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ER doctors employed in the United States typically earn salaries in the range from $104,634 to $396,672 a year including bonuses and contributions from profit sharing according to the salary information provided by Payscale. The basic salary for emergency medicine physicians is usually in the range from $96,496 to $303,162 a year.
Jobstat reports that the highest salary recorded for ER physicians is $374,753 a year, and the lowest is $93,706 a year. ER doctors with the Diplomate of American Board of Emeregency Medicine (ABEM) certification typically earn an annual pay in the range from $98,633 to $305,462 according to Payscale. ER doctors are typically paid a starting salary in the range from $43,631 to $259,763 in their first year on the job according to Payscale’s salary figures. Medscape’s salary report shows that men earn $277,000 a year on average, while women are paid a median annual salary of $242,000.
Emergency medicine doctors working in the Great Lakes region earn around $276,000 a year, those based in the Southeast report a median yearly income of $273,000, and physicians employed in the Northwest are paid $270,000 a year on average. Emergency medicine doctors’ average salary also varies depending on the work setting.
The hourly rate for emergency medicine physicians varies depending on a number of factors, including years of experience. Emergency room doctors working in Florida earn between $100,671 and $367,663 annually, and physicians based in Pennsylvania make between $56,673 and $253,419 a year.
ER doctors based in Houston make between $122,084 and $250,000 annually, and those working in Chicago are generally paid between $49,132 and $228,907 a year. Medscape’s 2013 Emergency Medicine Physician Compensation Report reveals that 5% of ER doctors earn $100,000 a year or less, while 3% report salaries in the range from $450,000 to $500,000 a year.
On the higher end of the scale, 7% of emergency room doctors earn between $400,000 and $450,000 a year, 13% are paid between $350,000 and $400,000 annually, and 17% report a yearly income in the range from $300,000 to $350,000. On the lower end of the scale, 6% of ER doctors make between $100,000 and $150,000 annually, and 7% report being paid between $150,000 and $200,000 a year according to Medscape’s salary report.
Emergency medicine doctors’ annual salaries can vary significantly depending on professional experience.
In terms of industry, ER doctors working in the health care sector generally report earning between $98,633 and $260,573 a year, and those employed at hospitals are typically paid between $59,800 and $311,996 annually.
Women generally earn between $118,359 and $253,419 a year, and men are typically paid between $98,916 and $319,189 annually.
Emergency medicine doctors’ annual salaries can vary significantly depending on employer type. Emergency room doctors usually get a variety of perks and benefits along with their basic salaries and yearly bonuses, and these can sometimes reflect their annual earnings. ER doctors who have 401(k) plans typically earn between $96,095 and $304,496 a year, those who have malpractice and liability insurance are generally paid between $129,866 and $314,828 annually, and professionals who get life and disability insurance as part of their benefits package typically report an annual pay in the range from $101,367 to $332,959 according to Payscale. ER specialists who have paid vacations and holidays generally earn between $100,671 and $295,186 a year, and those who get paid sick leave are typically paid between $98,633 and $289,966 a year.
The most popular benefits and perks among emergency room doctors are 401(k) plans, malpractice and liability insurance, life and disability insurance, 403(b) plans, and paid vacations and holidays. In terms of employer type, doctors working at hospitals typically get around $11,000 a year, those working for non-profit organizations earn $22,500 on average, and professionals employed by private practices and firms earn around $40,000 a year. ER physicians’ salaries can also vary depending on the size of the organization that employs them. Emergency medicine doctors’ salaries can also vary depending on the number of professionals employed by their organization.
According to information given to me by a UPS representative on May 13, 2005, UPS drivers require no specialized education.
It takes about 18 years for a doctor to approximately equal the lifetime earnings of a UPS driver working full-time.
It takes about 27 years for a doctor to approximately equal the lifetime earnings of a UPS driver working as many hours as I did to become a doctor, then practice medicine. I calculated this comparison using a four-year residency program during years 9 through 12.
Doctors do not earn their average salary the first year they begin working as an attending (year 13 in this example).
Because of their schooling, the earning years for doctors are compressed into a shorter period of time, thus increasing their income tax rates relative to UPS drivers. Students often receive money from relatives and sometimes family friends because they are needy students. The burnout rate for doctors in some specialties is so high that doctors may quit well before age 65. UPS drivers typically do not seem to be as wealthy as doctors because, like just about everyone else, they usually begin spending money as soon as they make it. If you are still debating about the financial wisdom of forgoing a doctor's smock for the seemingly plebeian brown UPS uniforms, consider this: Like many other workers, UPS drivers receive a raft of benefits. If you don't mind doing real work and can tolerate cold weather, you could earn $30,000 to $60,000 working two months of the year as an ice road trucker in northern Canada. Heavy equipment operators in Alberta, Canada can make $200,000 per year working 12-hour shifts with four days on and five days off. I expanded on this topic in a LinkedIn article ($70,000 per year, start now) in which I gave concrete examples of how people can earn hundreds of thousands of dollars per year doing work that's much easier to get than a UPS job. In the 40,000 hours it takes training to become a licensed doctor, a longshoreman working a comparable number of hours could make about $3 million plus healthcare plus pension worth another fortune—all while doctors are acquiring a mountain of debt without a penny of net income!
On December 3, 2013, Chuck Reed, Mayor of San Jose, California, said their yearly cost for a police officer is $200,000, much of which is retirement benefits since their salaries top out around $100,000.
The person who sells hot dogs in front of my local Home Depot store makes $75,000 per year working part-time. General Motors created Delphi when it split off its partsmaking operations to reduce its labor cost, but the wages and benefits there still add up to $76 per hour of labor, according to Jerry Flint's column in the May 22, 2006 issue of Forbes. A few years ago, a local hospital advertised jobs for RNs paying up to $4200 per week, or $218,400 per year. During an episode of CBS's 48 Hours, they incidentally reported a few years ago that an electrologist earned $100 per hour ($208,000 per year for a 40-hour week). A home improvement television program mentioned that they paid $5000 to have 8 trees removed, which the contractor completed in less than a day.
According to ABC News and FOX News, Sergeant Drew Peterson, the 53-year-old who is a suspect in his fourth wife's disappearance and his third wife's death, is eligible for a $6,000 per month police pension. After 30 years of service, an Air Force lieutenant colonel receives a pension worth $72,288 per year. Flavorists (who increase the palatability of the junk that processed food companies feed us) make up to $100,000 per year.
Airplane repossession men can earn up to $90,000 per plane, or up to $23,400,000 per year working 5 days per week and just one plane per day. An episode of the TV series Buying Alaska featured bush pilot Wes Head and his wife Angela. A group of online psychics charge $3 to $4 per minute; that's $180 to $240 per hour, or (for a 40-hour workweek) $374,400 to $499,200 per year. A 31-year-old financial advisor and his stay-at-home wife featured on an episode of ABC's Wife Swap had a $700,000 home paid off. One of my friends recently hired an exercise equipment technician to replace the belt on her treadmill.
Here's a web developer who charges $100 per hour—that's $208,000 per year working just 40 hours per week.
The November 26, 2007 issue of Forbes reported that sports psychologist Bob Rotella charges thousands of dollars per session. If you are still masochistic enough to voluntarily spend what should be the best years of your life with your nose stuck in a book so that you can become a professional, consider a career in dentistry instead of medicine.
I called a mechanic offering on-site service and asked how much he'd charge to change the transmission fluid in my tractor and replace its starter. Albert Einstein was quoted as saying, "If I would be a young man again, I would not try to become a scientist or a scholar or a teacher. So Einstein craves independence, and I, as a doctor, don't care how much I make as long as the pay isn't insultingly low.
Thus what I did was financially stupid: risking everything I had and would later earn to save the life of a young inner-city male. You are clearly intelligent enough to appreciate the lost opportunity costs and the financial burden of loans, but many people just don't get it. UPDATE: Medicine just became a much more desirable profession, thanks to the economic crash that devastated our economy in 2008.
Check out the new Application Assistant, where you can calculate your LizzyM score, see how you rank compared to other applicants, and see a list of schools where similar students were accepted. The specialties with the highest percentage of physicians who consider themselves rich were pathology (15%), radiology, oncology and gastroenterology (14% in each). Very few working people in any field except finance will probably say they feel rich, regardless of how much they make. Are they asking fully fledged attendings or residents who still have that debt hanging over their head? I would speculate that the percentage of physicians who feel well-off will further decrease as time goes on. Couple that with downward pressure on reimbursement and prospective physicians really should be heading into the field with their eyes wide open. I've grown up quite modestly and intend to do so after completing my medical training.
This was my working definition for a long time, but my folks supported a family of 5 on less than $20k.
I imagine it probably has an effect on the likelihood of perceiving oneself as rich though. Though then again, I have also seen poor folk be pretty foolish with money once they got it.
Our surveys were conducted using online questionnaires created with Zarca Interactive's survey software. In the area of part-time practice, hourly rates had climbed steadily over the years for nurse practitioners (Table 1). Perhaps the most fascinating results are in the category of salary by practice setting (Table 2).
Among physician assistants, the second highest paying practice setting was elementary and secondary schools ($115,000). The gender gap long documented in salaries for many professions also is evident among NPs and PAs. So what factors contribute to the salary differences between men and women among PAs and NPs?
Looking ahead, it appears that NPs and PAs could see their salaries climb at a faster clip . Although some states are challenging the mandatory insurance requirement of the Patient Protection and Affordable Care Act, those lawsuits won't solve the critical shortage of primary care providers in the United States.
Michelle Perron Pronsati and Michael Gerchufsky are the editors of ADVANCE for NPs & PAs. Email, first name, comment and security code are required fields; all other fields are optional. The yearly bonuses can amount to up to $48,434, and the reported annual earnings from profit sharing are generally in the range between $1,932 and $103,042 according to Payscale.


The salary range for ER physicians with the degree of Doctor of Medicine (MD) goes from $112,865 to $300,414 a year. The best paid emergency medicine physicians are those based in the South Central region, who earn $298,000 a year on average, followed by ER doctors employed in the North Central region, who receive a median annual salary of $289,000 according to Medscape’s report.
ER doctors working in the Mid-Atlantic region earn an average salary of $269,000 a year, and those based in the Southwest are paid around $265,000 annually. The best paid ER doctors are those employed at hospitals, who earn $277,000 a year on average, followed by physicians working in single-specialty group practices, who earn around $253,000 a year.
ER physicians who are partners in their organization earn $298,000 a year on average, and those who work as independent contractors earn around $282,000 a year. Physicians working in New York generally earn salaries in the range from $83,598 to $255,321 a year, those based in California make between $99,666 and $311,474 a year, and ER doctors employed in Texas are typically paid between $98,633 and $397,317 annually. Professionals working in Ohio typically report an annual income in the range from $98,986 to $320,556, and those employed in Georgia generally earn between $126,045 and $287,816 a year according to Payscale’s salary data.
Doctors based in New York generally earn between $83,000 and $300,000 a year, those working in Atlanta are typically paid between $141,972 and $265,000 a year, and professionals employed in Philadelphia usually report an annual pay in the range from $196,527 to $250,000 according to Payscale’s salary figures. Professionals employed in Phoenix earn between $199,676 and $285,000 a year, and those based in San Francisco report annual salaries in the range from $137,569 to $254,341 according to Payscale. The highest percentage of emergency medicine doctors (23%) are paid bentween $250,000 and $300,000 annually, and 19% report an annual pay in the range between $200,000 and $250,000. ER physicians with 1 to 4 years of experience typically earn between $60,000 and $300,082 a year, and those with 5 to 9 years of experience are generally paid between $100,799 and $287,478 annually. Physicians working in emergency medical services make between $98,986 and $322,303 a year, and those employed at acute care hospitals usually earn an income in the range from $76,596 to $420,847 a year. Professionals working at hospitals generally make between $75,076 and $272,737 a year, those employed by companies report salaries in the range from $123,291 to $296,958 a year, and physicians working for private practices and firms are typically paid between $155,470 and $358,417 annually.
Professionals who have 403(b) plans usually make between $170,297 and $320,556 a year, and those who get reimbursement for education, training, tuition, or certification are generally paid between $126,148 and $304,630 a year according to the salary data provided by Payscale. ER physicians with 1 to 4 years of experience typically get around $5,500 a year, and those with 5 to 9 years of experience are paid $10,279 a year on average in bonus money. ER doctors in Texas get $10,137 a year on average, those based in Florida are paid around $9,826 annually, and professionals working in Georgia get around $7,500 a year in bonuses.
ER physicians working at medical offices report getting $50,000 a year on average, those working in health care staffing earn around $20,000 a year, and professionals working in the health care sector are typically paid around $6,500 a year in bonuses. Doctors employed by private practices and firms typically get around $19,653 a year, those employed by universities and colleges are paid around $25,000 annually, and physicians who work as contractors get $5,000 a year on average. Physicians specializing in surgery get $10,000 a year on average, those specializing in emergency medicine are paid $7,742 annually on average, and professionals who specialize in family practice earn around $2,500 a year in bonuses according to Payscale. ER doctors with 1 to 4 years of experience typically get around $30,000 a year, and those with 5 to 9 years of experience report earning $15,000 a year on average.
ER doctors based in Massachusetts get $70,000 annually on average, those working in Texas earn around $40,000 a year, and professionals employed in Illinois get $32,500 a year on average.
ER doctors employed in emergency medical services typically earn around $40,000 a year, and those working at acute care hospitals get $21,000 annually on average. ER physicians employed by companies report getting $50,000 a year on average in profit sharing contributions, and those working for other organizations earn around $88,000 a year according to Payscale. Doctors employed at general hospitals typically earn between $100,671 and $307,431 a year, those working in ambulatory care or surgery centers make between $57,497 and $258,895 annually, and professionals working at physicians’ offices are generally paid between $141,972 and $450,000 a year. Based on Payscale’s salary data, emergency medicine specialists working for organizations that employ between 1 and 9 people typically earn between $142,031 and $303,188 a year, those working for organizations with 50 to 199 employees make between $165,000 and $261,905 annually, and professionals working for organizations that employ between 200 and 599 people are typically paid between $59,598 and $297,228 a year.
For example, doctors working for organizations that employ between 10 and 49 professionals typically report a yearly income in the range from $203,473 to $296,870, while those working for organizations that employ between 100 and 499 professionals are generally paid between $270,225 and $351,683 annually according to Payscale’s salary figures. Physicians working at institutions with fewer than 50 beds generally report salaries in the range from $99,329 to $303,461 a year, those employed by institutions with 50 to 99 hospital beds are typically paid between $155,133 and $296,755 annually, and professionals employed by institutions with 100 to 299 beds usually make between $97,871 and $289,932 a year. However, I will demonstrate how people in seemingly much less lucrative jobs can outearn doctors.
News & World Report said that UPS drivers earn $60,000 per year (my UPS driver said that he earns $85,000 per year circa 2009). We will begin looking at total net income for physicians at year 8, once they graduate from medical school with an average debt around $100,000. Since this complicates the analysis, ignore or discount what I wrote about UPS drivers and substitute the equivalent and often much greater income for the occupational alternatives I presented below and in a LinkedIn article: $70,000 per year, start now (that article's title is intentionally understated). This interest often leaves doctors with more than their original debt at the end of their residency years.
Some residency programs are shorter, but many are longer (thus keeping doctors relatively impoverished for a longer time). Translation: Even if the doctor earns the same total amount of money as a UPS driver, the doc's tax rate will be higher, leaving him with less after-tax income.
Many doctors receive nothing but salary (that was the case for almost every job I had as a physician). In the December, 2004 Time Inside Business, Bill Zollars, chairman and CEO of Yellow Roadway, the largest trucking firm in the United States, said that his average driver makes $70,000 per year in addition to good benefits.
On February 18, 2004, Paul Harvey reported that auto mechanics willing to move to in-demand areas can earn up to $120,000 per year, with employers eager to hire them offering inducements such as paying for their tools and education (some technicians earn two-year certificates or degrees in auto repair, while other receive only high school-level training). One of my friends, a well-to-do pharmaceutical representative, grumbled how he made less money than his uneducated brother-in-law who worked six months of the year building basements, netting him over $350,000 (adjusted for interim inflation in 2009 dollars). According to Forbes magazine (March 15, 2004), Oneida's workers in New York average $30 per hour with benefits. Genital teaching associates make up to $120 per hour for helping medical students learn to perform genital and rectal exams (Details magazine, September, 2004). Even unskilled laborers mining those oil sands can take home $80,000 per year, according to the March, 2007 issue of Popular Mechanics magazine.
NOTE TO THOSE WHO WRITE TO ME COMPLAINING THAT SOME DOCTORS CAN EVENTUALLY EARN MORE THAN UPS DRIVERS: That was just one of the many examples I posted over the years. Since it is much easier to become (and be) a longshoreman than a doctor, I could have compared longshoreman-versus-doctor income instead of UPS driver-versus-doctor income. Bottom line: the average doctor will never catch up, thus proving my point that if money is your goal, you have better options than medical careers. My brother added that Ron always took a book to work with him, because he averaged less than 3 hours of work per week. Oregon requires that electrologists attend a technical school in which they obtain 235 hours of theory and at least 365 hours of practical experience. If he did only one such job per week (taking the other 6 days to rest and count his money), he could still bring in $260,000 per year. I'm friends with a retired Air Force lieutenant colonel, who might easily live 30 or more years after her retirement. Let's all drink Boone's Farm and send the money we'll save to charity, leaving the master sommeliers time to do something more useful.
If she worked as many hours per week as I did to become a doctor, she could earn $572,000 per year.
Thus, it is obviously more lucrative helping professional athletes not to choke than helping people not to die, as I've done in the ER. If a crane operator worked as many hours in his lifetime as the average doctor does in training and thereafter, he could easily make well over $400,000 per year.
The education and training are somewhat shorter and less demanding, the stress is less (as an ER doctor, I had thousands of critically ill and injured patients per year, not thousands of cavities per year that needed filling), and the pay is surprisingly lucrative. When a doctor is outearned by UPS drivers, Yellow Roadway drivers, ice road truckers, heavy equipment operators, auto mechanics, tractor mechanics, autoworkers, hot dog vendors, electrologists, part-time basement contractors, part-time tree-removal contractors, personal trainers, life coaches, lawn mowers, ad copywriters, chefs, dentists, crane operators, genital teaching associates, and even strippers … well, that's an insult. One of my former bosses, the most financially astute doctor I've known, said most physicians don't know how to manage money and often make mistakes such as becoming house poor. I didn't know anything about him, but statistically most young black men his age aren't wealthy enough to give money to docs who save their lives, so there was no possible financial benefit for me (I couldn't bill him), but there was enormous potential liability. Time pressure is one of the most onerous forms of stress, and for UPS drivers, that pressure is unrelenting. In spite of the many examples I cited and the others I could mention, I still have students and others writing to me trying to dispute my overall message.
Doctors generally make less than what people presume, but high medical bills are no figment of your imagination.
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Overall, only about 11% of physicians said that they consider themselves rich, while 45% said that their income is no better than that of many nonphysicians. Even among some of the higher-earning specialties, a majority of anesthesiologists, critical care specialists, dermatologists, urologists, and emergency medicine doctors said that they don't feel rich because of debts and expenses.
That 45% said that their income is no better than that of many nonphysicians is a somewhat misleading statement, what is meant by "many" here? The more people make, the more they want, and thus their expenses seem to always rise with their means to pay them. Graduates today are coming out with unprecedented debt loads at rates that are higher than they were in the past, and loans can no longer be deferred during residency which increases the amount of interest that will accrue. I consider myself fortunate to not have grown up with a silver spoon like some of my classmates have.
However, doctors do make a lot of money, usually within the top 2% of America and most definitely within the top 5%.
That aptly sums up the findings of the 2010 National Salary Survey of Nurse Practitioners and the 2010 National Salary Survey of Physician Assistants.
PAs earned an average of $96,876 in 2010 (Table 1), while NPs earned an average of $90,770.
That's in stark contrast to NPs, whose salaries in schools rank 21st among our 22 categories at $77,513. Practice setting and practice specialty certainly come into play, but further theorizing here might be best left to economists and sociologists.
More than half of NPs deliver primary care to some age group, and roughly 40% of PAs do the same. With the exception of email, any information you provide will be displayed with your comment.
The lowest average salaries for this occupation are in the West, where ER physicians earn $258,000 a year on average, and in the North East region, where the median yearly salary for this profession is $242,000 based on the results of Medscape’s salary survey. ER doctors employed by healthcare organizations make $251,000 a year on average, those working at outpatient clinics are paid around $215,000 a year, and ER specialists working in multispecialty group practices have a median annual pay of $203,000 according to Medscape’s salary report. Emergency medicine physicians who are employees at their organization are paid around $250,000 annually, and those who own solo practices earn an average annual income of $229,000 according to Medscape. ER doctors with 10 to 19 years under their belt usually report an annual pay in the range from $144,960 to $325,732, and physicians with 20 or more years of experience generally make between $103,042 and $345,998 a year according to Payscale’s salary data. ER doctors working for the federal government make between $53,013 and $226,000 a year, those employed by universities and colleges are paid between $79,056 and $254,660 annually, and professionals working for non-profit organizations typically report earning salaries in the range from $40,268 to $397,317 a year. Professionals with over 10 years of experience earn bonuses in the average amount of $5,000 a year according to Payscale. ER specialists based in Michigan earn $5,000 a year, and those working in Ohio typically get around $5,087 a year.
Professionals employed by trusts, foundations, or the federal government typically earn around $12,500 a year, and those employed by teams get $10,000 a year on average. Professionals with 10 to 19 years of experience get $40,000 a year on average, and those with 20 or more years of experience typically earn around $15,000 a year from profit sharing.


Emergency room doctors based in Wisonsin earn around $29,000 a year, those working in Pennsylvania earn $21,000 annually on average, and professionals employed in North Carolina earn $8,500 a year on average. Professionals working in the health care sector earn $15,361 a year on average, and those employed at hospitals typically earn around $5,000 a year according to Payscale’s income statistics. ER physicians employed by the military usually report salaries in the range from $85,000 to $201,980 a year, and those working in other settings typically earn between $150,000 and $275,000 a year according to the salary information provided by Payscale. ER doctors working for organizations with 600 to 1,999 employees generally report salaries in the range from $116,350 to $340,039 a year, those employed by organizations with 2,000 to 4,999 employees typically make between $147,395 and $232,472 annually, and professionals working for organizations that employ between 5,000 and 19,999 people usually report an annual income in the range from $78,987 to $400,000 a year according to Payscale. ER doctors working at institutions with 300 to 499 hospital beds typically earn salaries in the range from $71,517 to $300,882 a year, and those employed by institutions with 500 or more hospital beds are generally paid an income in the range between $100,671 and $360,647 a year according to Payscale’s salary data. For example, who would think that a UPS driver or auto mechanic could earn more than a doctor?
The average physician income is usually quoted as being $160,000 to $200,000 per year, so it may seem preposterous to claim that UPS drivers can earn more than doctors. In contrast, a would-be doctor requires many years of education for which he is paid nothing.
Students may make small amounts of money while in college, but this (and much more) is immediately spent on tuition, fees, books, supplies, and other college expenses. Thus, while they may make $160,000 (total) during a four-year residency, they may leave it with $130,000 of debt. Furthermore, many students take longer than eight years to complete college and medical school—and those are the lucky ones who make it. I began working for less than half (even adjusting for inflation) what I would ultimately earn as my peak income five years later.
Few young doctors have that kind of money, so they usually must borrow it—further increasing their debt.
This money is rarely reported to the government or included in statistical analyses, so the educational cost is actually higher than you may think. If a UPS driver scrimped as I did, he could invest most of his salary, reaping the benefits of many years of compound interest. As an independent contractor, I received no health insurance, dental insurance, optical insurance, unemployment insurance, life insurance, sick pay, overtime pay, personal days, workers' compensation benefits, or pension.
Furthermore, he usually arranged his deals so he was paid in cash, which enabled him to hide most of his income from the IRS.
An advertising copywriter reported in Newsweek magazine that he made up to $100 per hour for inducing people to buy things they did not need.
She claims to have read a book on this subject and taken an online course that anyone with a credit card could sign up for. With certain careers, such as this one that requires no experience, you could make considerably more than physicians and you can rake in piles of cash when you're still young enough to enjoy it!
If you do the math, you'll quickly realize that an average longshoreman will earn much more than an average doctor, receive better benefits and pension, and do it all by working considerably fewer hours and much less education, responsibility, and stress. The rest of the time, he would sit and read, or have a friend punch him in and out on the time clock so he could go home several hours early. In that time, she would receive over $2.16 million, not factoring in cost of living adjustments. I heard an ad by a maritime academy that said their graduates can make $120,000 per year to start.
Granted, it takes some finesse to be a good crane operator, but it takes exponentially more aptitude, devotion, sacrifice, education, and training to become a good physician—or even a third-rate one, for that matter! According to The Wall Street Journal (January 10, 2005), in 2000 general dentists averaged $166,460, more than internal medicine doctors ($164,100), psychiatrists ($145,700), family practitioners ($144,700), or pediatricians ($137,800).
I did that and more, such as one night leaving the ER (and my malpractice insurance coverage) to take over a code being botched by the residents.
Some of those folks seem angry at me for bursting their bubble of delusion that becoming a doctor is financially akin to winning the lottery.
I needn't remind you that things are bad now, and almost certain to get much worse (if you doubt that, read this). Another 45% said that although their income probably qualifies them as rich, they have so many debts and expenses that they don't feel rich. Add living expenses to that and it's not difficult to see how some people can be coming out with 300k in debt that will grow considerably in residency as well. My parents barely make $150k and we are wealthy because WE INVEST OUR MONEY AND SPEND FRUGALLY. But honestly, there is NOTHING wrong with wanting an upper middle class life like the one you had, and having that as ONE reason to go into medicine. Whether or not you feel rich isn't important though, its whether or not you can pay off your debts, not have to worry about your finances too much and live a comfortable life and satisfy at least some of your wants and needs. These surveys, conducted by ADVANCE for NPs & PAs, documented small overall salary increases for both professions. The surveys also documented a notable difference in salary improvement between 2009 and 2010: Comparing ADVANCE's 2010 results with 2009 salary data from the American Academy of Physician Assistants, PAs experienced more than twice the salary increase that NPs did.
PAs more commonly work in specialties that also generate higher incomes for physicians, such as emergency medicine and surgery (including the really big moneymakers, plastic surgery and aesthetics). The third highest paying setting for PAs is cardiology ($109,030), and this specialty ranks fourth for salary among NPs ($100,881).
You'll be vital to meeting primary care needs, and because you'll be in demand, salaries are likely to rise in recognition of that. ER doctors working in an academic setting earn an average salary of $182,000 a year, and physicians employed in other settings receive an average yearly income of $225,000 according to Medscape. ER physicians working as contractors earn between $205,659 and $300,000 annually, and those who are self-employed generally make between $245,000 and $354,930 a year according to Payscale. Physicians employed in California are paid around $5,500 a year, and New York-based physicians get $1,000 a year on average in bonuses. ER doctors working for non-profit organizations are paid around $6,000 a year in bonuses, and those who work at hospitals get $5,024 annually on average. Most students who try to become doctors never succeed, thus incurring debt for a career that never materializes. To make this a fair comparison for income potential, we should consider what a UPS driver could make if he worked two shifts (or another job) for years 1 through 12, then a half-time job in addition to his primary UPS job.
Furthermore, I didn't just pay the usual Social Security contribution; I also paid the portion normally contributed by the employer. Forbes (June 9, 2003) magazine said that a celebrity chef can make $150,000 per year (some undoubtedly make much more than that) for, I might scornfully add, helping people clog their arteries.
You'll work overtime to make $300K in this job, but all doctors work years of overtime in their training, and often throughout their careers.
When you consider everything, it is clear that you could make far more money selling hot dogs if you devoted the same time to that occupation as you did a medical career.
Furthermore, when autoworkers lose their jobs, they are paid handsomely, receiving over $108,000 per worker just to walk out the door (Forbes, October 16, 2006).
If she implemented all my health tips, she might live long enough to collect over $3 million.
Furthermore, the incomes of dentists are skyrocketing past inflation, while doctors' pay is stagnating or even falling. I wasn't sued because I saved the patient's life, but inpatient codes fail 85% of the time. The average PA salary increase was $3,771, while the average NP salary increase was $1,191. Although the PA profession once attracted more men than women, today about 65% of PAs are women, so sex predominance does not explain the salary difference. It's interesting that the average salary of male PAs is so close to that of male NPs - a difference of only $398. So UPS drivers are being paid while those who aspire to become doctors are paying for the privilege of pursuing their dream.
Therefore, after 12 years such a UPS driver who worked as many hours as I did could have made $1,440,000. If I were smarter, I would have hired people to work for me, paid them $20 per hour, and kept the rest as profit. According to the February 12, 2007 issue of Forbes, an experienced watchmaker can earn well over $110,000.
Perhaps there are life coaches who truly are worth more than doctors who save people's lives (ahem!), but every person I've met who wanted to be a life coach was a woman with a screwed-up life that could serve only as an example of what not to emulate. FOX News also reported that the average Christmas bonus in 2007 for all Goldman Sachs employees, including secretaries, mail room clerks, and even janitors, is a whopping $660,000.
Had he worked as many hours per week as I did to become a doctor, he would make $880,000 per year. I've used a lot of ink warning students in the past about the drawbacks of a medical career, and all of those reasons were quite valid. Nearly 3,000 NPs (2,956) participated in the survey designed for nurse practitioners, and nearly 1,300 PAs (1,276) answered the version created for physician assistants. After 18 years, the total income would be $1,980,000, easily surpassing the total doctor income.
I could also build more of my inventions that increase the efficiency of lawn mowing, thus decreasing the time required to mow a yard. Other than a credit card and a pulse, the most essential prerequisites for becoming a life coach are an immense ego and endless chutzpah.
Furthermore, you should consider the attrition rate: Most people who invest time and money trying to become doctors never make it. Hmm, let's see: draining and refilling the transmission fluid and putting in the three bolts that hold the starter on is (in his mind) worth several times more than I ever earned in the ER for saving people's lives? The cons are still there, but the list of pros just mushroomed in importance thanks to the inherent job security in most medical careers. Because 2010 was the first year that ADVANCE surveyed both professions, you'll note some differences in our reporting due to our longer history of gathering data about NP salaries.
Customers pay for getting their lawns mowed, not for how many hours you waste on mowing with antiquated technology. In the ER, I made half that for saving lives and working much longer weeks after an incomparably longer and more intensive education. An episode of CNN’s This is Life with Lisa Ling included a stripper who earned up to $3000 per evening, which is likely about $500 per hour.
If she worked as many hours per year as I did to become a doctor, she could make $2.86 MILLION per year! Here's something else to consider: if you are bright enough to quickly learn computer programming, you can begin working before you graduate from high school, but no matter how smart you are, you won't get your own prescription pad or scalpel until you spend a significant fraction of your life in training.
Some strippers gripe about how hard their job is, but learning anatomy is more arduous than revealing it.
Incidentally, I live near what used to be an upscale tourist town where businesses are now (in 2010) dying faster than flies in a blizzard, so I presumed that the poor local economy would make mechanics willing to work for less than princely wages.



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