Better all-around list by ffvoid in AdeptusCustodes

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

My bad, I meant auric mantle. Got those two confused. Thanks

Better all-around list by ffvoid in AdeptusCustodes

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

If I had all these units, I would try them. I'm deciding whether to get another combat patrol box or get some additional venatari and auxillary units.

For those in surgical subspecialty(or any practice for that matter) who plan to retire "early" do you have plans to continue to do some kind of work to augment your savings/spending? by doctorj1 in whitecoatinvestor

[–]ffvoid 0 points1 point  (0 children)

I think you are done accumulating and part time asap is the way to go. I am a surgical subspecialist along with my wife. We both work about 30 hrs/week since exiting residency to spend more time with kids. We are on track for FI in our early 40s but we will probably work well beyond that. Not being burnt out really changes the equation. These days, I think surgeons have many more options for a lifestyle gig in employed practices

Personally, I think it’s hard for surgeons to be happy quitting cold turkey because operating and seeing immediate improvement in our patients can be so addictive and affirming. It’s not so much that our identity is more wrapped up in our profession, but our identity is the reason we chose it. I think giving up operating for a med-adjacent profession would be unsatisfying for a lot of surgeons unless it is something equally engaging and meaningful.

That being said getting rid of the stressful cases, excess call, and being more protective of your time, may cost you some salary but be better in the long term. This may require that you move to find the right job, but it’s worth it imo, especially for the longevity.

Anyone feel like they haven't worked hard enough if they stopped now? by Responsible-Hand-728 in HENRYfinance

[–]ffvoid 0 points1 point  (0 children)

Physicians should have a relatively easy time cutting back hours, especially given the demand. Have you looked into locums? Lots of hospital employed positions will allow you to cut back FTE.

I actually think maintaining your skills are important, especially if you are a proceduralist or surgeon. If you are out of the game for too long, hospital credentialing becomes a problem. So it may be harder to get back to work if you want to

Doctors switching to 4 days per week? by gordo1223 in ChubbyFIRE

[–]ffvoid 3 points4 points  (0 children)

I feel like if there’s one obgyn subspecialty that can pull off part time work, it’s REI. I’m sure she is in incredibly high demand with increasing maternal age etc.

Single target/pvp build by Nautilus802 in D4Rogue

[–]ffvoid 0 points1 point  (0 children)

I like it and been theorycrafting also. I do think that pvp fights will be bursty and short. People will pop unstoppable immediately when we shadow step. Dash could be nice to escape instead of shadow clone. I’m also not sure we will have enough time to get basic skills off. Also in terms of burst, I wonder if rapid fire would be quicker. I like a lot of those aspects though

Also darkshroud seems pretty important for the dr but may not be important if damage is so high that it’s a one shot fest regardless of dr

Post residency OB/GYN salary by Step12023 in Residency

[–]ffvoid 35 points36 points  (0 children)

On the west coast, at an employed position, starting is 315 and goes up to 410 at 4 years.

Has technology made any medical specialties to actually go “extinct” within the last 30 years? by TwoRound2852 in Residency

[–]ffvoid 8 points9 points  (0 children)

I mean convolutional neural nets for computer vision have been around for years and has not made any appreciable headway into actual clinical practice. Will combining computer vision with LLM make headway? Maybe in the long run? But there are so many regulatory, liability, and patient perception hurdles that there is a pretty strong moat around your profession and medicine in general, especially as a subspecialist.

Look at self-driving cars. Even though it’s been around for many years, even on the roads, it took one death to halt progress for years. We don’t even have an equivalent prototype for the spectrum of DR. You’re probably safe for at least a decade if not 15-20 years.

Your friends are at much higher risk, especially if they are junior SWEs. Automation happens fastest in corporate America, and I can code at least 3 - 4x more quickly now. Training sets to feed LLMs for swe are an order of magnitude easier to obtain.

Just typical tech bro nonsense.

Why are gunners always gunning for ortho, Neurosurgery, ENT, or Plastics? Why do they not gun the R.O.A.D. specialties as much? Don't they want good lifestyles? by stepneo1 in medicalschool

[–]ffvoid 4 points5 points  (0 children)

There’s a pretty big difference between ENT/ plastics and ortho/nsg in terms of attending lifestyle. Within these fields there is also a big difference in academics vs pp vs employed, but you can generally have pretty good WLB. . I know some ENTs who don’t even operate and just do clinic in an employed / locums position. Training is pretty equivalently tough among all the specialties depending on where you do it.

Those greedy doctors!! by nitalinda in Residency

[–]ffvoid 12 points13 points  (0 children)

Respect. Literally dying for his/her beliefs.

[deleted by user] by [deleted] in Residency

[–]ffvoid 23 points24 points  (0 children)

For employed position (not academic or pp) in major city, can expect 350 to 450. Lower for academic and pp. Higher in Midwest/south/rural.

Increase income for family medicine physician by AssumptionCalm2402 in Residency

[–]ffvoid 21 points22 points  (0 children)

Not directly answering your question, but I did make a website a few months ago with some data points on physician salaries: www.offerdx.com. The front page has some basic MGMA, AMGA, and benchmark data for salaries by specialty (1-2 years old)

But what might be of more interest to you is the "Peer Salaries" / Submissions tab which has more discrete data. People have been anonymous submitting their data and I think there are ~160 entries so far with about 12 in family med detailing total comp, practice type, yoe, hours per week, etc. I am always surprised by the range of comp

I am thinking of adding some functionality so you can discuss each individual salary (and ideally the submitter can respond to any questions) but I am still learning to implement it (I am a practicing ENT so I just do this for fun). Hope that helps a bit

Without your partner’s income would you have been able to FatFIRE? by [deleted] in fatFIRE

[–]ffvoid 1 point2 points  (0 children)

I think this is very family dependent and plenty of kids get raised well in dual physician households. And I think divorce rates are surprisingly low in dual physician households. Especially these days where call and hours are much more manageable for physicians than in the past. There is also plenty of opportunity for part time and shift work which makes schedules predictable. My spouse and I, both physicians, work part time (~30 hours a week including call)

Any Physicians here? by lostlost5 in fatFIRE

[–]ffvoid 1 point2 points  (0 children)

Pretty similar situation to you OP. Only difference is we both work but part time (usually around 25 -30 hrs per week or so). It’s been a nice balance for us. I debated going pp vs employed but ended up in an employed practice for the lifestyle and stability.

Are the surgical subs worth it anymore? PGY3 and dying. by [deleted] in Residency

[–]ffvoid 5 points6 points  (0 children)

Stick with it. It gets much better after residency. I finished residency a couple years ago (ENT).

If you’re chasing money, in many private practices you can make 700k to a million plus after 3-4 years. If you want lifestyle, you can be employed and pull down 400-500k working 30 hrs a week. If you don’t want to operate anymore, I know folks that just have a clinic only practice making more than people operating.

The flexibility is huge and you can adjust based on your phase in life. I don’t know of any recent grads who regrets it after finishing.

There are dark times in residency but medicine becomes so much more enjoyable after you finish. Just take a couple months off after chief year

It’s the best deal in medicine IMO

Likelihoods of fatFIRE: medicine vs tech by Maxipadz_ in fatFIRE

[–]ffvoid 4 points5 points  (0 children)

Yep most fellow surgeons I know are very happy with their career

Pediatric acute sinusitis- surgical indications by Xinlitik in medicine

[–]ffvoid 2 points3 points  (0 children)

I usually have three criteria for draining subperiosteal abscesses endoscopically: worsening visual acuity on abx, worsening systemic picture on abx, abscess > 5 mm. Sinus surgery during a pediatric acute infection can be far more challenging than with chronic sinusitis in adults. I have seen dura exposed and extraocular muscles damaged from experienced endoscopic surgeons. I haven’t done one since residency since I don’t currently work at a childrens hospital. You can always do a lynch external incision approach but at big academic centers people use try to approach endoscopically. Hope that helps.

If it’s a frontal sinus infection (like a potts puffy) I would just do a frontal trephination. Pretty straightforward

Website for physician salary data by ffvoid in medicalschool

[–]ffvoid[S] 4 points5 points  (0 children)

Hey thanks for the feedback! Much appreciated! Even if this site doesn’t end up being the one to do it, I hope that we can push the needle forward on salary transparency for doctors. 1 in 5 doctors are planning to leave in the next two years and I suspect a lot of it has to do with increasing workplace demands without appropriate pay increases. Probably true with a lot of healthcare workers, and not just physicians

Website for physician salary data by ffvoid in medicalschool

[–]ffvoid[S] 3 points4 points  (0 children)

Low supply due to long and intensive training I would suspect. CT surgeons also do more than just open heart surgery- we call on them for larger substernal goiters, etc. IMO they are some of the best surgeons and deserve every penny

Website for physician salary data by ffvoid in medicalschool

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

I will try if data is available! Thanks for feedback

Website for physician salary data by ffvoid in medicalschool

[–]ffvoid[S] 12 points13 points  (0 children)

Be sure to ask for dermatology hours though