[Cattle Rustler]

(03-16-2014 11:00 PM)Brosemite Wrote:  

Ed Hardy douchebros can be found around A) Downtown Dallas, B) Various Clubs (that nobody really goes to), or C) Your neck of the woods CR (Addison)

My reaction to C:

Why you gotta be like that bro?

They're in Uptown too...this picture serves as proof:



What's the "to go to" spot in DF-Dub? There's so many places that it would take weeks to fully scope out the metroplex. From soccer mom McKinney to trendy Uptown.

[Global Entry]

I'd mention one other thing on LV, since you're into the no tax state of Nevada, Florida thing (I base in the USA in Vegas).

I have a group of friends who are ER physicians. If you're planning on that possibility (due to lifestyle) Vegas may not be the best option. There is strong downward pressure from the companies staffing Vegas hospitals, at least with respect to ER staff (it may be broader than that). My friends have basically all begun to fly to North Dakota to take shifts up there (Wyoming and Idaho too, I believe) because they're getting dicked around by the HMOs or whoever is running the medical centers around Vegas and Henderson. Its an issue that goes back a few years, I heard rumblings about their dissatisfaction and now they're commuting every week.

Vegas has ridiculously cheap housing available - high end Mc Mansion type placed with 5-7 bedrooms and a pool for 3500 per month - you could basically have your own fantasy island - it wouldn't matter if the girls are transient, you just get in with a group and have people pulled to your house for pool parties after the clubs close. Totally doable in Vegas (these places are a few miles from the strip, could be in Summerlin or in Henderson). I saw one in Summerlin, brand new, $4500 per month, furnished, 8 bedrooms and a pool with a waterfall. They can't give these places away. Not sure anywhere else on your list can approach that value.

Another positive of Vegas is a tremendously easily accessible airport with cheap flights all over the USA and to certain international cities, direct.

But check out the work/money situation first, of course.

[HighStreet]

Thanks for all the replies guys, didn't expect this to be a 3 page thread! Very helpful stuff though. Yeah, I heard corporate management groups run Vegas hospitals and it can be a major pain, but CMG's are everywhere nowadays... I'll cross that bridge when I finish residency I guess, but I'm leaning towards Dallas or Tampa still.

I know match day is March 21 but I'm a third year med student so I'll be matching to residency next March, 2015.

I'll visit a bunch of cities this fall when I do more rotations and have more elective time.

Thanks for the help guys, will check back in next year!

[legendcraft]

So whats the update?

[Brosemite]

He's probably traveling right now visiting all the cities? No sign in since March 20th...

[Earth]

Why would you want to blow almost 50% of how much you're earning?

[Tideride]

With that kind of bankroll I'd say go to SouthernnCalifornia (Burbank or culver city) the women in LA range from hot teen Latinas to Petra Verkaik stacked Mediterranean cougars. Tons of fine blondes- if $ no object to to LA.

If you could travel Kiev or Moscow.

If you want. a buxom blonde for a traditional ltr you should consider Nashville

These guys are right- Miami is Latina central and they are pretty harsh as far as bitch shields and my friend is a good smooth talker nice guy and alpha but still he has been in a ton of fist fights in Miami.

Atlanta GA has a good renestate markets hotties of every kind in all the upscale neighborhoods and you can make $$$ live cheap cash in on your house in 5 years

PM me if you need real estate help in Atlanta or Nashville I have mad contacts there. I have a few in LA too.

Phoenix has tons of hotties too. Do a Facebook search on females in any of hear towns to recon further.

I pick LA if it were me- (Manhattan Beach has so many hotties) the girls are friendly open fun have good sense of humor and make approaching fun but logistics do suck your date could live 90min away without traffic.

Hope this helps.

Charlotte and charleston SC have hot women but you will have more nightlife in Atlanta. Nashville is more of a chill night scene.

You will make money in Atl and have a smogrfasborg of hotties (yoga chicks strippers latins redheads blonds you name they got it)!buy a repo repair it sell
It in 5'yrs and make $$$.

[Ardbeg]

OP,

Have you considered working overseas? Specifically, the UAE? You'll save money on taxes, lower insurance premiums, free housing, opportunities to travel, and hot European, Lebanese and Western women to have fun with.

http://ahdubai.com/career/offer.aspx

[peterfoo22]

If I were you, I would highly consider Las Vegas or Phoenix, or Texas.

Positives of Vegas and Texas is no state income tax that right there will probably save you at least $15-20K a year. Either you get a nicer pad or nicer car, travel or whatever you prefer.

Vegas yeah it sucks in terms of trying to build something substantial here because of the transient lifestyle. You're pretty much gonna have to work the nurses, and industry girls that's about it. I don't meet too many girls here that have jobs outside of this and are good looking and live in Vegas.

Another thing good about Texas, those sweet southern girls, very feminine and very hot.

Phoenix, particularly Scottsdale/Tempe area might be a good wild card if you can swing it. Pretty low taxes, girls hot as hell here, whites and Mexcians and pretty much no Asians, arabs, blacks unlike Cali, Texas, and Florida etc.



Congrats and Best of Luck man!

[DVY]

I call BS on this thread. Starting 350k as an emergency room physician? Really? as a starting physician in a metropolitan city?

I really think you need to adjust your expectations about 17-18k after tax. How about malpractice insurance, liability, disability and student loans? Your severely understimating your monthly fixed cash outflow.

Also what hours will you be working? Grave shift? On call hours?

People don't pay big salaries for nothing.

This poster reminds me of those diamond in the sky med/dental/pharm students who get smoke blown up their ass in school. When tire hits pavements, reality will set in. Hes barely getting into residency and already planning his exit.

Slow your roll bro. Finish your residency then choose base on WHO and WHERE will take you. Your not even close to being there.

Edit- did some research- According to 1salary.com, median salary for ER physician in Miami, FL is 250k. As a starting physician, youll def be lower than that- say 210k. Also you won't start a good location hospital. Most likely out in the suburbs. Taxes will eat half. So you are at 100k roughly. Then student loans of 250k is 2.5k/month. Thats another 30k down. 70k to live, or 5k/month.This is FARRRR from balling out.

The only doctors who make 350k starting in large, desirable metropolitan areas are high-end surgeons- cardiovascular, neurosurgery, plastics, etc etc. Even that is a stretch. Just too many people want to live in big cities and will take paycuts to do so.

This doesn't hold true if you move out to less desirable areas. My dad's friend is head of neurology department. His starting salary was 450k, but he lives in a medium sized shit-town in CA. Its the only neurology center in a 75 mile radius. Hospitals will only pay what they have to pay you. His starting salary offers in LA- 175k.

[lavidaloca]

I thought the numbers seemed a bit high in terms of after tax dollars but I figured in the US you would have something similar to what we have in Canada. (Professional Corporations) It allows certain professionals something to the tunes of 15.5% tax on money left in the company. (Note: depends on Province) Of course when its taken out then there's additional tax to be paid. That is just my basic understanding of the comment and I could well be incorrect on the matter.

I agree though about slightly unrealistic expectations. I remember when I started law school nearly everyone had vastly overstated expectations myself included.

He certainly has the potential to make lots of money in his career. Whether his expectations are in line with reality I have no idea. Assuming it was a serious thread, I wish him the best of luck.

[HighStreet]

Hey guys,

Sorry I've been absent for a while, been very busy. I'm trying to do residency in one of the cities we discussed so that when I finish (3 year residency for emergency medicine), I can stay in the same city if I'd like, which would be nice. It also means I could buy a place as a resident if I decide I love the city. (I have 200k in the bank from an inheritance, enough for a down payment on a house etc).

Quote:

I call BS on this thread. Starting 350k as an emergency room physician? Really? as a starting physician in a metropolitan city?

I really think you need to adjust your expectations about 17-18k after tax. How about malpractice insurance, liability, disability and student loans? Your severely understimating your monthly fixed cash outflow.

Also what hours will you be working? Grave shift? On call hours?

Go read the emergency medicine forum on studentdoctornetwork if you don't believe me. 350k is quite standard for full time EM excluding the west coast and northeast. Houston and Dallas pay $240-275/hr or 400-450k annual (before tax). Metro has nothing to do with it, it's about which cities have a EM physician shortage/high demand. 1 salary.com doesn't mean anything, any doctor will you tell you the decent jobs aren't advertised. Any advertised jobs, you don't want. In Miami you're probably right, pay is probably around 250k. Pay in Tampa is higher.

I have no loans and your employer always covers your malpractice and liability if you are an employee, which I plan to be. So I will be taking home 17k+ after tax monthly.

Hours as an attending physician (after residency) are either 8 or 12 hour shifts, some overnight, usually about 30-36 hrs per week is considered full time and the average. EM docs are never on call. Only surgical specialists (trauma, cardio, plastics, ortho etc) take call.

If it sounds too good to be true, EM is becoming a pretty competitive specialty. Thankfully I have a strong Step 1 score and LORs so I should be able to match to my top choice. Hospitals as you know practically have licenses to print money and hospitals badly need EM physicians, we're their bread and butter doctors.

Will keep you guys updated!

[Lothario]

(04-16-2014 12:53 AM)DVY Wrote:  

I call BS on this thread.Starting 350k as an emergency room physician? Really? as a starting physician in a metropolitan city?

DVY very respectfully I wouldn't disagree with this thread, some of us are successful and some are dealt with good cards . More power to OP, Be happy for him. YES , YES and YES to all your questions in the first line.

I usually don't disagree with people but your post here is gravely wrong and stems from not understanding the healthcare industry completely.

Quote:

How about malpractice insurance, liability, disability and student loans?

Insurance: Malpractice Insurance For ER, Anesthesia, Pathology, Radiology and most Physican employed by the Hospitals are provided by the Employers (Hopitals) on top of the $ 350 Plus Salary , Vacation, CME (Education time), Sick days, 401 K and Pussy and then some .....

There is literally no overhead for the above mentioned specialities.

Quote:

Also what hours will you be working? Grave shift? On call hours?

ER is mostly 14 shifts of 12 hours each, OP's choice, Most do seven shifts in one week , take a week off, then another seven and a week off. Sounds great doesn't it. Perfect Player Speciality

Quote:

People don't pay big salaries for nothing.

You are calling an ER Physician Nothing ?

Quote:

This poster reminds me of those diamond in the sky med/dental/pharm students who get smoke blown up their ass in school. When tire hits pavements, reality will set in. Hes barely getting into residency and already planning his exit.

I will agree with you here, yes most of those students are buried deep in Student Loan but for OP, If you have read the whole thread, He has no debt, his parents paid for it. Again Some of us are dealt with good cards, Really envious condition to be in to graduate from med school with no debt ? OP count your blessings.

Quote:

Slow your roll bro. Finish your residency then choose base on WHO and WHERE will take you. Your not even close to being there.

Don't be a party pooper DVY, be happy for the guy, He deserves it, Statistics he posted are true today, I don't see them changing in the next 3-4 yrs when he graduates specially for ER or any other hospital based speciality.

Quote:

Edit- did some research- According to 1salary.com, median salary for ER physician in Miami, FL is 250k. As a starting physician, youll def be lower than that- say 210k. Also you won't start a good location hospital. Most likely out in the suburbs. Taxes will eat half. So you are at 100k roughly. Then student loans of 250k is 2.5k/month. Thats another 30k down. 70k to live, or 5k/month.This is FARRRR from balling out.

Forget about the research, take it from the Guy who knows it inside out, I agree with you that There will be a lot of variability depending upon location any where from 250 to 400 As far as new graduate vs experienced not so much for the ER unless OP is applying for chair of a dept a teaching Institution.

Edit: OP is right, best Jobs aren't advertised. It's a whole lot of word of mouth and connections.

Quote:

The only doctors who make 350k starting in large, desirable metropolitan areas are high-end surgeons- cardiovascular, neurosurgery, plastics, etc etc. Even that is a stretch. Just too many people want to live in big cities and will take paycuts to do so.

Wrong again , you missed many specialities and Locum tenens.

DVY , I felt like responding as I know the business inside out and can provide much more info then OP as I have about a decade of experience. Good Luck to HighStreet in his future endeavours ......

[DVY]

Fair enough. Didn't realize he had no debt, high steps, good connects, and likely good residency.

Bro your in the 1%. Its coming from a guy who was lucky to step into a family dental practice.

Its not uncommon to have people talk about "what they are going to do when they get out". Reality is far from fantasy. That was the point I was trying to drive.

No vitriol intended. Come out to LA and first drinks on me! =)

[HighStreet]

(04-16-2014 12:04 PM)DVY Wrote:  

Fair enough. Didn't realize he had no debt, high steps, good connects, and likely good residency.

Bro your in the 1%. Its coming from a guy who was lucky to step into a family dental practice.

Its not uncommon to have people talk about "what they are going to do when they get out". Reality is far from fantasy. That was the point I was trying to drive.

No vitriol intended. Come out to LA and first drinks on me! =)

No worries. EM docs have it good, I can't wait

I'll let you know if I'm ever in LA thanks for the offer. Peace out guys, thanks for the advice in the thread, I'll check back around this time next year when I know exactly which residency I matched to

[poutsara]

(04-16-2014 12:53 AM)DVY Wrote:  

I call BS on this thread. Starting 350k as an emergency room physician? Really? as a starting physician in a metropolitan city?

I really think you need to adjust your expectations about 17-18k after tax. How about malpractice insurance, liability, disability and student loans? Your severely understimating your monthly fixed cash outflow.

Also what hours will you be working? Grave shift? On call hours?

People don't pay big salaries for nothing.

This poster reminds me of those diamond in the sky med/dental/pharm students who get smoke blown up their ass in school. When tire hits pavements, reality will set in. Hes barely getting into residency and already planning his exit.

Slow your roll bro. Finish your residency then choose base on WHO and WHERE will take you. Your not even close to being there.

Edit- did some research- According to 1salary.com, median salary for ER physician in Miami, FL is 250k. As a starting physician, youll def be lower than that- say 210k. Also you won't start a good location hospital. Most likely out in the suburbs. Taxes will eat half. So you are at 100k roughly. Then student loans of 250k is 2.5k/month. Thats another 30k down. 70k to live, or 5k/month.This is FARRRR from balling out.

The only doctors who make 350k starting in large, desirable metropolitan areas are high-end surgeons- cardiovascular, neurosurgery, plastics, etc etc. Even that is a stretch. Just too many people want to live in big cities and will take paycuts to do so.

This doesn't hold true if you move out to less desirable areas. My dad's friend is head of neurology department. His starting salary was 450k, but he lives in a medium sized shit-town in CA. Its the only neurology center in a 75 mile radius. Hospitals will only pay what they have to pay you. His starting salary offers in LA- 175k.

I know people making 300+ out of residency in some metro areas mentioned by the OP. I don't know about in emergency medicine specifically but it can be done I think.

You are right about pay being higher in crap locations though - unfortunately, that's how it goes.

If he does emergency then he will have some free time on his hands. I would recommend a good location where he can have fun when not on shift rather than a worse location where he will have more money but less opportunity. Emergency medicine is truly portable and I think he can make a move after a few years when his situation changes.

Residency is a pain in the ass no matter what. Might as well be in a good place when you do it and make some local connections. And don't forget to handle some nurses along the way.

Props for having no debt. Good job.
EDIT: just realized others posted the same stuff.