easy 400k
General Surgery -> MIS fellowship = $$$
Orthopedic Surgery, Neurosurgery -> $$$ but work hard
Ophtho -> initially suck up to partners in pp so you can become partner, then $$$
ENT -> outpatient pp group = $$$
Pathology -> 300k+ working <50 hrs/wk as long as you don't work in cities > 200k population
IM -> Cardiology = cath all day if invasive, outpatient pp if noninvasive; both 300k+
IM -> GI = colonoscopy all day; guaranteed 300k+
IM -> Heme/Onc -> pp = guaranteed 300k+
IM -> pulm/cc = guaranteed 300k+ but you work >60hrs/week
IM -> endocrine/rheum = 250k with closer to 40hrs/wk
Family med -> open own practice and don't accept Medicaid/Medicare
Nephrology -> operate your own dialysis center
I think I got majority of specialties. Please correct me if I'm dead wrong about any of the above. Just my observations..
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My peds attending made at least 400k/year, probably more since one of his several daughters had a brand name backpack that costs around $1,800...
However, he rotated at 2 hospitals every day and was the medical physician for 2 child psych hospitals, all of which he would go to everyday (rotated at hospital in the morning before clinic, went to psych hospitals in afternoon during lunch) along with working in his group's private clinic. He worked 12 hours+ 6 days a week (started rotating at hospitals between 4 and 5am and clinic "closed" between 4-6 depending on the day) and would rotate at all the hospitals on sundays (so 6-8 hours). Lucky for us he didn't make us go to the hospitals every day and we got Sundays off, but for a peds rotations it was a nightmare.
Point is you can make bank in pretty much any field if you're willing to work yourself to the bone.
I mean if those silly poor single moms just worked 4 jobs they could support their kids just fine too
Yes. Most can, at least. Peds needs to be done post-residency, and not every program has fellowships in every field (you can apply to be taken as a fellow at another program, however, if your program will allow you to leave for a year).Can fellowships still be done during research years?
TruIt's only a sacrifice in location if you don't like being innawoods
You could make 700k working 80 hours a week in a lot of fields. Hospitalist work can pay 200 an hour or more in rural spots, put in 80 hours and you're making 800k. Hell, if you get an ER job making 300/hour (which is more than doable in a lot of rural southern areas), you can pull $1.2 million a year.Psych. I know some one who works 80 hour weeks & makes over 700k.
You could make 700k working 80 hours a week in a lot of fields. Hospitalist work can pay 200 an hour or more in rural spots, put in 80 hours and you're making 800k. Hell, if you get an ER job making 300/hour (which is more than doable in a lot of rural southern areas), you can pull $1.2 million a year.
There are no work hour restrictions when you're an attending lol. What, you think the government is going to make you take a seat or something lol? No, as a resident you're limited to 60 hours a week (just over 240 hours a month on average), but as an attending you can do whatever the **** you want. You'll burn out quick though.Yeah but I was under the impression that EM had monthly work hour restrictions. I think its its 160 or 180 hrs/month.
Correct me if I am wrong please.
Yeah but I was under the impression that EM had monthly work hour restrictions. I think its its 160 or 180 hrs/month.
Correct me if I am wrong please.
You could make 700k working 80 hours a week in a lot of fields. Hospitalist work can pay 200 an hour or more in rural spots, put in 80 hours and you're making 800k. Hell, if you get an ER job making 300/hour (which is more than doable in a lot of rural southern areas), you can pull $1.2 million a year.
Depends on what you want. ED work is shift work, so if you were looking to do 80 hours, best way to do it would be 4 12 hour shifts and 2 16 hour shifts per week. In residency it's usually 6 12-16 hour shifts all in a row with a day off on an 80 hour rotation like IM, but some places have you do 30 hour shifts once a week then fill in the rest with 12s and 16s to give you a couple days off a week on occasion.What does a 80 hour week schedule look like? 12 hour shifts? 24 hour shifts (including on-call?)? is that over 5, 6 or 7 days? I'm genuinely curious and have always wondered
I've had attending tell me directly. Some to brag, and others to educate. I had no idea rural ER can pay 900k.
I'm using numbers that are available from various salary sites. The big exception to this in the thread is likely the outlier psychiatrists- they're typically cash-only private practice types, pretty hard to slash the salary of a guy who doesn't take insurance and charges patients directly lol.Maybe don't give such specific numbers guys. Radiologists posting their salaries online was referenced as justification for slashing their pay a few years back.
That's 375/hr at 200 hrs per month. I doubt anyone is able to string that kind of time and money together...
That does sound pretty outrageous at a flat rate. However, if a person does 10 nights of call in a month at 3k/night (something I've heard of in several locations), that's an extra 30k/mo or 360k/year. If the guy had a set-up like that, it drops down to 225/hr at 200 hrs per month (to put them at 540k/yr, totaling 900k with call), which seems a lot more realistic. Either way sounds like a pretty crazy set up, but if that were really the case it's probably part of why he chose another job that paid 1/3 the salary...
What part of call are you talking about? It's impossible as an ED provider to work 280+ hours/month as you have described. If he has a base gig at 225/hr and is working 200 hrs/mo he is the hardest working doc in his group. Most groups are not doing 12's, meaning that he's likely doing a mix of 8's and 10's to get to 200 hours/mo which is 20+ shifts at his home institution. You can't pile on an additional 10 nights of moonlighting b/c you would essentially work every single day of the month for 1 year straight.
My point is that most ED docs are not making 375/hr or working 200 hours/mo. If he's like hard working partner doing 160 hours/mo at a "partner rate" then he would have to have a rate of $470/hour to make 900k/year which doesn't happen. Can it happen on a locum-level for a few shifts? Sure it can... but it's not going to be something that is sustained for very long as the CEO's won't let it.
I would be curious to hear what this 80 hr week looked like. Inpatient? outpatient? Pp? Location (can be vague to keep amininmity).Psych. I know some one who works 80 hour weeks & makes over 700k.
I would be curious to hear what this 80 hr week looked like. Inpatient? outpatient? Pp? Location (can be vague to keep amininmity).
What I've taken away from this thread is: You can make a lot of money in literally any specialty.
Not to digress to the ER physician making 900k, but there are areas in the rural Midwest that certainly present these opportunities. The gigs may or may not be hard to come by, but a hospital I'm very familiar with was paying one EM boarded locum physician (filling most of the weekdays with midlevels) upward of 12k a weekend. Which comes out to a reasonable 250/hr. The midlevels were making ~5k.
Psych. I know some one who works 80 hour weeks & makes over 700k.
Locums. My buddy once made $15,000 in a single shift. Granted it was a last minute deal on a holiday but I routinely made $4,000-5,000 a shift myself back in residency for last minute call ins. Credential yourself out to a large geographical area and just negotiate.
I've had attending tell me directly. Some to brag, and others to educate. I had no idea rural ER can pay 900k.
I would be curious to hear what this 80 hr week looked like. Inpatient? outpatient? Pp? Location (can be vague to keep amininmity).
Depends on your contract for transportation.Anyone have info on PP psychiatry market?
Do they pay for transportation?
Wut
+1
I don't get the logic here. If the hospital is able to manage just fine with midlevels on the weekdays, why would it pay pay an EM doc 2 or 3 times the rate on the weekends instead of just having the midlevels cover the weekend as well? It's not like the hospital can tell its patients to hold off coming for their "complicated" emergencies till the weekend lol.
Depends on your contract for transportation.
You can make that much in EM but only if you are working nearly every day. Like literally almost every single day. It's not sustainable by a long shot.
@Tenk is in EM.Tenk what's your specialty? You said as a resident you made 4-5k per shift doing locums, I am very interested. Can you please elaborate a bit
@Tenk is in EM.
Uncortunately I have no idea, I just stumbled in from pre-allo and saw a rare question that I could answer in this forum.Thanks. Is this something that you can do in other fields like IM or Radiology once you're a PGY-2/3? Sounds like a great way to help with loans
Uncortunately I have no idea, I just stumbled in from pre-allo and saw a rare question that I could answer in this forum.
Back to my regularly scheduled confused silence.
IM can moonlight in UC and sometimes hospitalist if small enough. Radiology, technically can do UC but I don't think many would do that, seems dangerous. UC pays far less than ED, like on the magnitude of less than half.Thanks. Is this something that you can do in other fields like IM or Radiology once you're a PGY-2/3? Sounds like a great way to help with loans
Thanks. Is this something that you can do in other fields like IM or Radiology once you're a PGY-2/3? Sounds like a great way to help with loans
What I've taken away from this thread is: You can make a lot of money in literally any specialty.
Atul Gawande, MD, MPH
Stefan Larsson, MD, PhD
Abraham Verghese, MD (a Foreign Medical Graduate who practices in USA)
Siddhartha Mukhrejee, MD, DPhil
Gawande is arguably the worst shyster in all of medicine. It's definitely between him and 'ol Ezekiel Emanuel. At my school we had one of those useless interprofessionalism lectures in which the speaker (not an MD of course) was waxing poetic about the glory of Atul Gawande. My eyes rolled so far back into my head that I blacked out and had a seizure. Damned Gawande turned me into an epileptic from a distance, that's the sort of "doctor" he is.
Care to elaborate?
.....the likes of Mehmet Oz and Deepak Chopra in quackery is quite the indictment.