r/medicalsalaries

This is about the Instant Consult mode on Practo.

Patients just have to login and pay and the system connects them to any available doctor.

A patient pays Rs.500-700 for a consultation and the doctor gets around Rs.100 (actually Rs 90 because they deduct ten percent as tax at the final payout).

It's even less for audio only consults.

For that Rs100 (Rs 90 ), we're expected to take a proper history, review reports, write prescriptions, answer queries, and then provide a 7-day follow-up.

And that follow-up is a story in itself.

Some patients use it the way it's meant to be used. Others start asking about completely different problems a few days later. Some ask for advice for their spouse, parents, or children. I've even had patients try to get prescriptions for multiple family members from a single consultation.

Then there are the occasional abusive patients. When that happens, you're pretty much on your own. Reporting it doesn't always result in any meaningful intervention.

What really gets me is the medicolegal aspect. During onboarding, we're basically told that if anything goes wrong legally, it's our problem to deal with. The platform gets its share of the consultation fee, but the liability sits with the doctor.

Does anyone happen to know what the salary for pediatric neurology in Texas would be?

Rate my FM attending offer
Finishing residency next year and signed this offer in northern Illinois. Wanted to see what other FM docs think.
$330k guaranteed for 2 years
Production based after guarantee
4 day work week, about 36 patient hours
Probably 18-22 patients/day
25 paid days off including CME
$3k CME
Paid holidays
$3k/month residency stipend until I start
$50k retention bonus over 5 years
Up to $50k loan repayment
Up to $10k relocation
Malpractice + tail covered
License/DEA/boards covered
Retirement match: 80% of first 6%, 5 year vesting, residency years count
Can moonlight with some restrictions
90 day without cause termination
About 1 hour outside Chicago
Biggest downside is the commute. The 4 day work week is what we agreed on, but it isn’t specifically written into the contract.
What would you rate this 1-10 for a new FM grad?

The place where I started as hospitalist 6 years ago still offers same base compensation for new hires, of course you can make more if you make “more rvus” but that is basically more work
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It doesn’t matter how much experience you have, they will offer you same pay without much negotiation
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Why do physicians salaries remain same despite increasing inflation and cost of living? And what physicians can do to change it ?

Maintains low salary ranges, low call pay ($7.5/h compared to Inova $13.5/h and DC hospitals $15/h), poor benefits, inability to call out sick with a doc note (occurrence) all the while the CNO salary’s increased from $530k per year (2023) to $681k per year (2024), source propublica.

I am not asking for medical advice. I have this question for surgeons or anyone that knows the answer, because I am going to be a general surgeon.

First, I AM NOT. DOING IT FOR THE MONEY.

I am just asking, as everyone keeps telling me that I'm gonna be so insanely rich and be able to pay off all my college and retire. But everyone says that surgeons are so underpaid, is that true?

Obviously they get paid way more than the average person, but everyone keeps saying that even then, that's not enough.

HOW underpaid are they? I know it depends on the hospital, speciality, location, experience, etc,. But if you could put in an average number, what would the money look like hourly, weekly, biweekly, monthly, and yearly.

Everyone I ask says something different.

Thank you all! (\*＞∇＜)ﾉ

​

Are Doctor's value is nothing in pakistan?

How long did it take you to pay off your debt and what country do you practice in

Hey, Im a US citizen but have lived in Europe all my life, with the recent three years living in the UK. Although I haven’t spent much time in the US, I would say I definitely align significantly better with the European mentality, so if it weren’t to come down to medicine, I would probably stay in the UK. However, practicing in the UK has a number of downsides, many of them being financial. Here’s the main list of pros and cons Ive got so far.

Pros of the UK
-University is significantly cheaper (Ill qualify for home fees)
-Less competitive residency/foundational training wise as no matter which uni you graduate from you’ll be allocated a place in the NHS
-I can already start doing applicable work within the NHS strengthening my application

Cons of the UK
-Will have to wait six years before starting med school versus 2-3 if I were to practice in the US (personal reasons)
-US med schools seem to be more reputable worldwide (eg if i were to move from the US to the UK I wouldn’t have to take an additional exam)
-Financial compensation is significantly higher in the US, especially for more competitive specialties (can especially benefit in states without income tax)
-The NHS seems to be in shambles with most physicians and healthcare workers speaking increasingly negatively about it (although Im unsure if it’ll improve in the next ten years)

Theres also the prospect of raising a family in the US versus the UK as a gay woman with the US getting more and more conservative with every year.

Im not sure if anyone has any experience practicing in the US and the UK or simply any information that I might not be considering but I would be happy with anything

Hi everyone, new to this community, up at night because of my career decisions. I work as a medical director of multiple specialties, I work 50% clinical, 50% admin over 10 specialties across a larger, multi hospital system, I've gone above and beyond for the organization for the past 3 years, adding additional medical oversight to programs, obtained certification to support programs outside of my clinical agreement, built new programs from scratch, etc. A few months back I was notified of a restructuring, my job is going away, I was welcome to apply for an executive medical director role (a promotion), the role is much larger with oversight or over 100 providers. New break down is 20% clinical, 80% admin. Significant increase in executive responsibility. I wrapped up interviews for the new gig and was given comp estimate today and it was very disappointing given what I have done and have continue to strive to do for the organization (16% increase in base with 50% increase in providers I would oversee). I was given the bullshit line that I can't be paid more than fair market for my specialty, even though my clinical work would only be 20% of the new role. I have asked to negotiate but also made it known my willingness to walk, putting several clinical programs and recruitment strategies in jeopardy (hard to go into specifics without having someone recognize me here).

My question is, is there a readily accessible source for comp benchmarks for regional physician executive roles?

Any advice on negotiating? Thanks in advance.

Thinking about moving into aortic (EVAR/TEVAR support) in a major east coast city and want to hear from people actually doing it before I commit. PV/general CV people welcome too, I want the comparison.
Drop any of these, even partial answers help:
Total comp — base + bonus, roughly

How’s call? Realistic nights/weekends per month

Case volume — steady or feast/famine

Worse or better work-life balance than PV/EP/structural heart/coronary?

Any regrets moving into aortic specifically?

Bonus if you include: how long you’ve been in the role + your title (CS / Senior CS / Principal, etc) — helps me weigh advice by experience level.
Trying to make a semi-informed decision here instead of just trusting the recruiter pitch, so brutally honest takes very welcome.