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Physiatry/PM&R Earning Potential & Private Work


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Cross-posted from general med student discussions forum

I'm interested in pursuing physiatry but one thing that I'm unsure of is the earning potential in the specialty. I also have competing interests in family medicine and, from a pragmatic standpoint, I'm not sure how I feel about pursuing a 5-yr program if the earning potential is less than that of a 2-yr FM program and capitation-based model (i.e. FHO in Ontario). Does anyone have any insights into income and ability to scale it in PM&R? Would appreciate any input!

I would most likely split my time between inpatient rehab, outpatient sports med, and private medicolegal work. Would also appreciate any insights into coming by private work as a physiatrist as well!

(Obligatory disclaimer: I know money is not the be all and end all when picking specialties but if I'm equally interested in PM&R and FM in terms of the specialties, I would want to make an informed decision regarding other factors such as income)

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  • 4 weeks later...

I can only speak for the situation in Quebec but I would expect this to be applicable to most provinces. Basically:

- MSK earns more than rehab (botox and well-run EMG clinics with techs would be exceptions, but you normally wouldn't spend more than a couple days/week doing those)

- MSK with procedures earns more than MSK without procedures

- Fluoroscopy-guided injections pay the most

For the rest, the earning potential really depends on what you do. Obviously, if you take an hour for new patients and 30-40 minutes per follow-up, you'll earn less than if you take 30-40 minutes per new patients and 15-20 minutes for follow-ups. You'll earn more if you work 5 days a week and if you take a half or full day off/week. You'll earn more if you take less vacation. Etc.

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