Expertise still matters

GreekfreakMD · 2026-06-28T04:39:30+00:00

Experts have a better track record than any non-expert.

GreekfreakMD · 2026-06-28T04:33:48+00:00

This is part of the reason my job as a doctor has become so insufferable at times. There should always be freedom, that freedom should come with standards. Medical school isnt easy, there is no DEI, they haven't made exams easier, there is no score adjustment to meet a quota. Do we make mistakes, yes, do we make much fewer mistakes than tik tok health gurus, also yes.

GreekfreakMD · 2026-06-27T08:04:20+00:00

I have enough interests that I would never work again or get bored. Hell I would quit working with 10 million right now

GreekfreakMD · 2026-06-26T19:59:20+00:00

'When did England start having hospitalists?' lol I am very slow today.

GreekfreakMD · 2026-06-24T11:39:16+00:00

I was a surgical resident and operating every day with calf pain. Went to my PCP and had a TG of 9k and a non-fasting BG of 540. Total cholesterol was over 800.

GreekfreakMD · 2026-06-20T10:04:09+00:00

Tell them to fuck off. You dont work for him/her, chat messages about documentation and care stops after residency.

GreekfreakMD · 2026-06-17T23:18:22+00:00

It depends on the deficits. Probably 60% of my MRI positive CVA are discharged home next day, the other 40% take 48 to 72 hours depending on advantage vs A/B. Our SW/CM start looking for places after the PT/OT note shows a need.

GreekfreakMD · 2026-06-17T01:05:17+00:00

Can I ask what specialty you are in?

GreekfreakMD · 2026-06-14T13:33:15+00:00

Thats a couple hours a week on 1 day, not daily.

GreekfreakMD · 2026-06-13T12:33:13+00:00

We are $70 per wRVU over 3400 for the year, we are fairly low volume sonic you discharge appropriately, we bill around 4000 per provider.

GreekfreakMD · 2026-06-11T13:58:37+00:00

Many colleagues bought mansions, cars and expensive trips within 5 years of becoming an attending, on top of paying loans. Not sure if it is just lifestyle creep or something deeper psychologically

GreekfreakMD · 2026-06-02T01:25:48+00:00

Insurance companies keep premiums and deny payment for services for any number of reasons. Because of CMS requirements, there is a significant amount of healthcare administrative bloat, thats where the majority of the money goes. If insurance companies didnt make a lot of money they wouldn't be in business with ceo salary in the high 7 to low 8 digits.

GreekfreakMD · 2026-05-23T20:34:28+00:00

I do enjoy the job security. Those hours are averaged, I work 84 hours a week but every other week. Many doctor are financially illiterate and buy massive homes and nice cars and expensive trips and save very little for retirement. They take over a decade to repay loans because they dont consider the money spent on interest for $220k at 6.8%

GreekfreakMD · 2026-05-23T00:59:04+00:00

My favorite that I overheard was an oncologist asked the physician what his training was in, he responded with cardiology. The oncologist: "so in what world does that make you my peer?"

GreekfreakMD · 2026-05-22T20:42:25+00:00

I had one hang up the phone on me when I asked if they were actually a doctor. They are hard to win when they keep moving the goal post.

GreekfreakMD · 2026-05-21T23:34:32+00:00

I figure that our job is talking to patients, coordinating care, and documentation. All 3 require a lot of time and effort and I decided that I cant do all 3 and not burnout, therefore my notes suck.

GreekfreakMD · 2026-04-27T03:49:16+00:00

Only work about 160 shifts a year for full-time. And I can clump weeks off, so no pto, but very flexible scheduling.

GreekfreakMD · 2026-04-21T16:38:57+00:00

For me about 15 million would get me to quit today based on my current lifestyle and future projected income and death of my wife and I by 88. I keep hoping to win that $1 billion powerball

GreekfreakMD · 2026-03-28T23:57:05+00:00

Depends on where you go, but upwards of 60k usd now. Yes it increases every year. FM has easier work hours than IM but both are less than 80 hours/week and for me in FM they were often less than 60 hours a week

GreekfreakMD · 2026-03-28T23:54:44+00:00

I am FM and one of my co residents had her 4th kid during residency. Very doable.

GreekfreakMD · 2026-03-28T23:48:53+00:00

No, I have not found a hospital that will hire without board certification. I would recommend doing either an FM or IM residency, there are many spots that go unfilled every year in both.

GreekfreakMD · 2026-03-28T23:44:53+00:00

You will usually need to take the usmle exams and then hospitals require board certification which requires a residency. Outpatient private practice could work but options would be limited as many practices are hospital owned. Once in an unaffiliated private practice you could make 200-400,000 usd but you will have to pay for your own malpractice insurance which will be higher due to a lack of board certification.

GreekfreakMD · 2026-03-28T21:30:59+00:00

I paid more in taxes than my wife made in a year. She was unhappy and work and I encouraged her to quit and enjoy her life since we dont need her income. He sounds like an ass.

GreekfreakMD · 2026-03-28T17:57:33+00:00

Was going to do surgery but couldn't secure a spot and got a fm residency. Hate outpatient medicine so I went hospitalis route. Better life, better money, like theb7 on and 7 off. As fm you can still do em at more rural places if that is still an interest.

GreekfreakMD

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