Domain: tiger-web1.srvr.media3.us Medical School Expenses | Page 3 | Money Talk
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re: Medical School Expenses

Posted on 7/14/25 at 7:13 pm to
Posted by anc
Member since Nov 2012
20525 posts
Posted on 7/14/25 at 7:13 pm to
Yeah don’t do PA unless that is your terminus.

PA schools are highly competitive as well. While this is not the norm, I know one student who was denied at both of Mississippis PA programs but accepted to med school at South Alabama.
Posted by makersmark1
earth
Member since Oct 2011
20744 posts
Posted on 7/14/25 at 7:31 pm to
It’s a different age. The life of a physician is nothing like it was 40 years ago.

You end up working for big healthcare in todays world.
You are a clerk documenting things in a computer.

Life is short.

If you have talent, get a job with stock options and a golden parachute.

The lost decade of med school and internship/residency/fellowship training is real.

I made a nice living, but there are easier ways to make a living.

You can only help people if the insurance says you can. You will work on the computer after hours with no compensation. Meanwhile the healthcare administrators will make their bonuses off your back while playing 54 holes a week.
Posted by makersmark1
earth
Member since Oct 2011
20744 posts
Posted on 7/14/25 at 7:33 pm to
quote:

So if he has interest in a competitive speciality or fellowshop, he will be at the mercy of the needs of his branch, and will likely end up owing more time.


The military has down sized the medical department significantly.

Probably have to do a general medical officer year or flight surgeon.

Recruiters are famous for telling people what they want to hear. Caveat emptor.
Posted by bigjoe1
Member since Jan 2024
1644 posts
Posted on 7/14/25 at 7:37 pm to
Just out of curiosity. Will the military pay for med school and the residencies and all the other things you need to be an M.D. and how long would you be committed to serve?
Posted by MrSpock
Member since Sep 2015
5089 posts
Posted on 7/14/25 at 7:49 pm to
quote:

Will the military pay for med school and the residencies and all the other things you need to be an M.D. and how long would you be committed to serve?


Yes for medical school. You get paid in residency. The service obligation is one year of active duty for each year of scholarship participation.

Posted by bigjoe1
Member since Jan 2024
1644 posts
Posted on 7/14/25 at 7:52 pm to
That actually sounds like a pretty decent deal.
Posted by makersmark1
earth
Member since Oct 2011
20744 posts
Posted on 7/14/25 at 7:58 pm to
I did college ROTC and HPSP med school, so I owed 8 years total from those.

The internship/residency was another 5 years.

For me, it was fine.
I ended up making it a career.
I later had my own practice for several years, then finished up working for a hospital system.

It was good for me, but I have friends who work around medicine that make bank. I made a nice living, but there were no stock options or mega bonuses.

Good luck to all who really want to be physicians. I’m just saying that it is not all sunshine and lollipops. The electronic medical record is not for patients or doctors. It’s for payers and lawyers.

Insurance companies determine what care patients get.

It is what it is.

I did enjoy the basics of it. Helping people. Teaching patients, students, residents, etc.

I loathe the EMR.
Did I say how much I hated the computer entry clerk work?
Posted by NC_Tigah
Make Orwell Fiction Again
Member since Sep 2003
136817 posts
Posted on 7/14/25 at 8:06 pm to
quote:

All I've ever heard is how expensive med school is - looking at tuition alone (not including living expenses) for 4 years is going to run around 140-150K. Does that sound right?
Obviously it depends on the school. The object is not getting into a phenomenal med school. Serviceability is fine ITR. Lean heavily on lesser expensive options there. The object is getting into a phenomenal residency out of med school. You can absolutely get there vis-a-vis a state school.

Just an FYI regarding costs though, the Health Professions (Military) Scholarship Program ( HPSP) pays for med school (books/tuition) + a monthly stipend (Now at ~$2800/mo for 10.5 mos/yr). In exchange he will owe 4yrs to the military branch he signs up with for his 4yrs of Med School .... Seems to be a recurring theme in this thread, but it's a good debt avoidance route.

To each his own. But that is the route I went with (nowhere near $2800/mo though ). Ended up as a Dept Chair and Consultant to the Surgeon General in the USAF, which made for great experience and impressive CV additions when I separated and transitioned to private practice.
This post was edited on 7/14/25 at 8:25 pm
Posted by TheOcean
#honeyfriedchicken
Member since Aug 2004
45500 posts
Posted on 7/14/25 at 8:19 pm to
quote:

The life of a physician is nothing like it was 40 years ago.


I have so many doctors as clients that regret going to medical school
Posted by NC_Tigah
Make Orwell Fiction Again
Member since Sep 2003
136817 posts
Posted on 7/14/25 at 8:30 pm to
quote:

I have so many doctors as clients that regret going to medical school
That's a shame, but speaks volumes. I'd not trade my career for much I can imagine, but the times they are a-changin'.
Posted by Ric Flair
Charlotte
Member since Oct 2005
13873 posts
Posted on 7/14/25 at 8:34 pm to
quote:

Freshman year is a doctor killer. Be ware!!


Maybe because people party and don’t show up for class. Organic chemistry/biochemistry is the real classes that “culls the herd” imho.
Posted by Ric Flair
Charlotte
Member since Oct 2005
13873 posts
Posted on 7/14/25 at 8:44 pm to
quote:

and transitioned to private practice.


Private practice doesn’t really exist these days except in smaller towns. If the local/regional hospital system hasn’t bought the group already, then private equity has bought the specialty group. Exceptions include concierge type medicine. Smaller cities/towns still have doctors making bank, but larger cities have doctor salaries dictated by Medicare reimbursements (converted to RVU’s) +/- a component of “patient satisfaction” for a portion of a bonus….don’t get me started about that.
Posted by makersmark1
earth
Member since Oct 2011
20744 posts
Posted on 7/14/25 at 8:45 pm to
quote:

have so many doctors as clients that regret going to medical school


I’m glad I did it, but times have changed so much.

It’s a different world now.
Posted by GeauxTigers123
Member since Feb 2007
3358 posts
Posted on 7/14/25 at 9:26 pm to
quote:

Private practice doesn’t really exist these days except in smaller towns.


That’s not necessarily true.
Posted by SmackoverHawg
Member since Oct 2011
31073 posts
Posted on 7/14/25 at 9:52 pm to
quote:

Private practice doesn’t really exist these days except in smaller towns.


That’s not necessarily true.

Yeah, but it's way harder to start a new practice now due to the overwhelming costs. Doctors can't just go get a multimillion dollar loan because they are doctors. A nice income is no longer a given. Practices are failing left and right.
Posted by NC_Tigah
Make Orwell Fiction Again
Member since Sep 2003
136817 posts
Posted on 7/15/25 at 6:10 am to
quote:

and transitioned to private practice.
---

Private practice doesn’t really exist these days except in smaller towns.
That's not necessarily true. There are still opportunities. But Obamacare ownership rules on top of Stark Laws have done a hell of a lot of damage.

I started out co-founding a relatively small practice. We grew it by multiples through M&A. Saw the writing on the wall during Obama2, and sold to a medical acquisition firm. It was a good deal. You're right though. It would be more difficult to pull that off today.

quote:

doctor salaries dictated by Medicare reimbursements (converted to RVU’s) +/- a component of “patient satisfaction” for a portion of a bonus….don’t get me started about that.
Yep.
Posted by RollTide4Ever
Nashville
Member since Nov 2006
19823 posts
Posted on 7/15/25 at 10:09 am to
Isht has no business being that expensive.
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