member_225 Posted July 5, 2019 Report Share Posted July 5, 2019 Do they still exist? How many years of work does it take to reach that income? Quote Link to comment Share on other sites More sharing options...
X Æ A-12 Posted July 5, 2019 Report Share Posted July 5, 2019 1 hour ago, member_225 said: Do they still exist? How many years of work does it take to reach that income? Did you not see the top 100 OHIP billers list? #100 was still 1.5million (I know billing isnt take-home but still). Half were Rads+Ophtho and top 10 had a neurosurgeon too. #1 was Ophtho Quote Link to comment Share on other sites More sharing options...
science1000 Posted July 5, 2019 Report Share Posted July 5, 2019 if you look at MSP bluebook for BC, vast majority are ophtho and cardio, some other surgeons and specialists on there as well, but there are a few family doctors... Quote Link to comment Share on other sites More sharing options...
blah1234 Posted July 5, 2019 Report Share Posted July 5, 2019 It's possible. However, very few people in the grand scheme of things bill 7 figures let alone take home 7 figures after overhead. You really have to be an outlier to do that in medicine and it usually requires working long hours/working in undesirable locations/running a sophisticated clinic Quote Link to comment Share on other sites More sharing options...
The Ace of Spades Posted July 5, 2019 Report Share Posted July 5, 2019 This thread may look to be in poor taste to the layperson reading it. Hell, it looks to be in poor taste to me, a PGY5. MedHopeful93, EG slayer, ellorie and 6 others 9 Quote Link to comment Share on other sites More sharing options...
obiwankenobi Posted July 6, 2019 Report Share Posted July 6, 2019 23 hours ago, swoman said: Did you not see the top 100 OHIP billers list? #100 was still 1.5million (I know billing isnt take-home but still). Half were Rads+Ophtho and top 10 had a neurosurgeon too. #1 was Ophtho Where did you find the list? I can't find it. Quote Link to comment Share on other sites More sharing options...
NLengr Posted July 6, 2019 Report Share Posted July 6, 2019 On 7/4/2019 at 11:21 PM, member_225 said: Do they still exist? How many years of work does it take to reach that income? It is a lot of work if you are only in the public field. Easiest way is to probably do optho and have a Lasik clinic running on the side (that's where you print cash because it is relatively straight forward quick work that you bill privately so you charge what the market will tolerate). Unfortunately, you need to find a spot that still has some unmet demand for lasik. Quote Link to comment Share on other sites More sharing options...
1D7 Posted July 6, 2019 Report Share Posted July 6, 2019 12 hours ago, obiwankenobi said: Where did you find the list? I can't find it. It's on The Star. Top ten: 1. Ophthalmologist 2. Neurosurgeon w/pain clinic 3. Family doctor w/pain clinic 4. Ophthalmologist 5. Radiologist w/fertility imaging centre 6. Internist w/dialysis centre 7. Family doctor w/pain clinic 8. Anesthesiologist w/pain clinic 9. Radiologist 10. Ophthalmologist On 7/4/2019 at 9:51 PM, member_225 said: Do they still exist? How many years of work does it take to reach that income? The few doctors who can do large volumes of private work have that ceiling (ophthal, derm, plastics). Otherwise it's extremely rare to make that much. Quote Link to comment Share on other sites More sharing options...
#YOLO Posted July 6, 2019 Report Share Posted July 6, 2019 how do fam docs do pain clinics?? Quote Link to comment Share on other sites More sharing options...
avocado_toast Posted July 6, 2019 Report Share Posted July 6, 2019 17 hours ago, The Ace of Spades said: This thread may look to be in poor taste to the layperson reading it. Hell, it looks to be in poor taste to me, a PGY5. Agreed. If the OP's goal is a way to make more than a million per year, medicine is absolutely the wrong career for them. You should go into business or law or something else. Quote Link to comment Share on other sites More sharing options...
Edict Posted July 6, 2019 Report Share Posted July 6, 2019 The takeaway is you gotta do pain clinic. MedZZZ, winston87 and MK. 1 2 Quote Link to comment Share on other sites More sharing options...
1D7 Posted July 6, 2019 Report Share Posted July 6, 2019 50 minutes ago, Edict said: The takeaway is you gotta do pain clinic. Yep. Family medicine is actually #3 on the list of specialties that have a high number on the top 100 list over the last several years (there are almost as many family doctors as rads on that list). Quote Link to comment Share on other sites More sharing options...
ploughboy Posted July 8, 2019 Report Share Posted July 8, 2019 Gross or net? Quote Link to comment Share on other sites More sharing options...
yonas Posted August 7, 2019 Report Share Posted August 7, 2019 Cardiology Quote Link to comment Share on other sites More sharing options...
NLengr Posted August 7, 2019 Report Share Posted August 7, 2019 To be honest, it's probably not worth the effort to make the extra cash. The only way it would be worth it is of you are gonna retire at age 45 on your savings. Otherwise, you are probably working like a dog and wasting your life. I make a very good amount of cash, but I'd gladly take a 50% pay cut if it meant a better life for me (job I like, in a town I like, with a non inept health authority and co-workers who aren't lower intelligence, socially retarded, assholes. Hell, I'd take the cut for even a couple of those things). Money is far from everything. yonas and LittleDaisy 1 1 Quote Link to comment Share on other sites More sharing options...
freewheeler Posted August 7, 2019 Report Share Posted August 7, 2019 6 minutes ago, NLengr said: To be honest, it's probably not worth the effort to make the extra cash. The only way it would be worth it is of you are gonna retire at age 45 on your savings. Otherwise, you are probably working like a dog and wasting your life. I make a very good amount of cash, but I'd gladly take a 50% pay cut if it meant a better life for me (job I like, in a town I like, with a non inept health authority and co-workers who aren't lower intelligence, socially retarded, assholes. Hell, I'd take the cut for even a couple of those things). Money is far from everything. Well, it looks like you successfully ruled out a career in medicine... Quote Link to comment Share on other sites More sharing options...
LittleDaisy Posted August 7, 2019 Report Share Posted August 7, 2019 2 minutes ago, freewheeler said: Well, it looks like you successfully ruled out a career in medicine... I think that Nlengr works as a general surgeon in a small remote rural community. Some hospital administration are actually competent and can deal with a lot of things on their plate with the cutting budget. Most hospital staff in community hospitals are actually nice to each other, rather than trying to stab each other in the back or get by with "barely checking in". winston87 1 Quote Link to comment Share on other sites More sharing options...
rmorelan Posted August 7, 2019 Report Share Posted August 7, 2019 (edited) On 7/4/2019 at 11:43 PM, swoman said: Did you not see the top 100 OHIP billers list? #100 was still 1.5million (I know billing isnt take-home but still). Half were Rads+Ophtho and top 10 had a neurosurgeon too. #1 was Ophtho ha, yeah definitely not take home. Many of those places have out of billings paying for an army of staff (rads as an example - how many ultrasound or rad techs are they paying for out of that - usually it is 6:1 one ratio of techs to rads for instance at ~100K a pop to start, and then there is the equipment and so on ha), and the overhead in ophtho is huge (last time I ask the staff at Ottawa pegged it at 60+% - to the point where they were afraid to take vacation because the thought of the overhead still running as painful ha). It is funny how the government didn't want to pay for all the things required to run the health care, but then is mad at the outcome. I know a ton of doctors that would love to just show up to work each day and collect a paycheck vs all the running of the clinic/office/hospital stuff. Edited August 7, 2019 by rmorelan apple94 and winston87 2 Quote Link to comment Share on other sites More sharing options...
rmorelan Posted August 7, 2019 Report Share Posted August 7, 2019 11 hours ago, NLengr said: To be honest, it's probably not worth the effort to make the extra cash. The only way it would be worth it is of you are gonna retire at age 45 on your savings. Otherwise, you are probably working like a dog and wasting your life. I make a very good amount of cash, but I'd gladly take a 50% pay cut if it meant a better life for me (job I like, in a town I like, with a non inept health authority and co-workers who aren't lower intelligence, socially retarded, assholes. Hell, I'd take the cut for even a couple of those things). Money is far from everything. .....I really, really, REALLY hope you get a chance to move at some point where you are happier. Posts like this make me sad. winston87 1 Quote Link to comment Share on other sites More sharing options...
rmorelan Posted August 7, 2019 Report Share Posted August 7, 2019 On 7/6/2019 at 1:51 PM, 1D7 said: Yep. Family medicine is actually #3 on the list of specialties that have a high number on the top 100 list over the last several years (there are almost as many family doctors as rads on that list). yup - I mean I say this all the time - it would have been nice if I actually really liked family medicine enough vs the other fields in medicine. It really is a great option - and I would have been done and out there FIVE years ago, roughly 200 all nighters spared, have optimal flexibility, better work hours over entire career, help a lot of people.....and yeah if you structure it and know something about finances you really do come out ahead for a long time or at least most of your career. yonas, winston87 and Medfool25 3 Quote Link to comment Share on other sites More sharing options...
rmorelan Posted August 7, 2019 Report Share Posted August 7, 2019 ha and yeah this thread should be called specialties that BILL 1 mil per year. The making 1 mill is another matter Quote Link to comment Share on other sites More sharing options...
Pakoon Posted August 7, 2019 Report Share Posted August 7, 2019 17 minutes ago, rmorelan said: ha and yeah this thread should be called specialties that BILL 1 mil per year. The making 1 mill is another matter Good morning U~S~A Quote Link to comment Share on other sites More sharing options...
rmorelan Posted August 7, 2019 Report Share Posted August 7, 2019 2 minutes ago, Pakoon said: Good morning U~S~A Ha, well sure in some cases - but there is another side to that. It is capitalism so there is a much more variable income for doctors etc. Reputation matters more for somethings, and developing that often takes time. For everyone at the top there is someone not doing so well - and it can be a lot more like a rat race as a result. Just remember your competition is all highly intelligent motivated and usually type A+ personalities as well. winston87 1 Quote Link to comment Share on other sites More sharing options...
NLengr Posted August 7, 2019 Report Share Posted August 7, 2019 6 hours ago, rmorelan said: yup - I mean I say this all the time - it would have been nice if I actually really liked family medicine enough vs the other fields in medicine. It really is a great option - and I would have been done and out there FIVE years ago, roughly 200 all nighters spared, have optimal flexibility, better work hours over entire career, help a lot of people.....and yeah if you structure it and know something about finances you really do come out ahead for a long time or at least most of your career. Agreed. There are many times I wish I had done family. winston87 and yonas 2 Quote Link to comment Share on other sites More sharing options...
NLengr Posted August 7, 2019 Report Share Posted August 7, 2019 18 hours ago, freewheeler said: Well, it looks like you successfully ruled out a career in medicine... Unfortunately, I am already a FRCSC specialist. Quote Link to comment Share on other sites More sharing options...
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