How Much Do Doctors Really Make?

Taking into consideration the explosive growth of human population globally, having reached a staggering 7.5 billion last year, one profession we can’t ever get enough of are medical doctors. With third world countries contributing to a major chunk of the populations, doctors are needed more than ever to counter and eradicate prevalent diseases that underdeveloped or even well developed countries find themselves up against. Did you know that doctors are among the highest paid professionals in the United States of America? Software engineers, lawyers along with other professions considered prestigious have a pay scale below that of medical doctors.
Ailments and illnesses are and have always been a part of the human condition which is why doctors can never run out of job openings. This high demand is represented by the sky high salaries that doctors receive. Doctor’s salaries vary drastically according to their specialization and area of practice. A doctor can earn about $156,000 a year as a pediatrician to about $315,000 as a radiologist or orthopedic surgeon. Interestingly so, despite these numbers, only about 11% of doctors consider themselves rich. Surveys have revealed that about 51% of all physicians and 46% of primary care physicians think that they were compensated fairly.

The “Doctors are overpaid” argument
Many would argue that doctors are overpaid. This claim is widely contested. In England, the basic salary for a newly qualified doctor is £20,295. Additional pay over this is accounted for the overtime hours. The average nurse works for 37.5 hours per week and junior doctors work around 56 hours per week but this number can increase depending on the patient influx and overtime hours. If a nurse chooses to put in extra hours, they are rewarded accordingly. It’s also important not to forget the responsibility a doctor carries with him. When things go well, the healthcare team including staff and nurses are appreciated, but when things go wrong, doctors are to be blamed. Additionally, being a doctor isn’t all about attending to patients and working long hours. It means continual studying, research and staying updated on medical advances happening internationally.

Let’s take a look at the highest paid salaries amongst doctors
Orthopedics seems to be the most financially rewarding specialization with an average salary of $421,000 for patient care in 2014. Orthopedists seem to earn a lot more than other physicians when it comes to non-patient care activities too. These may include product sales and speaking engagements which can add another $29,000 a year. Cardiologists are the runner-ups with an average compensation of $376,000 for patient care only. Whereas, non patient care activities can earn them another $19,000 on average. Developed countries have a high incidence of cardiovascular diseases and obesity is another associated culprit responsible for the rising mortality rate of developed nations. The first world lifestyle of fast food coupled with a sedentary way of life seems to keep cardiology amongst the most needed heath care. Moreover, gastroenterologists are third on the list with an average compensation of $370,000 for patient care and another $14,000 in non-healthcare activities.

Cover picture by iofotoyayimages.com

What is it like for a non-doctor to marry a doctor?

This question was posted on Quora and answered by Carla Kayani:

I just married a doctor about three weeks ago but we have been together 8 years. She was at medical school when we met.

The downsides are that you can feel starved of attention sometimes. My wife has just finished an 80 hour week. Even when they are home, they must constantly study, prepare presentations and do compulsory online portfolio work. These responsibilities will only increase as they get promoted.

They can often struggle to understand your problems especially when it comes to difficulties in your own job. They deal in life and death as a job where you don’t. My wife resuscitates babies and such so they can invalidate your feelings when you’re upset about something you experienced at work. This can be extremely distressing on a lot of levels.

You will always feel inferior in the relationship. Sometimes in anger, they will remind you of your lack of worth for being ‘just a chef’ or ‘just a performing arts student’ or ‘just a now and then actor’.

You have to listen to some quite boring work stories that you can’t possibly understand because your highest scientific qualification is an O-Level in Biology as you took linguistic and theatrical subjects.

Their parents may resent that they married you instead of another doctor.

You feel embarrassed by being around their doctor friends because you feel like a mere mortal especially if you don’t have a degree. You find yourself overcompensating by exuding wit, vivacity, loquacity, self-taught knowledge and then hate yourself.

The upsides include feeling very safe in medical emergencies or during sickness unless it’s mental health problems where you’ll often get no understanding at all. They have a profession which is not actually as well paid as people think but the pay steadily rises over the years. You can survive off one income comfortably providing neither of you are particularly materialistic. Also, their doctor friends tend to be interesting, intelligent, friendly and have impeccable manners. They would never make you feel excluded or inferior. Largely, it probably wouldn’t cross their mind to think of you in that way.

You might feel validated in your intelligence and attractiveness. You must be those things if an attractive doctor genius married you.

If you have a fetish for doctors like me, you feel you’ve won the jackpot.

You get to play sexy doctor games with a real doctor. This is sexual heaven.

Sometimes they come home wearing scrubs looking all heroic and important.

You get to hear some really juicy stories about strange doctors, nurses, patients, crazy baby names, funny interactions, general gossip.


The Upside:

1. No threat or ego issues: Ever saw your friends resenting their spouses who are in the same line of work, and have become more successful? Here, I know that eventually doctors tend to earn more, and hence am fully prepared for it mentally. There is no scope of jealousy or resentment, and we both can be as successful as we can without hurting each other’s feelings. Further, we both get equal opportunities to appear more intelligent in front of each other.
2. Interesting conversations: She tells me about the curious cases that come to her, I tell her about the new marketing campaign I am working on. We exchange work talk, not really expecting expert opinions, but interesting ones nevertheless.
3. Network: I know I can count on a dentist, a pediatrician, a surgeon and many others whenever I need them because of her. She knows who to call if her computer crashes or she needs life hacks or she needs to find good pubs around 😛 . Also, typically medical students are too engrossed in their studies to really get to know outside life, so my circle of friends prove to be a good break from that for her . 😛
4. Understanding: She understands when I get really busy, or not able to take her call, or get to work at wee hours, cause that’s what she expects from me.
5. Min level of intelligence expected: Think about it. Doctors are anyway intelligent. Intelligent enough not to fall in love with idiots. Hence both parties get the benefit of no-stupidity-no-frustration factor.

The Downside:

1. Patience: Chances are, your doctor spouse was standing non-stop 6 hours assisting surgeries, hasn’t had anything since morning and has slept only 6 hours in last 48 hours. In such cases in whatever you speak or breathe, please tread carefully, very carefully. Be patient and considerate, and remember, ‘This too shall pass’.
2. Doctor Ego: Fact is, doctors had to study more and grill themselves for longer hours doing harder work than any engineer will ever do. This might lead them to think that doctors are better than engineers or anyone else. Again, a delicate topic to stir up.
3. Family awkwardness: You might end up feeling a bit ignored in case your family members get more interested in discussing their minute health issues to get free consultation than pampering you like you were used to. I, however, enjoy the peace. Then there is also the pressure of standing up to the expectation of ‘how can a doctor and non-doctor work it out together?’
4. The doctor vs the spouse: Often when you will hold her hand, she will suddenly observe some weirdness in the bone structure of your hand and start cautioning you against medical conditions you have never heard that affect body parts you never knew existed.

Bottom Line:
Be Understanding, Kill the ego, understand that your backgrounds are different and you both will never ever understand each other’s career completely. Enjoy the diversity, and make what time you get together count.

Sorrow Of The Dentist by Ayam Chhatkuli

And now, something slightly different than what you would expect from Meddy Bear. We are here to prove that doctors also have an artistic side to them.

We present to you a poem written by one of our fans, Ayam Chhatkuli from Nepal.

Enjoy!

 

 

 

 

Sorrow of the dentist

Before I joined the med school

the focus of my sight was different

I used to see a whole human

All I see now is the teeth with calculus and stain.

 

When I see an old man walking

all I remember is a complete denture

I’m fed up with my prostho work

help me God I surrender

 

The man has a class I fracture

46 got a root stump

A life with no joy and rupture

Is equal to a dump

 

I come to encounter mainly 2 sorts of patients

Few are philosophical

And many are hysterical

 

People actually are very unhygienic

They bath with Quatar soap and have a Jean Patou’s spray

But use a single brush for 6 months

and walk with a grossly decayed tooth till the next may

 

Inside the heat of this mask

My beard failed to grow

Nose felt difficult to breath

Salivation decreased its flow

 

These days I dream of teeth

Good dreams angels appear as a canine

Bad dreams impacted lateral at age nine

She insists to describe her beauty

All I can see is her anterior cross-bite

with peg laterals

Falling in love for a dentist

is almost like winning the battles.

Why are lab coats and physician coats white colored?

The white coat gives a specific emotional response from patients.

Traditionally, they were beige, but white is synonymous with innocence, being trustworthy, cleanliness and life. In the past, doctors wore their street clothes most often or black, reflecting the mortality and frequent deaths seen in their chosen profession.

Today, the coats lend an air of professionalism and evoke feelings of a doctor’s superiority and intelligence in patients.

Recently, my sister received her white coat in a ceremony held at her medical school. Many medical schools do this as a rite of passage, symbolizing beginning a physician’s role. Some hospitals use the white coat to differentiate between nurses and doctors.

The white coat is currently being debated. In 2009, the American Medical Association voted to stop using the white coat Because it can harbor bacteria and germs, being worn from one visit with a patient to the next.

Essentially, today, the white coat evokes a feeling of confidence in patients. It says, “I’m a healer, a scientist, a trustworthy person with lots of school and training.”

Older people especially tend to like the white coat but more doctors are moving to just their everyday clothes or scrubs and a stethoscope draped around their neck.

Posted by Michelle Roses on Quora

Why Doctors Are Unhappy

As a medical student, I was often unhappy. I would be stressed about the next exam, downtrodden after a surgeon just yelled at me in the OR, or worried that I may not match into the residency of my choice. These are just some of the feelings that doctors-in-training experience every day.

Becoming a physician is no easy task. In the United States, it often takes 11-15 years of education after high school: 4 years of college, 4 years of medical school, and 3-7 years of residency. Along the way, you are faced with competitive admission committees, difficult exams, and uncertainty of whether you will make it all the way through.

Why put up with all of this stress and anxiety? Because young doctors are often looking forward to a “good life” later on. Not only are doctors viewed as financially well-off, but they are also among the highest respected professions in society. Therefore, we deal with what we have to in order to become physicians.

The promise of future salvation keeps us going. However, now that I’ve taken a leave of absence from medical school for two years to pursue an MBA, I’ve had the chance to reflect on the past three years of my medical school career. I recently read the book The Power of Now by Eckhart Tolle. In it, is the secret to why so many future doctors (and doctors) are unhappy.

There is no such thing as future salvation.

Eckhart Tolle stresses that if you are always looking forward to happiness in the future, then you will never be happy at all. You can only be happy in the now. If you are not happy now, then don’t expect to be happy later. Be happy now or be miserable forever.

But searching for future salvation is exactly what medical students, residents, and even physicians do. We are willing to put in the time and energy to become physicians because of the idea of delayed gratification. We’ll work our tails off now so that later we can live a life in which we can provide great care to our patients, get paid well for doing it, and live a more balanced life.

But that is a flawed mentality. I realize now that I was always looking forward to getting something over with in medical school: the next block of curriculum, the next United States Medical Licensing Exam, the next clinical rotation, etc. Once I got done with that one thing, I would hope that my life would be a little better. But it wasn’t.

And that is what we, as future physicians, do. We expect that life will be better once we are done with premed, medical school, and residency. But it doesn’t get better. It will stay the same…unless you change your mentality.

Enjoy the now. Enjoy studying for the organic chemistry test as a premedical student. Enjoy rotating through internal medicine as a medical student. Enjoy working 80-hour weeks as a resident. If you do not enjoy your current situation, you will not enjoy your future one. As Eckhart Tolle states, “Nothing has happened in the past; it happened in the Now. Nothing will ever happen in the future; it will happen in the Now.”

Be happy now. It is the only way to be happy ever.

Shaan Patel is the founder of 2400 Expert Test Prep, a #1 bestselling author, and MD/MBA student at Yale and USC. He raised his own SAT score from average to perfect and teaches students his methods in an online SAT prep class.

Top 10 Things Your Doctor Wants You To Know

It may surprise you to know that doctors, in fact, get our most up-to-date medical knowledge from the National Enquirer (Man Gives Birth to Baby With Wooden Leg, Hospitalized With Splinters!), Sports Illustrated (Swimsuit Edition) and Reader’s Digest. The “I am Joe’s Pancreas, Kidney or Ovary” series personally got me through first year medical school.

A recent issue of Readers Digest discussed ten things that doctors wish they could tell you but were too diplomatic. Included were admonishments such as: call if you’re canceling your appointment, wash up, be honest about taking your medications blah blah. But nobody has ever accused me of being tactful and in fact few have accused me of being a doctor.

And so here are ten things we’d really like you to know for your visit.

1. Please turn off cell phones. While listening to your heart I get alarmed when I suddenly hear a strange galloping musical techno-tonic rhythm. So before I apply the paddles to your chest I suggest you turn off the phone. Some actually insist on taking calls. “Excuse me doctor but I should get this. Hi, snookums! Listen, I’m in with the doctor right now and judging by his red swollen face he looks busy, so let’s keep this to five minutes. Yes, his waiting room is full but I guess that’s why they called them patient, eh?”

2. Please don’t tell me the color of your pill.  “I need a refill for the white one, smaller than a breadbox, you know…round, I often take it with water.” Perfect. Narrows it down to 38 million medications.

3. Please do tell me your symptoms, not your diagnosis. “Well my friend and I were studying Reader’s Digest and I know we both have the rare form of Eastern Moldavian pseudohypoparathyroidism. We need a referral right away to the best specialist in town. Oh, and if you could fill out these disability papers.”

4. Don’t play with your tongue stud while talking. I swear I am so distracted by watching this marble flicking out at me, that you start to morph into a Komodo lizard testing the air. “So I (clickclick) was wondering if you could check my (clickclickclick) ears. I keep (clickclack) hearing this strange noise when I swallow. Kind of a clicking sound.”

5. Please don’t turn a child’s visit to a busy doctor into a field trip growth experience. “Tell the doctor what’s wrong Aniston Moonchild.” Three minutes of girl playing with shoelaces, “Go on now. Tell him when you’re ready.” Three minutes of silence as she explores the blood pressure cuff. “Perhaps you could tell me, Mrs. Bloggins.” “No, no just give her time.” 29 minutes later, “You tell him, mom.” This is the same parent who, just before the child is about to get a vaccine, warns, “Now don’t move a muscle or this will REALLY REALLY hurt, OK lovepuffin.”

6. Please notice those two really large earplugs called a stethoscope that I wear when I take your blood pressure or listen to your chest. I know you’re talking because I can see your lips flapping and hear some muffled noise from your lungs that sounds like Chewbacca with a sinus problem.

7. Please don’t try to sneak an extra patient in. “Oh and since we’re here could you take a look at Ron’s prostate, it’s been acting strange lately.”

8. Please don’t call and ask for medication refills without giving me any information. If I had a Nortel nickel for every message on my answering machine like “Hey doc, it’s Bill. I need a refill of my pills. Could you call that in to the pharmacy?” OK, Bill but what pharmacy, what drug and I realize you are the only Bill in your family but… who are you?

9.  Don’t spit into a Kleenex to show me, (gag) just before lunch. “It’s green doc, wanna see?” “I believe you Bloggins.”  “No wait, here.” (hairball choking sound). “Thanks for the diet idea, Bloggins.”

10. Don’t expect me to remember your problem from three years ago. “You remember, the rash I had on my left elbow in ’87. Can you give me the same thing you gave me, the white pill, kinda round… smaller than a breadbox.”

Funny Moments of Doctors during their shift

1. A man comes into the ER and yells, “My wife’s going to have her baby in the cab!” I grabbed my stuff, rushed out to the cab, lifted the lady’s dress, and began to take off her underwear. Suddenly I noticed that there were several cabs -and I was in the wrong one.
Submitted by Dr. Mark MacDonald

2. At the beginning of my shift I placed a stethoscope on an elderly and slightly deaf female patient’s anterior chest wall. “Big breaths,” I instructed. “Yes, they used to be,” replied the patient.
Submitted by Dr. Richard Byrnes

3. One day I had to be the bearer of bad news when I told a wife that her husband had died of a massive myocardial infarct. Not more than five minutes later, I heard her reporting to the rest of the family that he had died of a “massive internal fart.”
Submitted by Dr. Susan Steinberg

4. During a patient’s two week follow-up appointment with his cardiologist, he informed me, his doctor, that he was having trouble with one of his medications. “Which one? ” I asked. “The patch. The nurse told me to put on a new one every six ours and now I’m running out of places to put It!” I had him quickly undress and discovered what I hoped I wouldn’t see. Yes, the man had over fifty patches on his body! Now, the instructions include removal of the old patch before applying a new one.
Submitted by Dr. Rebecca St. Clair

5. While acquainting myself with a new elderly patient, I asked, “How long have you been bedridden?” After a look of complete confusion She answered…”Why, not for about twenty years – when my husband was alive.”
Submitted by Dr. Steven Swanson

6. I was caring for a woman and asked, “So how’s your breakfast this morning?” “It’s very good, except for the Kentucky Jelly. I can’t seem to get used to the taste,” the patient replied. I then asked to see the jelly and the woman produced a foil packet labeled “KY Jelly.”
Submitted by Dr. Leonard Kransdorf

7. A nurse was on duty in the Emergency Room, when a young woman with purple hair styled into a punk rocker Mohawk, sporting a variety of tattoos, and wearing strange clothing, entered. It was quickly determined that the patient had acute appendicitis, so she was scheduled for immediate surgery. When she was completely disrobed on the operating table, the staff noticed that her pubic hair had been dyed green, and above it there was a tattoo that read, “Keep off the grass.” Once the surgery was completed, the surgeon wrote a short note on the patient’s dressing, which said, “Sorry, had to mow the lawn.”
Submitted by RN no name

8. As a new, young MD doing his residency in OB, I was quite embarrassed when performing female pelvic exams To cover my embarrassment I had unconsciously formed a habit of whistling softly. The middle-aged lady upon whom I was performing this exam suddenly burst out laughing and further embarrassing me. I looked up from my work and sheepishly said, “I’m sorry. Was I tickling you?”
She replied, “No doctor, but the song you were whistling was, ‘I wish I was an Oscar MeyerWiener’!”.
Dr. wouldn’t submit his name

5 kinds of Doctors you’ll come across in a hospital

So after graduating from the Medical school I realized that it wasn’t so bad. Just kidding. It was bad. But then again I had loads of fun too. Anyways so when I looked back at my five years as a medical student I realized that both the fun part of a rotation and the misery was almost entirely dependent on the doctor I was rotating with. So based on my observation I categorized my mentors into five groups.

1. THE REALLY COOL DOC: “The name’s Bond, James Bond” .. Seriously, did you lose your way to the theater and end up in a hospital? As you watch this spic and span doctor enter with everything in place and a smile to top it all up you realize this is who you want to be. During his rounds he is empathetic and caring and knows his stuff well. Wow. Could it get any better? Best of all he gives you a chance to speak and make your point without passing any unwanted remarks or judgments. So by the end of your rotation you are all confident, you have gained some knowledge about the rotation and you are still yearning to learn more from this guy. Best time ever!

2. DOCTOR FRANKENSTEIN: “You rang?” When you first see this guy all you can think of is Lurch from The Addams family. I mean did you sleep well in the mortuary last night doctor? Or maybe say hello to the cadavers sir. This doctor looks totally shabby and is definitely sleep walking half the time in the hospital hallways. Now there is a 50/50 chance of him teaching you anything during the rotation depending upon his sleep deprivation status. But the best part is that he won’t notice your absence so all the more to be late on a round or take a tour to the cafeteria without getting into trouble. All in all, fun but not exciting.

3. Le MISERABLE DOCTOR: His wife left him, the system doesn’t care for him, the worlds coming to an end and medical students should never have graduated are the lines you keep hearing from this one. He will be least interested in teaching you any constructive stuff. All you’ll hear will be complaints and more complaints until you realize that people like him are the reason for the high suicidal rates among the doctors. This rotation passed slower than the rest and by the end of it you may have probably ordered yourself a .45 pistol on Ebay. Terrible time of the year this one.

4. THE SARCASTIC ONE: This guy will keep you on your toes 24/7. Leaving no opportunity to make you feel like crap and passing snide remarks each time you get something wrong you realize why people hate doctors so much. Now there is an 80% chance that this one will be a surgeon (not that I have anything against the surgeons. Purely my personal experience. No offence) God complex, perfectionism and constant urge to humiliate someone are some of the weapons he’ll carry around. By the end of this rotation you’ll be turning in a Le Miserable Doctor yourself and wondering whether to shoot him or yourself with that gun you purchased from Ebay.

5. THE OPPRESSED ONE: This guy will remind you of your childhood days. When there was this kid who everyone used to bully for no apparent reason. And he wouldn’t stand up for himself rather always act like he had Stockholm Syndrome. So during your rounds you’ll realize that instead of looking up to him as a mentor he is looking up to you. He is just sad. At first you get a thrill at getting the authority (Hmmm.. So this is how you end up becoming “The Sarcastic Doctor”) but then you get a feeling of guilt and try to cheer him up and act helpful during rotations. You should probably carry a pack of tissues just in case an emotional scene erupts between you two. But this rotation will teach you how to use authority and yet remain humble.

Photo credits:Hand image created by Jannoon028 – Freepik.com

23 things NOT to put on your CV – Resume writing for doctors

Is my resume ok? Is it what is expected?
We hear from many doctors who work with us as locums, or those who are wishing to work in the Australian medical system that they are not confident about their CV. They fear it is too long, too short, in the wrong format, the wrong font, doesn’t include the right information, or is not what is expected in Australia.

For the most part, their fear is well founded.
Having recruited to a number of different professions, I can say with absolute confidence that medical CVs are among the very worst I have ever seen. Somehow, amazingly, many doctor’s CVs seem to really hit every mark of ‘what not to do’. Rest assured, though, that it is certainly a problem you can fix.

Why is it so?
The short answer is ‘market forces’. Did you need to supply a CV to get an intern job? No. When you applied for your next job as an RMO/HMO, did it really matter what your CV looked like? Probably not – there were plenty of jobs.

There is a huge surplus of medical jobs in Australia, so by necessity, you haven’t had to learn the skill of writing a CV. Just a few years ago, you could most likely get a locum job with half a CV written on the back of a banana leaf.

What has changed?
Slowly, the medical employment market is becoming more competitive, and regulated. Many colleges are not increasing the amount of training places available and most employers are heavily formalising selection and employment of locums, even for short term jobs. There is now a need to really master the skill of getting your CV right.

What not to do, in a nutshell
First, forget everything you learnt at school about writing CVs. It was a waste of time. Second, never include any of these items in your CV. You may laugh at some of these, but most of them we see every single day on resumes, some are rarer – but are real examples of what I have personally seen.

1. Photograph
2. Marital status
3. Health status
4. Hobbies or interests
5. Details of children
6. Any paragraph longer than 40 words
7. Sporting achievements
8. Anything negative
9. Anything untrue
10. Your race or colour
11. Date of birth
12. Referees names and contact details (Why? Because you want to control access to your referees)
13. Religion
14. Political affiliations
15. Height or weight
16. Weird or offensive email addresses (such as hotpants69@sexylady.com)
17. Irrelevant jobs
18. Irrelevant education
19. Salary/income expectations
20. Anything spelt incorrectly
21. Irrelevant rants about your life, travel, desires, etc
22. Lists of every single procedure you have ever done, or considered doing in your life
23. Detailed background of your Medicare fraud activities

There are some exceptions to these rules – for example, when an employer or college specifically asks for certain information to be included.

Your homework

Open up your CV right now, identify anything that should not be in there, and delete it. For some of you, you may have only a blank page left!  You now have an excellent starting point to a killer CV.

Average salaries for physicians depending on their specialty

According to the American medical group association “AMGA” report in 2006 this is a list of average salaries for physicians in USA. This list may help you if you are medical student or young doctor so you can choose the most suitable specialty for your capabilities and needs.

Orthopedic Surgery – Spine : $688,503

Orthopedic Surgery – Joint Replacement : $605,953

Neurological Surgery : $592,811

Cardiac & Thoracic Surgery : $533,084

Orthopedic Surgery : $500,672

Diagnostic Radiology – Interventional : $478,000

Orthopedic Surgery – Hand : $476,039

Transplant Surgery – Liver : $454,287

Diagnostic Radiology – Non-Interventional : $454,205

Radiation Therapy (M.D. only) : $447,250

Orthopedic Surgery – Pediatrics : $425,000

Trauma Surgery : $424,555

Pediatric Surgery : $419,783

Urology : $413,941

Vascular Surgery : $413,629

Gynecological Oncology : $413,500

Gastroenterology : $405,000

Cardiology : $402,000

Colon & Rectal Surgery : $394,723

Perinatology : $394,121

Plastic & Reconstructive Surgery : $390,142

Oral Surgery : $380,500

Dermatology : $375,176

Anesthesiology : $370,500

Otolaryngology : $368,777

Transplant Surgery – Kidney : $365,125

General Surgery : $357,091

Pathology (M.D. only) : $354,750

Nuclear Medicine (M.D. only) : $331,000

Hematology & Medical Oncology : $320,907

Reproductive Endocrinology : $317,312

Intensivist : $313,152

Pulmonary Disease : $306,829

Orthopedic-Medical : $297,348

Neonatology : $280,771

Gynecology & Obstetrics : $275,152

Obstetrics : $275,152

Pediatric Intensive Care : $272,000

Emergency Care : $267,293

Critical Care Medicine : $264,750

Hypertension & Nephrology : $259,677

Allergy & Immunology : $249,674

Pediatric Gastroenterology : $240,895

Ophthalmology : $238,200

Physical Medicine & Rehabilitation : $237,628

Neurology : $236,500

Pediatric Cardiology : $233,958

Gynecology : $232,075

Sports Medicine : $231,540

Infectious Disease : $227,750

Rheumatologic Disease : $224,000

Occupational / Environmental Medicine : $223,750

Urgent Care : $222,920

Pediatric Neurology : $219,561

Endocrinology : $218,855

Psychiatry – Child : $216,360

Hospitalist : $215,716

Psychiatry : $214,740

Internal Medicine : $214,307

Pediatric Hematology / Oncology : $212,577

Pediatrics & Adolescent : $209,873

Pediatric Infectious Disease : $209,680

Family Medicine – with Obstetrics : $209,565

Family Medicine : $208,861

Pediatric Pulmonary Disease : $201,841

Pediatric Nephrology : $198,686

Pediatric Allergy : $198,458

Pediatric Endocrinology : $187,957

Geriatrics : $187,602

Photo credit: People image created by Kues1 – Freepik.com

10 Tips To Be A Successful Doctor

New Law Allows Med School Grads to Work as 'Assistant Physicians'

1- Read more : Every day there are new medical studies , new diseases , new drugs … etc , if you want to be a successful doctor you should read more everyday.

2- Details : Pay attention to details , you may diagnose a case with only one hidden word or sign.

3- Money is not everything : You are a physician , It is not an ordinary job you are treating with humans.

4- Ambitious : Ambition has no limit and you should renew your ambition to renew your success.

5- Humility : Respect others , even if you are excellent people hate conceited physicians , also even if you are excellent young doctors may know what you dont know.

6- Responsibility : Be responsible in every action you make as we said before it is not an ordinary job.

7- Communication skills : If you have time you can take a communication skills course , you should deliver good and bad news or advises for patients in a right manner.

8- Time management : You should manage your time between your work and your family and yourself , you are not a machine , Enjoy your life.

9- Be Patient : Dont hurry up , If you are good doctor you will be famous and you will be successful.

10- Marketing : You should search about new ways of medical marketing so people can find you.

Which is the best country to work in as a doctor?

This question was posted in Quora by Liang-Hai Sie
These are just a few thought where people say it’s difficult or good to work as a doctor.
The not so good stories are from:
-Eastern Europe: for most the pay is low, so many are unsatisfied
-Italy: most medical specialist aren’t paid so well
-UK: loss of control how to manage one’s practice is said to lead to a lot of burn-out?
-Germany: working hours are long, secondary job benefits are less than e.g. in The Netherlands
-SE Asia: in the more developed countries working hours are long, income is good, social standing good.  I think in the poorer countries all is a lot less.
-China: pay is not good, long working hours.


This is from a survey on burn-out in Chinese vs US physicians:
It is manageable and I’m not making any changes (36% vs 25%)
It is manageable but I need to make some changes in hours/workload/etc. (52.2% vs 62%)
I am thinking of leaving my current position (7.3% vs 7%)
I am thinking of leaving medicine altogether (4.5% vd 5%)

Financial position Chinese vd US physicians:

At present still OK:

-Scandinavian countries: working hours were quite OK, income relatively low, but one could have a good private life.  No problems with people unable to afford their essential medical care.
-The Netherlands: at present income and working conditions are still OK, but docs are losing more and more income and their say about how their practice are organized. Universal health care, people are mandatory insured for essential health care.
-USA??  Income if not a primary care physician is quite alright, high student loans, the threat of being sued, but all in all docs and partners are quite satisfied.

From:  Medscape: Medscape Access
Physician Lifestyles — Linking to Burnout: A Medscape Survey


As for partner satisfaction, as long you have more than two hours of face time a day, is high: 70%  See Elsevier The Medical Marriage: A National Survey of the Spouses/Partners of US Physicians (unfortunately at present only accessible to subscribers or if you pay for access)

Working Hours of Doctors According To Country

Resident duty hours around the globe: where are we now?

        • John Temple

      Background image created by Luis_molinero – Freepik.com

      BMC Medical Education201414(Suppl 1):S8

      DOI: 10.1186/1472-6920-14-S1-S8

      Published: 11 December 2014

      Abstract

      Safe and appropriate health care, especially in urgent or emergency situations, is the expectation of the public throughout the developed world. Achieving this goal requires appropriate levels of medical and other staff, appropriate training, and sensible working hours. Too often the brunt of such care, especially in out-of-hours situations, is borne by medical residents, who – to make matters worse – are frequently poorly supervised by more senior and experienced staff. Many jurisdictions have been alerted to this problem and are striving to correct it. However, the variation in attempts to restrict the actual hours worked by residents to “safe” levels is enormous, and all too often there is no consensus as to what should be put in place to achieve safe patient care. This paper sets out the current position for Europe, North America, and Australia.

      Introduction

      The volume of hours worked by medical residents has been a concern for years. The realization that tired, inexperienced, and poorly supervised doctors make more mistakes than those who are fresh, alert, and closely guided has become apparent everywhere. And yet there remains a huge variation in the implementation of controls over the actual hours worked, the environment available for learning, and the degree of real supervision afforded to these young professionals.

      Variation is seen both between countries with supposedly modern health care delivery systems and within the health systems of those countries themselves. What should be the role of medical residents? Should they be viewed as practitioners primarily, who provide service and attain further learning by clinical exposure (and, some would say, experience), or are they genuinely doctors in training, for whom every clinical event should be an appropriately supervised learning opportunity?

      The former system has resulted in a random, unstructured, arbitrary, and often patron-dependant method of acquiring the necessary skills to be competent for independent clinical practice. The latter process, which has gained more recognition if not actual implementation in recent times, still has a long way to go before it becomes the accepted and quicker route to senior levels of service and care delivery. This paper reports on some of the systems and situations around the globe concerning the statutory regulation—or lack of it—as to what constitutes good practice leading to appropriate training of young doctors and, ultimately, safer patient care.

      The case of Libby Zion, an 18-year-old woman who died while under the care of residents in a hospital emergency department in New York City in 1984, was the original stimulus to resident duty hour reform. The publicity that surrounded this case highlighted and subsequently influenced attempts to regulate the completely unrestricted hours worked by residents in hospital practice throughout the world. Subsequently, the lead in the journey of restricting hours was taken by Europe. The European Working Time Directive (EWTD), issued by the Council of Europe to protect the health and safety of all workers in the European Union, became law in 1998. It empowered a set of minimum requirements, including the following:

    • a maximum work week of 48 hours
    • a minimum rest period of 11 consecutive hours per 24-hour duty
    • a minimum rest period of 24 hours per 7-day duty, or 48 hours of rest per 14-day duty
    • a minimum of 4 weeks of paid annual leave
    • a maximum of 8 hours’ work in any 24 hours for workers in stressful positions
    • a minimum 20-minute rest period per 6 hours worked
    • The following section will review the outcome of the EWTD for medical residents since its implementation.

      Europe

      Official information remains extremely hard to gather or collate. An official European Union document reporting country-by-country compliance with the EWTD was due for publication in 2008 but has still not been released. The current situation of the 48-hour EWTD is as follows. There are beacons of achievement. Denmark has been compliant with the EWTD for many years and has a normal work week of 37 hours. Sweden and Germany indicate good compliance.

      Finland is probably compliant. The Netherlands reached compliance during 2011. Norway, which is affiliated with the European Union but is not a full member, trains young doctors in a weekly average of 45 hours. The United Kingdom reports compliance now, but recent research suggests that up to 25% of junior doctors are still working beyond the 48-hour limit. Compliance figures are not available for 11 countries, namely Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Italy, Luxembourg, Malta, Portugal, Slovakia, and Slovenia. There is anecdotal evidence that many doctors in Spain, Ireland, Greece, and France are working more than the regulation 48-hour week, often without additional pay.

      Poor working conditions and excessive hours, but no hard data, are reported anecdotally in Estonia, Latvia, Lithuania, Poland, and Romania. However, many of this latter group joined the European Union relatively recently and were not previously subject to the EWTD. In the United Kingdom, the full implementation of the 48-hour EWTD in August 2009 led to widespread concern about the ability of the National Health Service (NHS) to continue to deliver both high-quality training for its staff and safe clinical service. In the health care sector, the EWTD was found to affect only doctors and, more specifically, only those in the secondary care sector.

      The 2010 report Time for Training found that although “high quality training can be delivered in 48 hours” in the NHS, “this is precluded when trainees have a major role in out of hours service, are poorly supervised and access to learning is limited.” Thus, only 6 of the 27 European member states meet the prescribed standard, some 14 years after the EWTD became a legal requirement. In view of this lack of success, renegotiation of the 48-hour restriction, along with other factors, has been requested, but it will take a very long time for any revision to be agreed, let alone put into practice.

      [su_button url=”http://www.meddybear.net/working-hours-doctors-according-country/2/” size=”5″ center=”yes” icon=”icon: forward”]Next page[/su_button]