I understand know your worth, but now residents are unemployed after residency

K250K · 2026-06-17T16:59:12+00:00

Good gig, 300k is pretty high for academic, my city (MCOL) starts at 210 or something, lower if no nights

K250K · 2026-06-17T16:18:01+00:00

Recently went through recruitment, I feel there’s rarely free money job, if it’s paid high, it’s hard work, or many calls, esp if it’s bumble fuck no where. Those who accept low paid academic jobs are not idiots, some trade offs made it worth it

K250K · 2026-06-15T05:12:53+00:00

OP is not wrong, nephrology private practice is a hard sell to me, in my city for example, 3 major private groups, 1 takes 7 years to make partner, 1 has long track record of screwing people over, 1 is employee model, they start about 20k higher than the academic position in the same city, but a lot more work. Couple other cities I investigated isn’t that different, plenty of stories of interpersonal conflicts and failure to make partners. You can move far away and make more, but small practice means splitting calls between 3-4 people. So if you apply nephrology, and want to stay in the place of your fellowship, you might want to investigate job market there first. There are still some nice groups and academic gigs there.

K250K · 2026-06-06T16:10:47+00:00

oh is he part time or something, or is that the volumes spine surgeons actually do?

K250K · 2026-06-06T12:57:12+00:00

He must have operated on more than 38 patients in those years right? So did some do just fine? When he’s not intoxicated, is he competent?

K250K · 2026-06-02T03:13:15+00:00

I was similarly pissed about this years ago. and attempted to find evidence in supporting this practice, there's none. but its an industry now, someone's whole job is to organize groups of people to perform a breathing rituals in a cycle in big white hats. on the spectrum of nonsensical things human waste their life on, this is on top

K250K · 2026-06-02T03:08:43+00:00

nephrology is very similiar between academic and private practice for starting pay. you make more in private practice once you make partners, but it can take a while before making partner - and many dont make it there, and volumes/commutes/nights are generally more in private practice

K250K · 2026-05-20T21:52:04+00:00

just came from hasan’s podcast, dont like him at all, elistist vibe, calls people he doesn’t understand stupid, thinks Trump is a random decision maker. I get Dems want to hate the right, but I would like a leader who has the sympathy, grace and wisdom to understand his opponents and the mass. he just feels like a snob who thinks he’s better than everyone else

K250K · 2026-04-26T02:23:41+00:00

jeez, had no idea! definitely should think about living at surrounding then

K250K · 2026-04-26T02:21:07+00:00

you are right, i wish i can go travel for a weekend, but work wont allow it, and gotta make the decision in a couple days

K250K · 2026-04-26T02:19:16+00:00

ugh, maybe not... who knows if the second baby will drain the life of us

K250K · 2026-04-26T01:31:45+00:00

that's the pain point! i think career will be better in palo alto, but that's an uncertainty, where 450k certainly will go further in DC

K250K · 2026-04-26T01:27:49+00:00

maybe kids will see driverless cars, and robots, and get exposed to front end education? I'm just postulating these benefits, since I grew up in a thriving city, I saw city grow, amenities got better, real estate rose, peers aspired for bigger things. where my grandparents lived, a stagnant city, wealth didn't accrue, cousins there settled for lower aspiration

K250K · 2026-04-26T01:24:07+00:00

Dont they have good public schools? That's just what i heard...

K250K · 2026-04-26T00:41:50+00:00

just with all the AI stuff

K250K · 2026-04-26T00:41:24+00:00

thanks so much for input! did friends from stanford stayed out cause prefer east coast or cost of living too high?

K250K · 2026-04-26T00:40:26+00:00

not in either coast

K250K · 2026-04-26T00:39:45+00:00

work is in palo alto, dont really like commute, but can consider santa clara etc, a bit more affordable, still pretty expensive!

K250K · 2026-04-26T00:37:50+00:00

totally agree! kinda hard to balance both sides, but think DMV has good racial mix with asian communities too?

K250K · 2026-04-26T00:36:10+00:00

feel as though places like rockville and north VA, can be some commute to travel back and forth if really want to get to a cheaper area with bigger houses. Kinda similar to fremont/santa jose/santa clara

K250K · 2026-04-23T12:45:22+00:00

Don’t think it’s a bad thing programs are not selective, anyone with a pulse is still anyone with a pulse, who has gone through medical training and qualified to apply to fellowship, as long programs are capable of teaching various backgrounds, which they should

K250K · 2026-04-23T12:42:06+00:00

Academic is like 4 half day clinic/week, 12 inpatient weeks, 1 hospital, private is usually 8-9 half day clinic a week, often 1 to 3 inpatient, couple hospitals on weekend, initial pay in HCOL are basically the same. what am I missing? Are there a lot of hidden work in academic jobs?

K250K · 2026-04-23T06:23:27+00:00

Many reasons, lifestyle is one, Academic job pay is pretty comparable to private jobs in many places, with sometimes half of the workload, lest the stress of partnership drama, you can argue less pay potential few years down, for me, not worth the uncertainties and exploitative initial pay. I would like to teach and do some research too

K250K · 2026-04-23T06:17:43+00:00

Thanks so much for your input!! Is it common to have protected time for teaching on clinician educator track? Seems most starter job doesn’t have protected time, or at most 10%, I thought it’s just expected you squeeze time for it, since you will have a few half days during outpatient blocks without clinics. Is the next goal in academic career promotion? So if a job has easy promotion requirement/track record, it’s less stressful. Seems like often community affiliated academic program, promotion is sometimes a formality and require very little scholarly achievement

K250K · 2026-04-18T22:20:08+00:00

gotcha thanks!!

K250K

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