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Medical Professionals-Would you Counsel Your Kids to Follow Your Career Path?

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  • #16













    If you can be talked out of medicine, you should be.
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    I have to differ and say I’m not a big fan of this sentiment. There is, and will continue to be, a big need for healthcare providers for our growing and aging population.  My suspicion is there aren’t enough people out there for whom medicine is a passionate ‘calling’ to even come close to meeting society’s needs if that were the standard of entry into the workforce.  It’s therefore important that the healthcare industry and medical profession continue to meet people in the middle, adapting to make medicine a desirable career choice in the future.  The biggest example of this is, as recently discussed on the blog, crushing educational costs/debt.

    As for the broader question of advice to one’s kids, I would hypothetically discourage my child from going to medical school.  The many reasons are too easy to list: crushing debt, declining and confusing reimbursements, increasing regulatory nonsense, long stressful hours, decreasing intellectual stimulation, physical demands of procedural specialties (a big one, seldom discussed), decreased autonomy/respect from growing administrative bureaucracy, a population of patients who increasingly seem to be almost purposefully wrecking their health through bad lifestyle choices leading to difficult to treat chronic illnesses, etc, etc, etc.  I don’t like that I would want to say, “Go ahead and go to med school, but you’d better chose an E.R.O.D.E. specialty.”, so I would just say I’d recommend against it.  Get ready for the future where medicine is no longer something that our school’s best and brightest want to pursue.
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    I think this sentiment is that if talking someone out of medicine works, then they would definitely grind out of it anyway along the path. Medicine is still an obviously great profession income wise. Now with us grumpy codgers telling people to save/invest wildly as opposed to our mentors who suggested we all buy beach houses and ferraris and things will just “work out”….they will be okay. I would definitely make sure they have a financial mindset about it, and choose specialty with a heavy weight on that and length.

    The other likely great gig for less everything but most importantly time is a PA. They will probably be taking over primary care with NPs.
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    I agree with what I think is the intent of WCI’s comment.  If someone can be talked out of it, they may not have the commitment it takes to get through it.
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    Exactly. Long road and if you have this idea that "I should have done law" in the back of your head the whole time, you won't get to the end of it or be happy when you do.
    Helping those who wear the white coat get a fair shake on Wall Street since 2011

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    • #17
      Just last night, I had the discussion at a dinner party with the hosts (very good friends), whose son is a senior in college applying to med school. They know my perspective from previous conversations. I asked if medicine was "his calling", and their reply was that he likes being in school and is not ready (maturity wise) to leave school, join the workforce, etc. So med school is the plan.

      I think that this is a terrible approach and told them so (but more gently).

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      • #18
        As a parent and an advisor, I/we see a lot of enabling.  While it exists at some level for all of us, the long-term results usually are not positive.  Perpetual schooling is a common form of enabling that seems to eventually runs its course.  That said, medical school has got to be one of the hardest ways to delay real life!

        Separately, and to the point of economic ROI for medical professionals, this info was tweeted over the weekend in the category of "Labor Day Statistics".  To Dr. Dahle's point, it is not easy to find a profession that is as financially rewarding as yours.

        ----

        What are the highest paying jobs in America?  The MyPlan.com website lists the top 300 jobs in term of average salary, and the top of the list is dominated by medical professionals:

        Anesthesiologists: $258,100

        Surgeons:  $247,520

        Oral surgeons: $233,900

        Obstetricians and gynecologists: $222,400

        Orthodontists: $221,390

        Radiologists, Pathologists, Neurologists, Allergists and Immunologists, Urologists, Preventive Medicine Physicians, Ophthalmologists, Hospitalists, Sports Medicine Physicians, Physical Medicine and Rehab Physicians, Nuclear Medicine Physicians and Dermatologists all finish in a tie for sixth ($197,700), and you have to go all the way down to number 22 on the list, to Chief Executives, before you reach a non-medical professional on the list.

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        • #19




          As a parent and an advisor, I/we see a lot of enabling.  While it exists at some level for all of us, the long-term results usually are not positive.  Perpetual schooling is a common form of enabling that seems to eventually runs its course.  That said, medical school has got to be one of the hardest ways to delay real life!

          Separately, and to the point of economic ROI for medical professionals, this info was tweeted over the weekend in the category of “Labor Day Statistics”.  To Dr. Dahle’s point, it is not easy to find a profession that is as financially rewarding as yours.

          —-

          What are the highest paying jobs in America?  The MyPlan.com website lists the top 300 jobs in term of average salary, and the top of the list is dominated by medical profesedsionals:

          Anesthesiologists: $258,100

          Surgeons:  $247,520

          Oral surgeons: $233,900

          Obstetricians and gynecologists: $222,400

          Orthodontists: $221,390

          Radiologists, Pathologists, Neurologists, Allergists and Immunologists, Urologists, Preventive Medicine Physicians, Ophthalmologists, Hospitalists, Sports Medicine Physicians, Physical Medicine and Rehab Physicians, Nuclear Medicine Physicians and Dermatologists all finish in a tie for sixth ($197,700), and you have to go all the way down to number 22 on the list, to Chief Executives, before you reach a non-medical professional on the list.
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          Agree. Although it may lead to a higher likelihood of being unhappy, its a very logical choice and hard to argue with the reasoning. Its just the path is very tough for a seemingly limited factor to have such a big role. Obviously, it shouldnt be the primary and certainly not the only factor, but it definitely can be a main one. You still have to have enough interest to make AND do well enough to be allowed to.

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