why?...

[hashimoto]

*why aren't fp's making more than say traditional internists, when they are trained to do more procedures than int.med?.and treat a wider age group.

*why can't fp's do the same fellowships as int.med people?>.they do the same electives...more or less...

any input?.....

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[NuMD97]

*why aren't fp's making more than say traditional internists, when they are trained to do more procedures than int.med?.and treat a wider age group.

*why can't fp's do the same fellowships as int.med people?>.they do the same electives...more or less...

any input?.....

FP without OB and IM are pretty comparable salary-wise if you check salary databases on the web. Procedures do garner a larger differential than the base salary, but I'm guessing that it would be in rural settings where they are not competing with GI docs for colonoscopies;and OB folk for LEEPS, colpos, etc.; and Uro MDs for vasectomies -- all procedures that FP docs can do, with the proper training.

 

[edfig99]

*why aren't fp's making more than say traditional internists, when they are trained to do more procedures than int.med?.and treat a wider age group.

*why can't fp's do the same fellowships as int.med people?>.they do the same electives...more or less...

any input?.....

what you make depends on a variety of factors - patient mix, payor mix (i.e. what insurances you accept) and procedures you offer. You can do all the procedures you want, but unless you have a good volume of procedures and a good mix of people paying for them you're not going to make a lot of money on those procedures. instead you are relegated to making money simply on office visits, and if you participate in a lot of insurance plans, you're going to make less money. personally, i don't understand why fp, primary care IM, primary care Peds and Ob don't make more since there is more care provided in the primary care setting than in specialty setting but that's a different thing altogether.

in terms of why can't fps do the same fellowships -- it's a matter of subspecialty board certification. most of the clinical fellowships in IM require that trainees are board certified in internal medicine, since they are subspecialties of internal medicine.

FM doesn't really have subspecialties since that would run counter to the generalist training.