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  • #16
    I commuted an hour or more each way about 15 years ago for a couple of years, will NEVER do that again, such a colossal waste of my time. It's now about 5 minutes each way, much better quality of life.

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    • #17
      I lived in a studio across the street from the ER when I was a resident. That might have been too close, but I can't imagine living much more than 10 minutes away. Call is bad enough without multiple long round trips.
      Erstwhile Dance Theatre of Dayton performer cum bellhop. Carried (many) bags for a lovely and gracious 59 yo Cyd Charisse. (RIP) Hosted epic company parties after Friday night rehearsals.

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      • #18
        Are you paid as a W-2 employee or as an independent contractor?  For an extra $200K per year, I might seriously consider hiring a driver, especially if it would be an expense against that extra income.  Likewise, a van pool, commuter train, or Tesla with semi-autonomous driving might make that commute more acceptable.  As you say, decent podcasts are a must if you're going to spend that many of your waking hours on the road.

        All that said, if the job is comparably stressful but offered an extra $100-200K, I probably would move closer to work.  My wife and I value living in a nice community that's close to work.  We both are less than 1.5 miles from work and don't have to get on the freeway to get to work.  It's nice to be able to pop home if there's something needed at the house.  Likewise, it's good to be able to meet the spouse for lunch from time to time on a workday.  We totally wouldn't drive through rush hour ************************ for 50+ minutes each way.

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        • #19
          You mentioned that many others in your specialty are taking in >$1M. Is this affecting your decision making? If I ever earned $700k a year I would care less about that. Don't do it just for the money. Your take home is a lot less than you think after factoring commuting costs, taxes and time away from family.

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          • #20




            I am looking at a job opportunity which would add about an hour to my daily commute (total commute would be 2 hours round trip). The job is 4 days per week (as is my current job) and I am estimating it would add 150-200k to my annual income with the potential for more. I am a subspecialist in a saturated job market so there are not any opportunities closer to home for now. We don’t want to move because we love the area and don’t want to pull my 3 young kids out of schools. The lifestyle at my current job is great, but I am getting screwed financially- <25th percentile income for 50th percentile production and there's not much hope for renegotiation. My wife is also an MD and works part time she plans to go back to full time in probably 6-7 years when our kids are all in school for the full day. Together we gross about 700k but in my specialty many docs are making 1M+

            Would you add the hour to your commute for the extra income? Thanks!
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            I'll play devil's advocate and vote yes.

            I did something similar and got my foot into the door for an opportunity that has nearly quadrupled by annual income.

            A couple of caveats:

            - Can you tolerate such a commute? I also endure a 2 hour commute and I find it to be tolerable since I am going against traffic. My phone is filled with podcasts and streaming internet radio stations. I also use this as an excuse to get myself a much nicer car since I spend so much time in it

            - What kind of support system do you have? I also have young kids at home. My husband (also in medicine) works part time and is almost always home before me. My in-laws and parents also live close by so they stop by frequently to help out. A long commute means there isn't much time at home if you value a good night's sleep. Once I'm home, there's roughly 1 - 2 hours for me to fix dinner and hang out with the family. Maybe another 1 - 2 hours to review billing, notes, emails, etc. And then it's usually right to bed if I want a full night's sleep

            - Is there a potential for more money? I would still lean towards yes for $150-200K. But I only said yes to my commute once it became clear that the potential for increased income would be closer to $400K+ more/year.

            - I think what Kamban stated also makes a lot of sense. You guys make a lot of money per year already. How much do you really need and how much do you really spend? I get the whole "make money while the sun is shining" bit since I'm doing it myself. I do have thoughts often of whether I will regret missing out on some aspects of my kids growing up at the expense of making money that I don't even intend to spend (just saving for the sake of saving currently)

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            • #21
              Thanks all- this has been very helpful. I'm a w-2 employee. The other job has a more favorable comp structure so that Id make more for the same level of work. Even though I am fairly busy in the current job, our comp structure lags behind the benchmarks by an entire quartile. I'm in the first few years out of training and would like to maximize income now so it's frustrating to feel like I am earning below market value. When I signed, they set higher expectations than reality so this is part of the frustration and maybe something I just need to get over at this point. I think the other opportunity allows for growth whereas I am probably maxing out at the current job. On the other hand, the day-to-day is enjoyable and current commute is fine so perhaps it's wisest to take a step back and enjoy life rather than spend it on the road. Thanks!

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              • #22
                I also work 4 days per week and have a 38-40 minute one way commute. It is a piece of cake but we have no traffic, it is a reverse commute and almost entirely freeway in the country, along the Columbia river, watching eagles and cargo ships and geese. Also our weather is mild so snow is a factor at most 1-2 days per year. Yes it's a time-suck but like the OP, our house, family, schools, kids activities are perfect where we are and we wouldn't think of changing them. It is totally worth it for the quality of life we have. I enjoy the alone time, it's a chance to be in my own head and not have to be "on" or meet someone else's needs for a brief block each day. Audiobooks, CME, music, silence. Often the commute doesn't feel long enough!

                If anything it's not the commute itself, but the time it takes; getting up earlier each morning and home a little later in the evening. I've learned to manage that.

                I've also done a 40 minute brutal traffic-choked commute on the 405 in LA and there is no comparison. We left LA precisely because the stress of that traffic was going to be the cause of my early demise. That 40 minutes felt like five hours.

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                • #23
                  My commute is terrible - in the name of cheap rent (for NYC that is). Not sustainable tho for me and will need to figure something out - either get more days closer to home (we have satellite clinics) or get a new job closer to home. I've been doing it for 6 months now and reaching my limits.

                  My commute is 1-1.5 hrs each way (driving). Usually 1 hr there, 1 hr back, can be 1.5-2 hrs home when it is bad. Note this is only 16-19 miles each way...

                  I would only rec this for a short term thing but not long term. It will make you angry ...

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                  • #24
                    What would you do if you were a resident? My option this year is to live with family and drive 35-40 minutes each way (and pay essentially $0 rent) or spend approx. $1000 a month and be able to walk to work.

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                    • #25




                      What would you do if you were a resident? My option this year is to live with family and drive 35-40 minutes each way (and pay essentially $0 rent) or spend approx. $1000 a month and be able to walk to work.
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                      $1000/month to save maybe 70 minutes/day.

                      I'd make that trade every time. 70 minutes is a decent workout. Sometimes it is the difference between waking well rested or dreading the alarm. It might be dinner with your significant other. Maybe it is 70 minutes to research a zebra before the next morning report.

                      On a resident's schedule it is much more precious than $1000/month.

                       
                      Erstwhile Dance Theatre of Dayton performer cum bellhop. Carried (many) bags for a lovely and gracious 59 yo Cyd Charisse. (RIP) Hosted epic company parties after Friday night rehearsals.

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                      • #26
                        Yeah, I really wasn't sure how to look at it. The savings is nice, especially when considering significant debt. But, the time at home is important since I am married with a kid. It will all be worth it.

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                        • #27
                          Would you prefer the work? The patients? Driving that far likely gets you a different style of work than you currently have. I mean, a procedure is still a procedure, but meeting with a different office staff every day is very different than working in the same clinic every day. Put another way, do you love the energy of the large urban academic medical center, or are you happy to enjoy the sunshine, cows, and other livestyles' your patients enjoy driving such a distance. (Perhaps not a perfect analogy to you, but not knowing specifics, take it as an example).

                          I agree with Kamban:


                          If your jobs sucks due to administrative reasons, move to the new place.
                          Click to expand...


                          I'd guess the opportunities aren't equal save commuting. Think pro/con list here. I think you're gut will tell you. Also... you can always try it.

                           

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                          • #28
                            15minutes is my own pain tolerance.  But that's me.  I also chose outpatient internal medicine.  

                            Q:  What makes you happy and what is your life's priority?

                            If it's dollars and $700,000 a year isn't cutting it for you, then you have to ask the second question if the windshield time is tolerable for you to get to the $1M mark.   One sure fire way to mitigate it --  Tesla Autopilot   Anything less, I'd be 'heck no'.

                            One can always create your own company and fight fire with fire if your rate is that extremely low if you have the business itch.  2 hours a day of learning business right perhaps maybe a more worthy endeavor.

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                            • #29
                              I've had a 50 minute commute each way (about 45 miles) for the past 2.5 years and it is killing me. I only work 4 days/ week but I am so ready to be closer to my hospital. Luckily, we set this up as a temporary situation as my husband finishes fellowship in June and then we will be moving and both be less than 15 minutes from our jobs!

                              There is no way I'd take that job even with the increase in income. I miss most of my kids' waking hours on the days I work long hours. I have had to transition to working out at 5am before I drive down to work (which is ok, I am an early riser) which means I am exhausted and ready for bed with the kids by 8:30, ha. And the drive itself is so long, I just don't like spending that much time in the car. I have podcasts, and books, and catch up with siblings and parents but still..... Oh, and we live where I have at least 5-10 days per winter that I am driving to work on ice or 4+ inches of unplowed snowy highway since I leave so early so that really affects my decision!

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                              • #30


                                Maybe it is 70 minutes to research a zebra before the next morning report.
                                Click to expand...


                                research a zebra?
                                Our passion is protecting clients and others from predatory advisors. Fox & Co CPAs, Fox & Co Wealth Mgmt. 270-247-6087

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