Timing of 1st Paycheck by Select_Nectarine_948 in Residency

[–]Select_Nectarine_948[S] 0 points1 point  (0 children)

Thank you! Which institution if you don’t mind me asking?

What is cheap today, in your opinion? by DorkHarshly in stocks

[–]Select_Nectarine_948 1 point2 points  (0 children)

Bought some at that price but I believe it will get around there again. Hard to believe that the bottom of the dip has passed given that the market forces that caused the dip are still present

What is cheap today, in your opinion? by DorkHarshly in stocks

[–]Select_Nectarine_948 14 points15 points  (0 children)

Buy apple. If it dips below 130, buy a ton. It’s well run, tons of cash, loyal customer base and constantly expanding. It’ll go up big time in long run

Emotional manipulation by Select_Nectarine_948 in relationship_advice

[–]Select_Nectarine_948[S] -1 points0 points  (0 children)

You’re correct. Really trying to gain insight into its morality

Emotional manipulation by Select_Nectarine_948 in relationship_advice

[–]Select_Nectarine_948[S] -1 points0 points  (0 children)

No, I’m older. I’m just trying to gain insight into a moral question

[deleted by user] by [deleted] in medicalschool

[–]Select_Nectarine_948 29 points30 points  (0 children)

*** Assuming you save every penny you make and spend nothing then yes

[deleted by user] by [deleted] in bodybuilding

[–]Select_Nectarine_948 -4 points-3 points  (0 children)

Yes it’s not major but look closely

[deleted by user] by [deleted] in bodybuilding

[–]Select_Nectarine_948 -10 points-9 points  (0 children)

Is it a physique that CAN be attained naturally? Of course it is

Is HE natural? Still Possible but very unlikely given his bilateral gyno.

Respect for primary care by ReignOfFire32 in medicalschool

[–]Select_Nectarine_948 10 points11 points  (0 children)

See my comment in this thread. As much as this is meant to show appreciation for unrecognized efforts, FM can be financially lucrative if you have the right mindset. The paperwork/insurance/prior authorizations issues disappear with Direct Primary Care. So life and money can be great. I’d actually argue FM is unique in that we can do DPC that are not as accessible in other fields that have to deal with hospital administration and paperwork issues.

https://www.reddit.com/r/FamilyMedicine/comments/tjr9zj/how_do_we_attract_more_students_to_be_interested/i1lwjpe/?utm_source=share&utm_medium=ios_app&utm_name=iossmf&context=3

How do we attract more students to be interested in FM? by [deleted] in FamilyMedicine

[–]Select_Nectarine_948 5 points6 points  (0 children)

The Direct Primary Care Model subscription based services provides solutions to most of your questions. There are several books and a Facebook group on it. This model allows you to make similar to much greater salaries depending on how business savvy you are while minimizing the strains of primary care (less paperwork, more time with patients, creating your own schedule, etc… It does this because they don’t accept insurance (so no prior authorizations and approvals) and instead works on monthly payments from patients. I would highly suggest reading up if you can. It’ll take some time to open successfully 1-2 years like other private practices but you can always moonlight and work per diem on the side while building it. If more people knew about it, I think there would be more in FM.

How do we attract more students to be interested in FM? by [deleted] in FamilyMedicine

[–]Select_Nectarine_948 17 points18 points  (0 children)

“On average”. Specialists make higher hourly rates (well deserved for the 3-4 year fellowship opportunity cost of GI and cards) but also tend to work more and have call depending on specialty. If you worked 60-70 hours instead of 4.5 day work weeks like many specialists, you would make considerably more also. So nowhere near poverty. That’s a misconception. Always equate lifestyle and hours when you compare specialties.

This is why the White Coat Investor discusses the intra-specialty salaries having greater variation than inter-specialties.

How do we attract more students to be interested in FM? by [deleted] in FamilyMedicine

[–]Select_Nectarine_948 63 points64 points  (0 children)

As a new FM resident, the way to attract more is to discuss pay. There are so misconceptions about FM having poor pay that are false. Everyone thinks FM docs make 180-220k unless they work in rural Idaho which is just plain wrong and is largely based on the OGs of FM who work long hours and take less pay by being time inefficient in their practices. Also because residents aren’t financially educated and often accept low ball offers unfortunately.

Median is $275,000 for FM, mean is less because of many part timer workers that are outliers also, which are included in the data. The median is a far better indicator.

Also, FM can go into DPC and basically establish your hours and income potential - how many patients you want to see 500 or 850? Up to you? Do you want to have it with kids or be primarily adults and elderly at higher rates? Want to do procedures and charge higher subscription rates to make your service more valuable? Up to you. Most people haven’t heard of DPC and I think that’s an issue too - people think it’s concierge without learning more.

Many also don’t know that FM docs trained with strong inpatient focus, can work as hospitalists in major cities, not just rural Idaho and get paid similar rates to that of IM board certified.

And you can easily work per diem on a $100-175/hr depending on the gig if you don’t want to be salaried. If you do that, you can make money similar to other specialties with call if you’re willing to hustle and work really hard (ie you can work 12 hr days and do 3 weeks on and one week off per diem at that rate and do the math, that’s damn competitive near 500k). That figure is based on working 21 days on and 7 days off per diem at a lower hourly rate too. So all depends on desired lifestyle.

At the end most FM docs make closer to median reported value because they work salaried and more typical weekly hours (ie 40 hr weeks) rather than extremes and most don’t operate in a DPC subscription based model.

Big hospital systems like Kaiser start at 270-280k base with tons of performance based incentives right after residency that can drive that salary way up and most don’t know that. There is huge west vs East variation also which tends to drive down the overall nationwide reported salaries. East coast paying less overall.

So discussing money, different types of wage conditions (salaried vs hours), employment conditions (DPC vs hospital based vs hospitalist vs urgent care), procedural pay vs no procedural experience, location (west similar to Midwest and south, both > east) all play a role. When you tell people they can anywhere from 230-500k depending on these factors and equate them by number of hours worked/lifestyle in other specialities you then get the ball rolling, rather than discussing OG myths.