to preface, obviously one should not choose to pursue a career in medicine for the money alone – one will be intensely dissatisfied.
but i now worry the current generation of trainees and future trainees may never see our ROI
- loans – we are graduating w/ absurd loan burdens at high interest rates
- inevitable changes in reimbursement – the current system is unsustainable. we all know this to be true. i expect significant change in reimbursement over the next few decades. how much lower? who knows… but i'd bet my loan burden it will be much less than what docs are making today
- opportunity cost – the OC of medicine is immense. we miss out on 10-15 years in the market. any of our frugal non-medicine peers earning salaries even half of what a GP makes will be far ahead financially by the time we have real, meaningful paychecks. further, we rely on the latter half of our careers to come out ahead. and given point #2, if we don't see our 'pay day' so-to-speak, we will never catch up.
discussion: are the current economics of medical training and future earning potential reasons to avoid the field? (aside from stress, hours, liability, mortgaged youth, midlevels, etc)
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