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Edict last won the day on June 12

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  1. It is also possible, if they are doing "medians" not mean's it could decrease the influence of some high billing outliers. Derm is a bit different because they also do bill private. The other thing if you look at the Torstar, you'll be surprised at the number of doctors who bill 50-150k. There are a lot of doctors nearing retirement as well who scale back but still work. They may be working part time. Again, no one talks about the part-time doctors but they are at least as common as the high billers and that is influencing the numbers.
  2. Okay, so yeah GTA its possible particularly in some centers. Many GTA centers are very busy with high volumes. But I would not say these numbers are generalizable. ER at Trillium or William Osler is just not going to pay the same as ER in most other cities. But that is an important caveat. Sure, some ER docs who are willing to work hard at the right center can make a lot, but that still means that only a few select people are making those numbers and leaves a lot of room for the "average" ER doc across Canada to make closer to 300k.
  3. It wasn't easy for myself as well, still debating this now. I think unfortunately, we all have to choose. I chose the interest/passion path and am faced with the same decision again, but the sacrifice is going to be even greater. At the end of the day though, it is your life, so you should always choose what makes you happy.
  4. I would only expect those numbers at certain busy centers, can you share your sources?
  5. Don't let it, because crazy numbers spread faster than normal numbers. If I told you that I knew of a surgeon making 2 million a year, you are much more likely to tell others than if i told you i knew of a surgeon who made 300-400k. But that one surgeon making 2 million a year may be also lucky, working 70 hrs a week and taking so much clients that no other surgeon in the area can now make an average salary or that some of the younger surgeons are now forced to find a job elsewhere etc. I have never heard that Peds ER makes much for instance, so is that really true or is that just one guy who has a great set up? The only thing i wonder is will this intense surgical specialty offer you lifestyle? I always believe that salary numbers are pretty inaccurate and really shouldn't be used to make a decision on your specialty. It is similar to lifestyle as well as you will be surprised at what kind of specialties can also have a set up with lifestyle if they so chose. There are broad ranges sure, but these salary ranges between specialties overlap so heavily that in most cases it doesn't matter. Generally speaking, there is no free lunch and as a doctor working a standard 40-50 hrs a week I would not expect more than 400k income in most cases. If you want to make more than 400k expect to put in more training and/or at least 50 or 60+ hrs a week. If you want to make more than 1 mil you'll need to be lucky, good, in the right specialty at the right time in the right location and you will still have to put in 60+ hrs a week.
  6. You can if you take on more than the average number of shifts. I heard the typical ER doc working 16 shifts a month (8 hrs a shift) or so with a mix of days and nights made around 300k but no overhead. So that is actually a really sweet gig, since you can easily scale up when you are younger if you want. Also, as a general rule, don't read too much into salary numbers, the more you hear about the numbers bandied around by folks the more you realize consistency between numbers is often lacking and the more you realize that in many specialties you can find a way to bill at least 400k and in most specialties you can find a way to bill 150-200k and have more flexibility in your life. There are exceptions to this of course, surgical specialties tend to have little control over their hours.
  7. If you look at the toronto star database however, you see a lot of people are not billing those high numbers. While it is probably true you can bill those numbers if you choose to work a full time+ equivalent like around 60 hrs a week, a lot of doctors don't choose to do that which drags those numbers down significantly.
  8. Not in Alberta but my two cents is that, when Albertans are struggling with the double whammy of coronavirus and a downturn in oil prices/inability to build pipelines it seems inevitable to me that the government cannot afford to continue to pay their doctors the same high salaries that they got when times were good. Alberta has always been a boom bust province and honestly this really doesn't come as a surprise to me.. As physicians, I appreciate and support those that fight for our rights but I'm not sure this is the right battlefield to fight and die on.
  9. One school of thought is just to do whatever you need to get to where you want. If doing something you don't love is actually an important component to getting ur subspec of choice, it is probably worth it if its not too unbearable for you, since getting your subspec will change the rest of your life. If chiefing is only a slight boost to your application and may not even make a difference, don't bother doing things that take time that you don't enjoy. It all depends on your individual situation but i think you'll be able to figure it out.
  10. Even some cardiologists don't carry a stethoscope. Honestly, the stethoscope is becoming a relic of the past. It will doesn't matter but i'd imagine most med students get the Cardio IV so if you just want to fit in get the Cardio IV. Like toxicmegacolon said, I wouldn't sweat the few extra hundred bucks.
  11. I think if residents/staff compliment you on your knowledge/work ethic etc, then you know you are doing well. I know if I run into a medical student that I've felt was doing well, i try to let them know because I remember how hard it is to be at the bottom of the totem pole and not sure if you are doing well. Although, if residents/staff aren't doing that, it doesn't mean you aren't doing well, just ask and they will give you honest feedback. I think if you have good patient care, patient's will compliment you, sometimes in front of the team.
  12. I would argue that for OP's situation, medicine is probably the best way of making a 150k+ income. With that being said however, it is a road with a lot of sacrifices and I actually don't think the benefits of medicine will pay off for OP for at least 15 years compared to if she stayed at her current job and during at least 10 of those years your life will be more challenging.
  13. It puts you in a tough spot, but it really depends on how you feel about it. The only thing I wouldn't recommend doing is outright refusing to work with them. You can find an excuse not to work with them, you can just say that you're actually starting the project and you don't need any help right now for example. If you do think they could actually be of help and make it so that you can have time to work on another project lets say, then it may be worth collaborating. Depending on how small this specialty is, it could still be a win win situation, but if we are talking about a specialty with less than 20 spots across the country, then you may truly be in direct competition.
  14. It isn't that rosy, partly because Albertan doctors are the best paid in Canada and other provinces namely Ontario do not pay that high. This also is changing as oil prices drop and Alberta's finances take a hit. The second thing is people tend to focus on the outliers, news of a derm making 1mil+ spreads way farther and faster than the derm making 170k a yr because they decided to work part time. Admittedly those CMA numbers are surveys so take that with a grain of salt, but do understand that even in the fields above, those numbers are really only for the doctors who work in subsets of those fields and often work long hours as well.
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