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Dongzhuo

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  1. I was unhappy in family medicine, but after getting into emerg, I feel happy. Namely, emerg has good hotness factor, pretty good ease/ lifestyle, good money, and decent smarts. I traded in some lifestyle for significant gains in the rest. I improved my position and am much more satisfied.
  2. Unfortunately by now if you haven't started gunning for the competitive specialties it will be a very hard battle to get into something like ophtho. The whole idea of having a ranking is to get folks to realize what the gems are early on. I also find the decision algorithm good in theory but lacking in practicality. I dont think I like most surgical specialties but I may be interested in ENT and Ophtho. Rads is "supportive" but what does that mean? You could do interventional and be the main show. You don't like th pparticularly like seeing the daily grind of seeing pimples and actinic ke
  3. Also I find it unreasonable that a physician takes home only slightly more than other professions. Most of the people I know in medicine have been cream de la cream for decades since early years. Top of high school, awards up the wazoo, hours spent doing homework, research and volunteering. We deserve much more than the mediocre dude back in high school who asked you questions back in chemistry class who may be making 100k plus in banking or something
  4. I think the average numbers are highly misleading in family medicine. The field is so diverse that averages make no sense. Also I think it self selects for people who are less ambitious and less money oriented, as a generalization. No one or nothing is stopping you from doing 100% walk in (<5 min per patient), doing cosmetics( laser and botox and fillers), charging money for forms. If money is what you want and desire, you can definitely find it in family medicine. If you're taking homw 130k, its because you are ok with it.
  5. Oops. The number looked too low for gross so got confused that it was net. No one working as a physician should be taking home anything in the 100's......
  6. Unfortunately if you do family and do thorough, internal style visits you will be paid worse than a high school principal. So if you want to practice in that fashion you probably should do IM. I had similar thoughts as you did though. Only wabted to grind out an IM residency if I couls be a staff cardiologist or gastroenterologist. Not much point in grinding out the residency to do geri or something like that and make less than a family doc....
  7. I dont disagree with that, but all those specialties are considered "lower income" as least relatively speaking. 300K gross would mean billings of about 500k. Certainly it is doable but I would say that's the 75th percentile for family docs.
  8. I thought about individualizing the weighting for all the four attributes I listed, but then again it would lose all objectivity and end up being a meaningless endeavour. The goal Im trying to do is to create some sort of standardization- not unlike the macleans or us news rankings of the universities. It is to be taken with a grain of salt. I actually plugged in some numbers for specialties and I think the 4 attributes have great predictive value in how competitive the field is. Ophtho- very high scores for hotness, ease, money, and smarts. Also happens to be a very competitive special
  9. Throughout med school and residency, I pondered long and hard regarding what is the ideal specialty. There are just so many out there that I may be bewildering to choose. Should you be a family doctor or a psychiatrist? Or a general surgeon or a dermatologist? I think I have narrowed it down to four key attributes that defines a specialty. Let's call it Dongzhuo's HEMS of a specialty. 1. Hotness factor This is how good a specialty sounds to laymen on the street. For example, saying you're a neurosurgeon has lots of hotness factor whereas saying you're a pathologist probably has a low sco
  10. I see where you are coming from and no it does not mind **** me at all. I care about how the world at large views me, and to the world I will be an emerg doc. Many ER nurses even dont know the 3 and 5 year difference. There are ma y benefits as well to the third year, namely being able to transition myself back to family practice as I enter my fifties and also 2 years of high income. Its like buying a slightly used Porsche vs a brand new one- on the putside its viewed as one and the same, only one comes at a discount and very few know the difference
  11. Just wanted to update on this thread and bring this to a conclusion. I will be doing a plus one year in emergency medicine, and will probably be doing that solely. I am pretty happy with that, and am glad that in the end, the 5 issues I have raised with the specialty of family medicine have been rectified with this one year of extra training.
  12. Let me give you a little parable. You are the owner of a nice café in town. You seek out good staff to make your restaurant more efficient. You hire good cooks to make the food tasty. You choose a good area in town to maximize customer flow. But there is one thing that will make customers come back for more and more like no tomorrow. That is FREE FOOD. Can you imagine the cafe`s cash registry if every customer`s meal is free and paid for by the government. People would flock to this café. Line up for 4 hours if they have to. That, in a nutshell, is why medicine will always provide a v
  13. This is of course not in your average "bleeding heart" family practice. This has to be a busy fast paced medicentre/ walkin where the patient flow has to be fast. But you're right in that it can't be extrapolated to 70 patients. Though it's doable but extraordinary Tiring. Usually 50 is the human limit. Also the income is not all from msp. There are note costs, insurance costs, and procedures that increase your base visit price. From my experience (r2) if you are going into family with a financial mindset....gross 550K in Alberta is reasonable and 700k if you're really really pushing it.
  14. Right and wrong. Usually a simple case pays 35 dollars though. But you're right in that most things dont take too long. Walk ins are the best since you don't really know the patient and don't have the social obligation to be chatty. Let me give you common examples of what a typical days work is like: 1. Can I get a refill for my meds? 2. I'm worried about this mole can you check it out? 3. I've been having this chest cold.... 4. I feel burning when I pee... 5. I'm having headaches after my MVC 2 weeks ago 6. I've got ear wax in my ear 7. Can you write this note for me? 8. I twist
  15. First off, I didn't bill anything. Still a resident. These are all staff I'm talking about. Second, in my experience, all office visits are billed as such. Preceptors never say to themselves "hmm looks like I didn't spend enough time with them this visit- guess won't bill anything". Third, one of the most money minded preceptors I've had has 5 minute visits regularly is actually extremely well rated on rateMD. People love him. Yet he billed 600k. Not a bad apple.
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