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What are the highest paid 9-5 specialties?

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Derm and ophtho. Those are the only two that reliably pay very well 9-4, Mon-Thurs, minimal call. 
 

Others pay well but without the good hours or vice versa. 

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1 minute ago, ZBL said:

Derm and ophtho. Those are the only two that reliably pay very well 9-4, Mon-Thurs, minimal call. 
 

Others pay well but without the good hours or vice versa. 

Derm pays well in the US, not so much in Canada.

Procedures barely cover the cost of the tools. In order to get payed well, you're going to have to be very efficient + do some cosmetics!

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10 minutes ago, MDinCanada said:

Derm pays well in the US, not so much in Canada.

Procedures barely cover the cost of the tools. In order to get payed well, you're going to have to be very efficient + do some cosmetics!

False but ok. 
 

1) most derms regardless of province are clearing 400K billing, some provinces it’s closer to 700-900K for medical alone. 
 

2) unless you’re academic, you WILL have cosmetic as some component which is on top of medical billing. 
 

3) Derm is a volume business, not a big $ per procedure business, unless you do Mohs

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1 minute ago, ZBL said:

False but ok. 

Did a few derm electives and that was my understanding after speaking to derms and residents.

If you look at the revenue reports, derms are payed similarly to internal med specialists. 

What are your sources?

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57 minutes ago, MDinCanada said:

Did a few derm electives and that was my understanding after speaking to derms and residents.

If you look at the revenue reports, derms are payed similarly to internal med specialists. 

What are your sources?

That’s true for academic dermatologists, not for community dermatologists

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The big plusses for derm in the larger provinces (BC, ON and QC) are lifestyle (minimal call) and job market.  There's absolutely no need for a fellowship or hospital privileges.  Ophthos have to work much harder to get a job in their desired location.  

Sure AB derms seem to do really well, but that province is going through serious pain - I'd be surprised if they're going to be able to keep paying their derms 2-3 times as much as neighbouring BC.  

Technically only derms can perform Mohs surgery, but if not available (in a smaller market say), Plastics can easily handle that type of excision.  

 

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Family medicine in a FHO setting can pay very well, 5-600k is very doable in a group practice setting with minimal call (one evening a week) and 30 hours a week. 

Nephrologists running a dialysis unit apparently make good money, they will be on call but typically most of the time issues can be managed at home. 

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On 4/9/2020 at 11:33 AM, rice said:

Other specialties making relatively high income working 9-5 would be radiation oncology and physiatry (doing some component of insurance work).

Interventional physiatry and EMG can be extremely lucrative as well (things like fluoroscopy guided procedures).

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On 4/9/2020 at 9:01 PM, Thorax said:

Family medicine in a FHO setting can pay very well, 5-600k is very doable in a group practice setting with minimal call (one evening a week) and 30 hours a week. 

Why specifically FHO ?

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9 minutes ago, MDinCanada said:

Why specifically FHO ?

You're paid a fairly generous set amount per patient that you have rostered, based on various criteria including age, gender, etc. Given you don't make much fee for service income (if any), hours tend to be better for these docs from what I've heard.

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On 4/9/2020 at 9:01 PM, Thorax said:

Family medicine in a FHO setting can pay very well, 5-600k is very doable in a group practice setting with minimal call (one evening a week) and 30 hours a week. 

Nephrologists running a dialysis unit apparently make good money, they will be on call but typically most of the time issues can be managed at home. 

Is 5-600k before or after overhead? If before how much is overhead usually?  

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1 hour ago, ArchEnemy said:

Pain medicine. 

isn't that getting nerfed to heck due to huge limitations on # nerve blocks per pt per # months (which if I remember correctly, was the main billing for pain med fam docs, idk about anaesthesia).

I should note for Ontario, idk about other provinces.

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On 4/12/2020 at 1:21 PM, Medapp2017 said:

Is 5-600k before or after overhead? If before how much is overhead usually?  

After overhead. Overhead in FHOs is not too large because of incentives and deductions, typically around 50k. 

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On 4/9/2020 at 9:01 PM, Thorax said:

Family medicine in a FHO setting can pay very well, 5-600k is very doable in a group practice setting with minimal call (one evening a week) and 30 hours a week. 

Nephrologists running a dialysis unit apparently make good money, they will be on call but typically most of the time issues can be managed at home. 

Where are these FHOs located?

I have a couple of classmates who are in FHO but no where close to those numbers despite working more. 

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4 minutes ago, ArchEnemy said:

Where are these FHOs located?

I have a couple of classmates who are in FHO but no where close to those numbers despite working more. 

I don't think these are the norm per say, could very well be related to a group practice and selective rostering, but the one i'm referring to is in non GTA southern ontario. 

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1 hour ago, 1D7 said:

I know a FHO with similar numbers in S/SW Ont.

They do provide evening hours though so it's not strictly 9-5.

 

13 hours ago, Thorax said:

After overhead. Overhead in FHOs is not too large because of incentives and deductions, typically around 50k. 

Do you have to work in a rural region?

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Hello,

I am not in medical school, but have interviewed at both medical and dental schools in Canada this cycle. I was just curious how oral and maxillofacial surgeons do in terms of pay and worklife balance compared to purely med specialties like ENT?

Thanks!

 

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On 4/9/2020 at 1:58 AM, ZBL said:

False but ok. 
 

1) most derms regardless of province are clearing 400K billing, some provinces it’s closer to 700-900K for medical alone. 
 

2) unless you’re academic, you WILL have cosmetic as some component which is on top of medical billing. 
 

3) Derm is a volume business, not a big $ per procedure business, unless you do Mohs

I second this. Derm is very lucrative if you're ok with cosmetics. But not everyone is - some don't like the population and they can be demanding. Others consider it a small price to pay for a 9-5 high income life.

But the real value in derm, in my opinion, is that after 5 years you are completely done. No fellowship or any of that jazz. Rent an office almost anywhere, put up a shingle, and you will have endless referrals. Derm waitlists are long

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57 minutes ago, DPH said:

Hello,

I am not in medical school, but have interviewed at both medical and dental schools in Canada this cycle. I was just curious how oral and maxillofacial surgeons do in terms of pay and worklife balance compared to purely med specialties like ENT?

Thanks!

 

OMFS is private practice for the most part and patients pay out of pocket so they make a fuckkkkk ton more than ENT. However, there’s like 6? OMFS spots in Canada and they usually only take ppl with practice or something after dental school. So 4 years dent plus ? Years in between plus 6 years OMFS. 22 English ENT spots around the country - it’s one of the most competitive but still nowhere as bad as OMFS (although I’m not sure how many ppl aim for OMFS). 
just curious, would you rather do DDS or MD?

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27 minutes ago, swoman said:

OMFS is private practice for the most part and patients pay out of pocket so they make a fuckkkkk ton more than ENT. However, there’s like 6? OMFS spots in Canada and they usually only take ppl with practice or something after dental school. So 4 years dent plus ? Years in between plus 6 years OMFS. 22 English ENT spots around the country - it’s one of the most competitive but still nowhere as bad as OMFS (although I’m not sure how many ppl aim for OMFS). 
just curious, would you rather do DDS or MD?

Yeah - usually OMFS residencies are 4-6 years (depends whether you want the MD) and there are only 6 spots in Canada which is true. It is competitive probably on the same level as ROAD specialties in medical school, but is definitely doable if you aim for it in the beginning. The reason for this is that there are a fair number of US OMFS residencies that accept Canadians as well. US and Canadian programs can take students right after dent school, but some prefer the student completes a 1 year GPR beforehand. 

As for med vs dent... I am having hard time deciding. I feel like both careers are so amazing and you will be well off regardless of which path you take. I feel passionate about both fields and after shadowing OMFS surgeons, I feel as though their job provides the perfect balance between both. Either way If I were to do medical school, I would probably go for ENT!  Also, coming from a typical asian household, both my parents are supportive with whatever i choose, as the "my child is a doc" box is checked off either way haha!

Anyways thanks for your input swoman!

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