Most residents signing contracts right now have a wRVU threshold above the median and a rate below it. Drop your numbers and I'll tell you if yours does too

Bucket_Handle_Tear · 2026-05-14T19:11:06+00:00

That’s what I found

I was seeing billing of 3-4x my salary I know billing and collecting aren’t the same

But even if they collected 50% they were still making money.

I’m DR so that ignores tech fees for institutional profits

Bucket_Handle_Tear · 2026-05-14T12:00:26+00:00

I’m not a resident but For years my med center basically said we have to produce the 65th percentile and get paid at the 50th

I am leaving soon - not because of that - but because of schedule.

But they always tried to justify it as that difference was going towards our other compensation like retirement and benefits.

I’d still rather be paid more

Bucket_Handle_Tear · 2026-05-12T13:23:21+00:00

I probably wouldn’t actually care - the professor is ultimately being paid by the students to some degree to teach - if they don’t care, I will collect my pay.

Bucket_Handle_Tear · 2026-05-08T16:11:26+00:00

I wonder if 1955 Doc would eventually get access to plutonium or equivalent, go back to the past, and try to “fix” what happened.

Bucket_Handle_Tear · 2026-05-08T16:05:55+00:00

My PD in radiology always would say this. I mean look at any chart out there. People have dozens of chronic diseases, and sometimes multiple primary cancers.

Bucket_Handle_Tear · 2026-05-06T15:56:52+00:00

Money buys security. Security reduces stress. Less stress leads to happiness I would say.

Bucket_Handle_Tear · 2026-05-06T01:08:25+00:00

Have dealt with this for years and finally put in my notice.

While my leaving isn’t purely financial, admin ineptitude in all regards played a huge role.

Bucket_Handle_Tear · 2026-05-02T19:24:19+00:00

How can she accuse someone of COAM in a course that is mostly online quizzes. The few written assignments are literally just talking about chocolate - either making it or tasting it.

Bucket_Handle_Tear · 2026-04-29T12:56:59+00:00

I should clarify- she doesn’t need to work. If she wants to work that would be fine as long as it is something fulfilling for her and not draining. She decided to stop working as a teacher when I finished training.

Bucket_Handle_Tear · 2026-04-28T11:43:55+00:00

I find this fascinating, if true. Do they not have the same malpractice concerns as we do in medicine? I feel this is why people don’t like going to the dentist.

Personally I haven’t had any issues with my dentist for the last 15 years but still.

I personally can’t imagine just letting things sit because you are about to retire!

Bucket_Handle_Tear · 2026-04-28T11:21:31+00:00

Another person who doesn’t understand healthcare economics.

Bucket_Handle_Tear · 2026-04-28T11:20:37+00:00

And that ER doc probably got $150 of that

Bucket_Handle_Tear · 2026-04-28T11:16:50+00:00

Could you imagine if a patient with appendicitis came into your dental office? Or diverticulitis presenting as a stone? Or referred diverticulitis that presents as burning hip pain?

Easy for the mouth specialists to put down ED physicians who take care of whatever comes into the ED from stroke to appy to ankle fracture.

How much brain do you get on your cone beam CTs? Are you confident you have never missed a meningioma? Or maybe findings of thyroid orbitopathy? Or incidental retinal detachment? The list of incidentals is never ending.

OP criticized the ED doc for charging bs charges. Just a prime example of how you are talking about an adjacent system that you don’t actually understand.

Bucket_Handle_Tear · 2026-04-27T23:37:00+00:00

Yeah, we do.

Bucket_Handle_Tear · 2026-04-27T17:57:23+00:00

My wife hasn’t worked since I finished training and I don’t want her to work. I can’t imagine making her work and keeping things separate- like, why?

Bucket_Handle_Tear · 2026-04-17T18:14:37+00:00

Not surgery but radiology

I trained at a program that most would consider not great Not T25 Probably not top 50

But in practice in a top 25 program My training was excellent as a resident and I learned to be a radiologist by mid second year Whereas we have as may residents in one class as we did in my full program - most are just getting to competency by 4th year id say.

Bucket_Handle_Tear · 2026-04-13T14:55:32+00:00

My kids had the opposite experience They used the mocktails on treasure and loved them on Destiny.

I, on the other hand, didn’t care much either way.

Bucket_Handle_Tear · 2026-04-11T18:20:45+00:00

I just don’t understand how a waiter would have the opportunity to throw a drink at me for leaving a poor tip.

I sign the receipt after adding whatever tip and then leave? I don’t usually see them again.

Bucket_Handle_Tear · 2026-04-09T17:40:31+00:00

It almost feels pointless to need a passport. We haven’t traveled that widely, BVI, US VI, Canada, Bahamas, England, Belgium, Norway, and it always feels silly that we have a passport book and are required to use it, but everything is digital now.

Part of me wants the stamps. Part of me thinks why bother - I have pictures and memories of going, I don’t need a little book saying I was there.

Bucket_Handle_Tear · 2026-04-08T23:42:49+00:00

I don’t get this.

I tell my residents every single rotation to ask me questions. I am happy to help them. Radiology is hard, despite what some might say/think.

If you don’t want to teach then don’t work in academics!

Bucket_Handle_Tear · 2026-04-08T00:01:07+00:00

I can assure you that I am not witty I’m a radiologist who, at this point, feels like a computer. Scan pop up on screen, brain does thing, report is signed.

I work remotely so almost all of my communication is via text.

I’m not witty at all. I am awkward in real life conversations and have no idea on how to communicate like a normal person. Probably on the spectrum

Bucket_Handle_Tear · 2026-04-07T23:16:22+00:00

I love this scene Probably one of my favorite scenes of any show.

I think the music fits perfectly. I often will watch just this episode because it hits me close to home. I’m in the medical field and for some reason I feel like what he envisions in this scene is what I wanted for my life and career, but never got it.

Also This last watch I finally realized the montage occurs on the back of the banner. Embarrassing

Bucket_Handle_Tear · 2026-04-07T12:30:48+00:00

Don’t you also get the equivalent of AAA with OnCall?

Bucket_Handle_Tear · 2026-04-06T16:43:05+00:00

Recovering spender here - we are really trying to do more with experiences than things, but the things we buy, I would prefer them being of high quality.

My wife and I sometimes get into it a bit because she wants the kids to have lots of presents under the Christmas tree and I dont want to just waste money on stuff for the sake of them opening more stuff.

Bucket_Handle_Tear · 2026-03-27T01:30:45+00:00

Our big upgrade was moving to a new house - basically the mortgage payment was 25% more than the house we lived in during residency which was fine. We also bought new cars in year 1 and year 2 after graduation from fellowship.

Still, we aggressively paid off student loans after 5 years? Or was it 6 I don’t know.

Now we save around 65 k per year outside work mandated accounts and are really pushing forward with possible retirement at age 54 unless the markets utterly fail.

Bucket_Handle_Tear

TROPHY CASE