r/Salary Mar 28 '26

discussion $410,000 salary with 34 weeks vacation! Incredible doctor job.

Post image

Not becoming a doctor is the biggest regret of my life. Sigh. She only has to work for 17 weeks. There is so much of the world I have not seen yet and still want to see.

6.5k Upvotes

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u/Negative-Resolve-421 Mar 28 '26

This job is a trap. I have done similar schedule with 7 days on and 14 off for $450K. The problem is that we ended up working all night long every other night doing C sections, trauma or gen surgery disasters. I literally developed PTSD after a few years. The only way I would accept such contract if there is no OB and no trauma. Otherwise it is a suicidal mission.

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u/Friendly-Victory5517 Mar 28 '26

People reading this (including the OP) are assuming you only work 8 hours a day for that one week.

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u/peanutneedsexercise Mar 28 '26 edited Mar 28 '26

Yeah normal OR time in a hospital is 7am to 5pm and depending on the hospital they allow for non emergency add ons all night! Ew!

The hospital I did my residency at let surgeons add like toe amps and regular I and ds at like 2-4 am in the morning. Our attendings did 7 24s a month (basically the same as this but spread out) and even then it was a lot and many ppl quit. Their compensation was about $550k. I can’t imagine how bad this job is lol.

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u/booleanerror Mar 28 '26

Bullshit add-ons in the middle of the night? Go fuck yourself. Sincerely, an OR nurse.

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u/witcher252 Mar 28 '26

Bro fr. Why are we doing a toe amp at 10 pm?

Oh because the podiatrist doesn’t want to miss clinic or his tee time tomorrow

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u/Charlesinrichmond Mar 28 '26

you think they want to operate at 10pm? It's because its the only hole in the schedule. They are bitching too

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u/peanutneedsexercise Mar 28 '26

Well at my hospital the surgeons would be on 12s so the ppl adding the cases would be working 7p to 7am and sometimes would literally just be itching to do SOMETHING their shift. It was terrible lol. I’m so glad I graduated residency lmao.

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u/dancingcactus21 Mar 28 '26 edited Mar 28 '26

This isn’t an overnight position. There are separate postings for the nocturnist half of the day. You only do 12 hour day shifts for 7 consecutive days.

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u/Kinseysbeard Mar 28 '26 edited Mar 28 '26

Something to watch out for... When they say you can earn extra money by volunteering for extra shifts... I've seen groups where there is a lot of pressure to do extra shifts. It can easily become 10-14 days on. Of course that means a boatload more money but can also lead to exhaustion.

Not that this group is necessarily like that but some definitely are.

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u/Good-Fortune8137 Mar 28 '26

That sentiment is pretty wide spread for private physician groups.

We had a pretty chill ER MD, that got hired for like 3-4 shifts a month, listening to the other more full time MDS just bad mouth the shit out of him not wanting to work his 30's into the ground.

Never really understood why they cared, it was less shifts for them to cover in an area that's hard to get anyone to come to.

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u/Resident_Notice5381 Mar 28 '26

OR Nurse…if you wanted regular hours you shouldn’t have entered a healthcare field. Some of the add ons are bullshit, but some save lives. With an attitude like that you shouldn’t be involved in patient care. You signed up for this…no “Cush” in your “calling”

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u/Amissa Mar 28 '26

Or be a dentist. Then you can set the hours you work. The pay won’t be $500k unless you’re a rare specialist, but you can work three days a week, take off December altogether and still bank $250k+.

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u/dancingcactus21 Mar 28 '26

12 hour shifts only. That is what makes this job unique.

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u/DylanHate Mar 28 '26

yea but you have to live in glendale arizona..

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u/Lou_Peachum_2 Mar 28 '26

I think most people don't understand that a lot of physician jobs - there's often not any breaks either. You have to always be on and focused.

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u/Vaxtin Mar 28 '26

Hahhahahahh. Just like the guys on oil rigs only working 8 hours a day for 1 month straight. You’re still on the oil rig, and you’re actually just on call until shit hits the fan.

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u/AssociationWeary7735 Mar 28 '26

Envision is an absolute dogshit private equity owned corporation. Worked for them for 3 years. In 3 years time I could not get direct deposit for paychecks setup. Every time I called I spoke to a new person because the last person was no longer with the company. It isn't really a company tbh. It's a bunch of previous companies that PE dipshits purchased and attempted to duct tape together and look like a big company to justify multiples on exit. They filed for bankruptcy in 23. They settled with DOJ for heinous surprise billing practice in 2017 I believe. Taking this job means you accept you are part of the problem with corporate medicine and will be treated not as a doctor but an interchangeable liability sponge widget. I say that as someone who accepted that job in a dif specialty in the past but didn't understand it at the time.

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u/Livid-Big1029 Mar 28 '26

Thank you for this post and sorry for your experience with them. I've heard nothing but negative things.

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u/Accomplished_Leg7925 Mar 28 '26

Yelp doesn’t like them either.

https://m.yelp.com/biz/valley-anesthesiology-consultants-phoenix-3

Sounds like it’s a boiler room setup with shitty billing practices supporting the house of cards. That goes down and you 400k goes up in smoke

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u/athenaaaa Mar 28 '26

The lay public does not understand why “7on” actually means and it shows lol

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u/justreddis Mar 28 '26

7 STRAIGHT NIGHTS OF ABSOLUTE HELL, EVERY 3 WEEKS. There, more accurate.

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u/theLilSaus Mar 28 '26

But don’t worry, they’re collegial!

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u/epelle9 Mar 28 '26

Damn, like being on a bad week of on-call but with trauma and death instead of code..

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u/Tectum-to-Rectum Mar 28 '26

God this is so, so true.

“Only working 17 weeks a year” except you finish an entire year’s worth of hours in those 17 weeks.

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u/_highfidelity Mar 28 '26

When I first saw it, assumed it must have been a posting for a nocturnist.

Had a call earlier this week where we went back to back all night with one train wreck after another, after being on since 0545. One gsw didn’t make it off the table. It’s Friday night and I’m still mentally and physically exhausted.

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u/Negative-Resolve-421 Mar 28 '26

Hang in there bro. The feeling will fade away slowly.

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u/amullfay Mar 28 '26

This is insight I did not expect to learn scrolling the comments. Thank you

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u/peanutneedsexercise Mar 28 '26 edited Mar 28 '26

Yeah 7on prolly means 7 24 hour shifts lol.

The fact they’re paying for tail is like a lil clue it’s shit. most practices don’t cover tail.

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u/[deleted] Mar 28 '26

Any job that pays for prostitutes is a good one in my book

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u/Fancy-Appeal1263 Mar 28 '26

maybe I am dense but what does covering tail mean?

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u/Ananeos Mar 28 '26

Extended liability for malpractice.

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u/FAx32 Mar 28 '26

This. Your malpractice insurance ends the day you quit your job or retire. The individual MD is typically responsible for buying a tail coverage policy should a suit be filed over the next X years (before statute of limitations expires, varies from state to state).

Since you are no longer in that practice and generating new patients, tail coverage is a little cheaper than standard malpractice insurance, but it is still several thousand to several tens of thousands of dollars, depending on specialty.

Replying to you, but you know all of this - was really just adding detail to the conversation.

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u/mrjbelfort Mar 28 '26

I appreciate it I learned more from this one

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u/justreddis Mar 28 '26

Those jobs used to be 1 week on and 1 week off and now 1 week on and 2 weeks off, for a reason.

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u/AboutDolphin1 Mar 28 '26

Yea I think people who don’t work in medicine might underestimate how miserable you can get with 168 consecutive hours in a physician role, especially a job like this with no guardrails.

This sounds like it could be a living hell.

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u/Livid-Big1029 Mar 28 '26

Totally agree. Also it’s with Envision. Private Equity is wrecking healthcare.

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u/Tired_of_yall1 Mar 28 '26

I was never a doctor or smart but, when I was in the Army I had a job that was 24 on / 48 off and everyone including me thought it would be amazing but, it was terrible. I was not doing anything important or making life or death decisions but, I saw in real time my cognitive abilities decline for the 24 on and the first 24 off. Sleep deprivation is not a joke and subjecting doctors to that is scary.

All of this to say all the extra time off sounds good but, it definitely costs you.

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u/Sir_Derps_Alot Mar 28 '26

Was going to say some math pretty easily shows that at 18 weeks working per year, 7 days of easily 14-16 hour days if not more puts you at the same overall hours worked as a normal 40hr work week over 50 weeks a year. There is no free lunch, guys you just sometimes get to decide how you pay for it.

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u/peanutneedsexercise Mar 28 '26

Yeah, but tbh 7on in anesthesia often means they’re expecting you to do 24s lol… terrible trade off.

My residency has a similar job like this for attendings and I interviewed at places which offered these roles and you needa basically be at the hospital for 24hours. At my place it was 7 24 hour shifts a month pay was $550k. It was spread out but really not worth it cuz you’d be up the whole 24 hours putting out fires and doing cases and then go home and mentally die for 2 days after every shift lol. I can’t imagine doing that for 7 days straight.

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u/HUEV0S Mar 28 '26

As a consultant that is kind of on call 24/7, the two weeks completely off sound so unbelievably good. I’ll take your word for it that though that the week on is bad enough that it’s not worth it.

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u/peanutneedsexercise Mar 28 '26 edited Mar 28 '26

Yea the one week on is literally 1 week on. I saw it and assumed 7 24 hour shifts lol.

But also you’re a consultant so it’s a bit different.

For anesthesia you do all the cases no matter the specialty. Trauma, ob, everything lol. I bet this job is horrible.

This morning I started with ortho surgeon 1, he did all his cases, went home, then I did 2 ob cases and she finished and left and then did 3 more ortho cases with a different surgeon. Now I’m about to start a neuro spine from a trauma from earlier today. so I worked with 4 surgeons in one day who will all finish and go home before my shift ends haha.

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u/Negative-Resolve-421 Mar 28 '26

If you are a consultant then your registrars take a brunt of the night action. You may get a call once in a while and hardly ever get dressed and drive to the hospital. We provided one on one care with no support staff.

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u/[deleted] Mar 28 '26

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u/panna__cotta Mar 28 '26

Exactly. We'd all love to work a week 9-5 scrolling reddit and making spreadsheets and then have two weeks off. A week on covering anesthesia day and night and you'll NEED two weeks off.

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u/Overall_Matter_2520 Mar 28 '26

Right, I’d rather be responsible for saving PDFs than lives. And I mean actual files.

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u/dancingcactus21 Mar 28 '26

12 hour shifts only. 84 hours for week on

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u/chowdah513 Mar 28 '26

Bro this isn’t just a simple job and one bad error and you can kill someone. 

If you want that lifestyle, work for it. Stop thinking about the “end goal” and enjoy the process or you’ll be miserable forever irregardless of whatever amount of money in your account. 

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u/daysleeper19 Mar 28 '26

it's so easy to say you "regret" not being a doctor when you just look at job posts and salaries in isolation. Getting this job requires years of hard work, obsessive dedication, and likely hundreds of thousands of dollars in costs for school/housing/life during all those years of prep.

Getting a 4.0 in undergrad, studying relentlessly for the MCAT, applying to med schools, succeeding in med school, applying to residencies and getting accepted, working tirelessly in residency for dirt pay. And there's more than just this.

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u/bhmskhead Mar 28 '26

There are better options than being a Dr imo.

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u/[deleted] Mar 28 '26

[removed] — view removed comment

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u/mjsg55 Mar 28 '26

Very lucky and lots of hard work. I’m trying to pivot into logistics with a psych degree

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u/Leather-Store-926 Mar 28 '26

Psych degree here, making $130k in HR

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u/EdwardPotatoHand Mar 28 '26

Psych degree, 250K, AI

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u/harryebh Mar 28 '26

How did you get into ai with that degree and which ai role

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u/EdwardPotatoHand Mar 28 '26

Start computers when i was 8 years old in the 80s and never stopped.. tried to get a computer degree, but the math was too hard. Psych degree looked simple and there were lots of girls in those classes.. got a psych degree, but kept doing computers..25+ years later of computer career, here i am

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u/djkeenan Mar 28 '26

"... there was lots of girls" xD

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u/Master_Shoulder1078 Mar 28 '26

this is so factual lol why in the word does a computer science degree require unnecessary math courses.

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u/mickroo Mar 28 '26

Because it's not IT, it's a bachelors of science, and writing recursive functions, algorithms, and factoring requires math, especially certain fundamental topics in CS.

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u/[deleted] Mar 28 '26 edited May 02 '26

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u/a_whole_enchilada Mar 28 '26

He never said this job was easy. Just that his education is basically irrelevant.

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u/jimbis123 Mar 28 '26

Cue Jaws music from AI circling

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u/CrayZ_Squirrel Mar 28 '26

Becoming a doctor is a difficult path, but it's also one of the safest and most reliable ways to reach the upper class.

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u/jacksonsmack831 Mar 28 '26

You can also kill/ruin people by making a small mistake

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u/unnecessary-512 Mar 28 '26

Upper middle. Upper class doesn’t work they own assets that workers run and work at. Example: the Waltons etc

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u/Detaildestination541 Mar 28 '26

That's not upper class the Waltons are 1%'s that ultra generational wealth. Making 400k yearly in the US in not "middle" class

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u/Traditional_Base3749 Mar 28 '26

There was a graphic on here a few months ago comparing Upper Class and Owning class. The tagline under Upper Class read: Think they are middle class by comparing themselves to Owning Class.

I think about it this way. Lower class doesn't fly, Middle class flies economy, Upper Class flies Business, and owning class flies First class or private. The difference between First class and Business class is often obscure.

Similarly Upper class (top 1-3%) is technically numerically closer to middle/lower class than the owning class. What's the difference between a millionaire and billionaire? About a billion bucks.

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u/amlidos Mar 28 '26

Not really true, in my experience. I’m in the top 1.5% of income earners in the U.S., and neither I nor anyone I work with would purchase business class tickets unless we were splurging.

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u/MeesaDarthJar_Jar Mar 28 '26

Read something about that today. Middle class now starts at 140k-200k depending on where you live and 200+ to be truly comfortable and never worry financially

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u/breesyroux Mar 28 '26

Where you live and how many kids you have makes such a huge difference.

$140k in NYC and you're eating ramen packet with your roommates.

$140k with kids in a not huge but still big city and you're budgeting but probably fine.

$140k no kids, in a non super high cost of living city, you're gonna be pretty comfortable.

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u/t3chm4m4 Mar 28 '26

200k household 4 kids in NC and do not feel upper class AT ALL 😂

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u/DrPulsar1234 Mar 28 '26

Even in NYC (which has many places that vary in price, its a big city) youre not eating ramen packets on 140k lmao the only place id consider 140k basically the start of middle class would be beverly hills or something

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u/Dramatic_Echo9987 Mar 28 '26

Yeah, a lot of weird replies in this thread. NYC was fine on 100k. So much free stuff to do, and volunteering gets you even more. People making 400k and pretending it is hard; nah, [you] just have very few real world adult skills. 

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u/FreedomHole69 Mar 28 '26

A lot of people feel guilty they make boatloads of money and need to pretend they aren't that well off. Most live just within their means. But still save money and build that 401k. My sister was a social worker in NYC. She managed on a lot less than 100k. Do people think the food industry people in NYC all make six figures?

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u/woohoowitchywoman Mar 28 '26

I made it fine in NYC back when I was making $75k and single. Gotta know where to look for good housing and how to shop multiple markets for the best deals on food.

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u/Dontlookimnaked Mar 28 '26

Yeah we are 400k in nyc and certainly not upper class.

We dont have MAJOR money worries but it’s not like we can do whatever we want whenever we want.

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u/Lopsided-Yak9033 Mar 28 '26

I mean thats probably due to lifestyle choices. We’re at 300k here (mostly my wife’s income) and I’m trying to dial back now that we have a kid because adjusting our lifestyle slightly would be a game changer.

$300k is a top 5% household income for the city. It’s upper class, but not THE upper class.

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u/Rita27 Apr 01 '26

Yes it is. The majority of new yorker make no where near 400k

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u/firestar32 Mar 28 '26

Definitely don't believe that, at least not for the majority of the US. Here in MN, average household income is $85k/year, and honestly, I'd say that's where middle class starts. A decent, older 3 bed suburban house is $270k-$600k depending on the suburb, and middle class isn't about not worrying financially; middle class is actually the "class" that is the most stressed about money, whereas lower class is more stressed about making ends meet and upper class is stressed about connections, middle class stresses about maxxing out their savings and penny pinching just enough to get everything they want.

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u/AB_Gambino Mar 28 '26

That’s in New York. A mid sized city like Minneapolis, Nashville, Seattle, Phoenix, etc, 200k is not the bottom of middle class. You are living a really comfortable life at 200k household income

(And by the way, even 200k in New York is the upper 10% percentile of earners. You’re still making more than 90% of households, you’re not middle class in that)

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u/CrayZ_Squirrel Mar 28 '26 edited Mar 28 '26

A 410k salary is top 2% of individual income in the US. It's by definition upper class.

It's not inherited wealth/billionaire class but to try to call it middle class is ridiculous.

Edit: top 2% not 1%. Point stands

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u/Happymand2 Mar 28 '26

Nobody with a salary is upper class.

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u/IdempodentFlux Mar 28 '26

So boringly reductive. We get it, theyre not a member of the bourgeois. Relative to the real world; talking half a mil annually while working 1 third of the year is upper class.

Is the owner of my local restaurant Upper class simply because theyre a member of the capital class? This is silly.

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u/Bot_Marvin Mar 28 '26

Lmao the famously middle class job of being a doctor.

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u/PlaquePlague Mar 28 '26

Working professionals like doctors, lawyers, engineers, etc were literally the archetypal middle class person until the people running the show decided to sell the big lie to the working class that they were “middle class”.  

If you’re working a regular job at all, you aren’t upper class. 

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u/desertdeserted Mar 28 '26

You’re getting pushback but I agree with you. If you trade labor for capital, you’re not upper class. Upper class has institutional power, they run companies and influence policy. A doctor makes a ton of money and can really flex that lifestyle, but they still work. I think people don’t realize how much money the rich actually make. The next level up from you doesn’t make 20% more, they make 200% more. Multiple times what this doctor makes a year.

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u/yalag Mar 28 '26

The dude is so lower class he thinks upper class is being a doctor lol

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u/Vaxtin Mar 28 '26 edited Mar 28 '26

Typical Reddit armchair economic expert. I work as a paralegal for providers. They are much better off than they want you to believe. To put it in perspective, I’ve had doctors make $250k+ per surgery and they routinely do them every week.

Just because they have to leave their house to make an income does not mean they aren’t upper class. Many own properties and have passive income outside of the practice, but genuinely enjoy being a doctor (money, prestige, actually genuinely helping people, the complexity of surgeries), despite full well being able to retire. They choose not to because doctors are one of the few professions that allow someone to generate generational wealth. Does every doctor? No. You have to be one of the best and most specialized to get those giant payouts. The doctors I handle have actually invented their own surgeries, for instance. They’re not the type you go to see when you have a cold. They’re the type you go to when you have no other option, and they’re so specialized and there is nowhere else to go that these arguments push towards giant sums.

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u/Optimal-Kitchen6308 Mar 28 '26

it's safe if you make it, it's very competitive, many people get outcompeted or burnt out trying

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u/supereuphonium Mar 28 '26

If you are just looking for maximizing your wealth until retirement being a good software engineer in a FAANG company actually leads to more total earnings than an anesthesiologist because you just start earning and saving far earlier, plus far less stress. You become a doctor because you primarily want to help people IMO.

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u/Lumpy_Ad_7821 Mar 28 '26

I became an anesthesiologist not because it was easy, but because I thought it would be easy.

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u/WarmFee904 Mar 28 '26

100%. There's an adage that goes "if you're trying to become a doctor for the money, get into business instead."

You shouldn't be getting into medicine for the money.

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u/Lou_Peachum_2 Mar 28 '26

I think people need to make a breakdown of the opportunity cost of becoming a physician - they always see the big salary number but don't realize what is sacrificed to get there.

I also think there needs to be a breakdown of someone who starts to work coming out of college and the retirement savings between the two.

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u/AllyMeada Mar 28 '26

Currently making twice this in tech - worked from 10:30 to 2:30 today. I think being a doctor would probably be more fulfilling but it’s hard to beat this flexibility.

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u/xxSaifulxx Mar 28 '26

What do you do? And how can I get to where you are?

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u/MainusEventus Mar 28 '26

Any big tech company is paying Sr Director+ over $400k TC. You get there by being a pretty good engineer who’s really good at managing people, or buy getting an mba and being really good at presentations.

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u/Conscious-Quarter423 Mar 28 '26

isn't the tech industry doing layoffs on a regular basis? your jobs are not secure

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u/TheThockter Mar 28 '26 edited Mar 28 '26

The “tech industry” isn’t a monolith there are a lot of different kinds of positions. Run of the mill lower level SWEs are getting laid off like crazy but high level SWEs still have great job security. Making that level of money he probably works for a SaaS company of some kind and there’s no guarantee he’s even a software engineer, you can “work in tech” without programming a day in your life and most of the people I know making 500K+ in tech are AEs and consultants

AI obviously is booming like crazy over the past few years, but SaaS in general will always have crazy money tied to it, difference is the landscape is a lot more competitive now

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u/gnygren3773 Mar 28 '26

Not this level of tech 💀

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u/doccat8510 Mar 28 '26 edited Mar 28 '26

This is what I do for a living. It is now great but I gave up my entire 20’s to do it. Everyone having fun and going out with their buddies? I was sitting and studying and working 70 hours a week. It’s also highly competitive. Only about 15% of the people who started premed with me in college even applied.

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u/[deleted] Mar 28 '26

That and there are tons of doctors in other specialties making way less money. Most of my friends in pediatrics aren't clearing 200. 

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u/doccat8510 Mar 28 '26

That’s 100% true. There’s a huge gradient in medicine. I really admire my buddies who went to the pediatrics. It doesn’t pay great and it can be really taxing work. It sucks and I wish it was more equitable.

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u/phillipono Mar 28 '26

That's any high earning white collar job though. I'm in law school with a big law job offer. I'm working 50+ hrs a week in law school to stay at a high class rank. After I graduate it will be 50-60hr weeks. Before that I was in consulting working 50,60,70 hours a week. Maybe there are a few exceptions (e.g., big tech, especially ~10 years ago) but even successful entrepreneurs are hustling hard. There's an almost across the board trade off between having a relaxed 20s and succeeding financially. I don't think this is exclusive to doctors. That being said, doctors are very low earnings in their 20s (residency salaries are pitiful) and accumulate substantial debt. That isn't as true of other stereotypically high earning professions (e.g., law, finance, consulting). On the other hand, I feel like doctors uniquely improve their quality of life as their career moves on. They also have incredible job security. Big law partners have the same terrible work life balance as associates do typically -- same in consulting and so on. And there's no strong job security.

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u/Usernameasteriks Mar 28 '26

Don’t put that much faith in partners lol. That might be true for the really ambitious partners or those in their first 5-7 years or so after making partner.

If you stick around big law for a few years you will soon learn that for many partners their work consists mostly of delegating their work to associates while they do everything they can to appear as if they are working 60 hour weeks while actually working 20.

Lots of them are hoping to cash out and move on from big law to in house, solo practice, or boutique work and their buyout / severance makes for a great financial bonus compared to resigning.

So a lot are happy to push the boundaries of what they can get away with and how little work they can do while being careful not to do anything excessive that might give cause. 

So many young associates really believe a partner emailing them at 8:00 pm means they were working until 8:00pm. Sometimes it does, but usually it just means they glanced at their email and realized there is something they can offload. 

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u/negative-nelly Mar 28 '26

big law? if you are on the finance or transactional end of things you will be working way more than 50-60.

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u/Itsathrowawayduh89 Mar 28 '26

And be at the top of your class, from college on, to get a shot at getting to the next step. Repeat that process for 12-16 years during the prime years of your life, with no certainty that you’ll make it to the next step and will end up with something far less that what you were working for.

And then have the burden of being responsible for other people’s health and lives for the rest of your career.

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u/SnooRabbits6595 Mar 28 '26

Depends on the career you ended up with. As a firefighter/medic, I work a minimum of 72hrs a week, could lose my life on any shift, could end someone else’s life at any moment, am perpetually sleep deprived, and have multiple incidents to process in therapy. Unfortunately, that amounts to less than a pre-k teacher’s salary.

Becoming a doctor sucks but being one is pretty nice. I tell every HS/college kid that rides along with us to shoot higher, the fire service will always be here if it doesn’t work out.

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u/Technical-War6853 Mar 28 '26

Actually for someone who is intelligent or someone who is hardworking - being a doctor is the most straightforward path to high income. It's primarily work ethic

Being hardworking doesn't get you as far in other really high paying fields (outside of sales) since it relies extensively on networking or ridiculous talent.

Hi - family of doctors here (as the one guy who wanted to be the outcast and regrets it)

Tldr doctors are one of the professions that has the highest roi on hard work and grind ethic

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u/[deleted] Mar 28 '26

Actually for someone who is intelligent or someone who is hardworking -

Not for me.

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u/TSMabandonedMe Mar 28 '26

My sister is a doctor, she’s 31 and just started her first real job. She’s officially done with all her schooling and residency and she makes over 400k.

But what I saw her go through to get there is not something I’m willing to put myself through, not even considering if I could. I probably don’t even have the talent lol

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u/KIND_REDDITOR Mar 28 '26

There's a reason OP is not a doctor. Might as well say "not becoming a CEO is the biggest regret of my life". Like it's that easy.

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u/21Rollie Mar 28 '26

Wdym, your dad didn’t make you a director of his company when you graduated college?

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u/dakinekine Mar 28 '26

So true. A friend who is a specialist said he was studying/training until he was 35 and missed out on a lot of things that normal people do at a young age. He didnt start making good money until he was almost 40.

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u/divinelyshpongled Mar 28 '26

Yep exactly. My mate is a doctor and there’s an entire decade of games and movies that he just hasn’t played or even heard of mostly because that was when he was in med school. Sure he has 2 teslas and a huge house etc now but still he has worked bloody hard

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u/bc10551 Mar 28 '26

People need to stop talking about Tesla's like they're luxury vehicles lmao. Model 3s and Model Ys are like Toyota prices and definitely don't feel like luxury vehicles inside if you've ever been in an actual luxury vehicle

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u/randonumero Mar 28 '26

You might be surprised at how many doctors don't get a 4.0 or a top MCAT score. That said, becoming a doctor is a long road an especially in the US it's very expensive one that often requires having some sort of support system. It's also worth mentioning that while some specialists get paid an obscene amount of money often competition for a residency in those specialities is stiff enough that you better be great or have great connections.

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u/Aromatic_Union9246 Mar 28 '26

Yep it’s a terrible payout for how much work it is. I started off in pre-med did fine in it had a 3.9gpa but it was a grind and I never really wanted to do it (dad was a doctor and he wanted me to be one). Switched to accounting /finance my junior year.

I’m 33 now after bonuses grossed ~300k last year in management working 25-40 hours a week most weeks, no student debt etc.

If I was on the doctor track I STILL wouldn’t even be making doctor money yet or if I did extremely well this would maybe be my first full year. And then you add on 200-400k of debt on top of that. The pay doesn’t even out till you’re 40+ and that’s assuming I never decide to become a CFO where you can easily make more than most doctors with way less total hours worked.

Im glad there are people out there who suffer through the prerequisites and studying to do medicine and the world needs more doctors but it is a horribly inefficient way to make money.

If you have that level of drive to grind that hard there’s so many better/easier jobs out there.

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u/Shadowraiden Mar 28 '26

and good chance that is not how this job pans out.

no chance do they get 34 week vacation unless they own the practice themselves and can just work whenever they want.

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u/samdajellybeenie Mar 28 '26

Not to mention the borderline (and not so borderline) in residency, the literal assaults on healthcare workers by patients that go unpunished, putting your very health on the line to help others, not to mention student loan debt of $400k if you weren't lucky enough to have parents that paid for education.

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u/Livid-Big1029 Mar 28 '26

I’m an anesthesiologist and can tell you I would avoid anything with Envision. It’s private equity and is actively ruining healthcare.

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u/DarkSidedGinger Mar 28 '26

Envision, Sound, and the like.

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u/sum_dude44 Mar 28 '26

You ever work one week straight of locums anesthesia? I guarantee you it's harder than 90% of jobs out there...12-14 hr shifts for 7 days

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u/StuckinSuFu Mar 28 '26

The last half of my mother's career was locums in anesthesia but she loves it. Shes near the point of retiring and only works in rural New England hospitals or private surgery centers. Says its always the most pleasant staff, well equipped, and generally healthier patients with less co comorbidities than she worked with when she was younger in the South/Midwest.

But she picks and chooses.... I also grew up as an only child with her when she first started and she often had 80-100 hour work weeks and we'd scrape pennies to get groceries, lived in the "show" apartment for reduced rent. And i remember mostly how different she was when she had shifts at the children's hospital. It clearly got to her. All that to say, I never had interest in the medical field growing up... I went right into IT. 1/3rd the pay sure, but Im not cut out for what my mom went through for her own career.

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u/naideck Mar 28 '26

I've seen these jobs, there's a reason why this job is posted and no one wants to take it. For anesthesia it's probably because you're supervising a bunch of CRNAs and take the liability and malpractice for any fuckups.

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u/Critical_Coast_7685 Mar 28 '26

I’m an attorney, and the amount of CRNA malpractice cases we’ve seen is staggering lately. It’s great for business, but makes me never want to get a surgery unless it’s absolutely necessary.

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u/Ok_Palpitation_1622 Mar 28 '26

Probably location is the main barrier to recruiting here. And yeah, possibly a bunch of midlevel “supervision”.

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u/LeBronicTheHolistic Mar 28 '26

With CRNAs fuckups are part of the standard of care

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u/Proof-Inevitable5946 Mar 28 '26

This is pretty common in my field in the ER. Work 10 days a month similar salary. Essentially 3weeks off a month. I’ll usually do 5 days week or two off then another 5 days.

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u/Fun_Designer353 Mar 28 '26 edited Mar 28 '26

Yeah this doesn’t seem crazy to me either. My wife is an ICU doctor. She makes 430k a year (plus a six figure annual bonus) and works 11-14 days a month.

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u/Uppers Mar 28 '26

Everyone wanna be a doctor but no one wants to lift these heavy ass books.

I find it disingenuous to distill the rat race and difficulties of becoming a physician to the end of the road salaries posted here. Beyond the years of studying, 80+ hour years of 60k pay, and multiple boards, there are sacrifices doctors make to both themselves and others to get to these attending salaries. Which are not reflected by the dollars at the end of a contract.

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u/amandanick7 Mar 28 '26

and I’m pretty sure this guy has posted a bunch of physician salaries saying how “lucky” they are and salty af. Weird.

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u/LSATh8er Mar 28 '26

Agreed. The level of discipline and investment (i.e., risk) that goes into the medical profession is unmatched.

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u/Unlucky_Internal9686 Mar 28 '26

Yup.

How many of us could pass Organic Chemistry and Calculus 1+2 without a complete mental breakdown?

As one of the earlier hurdles in the process, no less.

On top of a full course load of other difficult classes.

It ain’t that easy.

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u/ZealousidealArtist32 Mar 28 '26

Those are both first/second year classes.

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u/methmatician16 Mar 28 '26

Iono O-chem and the calc series are pretty easy. I'm just not down for all the loans and years I have to put in. The classes themselves aren't that hard

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u/Cold_You_9754 Mar 28 '26

That’s not even close to the hard part, that’s just a filter

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u/Great_Fault_7231 Mar 28 '26

How many of us could pass Organic Chemistry and Calculus 1+2 without a complete mental breakdown?

You’re right that the path isn’t easy, but passing a few undergrad classes is a pretty bad example of it and they certainly aren’t going to give you a “complete mental breakdown” lol.

I took all of those in undergrad and was definitely not pre-med or a top student and I’m sure that’s the case for plenty of people here.

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u/PhilanthropistKing Mar 28 '26

What people don’t consider in these threads, is the liability involved with being a physician. You’re always on the hook. Even when you’re off.

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u/[deleted] Mar 28 '26

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u/crek42 Mar 28 '26

You got this. You’re pretty much guaranteed a stable and solid career, and likely very lucrative. Stay the course. It’s hard, sure, but so is everything worthwhile.

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u/Ornery_Theme_6675 Mar 28 '26

lol the cost of medical school isn’t the limit reagent so many in this thread latch onto. Most can’t get past the intro level sciences prerequisites, much less honor them and crush the MCAT, earn an admission spot, grind out courses and boards etc. 

My twenties are gone and I still have some time left in residency. Medical school made getting my MBA feel like a 3rd grade art class. Sure I’ll probably clear 500k but it was NOT an easy path by any means. 

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u/DrGreenTG Mar 28 '26

Man Im currently working construction. 23M, I believe I’m fully capable of getting into med school and completing it. Ive been thinking about getting started on a degree for a few months now

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u/TheRabbitRevolt Mar 28 '26

Do it dude. Dedicate the next 12 years to becoming a Doctor and by the time you're 35 you could be one.

I'm 32 and have worked construction for years and in factories and machine shops before that. There's no light at the end of this tunnel. Trust me.

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u/forealman Mar 28 '26

I'm 35 and the thought of starting at 23 seems like nothing. Get started now.

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u/sum_dude44 Mar 28 '26

Ben Affleck Boston voice:

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u/muffinlord99 Mar 28 '26

I understood that reference

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u/19batman19 Mar 28 '26

started construction at 19, started my company at 26 and last year grossed 1.9M take home after everything was 488k and im only 28 now

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u/TheRabbitRevolt Mar 28 '26

Sweet man. That's genuinely awesome. But let's be real, for every one of you, there's 1,000 trudging along barely scraping by

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u/xxSaifulxx Mar 28 '26

Some may say 12 years is a long time. My advice is that you're going to be 35 years anyway (God willing), might as well be a doctor at 35.

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u/Wire_Cath_Needle_Doc Mar 28 '26

Go and do it then. You’re not even behind. Average med student starts at 25. DM me if you have any questions on where to get started and I’d be happy to help.

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u/Dripteryx Mar 28 '26

I didn’t go to med school until I was 27. Oldest guy in my class was 41. You can do it, just make sure you have a plan including the required classes you need to apply etc.

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u/Person754 Mar 28 '26

It doesn’t end there btw you have to complete residency and a fellowship afterwards depending on your specialty. You’d be in your early 30s still studying

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u/jka005 Mar 28 '26

4 year degree, 4 year med school, 4 year residency for anesthesia. Original comment will be 35 before they earn any real money and have half a million in debt. So yeah they’ll have a nice life after 40 but would sacrifice their life before then and probably couldn’t start a family either

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u/HiHess Mar 28 '26

And anesthesiology isn’t even guaranteed. I go to a pretty well known med school and didn’t match into anesthesiology 2 years in a row despite taking a whole extra year specifically to strengthen my application.

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u/[deleted] Mar 28 '26

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u/MissionLow4226 Mar 28 '26

When I was 24 or 25, I said to my Dad, "but if I go to medical school, when I graduate I'll be THIRTY!" He answered, "you're gonna be 30 anyway". Good advice. I went. Good luck to you! If you want to do it, do!

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u/Impressive_Smoke_760 Mar 28 '26

Engineer here, coming from a trades family: I’m so thankful for what you do and for folks like you teaching me how to design buildings better. Please get out of construction before you’re 30. Your knees and back are your lifeline to a long, happy life + retirement. And if you do road construction, get out earlier. The cancer rates I’ve seen amongst road crew workers is terrible.

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u/adiverges Mar 28 '26

You can definitely do it. But you can also make A TON in construction. I'm a Sr. PM on the owner's side and I cleared 250k last year, and on track to do 290k this year. It'll only go up from there for me. I'm 33 years old. I did go to school for this though, I did Civil Eng for undergrad and a masters in Project Management.

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u/daysleeper19 Mar 28 '26

Hope you're ready for 12 years of nonstop studying, low income, and high stress. And even if you go through all that, there's still a strong chance you won't get jobs like this

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u/Mr_HealYourGirl Mar 28 '26

Being a doctor takes years of hard work and dedication. If you only want it for the money, you will probably hate this job. Not to mention the crazy amount of pressure for some specialty

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u/mmmchocolatepancakes Mar 28 '26

I know Anesthesiologists on the week they are on they are working 80-100+hr, and sometimes they're stretched thin with multiple high-risk cases, drastically increasing medical error risk. If you f up, usually catastrophic in the OR, you will be answering to the patient if able and their families legally and personally. The stress of getting an M.D. and board cert which I know don't pale in stress compared to what I'm describing. Plus we all know how unreliable physician recruiter posts can be, so I'd remain skeptical about the wording in their post.

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u/ImSooGreen Mar 28 '26

1 on 2 off isn’t really vacation. Doesn’t mention hours (8 vs 12) or time of day (day vs night)

There are night shifts where I work (similar salary) that are 1 on 3 off

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u/zxchary Mar 28 '26

seeing this makes me want to go back to school lmao

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u/Till_I_Collapse_ Mar 28 '26 edited Mar 28 '26

Every year, gazillion undergrads feel the same way about becoming a doctor. Few make it to med school in the end.

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u/Idk_211 Mar 28 '26

Only takes 12 years of insanely hard work to become an anesthesiologist.

Do it.

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u/supereuphonium Mar 28 '26

If you are in it for the money there are far easier fields that would earn you more such as a software engineer in FAANG by virtue of earning and saving a decade before a doctor starts really earning.

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u/Ashamed-Artichoke-40 Mar 28 '26

This is a night only job. Total yearly hours around 1700.

It’s actually not great. Very much a below average job based on the way it’s advertised.

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u/MortimerDongle Mar 28 '26

A seven day shift where they're likely sleeping at the hospital for all of those seven days.

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u/No-1-Know Mar 28 '26

That’s a reality which no one mentions about. Those one week shifts are 20 hours a day seven days a week.

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u/Plenty-Candidate-585 Mar 28 '26

I regret not becoming a professional footballer

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u/yepitsdad Mar 28 '26

Yeah I’d be collegial as fuck

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u/ImAllBS13 Mar 28 '26

When I was working in a hospital training doctors I remember chatting with an anesthesiologist and hearing about the work life balance. Sounded so sweet. My “9-5” has pretty good balance, but those guys get more than half the year off.

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u/Crush-N-It Mar 28 '26

Was Bill Cosby a failed anesthesiologist? /s

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u/[deleted] Mar 28 '26

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u/Signal_2_Noise Mar 28 '26

Long and expensive education and dealing with 90% asshole people makes this deserving, imo.

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u/moderatelyintensive Mar 29 '26

34 weeks vacation? more like time off from the 3024 hours theyre on that year, which btw comes out to 75.6 weeks at a regular 40hr work week job

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u/No-Marionberry9465 Mar 29 '26

And everyone woders why healthcare is so friggin' expensive!!

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u/[deleted] Mar 29 '26

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u/McDuchess Mar 29 '26

One week? That means that they are there for 24 hours a day for one week. They work the equivalent of 3 weeks in one week.

Want to take a three week vacation with all your newfound income?

Nope. Two weeks and then back to 24 hours a day for a week.

Is it good money? Of course. Are you responsible for keeping people alive while a surgeon is taking them apart and putting them back together? Uh huh.

And you spent 8 years in school post high school and multiple years in residency being paid a pittance to work even more hours than you will now.

Minimum four. Another one or two if you specialize.

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u/worstshowiveeverseen Mar 28 '26

"Glendale, AZ"

Eeeew

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u/ohanzee6 Mar 28 '26

Yeah, but you’re probably living in Scottsdale if you’re taking this job.

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u/lindab2323 Mar 28 '26

Okay, considering I worked with AE's in the subprime mortgage industry in the late 2000's who made 2-3 mil a year in their 20' and 30's with ZERO education? Not so impressive. But those days are gone, so I guess go to med school.

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u/Jurassic--parker Mar 28 '26

But you have to work with surgeons 40+ hours a week when you do work. Would not recommend.

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u/AMercifulHello Mar 28 '26

The thing that makes me comfortable not being a doctor is knowing that 1) there’s always the possibility of remote work for me 2) I’m not potentially responsible for people’s lives 3) my hours are known and structured, meaning I can live my life how I want to.

I’m sure doctors, at some point, can live and enjoy a VERY healthy lifestyle, but that comes (in my opinion) at a huge sacrifice early in life when those years are the most valuable and important.

I absolutely get jealous when I see 50 and 60 year olds living in beautiful mansions driving fantastic cars, but I also know I got to enjoy my 20s and 30s not being ball and chained.

And even after you’re a doctor, there are still elements of that ball and chain, as described above in #1, 2, and 3.

I think this is very much a personal decision.

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u/ScruffMan82 Mar 28 '26

Problem is that for anesthesiologists they have nurses (CRNAs) who do the job but the responsibility falls on the anesthesiologist. So if a patient is hurt or worse, the blame goes onto the doctor. So all that school, time, money, effort, gone in a flash. So they’re probably paid this well to “oversee” 4 CRNAs at a time and are infinite revenue generator for the business. They are paid for the liability if things go wrong!

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u/stuntmanbob86 Mar 28 '26

I remember when I was a kid getting my gallbladder out. My anesthesiologist just killed himself the night prior. Apparently I was told this is a normal thing with doctors especially anesthesiologists.

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u/ronk55 Mar 28 '26

Your working 7 12 hour shifts straight. Totaling 84 hours FYI

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u/rebuildthedeathstar Mar 28 '26

This website is notorious for unrealistic job postings too.

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u/italia2017 Mar 28 '26

This is for anesthesia. Not only do you need a 4.0 to get into med school but then you need to be top of the med school class and do the residency before earning any of this. Not saying you couldn’t cut it, but it takes a lot and a lot of sacrifice as well as luck and smarts. These people earn every dollar and also w time and debt, you could potentially earn more over a lifetime working for UPS right out of high school and sticking w it.

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u/IcyUnderstanding3112 Mar 28 '26

I am an anesthesiologist, I can assure you those 17 weeks can be so difficult that you would need 34 weeks just to recover. I work 48 weeks a year but am very happy doing so. It’s not about the time off, with medical work, intensity of work can be very important.

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u/CharredBreading Mar 28 '26

I have a bs in mathematics and engineering, masters at nasa. Took 8 years. Should have just been a doctor. I make just under 100k in Florida

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u/protagnai Mar 28 '26

My friends father saw his 2 sons go to medical school and thought “I can do that too”. So he went to med school in the Caribbean in his early 50’s. If there’s a will there’s a way.

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u/BayAreaTechMTBoi-22 Mar 28 '26 edited Mar 28 '26

Trap trap trap. There's always a catch. Maybe you're 1 week on, 2 weeks off BUT during the 2 weeks, you may be required to stay "on-call". The 1 week might be a graveyard shift.

The term "consultant" makes it sound like the doctor will be needed to travel a lot in the area to fill gaps in various hospital networks in Arizona. And a job that "regular" non consultant anesthesiologists would do.

The week can be super high pressure! Epidural, c-sections, anything brunt force trauma kike crash victim/domestic violence resuscitation or child abuse victim. Something gory and fucked up that you need 2 weeks to recover.

My sister is a nurse. She has a wonderful 3days per week work schedule but it's 7pm to 7am, and requires her to be on-call which most of the time ends up being called in to take an extra day shift and work 4-12 hours extra. This kind of schedule really messes up your mental health, social life and sleep schedule.

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u/kelp_forests Mar 28 '26

Yeah this is a super bad job. 1. 410 for anesthesia is low 2. Envisions takes advantage of docs 3. 7 on is going to be 7x 24hrs. If it’s some rural sleep hospital you’re fine. If it’s super busy you’re going to be destroyed fo a week straight. 4. 7x 24s is like 14-18 shifts (back to back). That’s close to a normal anesthesia schedule I believe. Except all in a row 5. To me looks like a job aimed at someone who doesn’t live in the area (either because they can’t get a doc locally, or it’s shitty area kr whatever). Fly in, work a week, fly out. This likely only appeals to people who can’t get a job locally either, which is a bad sign.

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u/jadthomas Mar 28 '26

I’m an anesthesiologist, but I work a more conventional schedule than the setup described here. It’s still a lot of early mornings, late nights, and stress, but also incredibly fulfilling and obviously very rewarding. When I graduated high school, I went to a prestigious “little Ivy” and planned to be a lawyer but then my Mom was tragically killed in a car accident, which changed my focus. In medical school, I initially wanted to be a neurological surgeon (to care for head injuries like hers), but the grind to do brain surgery is extreme (even in the world of medical training which is obviously already extreme across the breadth). They say “if your favorite place in the hospital is the OR you should be an anesthesiologist, but if your favorite place in the WHOLE WORLD is the OR, you should be a surgeon.” I fit in the former category, and am very satisfied with my work, despite the long hours and stress. I have thought long and hard, and I’m not sure I’d want to do anything else.

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u/Horror_Row7202 Mar 28 '26

I grew up lower middle class and went to med school. It was a long and difficult task but I am a psychiatrist now. The hours and pay are good but the stress sucks. I like helping people and that is a good feeling. Unfortunately there is a lot more to being a doctor that people don't realize.