
Originally Posted by
Sir Reel
Lots of things being thrown around here. I'm just at the beginning of my medical career. Granted I am in academic medicine, but I would say the 83% is a touch high... although depending on what "have considered quitting" means, I guess I may fall within that as well... but the reality is I won't be leaving any time soon. And neither will the vast majority of physicians.
I don't really think that there are that many less people wanting to go into medicine. Actually the reports I have read over the last several years were showing an increase in applications due to the fact that the short term economy looks so bleak that the I-bankers and the like didn't see a return in it, and found that going into medicine was actually more stable. One of my room mates felt that way... he was Econ major at a very prestigious college and interned at Goldman. But overall, the sentiment is surely there that the more things fall, the less you will eventually have applying (especially if the economy improves), and the worse applicants that will get in.
I think it is still a field that parents push their kids to go into, and yes, even the HYP'ers. I lived with a number of Ivy Leaguers even at Jefferson, which certainly doesn't have the pedigree of some medical schools. Difference is, true high class (by which I mean >500k/ year) kids and parents realize that their lifestyle almost certainly will not be sustained by going into medicine. The future just isn't ripe to get rich in it for the vast majority. Not to say we will be poor, but the money isn't there that once was. I don't think it takes a HYP'er to be a great doctor... frankly one better connected with the average guy will probably serve their patients better. I think rather than a noble field for a kid from a rich family, it is a great middle class profession. And I don't think we are losing anything because of that. Might actually be gaining some initiative.
But as far as salaries go, they are dropping, there is no doubt about it. Using an interventional cardiologist as a measuring stick? Please. Sure they make over 300k. They are super specialists. It is incredibly competitive to become one and it takes years and years of training even after medical school: 3-4 years internal medicine residency, 3 years cardiology fellowship, and 1 year interventional fellowship if I'm not mistaken. All this time, they are making about 50k per year. So the average person who goes straight through school is 34 before they can make a physician's salary. And your friend who works 3 days a week as an anesthesiologist making 300k? Does that happen? Sure. Anesthesia is also know as one of the cushiest fields of medicine. But the average salary is closer to 250, and they work 5 days a week with call.
Call once a month as a surgeon is a joke... I know plenty of docs who take Q2 call... that's every other day. And, I would say of those who are in a field that requires call, every 4-5 days is average.
Insurance simply doesn't cover all lawsuits... your butt is on the line with the ridiculous awards that are given. And even if your coverage is enough, your premium goes up the next year and you definitely do take a hit.
The average doctor graduates with 180k in debt. Many, including myself, are much much higher. And the average salary of primary care doctors is in the mid 100s. I think the average salary overall is around 250k. Starting salaries are average closer to 180k.
Don't get me wrong, I'm not complaining. I couldn't do anything else. I'll have a comfortable lifestyle. But don't tell me that I'm rich and don't have any idea about what anyone else goes through.