Date: September 8th, 2010 1:43 AM
Author: Boyish green church building tank
you're dreaming, nigga
"just saw the AMA stats for physician work hours. Interesting. A lot of specialties work harder that I thought and a couple work much less.
Obstetrics and Gynecology 61
Anesthesiology 61
Urology 60.5
Surgery 60
Radiology (diagnostic) 58
Orthopedic Surgery 58
Internal medicine 57
Neurology 55.5
Pediatrics 54
Otolaryngology 53.5
Family Practice 52.5
Psychiatry 48
Ophthalmology 47
Emergency Medicine 46
Dermatology 45.5
Pathology 45.5
Getting back to the thread, I would say most of those numbers are reasonably accurate, assuming that they match up with current salary surveys, such as anesthesia making around $350k and general surgery $270k. Of course, there is quite a bit of regional variation. I also agree that doctor reported numbers can be a bit sketchy. I have had a lot of jobs since finishing residency and heard about many more. Most docs inflate their income about 20% and under-report their hours by at least 10%. None of us really want to admit how hard we work for the money we make.
Anesthesiologists put in some hours to make $350k. Around 60 is spot on. You can get lower paying jobs that pay less, like the VA and Kaiser that allow you to work less hours.
Today, to make over $350k a year, you really have to be putting in over 60 hours a week for most people. Yeah, some people have their hook-ups going on, be it with the prison system, medicaid, workers comp, or some other unique deal, but to make serious paper, you have to put in serious hours.
Keep in mind that hours in residency does not equal hours after residency. Neurosurgeons get killed in residency, but can work decent hours and make good money after training. They are somewhat unique, because their cases bill more RVUs. Ortho can do that too with spine surgery.
General surgeons can build a nice hernia and GI practice with little after hours work in the right community. You cannot always get a sweet gig right out of residency, but once you know the lay of the land, you can figure it out. Just make sure to negotiate your malpractice tail and don't buy some huge castle right out of residency. That will seriously limit your options. Jobs like Kaiser are good, because they can pay your tail if you decide to change jobs. Once you carve out a niche for yourself, be it a hand practice or a hernia practice, you can improve your hours, while maintaining a decent income.
Primary care docs have it better during residency, but to make decent money in practice, they have to hustle, because office visits don't pay squat. You have to see the whole town every week to make a decent living. So, they end up working similar, or more hours in private practice than they did in residency."
http://forums.studentdoctor.net/showthread.php?t=101722
(http://www.autoadmit.com/thread.php?thread_id=1417536&forum_id=2#15992744)