i think i will say what i wanted to say yesterday and got upset.
in medicine, it is very hard to make a living as a private physician, their era is over unless they verge into boutique services, catering to rich healthy people ( or not healthy, like Edurg). so, most physicians work for HMOs, PPOs, or universities, some work for smaller nonteaching hospitals and clinic PA (prof. assoc) groups, but those also are quickly bought up by HMOs.
1. a typical HMO yearly salary for my specialty MD in mid-career, without administrative responsibilities, is about 350K. one of my grads in 2007 got 425, but that is fargo. nobody wants fargo.
2. a typical academic salary for the same midcareer MD is about 200K.
1. works his ass off, always. HMOs etc have productivity standards that they enforce aggressively. burnout is frequent.
2. also is worked hard, but not as hard as 1, but if 2. does not try to buy out time with admin or teaching salary support, they will burn out, too.
it does not matter whether 2. works for a state school or a private medschool: it is the same.
3. federal employee MDs include those that treat active military, and those who are in the VA.
i have seen TWICE what a sinecure VA can be for a slightly or very lazy physician who dug in, barricaded, does VERY LITTLE ( 1/4th of 1., 1/3 of 2.) while getting an assured salary of 250K and benefits and various other perks including a covt pension.
С одной стороны, многие доктора жалуются на то как тяжело стало жить. А с другой, все без исключения знакомые доктора живут очень хорошо, а некоторые просто сказочно хорошо.
Their houses, their cars, their fabulous vacations navy times a year while working part time.
Our former family doctor converted her practice to a private club of sorts. She has limited herself to 400 patients each paying $4K per year only for membership. Plus whatever whatever she chargers for actual care if anybody gets sick. Ideally, 400 young and healthy people, so she can get north of $500K while doing next to nothing.
Я думать никто к ней не пойдет на таких условиях. Но нет, как-то набрала, нам прислали письмо, что мест больше нет, можно встать на лист ожидания. Good for her.
Моя одноклассница начала работать будучи уже за 40. После 10-12 работы part time in private practice у неё уже было пара лимонов на покупку квартиры в НЙ, она у меня спрашивала где лучше. Летом не работает вообще. Делит время между Парижем и Ленинградом. Муж у неё уже лет 20 не работает. Плохо ли?
Ну и в гостях бываем у людей. Видно же кто как живет.
>> После 10-12 работы part time in private practice у неё уже было пара лимонов на покупку квартиры в НЙ Либо это были не два лимона, а только на первый взнос, либо лимоны были заработаны не засчёт part time in private practice.
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timeasmymeasure
no subject
Date: 2019-07-26 02:02 pm (UTC)in medicine, it is very hard to make a living as a private physician, their era is over unless they verge into boutique services, catering to rich healthy people ( or not healthy, like Edurg).
so, most physicians work for HMOs, PPOs, or universities, some work for smaller nonteaching hospitals and clinic PA (prof. assoc) groups, but those also are quickly bought up by HMOs.
1. a typical HMO yearly salary for my specialty MD in mid-career, without administrative responsibilities, is about 350K. one of my grads in 2007 got 425, but that is fargo. nobody wants fargo.
2. a typical academic salary for the same midcareer MD is about 200K.
1. works his ass off, always. HMOs etc have productivity standards that they enforce aggressively. burnout is frequent.
2. also is worked hard, but not as hard as 1, but if 2. does not try to buy out time with admin or teaching salary support, they will burn out, too.
it does not matter whether 2. works for a state school or a private medschool: it is the same.
3. federal employee MDs include those that treat active military, and those who are in the VA.
i have seen TWICE what a sinecure VA can be for a slightly or very lazy physician who dug in, barricaded, does VERY LITTLE ( 1/4th of 1., 1/3 of 2.) while getting an assured salary of 250K and benefits and various other perks including a covt pension.
that illustrates your point.
no subject
Date: 2019-07-27 04:22 pm (UTC)no subject
Date: 2019-07-27 07:58 pm (UTC)some do okay, yes.
but there are >400 suicides per year, growing rates of divorce, addiction early death from various illnesses, in MDs.
no subject
Date: 2019-07-27 08:39 pm (UTC)Our former family doctor converted her practice to a private club of sorts. She has limited herself to 400 patients each paying $4K per year only for membership. Plus whatever whatever she chargers for actual care if anybody gets sick. Ideally, 400 young and healthy people, so she can get north of $500K while doing next to nothing.
Я думать никто к ней не пойдет на таких условиях. Но нет, как-то набрала, нам прислали письмо, что мест больше нет, можно встать на лист ожидания. Good for her.
Моя одноклассница начала работать будучи уже за 40. После 10-12 работы part time in private practice у неё уже было пара лимонов на покупку квартиры в НЙ, она у меня спрашивала где лучше. Летом не работает вообще. Делит время между Парижем и Ленинградом. Муж у неё уже лет 20 не работает. Плохо ли?
Ну и в гостях бываем у людей. Видно же кто как живет.
no subject
Date: 2019-07-27 08:47 pm (UTC)про одноклассницу не знаю. у меня всегда подозрение к русским врачам, в прайват, сорри.
no subject
Date: 2019-07-27 11:50 pm (UTC)У меня вообще к русским подозрение, но тем не менее довольно много приличных людей.
no subject
Date: 2019-08-14 11:02 am (UTC)Либо это были не два лимона, а только на первый взнос, либо лимоны были заработаны не засчёт part time in private practice.