I am sure you can make pretty good money by owning your own practice in medicine. For instance, if you own a successful urgent care center, I think those guys make pretty good money. If you are successful you can open additional centers. Anyone know how much a successful urgent care center makes? One of the attendings at my program was telling me how the guy living down the street from him owned a few urgent care centers and he doesn't work very hard at all. He told me he was always taking vacations.
There are risks but if you have good instincts I think you can make a very good living in medicine...you just have to own your own business. Yes, you may not be making as much as those MBAs/private equity types, but you will make more than most docs.
You also have to have a entrepreneurial spirit, a passion for entrepreneurialism, and strong interpersonal skills to succeed as you will most likely have to deal with other physicians (depending on your specialty). Medicine doesn't attract many of these types.
One person I know of started his own pain clinic, built up the practice and eventually sold it because it was too much work. He had multiple centers and I'm sure he made over a mil selling those practices. Not too shabby for a doc. I've heard of docs owning their own imaging center, surgical center. I'm sure these guys are making very good money.
There are many business opps in medicine. You just have to have the personality. Thanks for all the comments everyone. I'd def like to meet more successful entrepreneurs in medicine.
You are absolutely correct; the docs that make the most money are the entrepeneurs.
Which would beg the question if you are an entrepeneur why bother being a doc?
4 years med school
- Study like crazy
- Learn zero business skills
3-5 years residency (med/peds/FP versus surgical)
- Work like crazy
- Learn zero business skills
1-2 years fellow
- Learn zero business skills
Medical malpractice lawsuits
Government tightening the belt
- Stark rules
- Heavily regulated industry
Hospitals and insurance companies have the real power
I'm not trying to discourage you; I'm a physician too and I'm not trying to put down my own field. I also work with a lot of residents and fellows. Because of fixed low salaries (essentially communistic field - derm guy makes same as peds guy etc), residents learn ZERO negotiating, marketing, networking, business skills. Most of the time its just get through the day alive.. not what is left to do to be successful. In business you constantly look for the next best deal.
But if you really wanted to make money, you can do it being a doc just remember the opportunity costs.
For the docs that have the guts and the talent to open their own imaging centers AND be successful.. bravo! My response: they would likely have had the business skills to do something similar without going through all the other stuff and be essentially 8-10 years ahead.
The guy you describe owning urgent care centers and making a lot of money is doing essentially what all other very wealthy people I know do: have a steady stream of passive income. You don't have to be a doctor and own an imaging center/UC center etc. to do it.
There are plenty of people with college education or less doing the same thing just not an imaging cente