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Physiatry/PM&R Earning Potential & Private Work


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Cross posted from other specialty residencies 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 and pay 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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I think if you do more lucrative things like EMGs or medicolegal work your income potential should be higher than FM if you adjust for rate/hour. I have PMR friends that don't do any medicolegal work though as they didn't like the atmosphere with the patient evaluations so just be aware of that.

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7 minutes ago, blah1234 said:

I think if you do more lucrative things like EMGs or medicolegal work your income potential should be higher than FM if you adjust for rate/hour. I have PMR friends that don't do any medicolegal work though as they didn't like the atmosphere with the patient evaluations so just be aware of that.

Could you clarify what you mean about the atmosphere? 

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You are evaluating these patients for a 3rd party (e.g., law firm) and thus it's not a traditional therapeutic relationship. It can often be antagonistic because you can be the expert that's evaluating a patient to deny a disability claim or for a civil proceeding or some other non-traditional medical purpose.

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5 hours ago, itsgoingtibiaokay7 said:

Cross posted from other specialty residencies 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'm not from Ontario so bear with me, but is the Ontario government still allowing new FM graduates into the FHO capitation models? I was under the impression that the province wants to kill it because it costs so much and hasn't led to better outcomes.

From the media reports that I've read, the only thing it's achieved is paying FMs working 30 hours a week like specialists. Since I'm not from ON, I don't know how accurate the reports are. Could someone clarify about the future of capitation-based FM?

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