g*******e
发帖数: 110 | 1 找工的一点体会
虽然各个科有差别， 但作为CMG来说还是有共性的。 网上关于这方面的讨论很少，我
在此抛砖引玉。
首先说一下工作有几种：private (solo, single specialty group, multispecialty
group, and for the multispecialty group, some of them have partnership
tract, some just employed position), hospital employed and pure academic.
一般来讲， private earns more than academic. 但是 private 会很忙， 很多活要
自己干， 因为要雇人帮你的话就要自掏腰包了。 而academic 会有很多的人打下手，
还有搞科研的条件， 有事业上升的空间。 所以要什么样的工作，是仁者见仁，智者见
智了。
从CMG自身的条件来讲， 作private的竞争力要比AMG差。因为primary care要病人
选你， specialist 要pcp's referral. C |
d******s
发帖数: 136 | 2 好文, 顶!
去年老刀会上, 和前辈的交流授意诽浅, 祝您在新工作中, 一切顺利! |
g*******e
发帖数: 110 | 3 谢谢。 恭喜你prematch, 心想事成.
【在 d******s 的大作中提到】
: 好文, 顶!
: 去年老刀会上, 和前辈的交流授意诽浅, 祝您在新工作中, 一切顺利!
|
s*******w
发帖数: 1879 | 4 Again, big congratulations! Have fun in the city! |
e*****a
发帖数: 1334 | 5 Very good review. Some people like academics, others like clinical work. For
pure clinical work the compensation can vary a lot too. Shopping around is
a good idea. |
a*********d
发帖数: 2763 | 6 太感谢了！！！
一点不夸张地说，你的贴子，特别是今天这个，对我来说，是在这个版上觉得收益最大
的贴子，不是说其他贴子不重要，而是每次都正好走在我前面一点，指明方向。非常感
谢你！希望你的新工作一切顺利！ |
g*******e
发帖数: 110 | |
g*******e
发帖数: 110 | 8 good luck on your match.
For
is
【在 e*****a 的大作中提到】
: Very good review. Some people like academics, others like clinical work. For
: pure clinical work the compensation can vary a lot too. Shopping around is
: a good idea.
|
g*******e
发帖数: 110 | 9 thanks. being in small town for so loooooong, I need some fresh air.
【在 s*******w 的大作中提到】
: Again, big congratulations! Have fun in the city!
|
g*******e
发帖数: 110 | 10 那里。你的blog 给我激励很多。 应该谢谢你.
【在 a*********d 的大作中提到】
: 太感谢了！！！
: 一点不夸张地说，你的贴子，特别是今天这个，对我来说，是在这个版上觉得收益最大
: 的贴子，不是说其他贴子不重要，而是每次都正好走在我前面一点，指明方向。非常感
: 谢你！希望你的新工作一切顺利！
|
|
|
y**s
发帖数: 165 | 11 谢谢分享经验，写得太好了！那个网站的连接都点不开了，是不是人太多，都瘫痪了？
还是我这儿的问题？
academic是不是有很多教学，科研，申请经费写文章的压力呢？对cmg来说是不是光对
付病人更省力点，病人少就少赚点而已？ |
g*******e
发帖数: 110 | 12 关于不同科， 再说两句。 与我同一个住院毕业的朋友， 也是IMG. 选择了肛肠科。
当时肛肠也很热， 而且只有一年。 但是出来找工作时就很难。 而且他又坚持在大城
市， 最后只好自己开业， 半年了， 挣的还不够支付overhead |
e*****a
发帖数: 1334 | 13 For primary care hospitalist is a good choice, and no worry about patient
base. Many private groups may provide income guarantee, for example, for the
first two to three years. After that you will need to have a large patient
base to generate enough revenue thus income. For each primary care doctor
the patient base should be at least 2000+. |
g*******e
发帖数: 110 | 14 我刚才联了还行那。 是不是你的电脑上装了绿霸？ 开个玩笑。 你在从新打一遍试
试。
academic 是有压力， 但不是想象得那么重， 有resident and fellow 可以给你写
文章。 我听见的最大的抱怨还是收入少。
private 如果你要去竞争强的地方， 想加州，西雅图， 如果不是背靠大的医院或
group,
单去community 强生意， 会被饿死的。
【在 y**s 的大作中提到】
: 谢谢分享经验，写得太好了！那个网站的连接都点不开了，是不是人太多，都瘫痪了？
: 还是我这儿的问题？
: academic是不是有很多教学，科研，申请经费写文章的压力呢？对cmg来说是不是光对
: 付病人更省力点，病人少就少赚点而已？
|
g*******e
发帖数: 110 | 15 there is also a book worth to read, call the ultimate guide to finding the
right job after residency. by koushik k. shaw. ISBN 0-07-146113-2. a lot of
people recommend it,I read part of it. found useful.
【在 a*********d 的大作中提到】
: 太感谢了！！！
: 一点不夸张地说，你的贴子，特别是今天这个，对我来说，是在这个版上觉得收益最大
: 的贴子，不是说其他贴子不重要，而是每次都正好走在我前面一点，指明方向。非常感
: 谢你！希望你的新工作一切顺利！
|
y**s
发帖数: 165 | 16 大概是我运气比较背，还是点不开那些州的连接，主页是没有问题的。过些天再试试看
吧。您一定是福星高照，所向披靡来着。
大大恭喜你找到如意的工作，特别是还能吃到好吃的中国菜。
【在 g*******e 的大作中提到】
: 我刚才联了还行那。 是不是你的电脑上装了绿霸？ 开个玩笑。 你在从新打一遍试
: 试。
: academic 是有压力， 但不是想象得那么重， 有resident and fellow 可以给你写
: 文章。 我听见的最大的抱怨还是收入少。
: private 如果你要去竞争强的地方， 想加州，西雅图， 如果不是背靠大的医院或
: group,
: 单去community 强生意， 会被饿死的。
|
a*********d
发帖数: 2763 | 17 i will check it out, thank you again.
of
【在 g*******e 的大作中提到】
: there is also a book worth to read, call the ultimate guide to finding the
: right job after residency. by koushik k. shaw. ISBN 0-07-146113-2. a lot of
: people recommend it,I read part of it. found useful.
|
a*********d
发帖数: 2763 | 18 this is soooo true!!
【在 g*******e 的大作中提到】
: there is also a book worth to read, call the ultimate guide to finding the
: right job after residency. by koushik k. shaw. ISBN 0-07-146113-2. a lot of
: people recommend it,I read part of it. found useful.
|
g*******e
发帖数: 110 | 19 that might exaggerate a little, there are a lot of private practice
physicans in california. several of my classmates a matter of fact. but
there are a lot of competitions. one patient told me that in Los Angles,
Chinese Docs has to take discount to attract patients.
and one of my friend who is an anasthesiologist, has to work 6-7 days a week
. one of the reason is the living expanse in CA is so high. I told him about
my academic offer in near LA, he told me to turn it off. he said with that
amo
【在 g*******e 的大作中提到】
: 我刚才联了还行那。 是不是你的电脑上装了绿霸？ 开个玩笑。 你在从新打一遍试
: 试。
: academic 是有压力， 但不是想象得那么重， 有resident and fellow 可以给你写
: 文章。 我听见的最大的抱怨还是收入少。
: private 如果你要去竞争强的地方， 想加州，西雅图， 如果不是背靠大的医院或
: group,
: 单去community 强生意， 会被饿死的。
|
g*******e
发帖数: 110 | 20 there is also a book worth to read, call the ultimate guide to finding the
right job after residency. by koushik k. shaw. ISBN 0-07-146113-2. a lot of
people recommend it,I read part of it. found useful.
【在 a*********d 的大作中提到】
: 太感谢了！！！
: 一点不夸张地说，你的贴子，特别是今天这个，对我来说，是在这个版上觉得收益最大
: 的贴子，不是说其他贴子不重要，而是每次都正好走在我前面一点，指明方向。非常感
: 谢你！希望你的新工作一切顺利！
|
|
|
a*********d
发帖数: 2763 | 21 看到导线兄的这句话，颇有感触啊。
我们科里几个本科的孩子很起劲地跑来给主治做临床实验干点活儿，为了就是将来申请
医学院可有闪光点。
住院医生也老想着要参加点什么试验，好在文章上缀个名字，有利于申请fellow.
fellow为了毕业找工作，也要写文章。
结果老板们的idea层出不穷，而且总有大大小小的壮丁么给他们去实现，然后他们再成
长为下一代的老板，继续培养壮丁，circle of academic life, hehehehe |
y**s
发帖数: 165 | 22 但我也听说hospitalist不是那么容易的，一个shift要管很多很多病人。当然不同医院
不同地区可能不一样。内科的话，有的病人很复杂，一天看几十个住院病人很有疲于奔
命的感觉，并不是提供quality patient care. 会比较frustrated. 收入是有保障的，
但是成就感，生活质量就很难说。
以前我也觉得7天上班，7天休息好象很不错，不过事实好像并非如此。
the
patient
【在 e*****a 的大作中提到】
: For primary care hospitalist is a good choice, and no worry about patient
: base. Many private groups may provide income guarantee, for example, for the
: first two to three years. After that you will need to have a large patient
: base to generate enough revenue thus income. For each primary care doctor
: the patient base should be at least 2000+.
|
a*********d
发帖数: 2763 | 23 California is always my dream location, seems my dream is being drifting
away now.:(
week
about
that
nothing
【在 g*******e 的大作中提到】
: that might exaggerate a little, there are a lot of private practice
: physicans in california. several of my classmates a matter of fact. but
: there are a lot of competitions. one patient told me that in Los Angles,
: Chinese Docs has to take discount to attract patients.
: and one of my friend who is an anasthesiologist, has to work 6-7 days a week
: . one of the reason is the living expanse in CA is so high. I told him about
: my academic offer in near LA, he told me to turn it off. he said with that
: amo
|
e*****a
发帖数: 1334 | 24 This isn't too easy, right?
【在 a*********d 的大作中提到】
: California is always my dream location, seems my dream is being drifting
: away now.:(
:
: week
: about
: that
: nothing
|
a*********d
发帖数: 2763 | 25 when attendings have been working in clinical settings for long enough, they
will develop hundreds and thousands ideas, to prove this or that. they just
don't have time and energy to do those all by themselves. so fellows,
residents and med students, even undergraduates become their perfect labor.
【在 e*****a 的大作中提到】
: This isn't too easy, right?
|
e*****a
发帖数: 1334 | 26 I see, that makes sense.
they will develop hundreds and thousands ideas, to prove this or that. they
just don't have time and energy to do those all by themselves. so fellows,
residents and med students, even undergraduates become their perfect labor.
【在 a*********d 的大作中提到】
: when attendings have been working in clinical settings for long enough, they
: will develop hundreds and thousands ideas, to prove this or that. they just
: don't have time and energy to do those all by themselves. so fellows,
: residents and med students, even undergraduates become their perfect labor.
|
a*********d
发帖数: 2763 | 27 yeah, yams is right, don't be too optimistic about hospitalists. in my class
, half of us persued fellowship and half of us went for hospitalists, in FL
, TX and midwest. from what i hard, hospitalists are very busy and
stressful jobs, cover large amount of patients each shift. and lots of
hospitals require them cover ICU at night too.
if you consider yourself very efficient, won't spend too much time tangling
in details, can confidently rounding on 25 patients and do admissions at the
same ti
【在 y**s 的大作中提到】
: 但我也听说hospitalist不是那么容易的，一个shift要管很多很多病人。当然不同医院
: 不同地区可能不一样。内科的话，有的病人很复杂，一天看几十个住院病人很有疲于奔
: 命的感觉，并不是提供quality patient care. 会比较frustrated. 收入是有保障的，
: 但是成就感，生活质量就很难说。
: 以前我也觉得7天上班，7天休息好象很不错，不过事实好像并非如此。
:
: the
: patient
|
g*******e
发帖数: 110 | 28 一个与我同年进住院医的朋友， 去的是内科。 我作4年级时他毕业了留在医院作
hosiptalist.收入不错， 15，6 万， 但每次看到我就摇头， 说宁愿还是住院医。 给
我看他的census, 100 多病人。 怎么看得过来， 所以就要consult everybody, ask
other people to see patient for him. 我现在看到一个趋势， 就是很好的大医院开
始雇愈来愈多的FMG 去做 hosptialist, 可能是有办法的人都不做这个了巴。
【在 y**s 的大作中提到】
: 但我也听说hospitalist不是那么容易的，一个shift要管很多很多病人。当然不同医院
: 不同地区可能不一样。内科的话，有的病人很复杂，一天看几十个住院病人很有疲于奔
: 命的感觉，并不是提供quality patient care. 会比较frustrated. 收入是有保障的，
: 但是成就感，生活质量就很难说。
: 以前我也觉得7天上班，7天休息好象很不错，不过事实好像并非如此。
:
: the
: patient
|
a*********d
发帖数: 2763 | 29 Hey guidewire,
can you talk little more about the difference between single vs.
multispecialty group? what's the pros and cons for them?
【在 g*******e 的大作中提到】
: 一个与我同年进住院医的朋友， 去的是内科。 我作4年级时他毕业了留在医院作
: hosiptalist.收入不错， 15，6 万， 但每次看到我就摇头， 说宁愿还是住院医。 给
: 我看他的census, 100 多病人。 怎么看得过来， 所以就要consult everybody, ask
: other people to see patient for him. 我现在看到一个趋势， 就是很好的大医院开
: 始雇愈来愈多的FMG 去做 hosptialist, 可能是有办法的人都不做这个了巴。
|
s*******w
发帖数: 1879 | 30 i hate boss's cheap ideas.
【在 a*********d 的大作中提到】
: 看到导线兄的这句话，颇有感触啊。
: 我们科里几个本科的孩子很起劲地跑来给主治做临床实验干点活儿，为了就是将来申请
: 医学院可有闪光点。
: 住院医生也老想着要参加点什么试验，好在文章上缀个名字，有利于申请fellow.
: fellow为了毕业找工作，也要写文章。
: 结果老板们的idea层出不穷，而且总有大大小小的壮丁么给他们去实现，然后他们再成
: 长为下一代的老板，继续培养壮丁，circle of academic life, hehehehe
|
|
|
g*******e
发帖数: 110 | 31 good thing about multispecailty group is you can get patient referal from
your partner(PCPs) within the group, the bad news is, you have to share the
profit!, so for pcps it is better to join multispecialty group, but for
subspecialist, single group is better as long as you have a steady patient
source.
but some multispecialty group also owns facilities, like surgi-center, MRI/
CTs etc, they supplement income too. so it is hard to say absoltely which
one is good or bad. when they give you offer,
【在 a*********d 的大作中提到】
: Hey guidewire,
: can you talk little more about the difference between single vs.
: multispecialty group? what's the pros and cons for them?
|
e*****a
发帖数: 1334 | 32 Yes nothing is perfect. Better than not enough patients :). Try to get into hospitals with enough residents/fellows. Maybe work in the hospital for a few years then jump into private practice.
【在 y**s 的大作中提到】
: 但我也听说hospitalist不是那么容易的，一个shift要管很多很多病人。当然不同医院
: 不同地区可能不一样。内科的话，有的病人很复杂，一天看几十个住院病人很有疲于奔
: 命的感觉，并不是提供quality patient care. 会比较frustrated. 收入是有保障的，
: 但是成就感，生活质量就很难说。
: 以前我也觉得7天上班，7天休息好象很不错，不过事实好像并非如此。
:
: the
: patient
|
g*******e
发帖数: 110 | 33 我试了， 可能我们进的专业不一样， 所以我能进去， 你可以过俩天再试
【在 y**s 的大作中提到】
: 大概是我运气比较背，还是点不开那些州的连接，主页是没有问题的。过些天再试试看
: 吧。您一定是福星高照，所向披靡来着。
: 大大恭喜你找到如意的工作，特别是还能吃到好吃的中国菜。
|
a*********d
发帖数: 2763 | 34 thank you so much. i learned a lot from this thread! will definitely pay
attention to what you said during my job seeking.
endo is more like PCP, not making as much as cards/GI/pulm or nem/onc, i
think most time they actually have to share profits with endo. when i was
doing my resdiency, couple of endocrinologists quit and opened their own
practice because cards/GI were giving them hard time because of the profit
sharing. endo see lots patients in clinic but do not have lots prodedures,
that li
【在 g*******e 的大作中提到】
: good thing about multispecailty group is you can get patient referal from
: your partner(PCPs) within the group, the bad news is, you have to share the
: profit!, so for pcps it is better to join multispecialty group, but for
: subspecialist, single group is better as long as you have a steady patient
: source.
: but some multispecialty group also owns facilities, like surgi-center, MRI/
: CTs etc, they supplement income too. so it is hard to say absoltely which
: one is good or bad. when they give you offer,
|
g*******e
发帖数: 110 | 35 the other thing to watch is how they treat each other, especially how happy
the junior partner is, if they have one. you don't want to live under an A-
hole. be happy is very important.
read
【在 a*********d 的大作中提到】
: thank you so much. i learned a lot from this thread! will definitely pay
: attention to what you said during my job seeking.
: endo is more like PCP, not making as much as cards/GI/pulm or nem/onc, i
: think most time they actually have to share profits with endo. when i was
: doing my resdiency, couple of endocrinologists quit and opened their own
: practice because cards/GI were giving them hard time because of the profit
: sharing. endo see lots patients in clinic but do not have lots prodedures,
: that li
|
a*********d
发帖数: 2763 | 36 hopefully I can tell during the interviews...
happy
【在 g*******e 的大作中提到】
: the other thing to watch is how they treat each other, especially how happy
: the junior partner is, if they have one. you don't want to live under an A-
: hole. be happy is very important.
:
: read
|
g*******e
发帖数: 110 | 37 that is why you need 2nd interview for the job you want to take. I crossed
off the one on the top of my list after the second interview.
【在 a*********d 的大作中提到】
: hopefully I can tell during the interviews...
:
: happy
|
a*********d
发帖数: 2763 | 38 good for you! it will really suck if we settle down in the place turns out
to be totally different
【在 g*******e 的大作中提到】
: that is why you need 2nd interview for the job you want to take. I crossed
: off the one on the top of my list after the second interview.
|
a**e
发帖数: 5094 | 39 type="application/x-shockwave-flash
【在 a*********d 的大作中提到】
: 看到导线兄的这句话，颇有感触啊。
: 我们科里几个本科的孩子很起劲地跑来给主治做临床实验干点活儿，为了就是将来申请
: 医学院可有闪光点。
: 住院医生也老想着要参加点什么试验，好在文章上缀个名字，有利于申请fellow.
: fellow为了毕业找工作，也要写文章。
: 结果老板们的idea层出不穷，而且总有大大小小的壮丁么给他们去实现，然后他们再成
: 长为下一代的老板，继续培养壮丁，circle of academic life, hehehehe
|
a**e
发帖数: 5094 | 40 very nice article, thanks for sharing
multispecialty
，
【在 g*******e 的大作中提到】
: 找工的一点体会
: 虽然各个科有差别， 但作为CMG来说还是有共性的。 网上关于这方面的讨论很少，我
: 在此抛砖引玉。
: 首先说一下工作有几种：private (solo, single specialty group, multispecialty
: group, and for the multispecialty group, some of them have partnership
: tract, some just employed position), hospital employed and pure academic.
: 一般来讲， private earns more than academic. 但是 private 会很忙， 很多活要
: 自己干， 因为要雇人帮你的话就要自掏腰包了。 而academic 会有很多的人打下手，
: 还有搞科研的条件， 有事业上升的空间。 所以要什么样的工作，是仁者见仁，智者见
: 智了。
|
|
|
a**e
发帖数: 5094 | 41 not working for A-hole is the key. money could not buy happiness.
happy
【在 g*******e 的大作中提到】
: the other thing to watch is how they treat each other, especially how happy
: the junior partner is, if they have one. you don't want to live under an A-
: hole. be happy is very important.
:
: read
|
s*******r
发帖数: 174 | 42 我们现在一早还不是要pre-round10个，到时候不用跟别人汇报，一天round个3，5十的
算啥，哈哈：）
【在 y**s 的大作中提到】
: 但我也听说hospitalist不是那么容易的，一个shift要管很多很多病人。当然不同医院
: 不同地区可能不一样。内科的话，有的病人很复杂，一天看几十个住院病人很有疲于奔
: 命的感觉，并不是提供quality patient care. 会比较frustrated. 收入是有保障的，
: 但是成就感，生活质量就很难说。
: 以前我也觉得7天上班，7天休息好象很不错，不过事实好像并非如此。
:
: the
: patient
|
f******l
发帖数: 455 | 43 而且hospitalist，很多地方只有晚上的shift available. 确实辛苦。忙起来一个晚上
收15-16个病人。要折腾到第二天中午才弄完。晚上7点再来上班。
yams， 难得看你上来：）我在clinic and ward遇到一些psych pt。Some of them are
very intelligent, even charming. 我现在的team，另外的intern是psych intern。
Whenever I have psych pts, I always ask her to go with me. It is so
interesting to see how psych docs approch those pts.
【在 y**s 的大作中提到】
: 但我也听说hospitalist不是那么容易的，一个shift要管很多很多病人。当然不同医院
: 不同地区可能不一样。内科的话，有的病人很复杂，一天看几十个住院病人很有疲于奔
: 命的感觉，并不是提供quality patient care. 会比较frustrated. 收入是有保障的，
: 但是成就感，生活质量就很难说。
: 以前我也觉得7天上班，7天休息好象很不错，不过事实好像并非如此。
:
: the
: patient
|
y**s
发帖数: 165 | 44 小香皂，我知道你是故意抬杠，斗个嘴玩玩。不过我还是要很认真地说，不是一个楼面
的，几十个，上百个病人真的可以折磨死人啊。
现在有人cover your A.., 到时候你签字可以说是人命关天的。
【在 s*******r 的大作中提到】
: 我们现在一早还不是要pre-round10个，到时候不用跟别人汇报，一天round个3，5十的
: 算啥，哈哈：）
|
e*****a
发帖数: 1334 | 45 Ah, seems many of you don't like hospitalist. Then building up a patient
base is very important. Because of a small Chinese population in Midwest,
some CMG PCPs couldn't get enough patients and moved to the east coast. |
u*******l
发帖数: 107 | 46 Thanks a lot!! Best Luck to you.
"如果要作fellowship， 不但要看兴趣， 还要看就业前景" .
Where can I get info. about 就业前景?
multispecialty
，
【在 g*******e 的大作中提到】
: 找工的一点体会
: 虽然各个科有差别， 但作为CMG来说还是有共性的。 网上关于这方面的讨论很少，我
: 在此抛砖引玉。
: 首先说一下工作有几种：private (solo, single specialty group, multispecialty
: group, and for the multispecialty group, some of them have partnership
: tract, some just employed position), hospital employed and pure academic.
: 一般来讲， private earns more than academic. 但是 private 会很忙， 很多活要
: 自己干， 因为要雇人帮你的话就要自掏腰包了。 而academic 会有很多的人打下手，
: 还有搞科研的条件， 有事业上升的空间。 所以要什么样的工作，是仁者见仁，智者见
: 智了。
|
y**s
发帖数: 165 | 47 你想我了吗？:-) 上次这儿网上大战的时候（至少有半年了吧），我就觉得其实很多精
神病人看上去更加懂得礼让恭谦。有的还饱读诗书,也许跟天才只是一线之差。哈哈。
。。随便说说，别把我砸死。
"Talent hits a target no one else can hit; Genius hits a target no one else
can see."
are
【在 f******l 的大作中提到】
: 而且hospitalist，很多地方只有晚上的shift available. 确实辛苦。忙起来一个晚上
: 收15-16个病人。要折腾到第二天中午才弄完。晚上7点再来上班。
: yams， 难得看你上来：）我在clinic and ward遇到一些psych pt。Some of them are
: very intelligent, even charming. 我现在的team，另外的intern是psych intern。
: Whenever I have psych pts, I always ask her to go with me. It is so
: interesting to see how psych docs approch those pts.
|
s*******r
发帖数: 174 | 48 是抬杠：）不过我们这里500+床，内科大概200多，去掉residents管的，剩下不到200
归hospitalist group，他们group有20+人，重的都收icu归resident管了，还常年有
residents过去做轮转。怎么一个人也关不了100多病人啊，记得住么？
【在 y**s 的大作中提到】
: 小香皂，我知道你是故意抬杠，斗个嘴玩玩。不过我还是要很认真地说，不是一个楼面
: 的，几十个，上百个病人真的可以折磨死人啊。
: 现在有人cover your A.., 到时候你签字可以说是人命关天的。
|
s*******r
发帖数: 174 | 49 hug！！
are
【在 f******l 的大作中提到】
: 而且hospitalist，很多地方只有晚上的shift available. 确实辛苦。忙起来一个晚上
: 收15-16个病人。要折腾到第二天中午才弄完。晚上7点再来上班。
: yams， 难得看你上来：）我在clinic and ward遇到一些psych pt。Some of them are
: very intelligent, even charming. 我现在的team，另外的intern是psych intern。
: Whenever I have psych pts, I always ask her to go with me. It is so
: interesting to see how psych docs approch those pts.
|
a**e
发帖数: 5094 | 50 牛!
else
【在 y**s 的大作中提到】
: 你想我了吗？:-) 上次这儿网上大战的时候（至少有半年了吧），我就觉得其实很多精
: 神病人看上去更加懂得礼让恭谦。有的还饱读诗书,也许跟天才只是一线之差。哈哈。
: 。。随便说说，别把我砸死。
: "Talent hits a target no one else can hit; Genius hits a target no one else
: can see."
:
: are
|
|
|
f******l
发帖数: 455 | 51 呵呵。I kind of like psych pts. They seem to be so innocent. Maybe I will change my mind after I do my pshch unit rotation. The pshcy intern I woked with in my last shift is an AMG. She was so happy that she was finally done with medicine and went back to psych. She told me before she left: Now I just need to sit on my butt and listen to other people tell me stories:)
else
【在 y**s 的大作中提到】
: 你想我了吗？:-) 上次这儿网上大战的时候（至少有半年了吧），我就觉得其实很多精
: 神病人看上去更加懂得礼让恭谦。有的还饱读诗书,也许跟天才只是一线之差。哈哈。
: 。。随便说说，别把我砸死。
: "Talent hits a target no one else can hit; Genius hits a target no one else
: can see."
:
: are
|
f******l
发帖数: 455 | 52 kiss:)
【在 s*******r 的大作中提到】
: hug！！
:
: are
|
s*******8
发帖数: 118 | 53 我觉得一个hospitalist不太可能管上百病人，我们旁边的私人医院一个hospitalist管
25-30个病人，在多会有奖金挂钩，而且有PA帮忙，没有scut work,护士非常配合。我
们学校的hospiatlist也很好，cap是20,有NP,resident和医学生帮忙，不用去急诊收病
人，大约1/5的病人是因为social issue无法出院的。每天是早8点到晚上5点，年薪17
万，虽然少点，lifestyle真的不错。当然俺们这里是小地方，估计大城市会更忙些。
一个晚上收15个病人还能忍受，我们做NF一般是10个病人左右。 |
s*******r
发帖数: 174 | 54 哈哈哈哈~~~
else
【在 y**s 的大作中提到】
: 你想我了吗？:-) 上次这儿网上大战的时候（至少有半年了吧），我就觉得其实很多精
: 神病人看上去更加懂得礼让恭谦。有的还饱读诗书,也许跟天才只是一线之差。哈哈。
: 。。随便说说，别把我砸死。
: "Talent hits a target no one else can hit; Genius hits a target no one else
: can see."
:
: are
|
g*******e
发帖数: 110 | 55 that you have to talk to the attending in that field, talk to the recruiters
, and maybe your seniors. I think each hospital has its own recruiters, you
can ask them which field is the hardest to recruit, that may be the the
field to get in. ha ha
【在 u*******l 的大作中提到】
: Thanks a lot!! Best Luck to you.
: "如果要作fellowship， 不但要看兴趣， 还要看就业前景" .
: Where can I get info. about 就业前景?
:
: multispecialty
: ，
|
g*******e
发帖数: 110 | 56 I don't know exactly. I just saw his list. maybe he has a colleague help him
, he dose has residents and NPs, But I remembered he told me that "you know
why I consult surgery for every belly pain, because I don't have time to
take care of it"
17
【在 s*******8 的大作中提到】
: 我觉得一个hospitalist不太可能管上百病人，我们旁边的私人医院一个hospitalist管
: 25-30个病人，在多会有奖金挂钩，而且有PA帮忙，没有scut work,护士非常配合。我
: 们学校的hospiatlist也很好，cap是20,有NP,resident和医学生帮忙，不用去急诊收病
: 人，大约1/5的病人是因为social issue无法出院的。每天是早8点到晚上5点，年薪17
: 万，虽然少点，lifestyle真的不错。当然俺们这里是小地方，估计大城市会更忙些。
: 一个晚上收15个病人还能忍受，我们做NF一般是10个病人左右。
|
s*******r
发帖数: 174 | 57 一直不明白医院的billing是怎们回事？我问过一个专科医生，他说叫他们来看，他们
会自己bill保险公司，是不是保险公司给专科钱了，给primary care就少了？
him
know
【在 g*******e 的大作中提到】
: I don't know exactly. I just saw his list. maybe he has a colleague help him
: , he dose has residents and NPs, But I remembered he told me that "you know
: why I consult surgery for every belly pain, because I don't have time to
: take care of it"
:
: 17
|
g*******e
发帖数: 110 | 58 the point I am trying to make is when apply for fellowship, don't just look
at this step, you should look one step further. where are you going after
that, cause fellowship is relatively short. like in surgery field, most
people likes surgi-onc, which you do the biggest of general cases, like
whipple, but the fact is if you want to do big case cases, the only options
is going to the big academic center, if not, you have to do alot of general
surgery cases to supplement your income, and pay is no
【在 u*******l 的大作中提到】
: Thanks a lot!! Best Luck to you.
: "如果要作fellowship， 不但要看兴趣， 还要看就业前景" .
: Where can I get info. about 就业前景?
:
: multispecialty
: ，
|
g*******e
发帖数: 110 | 59 if you are private, you bill the insurance, if you work for the hospital,
the hospital bills the insurance. doesn't matter if you are pcp or
specialist. how much does the insurance company pay for each specialty
depends on the medicare, which is actually controlled by congress, the rest
of insurance company will follow medicare payment. and most recent trend is
cut on the payment for specialist like radiology and cardiology and give
more money to pcps.
【在 s*******r 的大作中提到】
: 一直不明白医院的billing是怎们回事？我问过一个专科医生，他说叫他们来看，他们
: 会自己bill保险公司，是不是保险公司给专科钱了，给primary care就少了？
:
: him
: know
|
a**e
发帖数: 5094 | 60 您说academia到底是好还是不好呢？杂事有resident管，是挺省心的，可是还要写
paper，拉funding。
look
options
general
a
【在 g*******e 的大作中提到】
: the point I am trying to make is when apply for fellowship, don't just look
: at this step, you should look one step further. where are you going after
: that, cause fellowship is relatively short. like in surgery field, most
: people likes surgi-onc, which you do the biggest of general cases, like
: whipple, but the fact is if you want to do big case cases, the only options
: is going to the big academic center, if not, you have to do alot of general
: surgery cases to supplement your income, and pay is no
|
|
|
s*******r
发帖数: 174 | 61 我忘了hospitalist是拿固定工资的，那当然要consult别人来看肚子疼了，哈哈：）
rest
is
【在 g*******e 的大作中提到】
: if you are private, you bill the insurance, if you work for the hospital,
: the hospital bills the insurance. doesn't matter if you are pcp or
: specialist. how much does the insurance company pay for each specialty
: depends on the medicare, which is actually controlled by congress, the rest
: of insurance company will follow medicare payment. and most recent trend is
: cut on the payment for specialist like radiology and cardiology and give
: more money to pcps.
|
l*******8
发帖数: 1745 | 62 恭喜！中国城哪里吃的抓饼：）。
【在 g*******e 的大作中提到】
: 现在一想起在中国城吃的抓饼， 还直流口水那.
|
g*******e
发帖数: 110 | 63 you need to write paper to get promotion, but for funding, I don't think
there is a hug pressure, because most of the physician dose not have funding
, they do clinical work. during interview, I asked a young faculty about
paper, he said no body pushed him to write anything for 3 years. but he told
me, "it kills me to see the guy in private practice next door do the same
work but earns much more than I do".
【在 a**e 的大作中提到】
: 您说academia到底是好还是不好呢？杂事有resident管，是挺省心的，可是还要写
: paper，拉funding。
:
: look
: options
: general
: a
|
g*******e
发帖数: 110 | 64 not in the BIG APPlE. but I am sure you have more place to eat.
【在 l*******8 的大作中提到】
: 恭喜！中国城哪里吃的抓饼：）。
|
a**e
发帖数: 5094 | 65 academia工作量怎么能private practice和比。private practice那边大部分事情都得
亲力亲为。我们这里floor attending晚上根本不会有住院call，private practice能
做到这一点吗？
funding
told
【在 g*******e 的大作中提到】
: you need to write paper to get promotion, but for funding, I don't think
: there is a hug pressure, because most of the physician dose not have funding
: , they do clinical work. during interview, I asked a young faculty about
: paper, he said no body pushed him to write anything for 3 years. but he told
: me, "it kills me to see the guy in private practice next door do the same
: work but earns much more than I do".
|
g*******e
发帖数: 110 | 66 I don't know about other specialty, but for academic surgeons, they do
operate a lot, some of them are also big, complex cases. although they get
help from residents/fellows to do their floor work, they have to do the
surgeries by themself, at least be there. and surgeons actually bills by
their procedures, so when they see other private guys do the same amount of
work but earns more, they feels undercompensated. but I guess they never
think about their pain of floor work and calls are taken car
【在 a**e 的大作中提到】
: academia工作量怎么能private practice和比。private practice那边大部分事情都得
: 亲力亲为。我们这里floor attending晚上根本不会有住院call，private practice能
: 做到这一点吗？
:
: funding
: told
|
M*****c
发帖数: 2753 | 67 先re后看！
multispecialty
，
【在 g*******e 的大作中提到】
: 找工的一点体会
: 虽然各个科有差别， 但作为CMG来说还是有共性的。 网上关于这方面的讨论很少，我
: 在此抛砖引玉。
: 首先说一下工作有几种：private (solo, single specialty group, multispecialty
: group, and for the multispecialty group, some of them have partnership
: tract, some just employed position), hospital employed and pure academic.
: 一般来讲， private earns more than academic. 但是 private 会很忙， 很多活要
: 自己干， 因为要雇人帮你的话就要自掏腰包了。 而academic 会有很多的人打下手，
: 还有搞科研的条件， 有事业上升的空间。 所以要什么样的工作，是仁者见仁，智者见
: 智了。
|
s*******8
发帖数: 118 | 68 我们有个ID fellow本打算留下来，可是我们学校只给她年薪9万，最后她还是觉得工资
太少，去了我们学校旁边的私人医院。个人以为，如果不求高工资，不想上进，去像VA
这样的医院真的很好。
【在 a**e 的大作中提到】
: 您说academia到底是好还是不好呢？杂事有resident管，是挺省心的，可是还要写
: paper，拉funding。
:
: look
: options
: general
: a
|
c*********r
发帖数: 541 | |
k**e
发帖数: 2728 | 70 i wonder how's infectious disease internal medicine like... hmm...
read
【在 a*********d 的大作中提到】
: thank you so much. i learned a lot from this thread! will definitely pay
: attention to what you said during my job seeking.
: endo is more like PCP, not making as much as cards/GI/pulm or nem/onc, i
: think most time they actually have to share profits with endo. when i was
: doing my resdiency, couple of endocrinologists quit and opened their own
: practice because cards/GI were giving them hard time because of the profit
: sharing. endo see lots patients in clinic but do not have lots prodedures,
: that li
|
|
|
E*****P
发帖数: 591 | 71 不知道你们是在那里，不过9万是有点低，是不是全是教学，没什么临床的工作？
VA
【在 s*******8 的大作中提到】
: 我们有个ID fellow本打算留下来，可是我们学校只给她年薪9万，最后她还是觉得工资
: 太少，去了我们学校旁边的私人医院。个人以为，如果不求高工资，不想上进，去像VA
: 这样的医院真的很好。
|
a**e
发帖数: 5094 | 72 我们这里起步价是7，8万，全临床。
【在 E*****P 的大作中提到】
: 不知道你们是在那里，不过9万是有点低，是不是全是教学，没什么临床的工作？
:
: VA
|
s*******8
发帖数: 118 | 73 基本是全临床，还要做2-3个月attending,当然还有医学生教学。像acne讲的内科的起
薪都不高。我们这的儿科是7-8万。
【在 E*****P 的大作中提到】
: 不知道你们是在那里，不过9万是有点低，是不是全是教学，没什么临床的工作？
:
: VA
|
a*********d
发帖数: 2763 | 74 恩，我这里差不多，9万五，过去五年没有一个fellow留下来的。
VA
【在 s*******8 的大作中提到】
: 我们有个ID fellow本打算留下来，可是我们学校只给她年薪9万，最后她还是觉得工资
: 太少，去了我们学校旁边的私人医院。个人以为，如果不求高工资，不想上进，去像VA
: 这样的医院真的很好。
|
k********n
发帖数: 756 | 75 天真的想想有没有私人GROUP开业和教学医院结合的呢？ |
g*******e
发帖数: 110 | 76 that is called hybrid program, you work with private group, and the hospital
has residence, but ask you to be on the teaching stuff. so you can have a
lot of help for free. but you need to teach on the other hand, this means
give leture, help with journal club, and in surgery, let the resident to
operate. this may take you some time, and slow you down some time, but you
get free help to take care of your scut, and have an buffer for call. it is
well worth it. it is a selling point for a lot of h
【在 k********n 的大作中提到】
: 天真的想想有没有私人GROUP开业和教学医院结合的呢？
|
x*******9
发帖数: 200 | 77 This is a really good review and I have already collect it. Thank you so
much. hope to see you at third laodao's forum. |
a*********d
发帖数: 2763 | 78 有啊，很多的。我原来的residency医院是community的，我们的主治医生很多是
private attending，然后额外来我们这里带住院医生，比如带一个月病房，或者每个
礼拜来带我们一次门诊之类的。他们不想进academic，但是又喜欢teaching。我觉得挺
好的。
【在 k********n 的大作中提到】
: 天真的想想有没有私人GROUP开业和教学医院结合的呢？
|
k********n
发帖数: 756 | 79 多谢回复。如果我想留在academic搞些临床TRIAL和实验，同时在外面不全职私人GROUP
(SUBSPECIALTY)，有这样的模式吗？ |
g*******e
发帖数: 110 | 80 thanks. see you there
【在 x*******9 的大作中提到】
: This is a really good review and I have already collect it. Thank you so
: much. hope to see you at third laodao's forum.
|
|
|
a*********d
发帖数: 2763 | 81 academic的科室也是要赚钱的，除非你能带去funding，我不知道他们会不会就给你lab
,然后让你在外面给自己赚钱，呵呵。
GROUP
【在 k********n 的大作中提到】
: 多谢回复。如果我想留在academic搞些临床TRIAL和实验，同时在外面不全职私人GROUP
: (SUBSPECIALTY)，有这样的模式吗？
|
g*******e
发帖数: 110 | 82 I guess that up to the institution, I know some allows moonlighting, some
don't
GROUP
【在 k********n 的大作中提到】
: 多谢回复。如果我想留在academic搞些临床TRIAL和实验，同时在外面不全职私人GROUP
: (SUBSPECIALTY)，有这样的模式吗？
|
l*******8
发帖数: 1745 | 83 我原来的学校是不给再在外面干私活的：）。scrubs2008说的最后一句话就是我以后最
想做的：）。
GROUP
【在 k********n 的大作中提到】
: 多谢回复。如果我想留在academic搞些临床TRIAL和实验，同时在外面不全职私人GROUP
: (SUBSPECIALTY)，有这样的模式吗？
|
g*******e
发帖数: 110 | 84 there is a lot of bureaucracy in VA system. everything is slow, and pay
sucks, but life style is very good,
【在 l*******8 的大作中提到】
: 我原来的学校是不给再在外面干私活的：）。scrubs2008说的最后一句话就是我以后最
: 想做的：）。
:
: GROUP
|
h******l
发帖数: 238 | 85 这个比病理还差不少啊。我们这里起步都超过十万了，而且就是早九晚五，每周才轮到
两三天signout。
【在 a**e 的大作中提到】
: 我们这里起步价是7，8万，全临床。
|
U******u
发帖数: 5829 | 86 damned, just half of our entrence level......
no mention our super retirement plan--employer give 18.5% of salary for 403b
+ bonus.
【在 h******l 的大作中提到】
: 这个比病理还差不少啊。我们这里起步都超过十万了，而且就是早九晚五，每周才轮到
: 两三天signout。
|
U******u
发帖数: 5829 | 87 其实，找什么样的位置，跟当年找住院很有点类似：你到底想要什么？你自己得先搞
清楚这个问题，才可能找到相对称心如意的工作。当然，在JOB市场不好时你想清楚
了，也未必能找到你想的。那只能按最接近你的理想的目标找了。
病理其实跟内外科差不多想挣大钱那去PRIVATE掉或诊断公司，想学术，则去大学。
基本是鱼和熊掌不可兼得。但一般而言，对于CMG，我觉得先到ACADEMIC待续-5年再
跳槽到PRIVATE比较安全和理想一些。那时，你不是找而是挑你的BARGIN哥POWER 就
大得多。
即使ACADEMIC，一般也有3种途径：纯临床CLINICAL TRIAL，TENURE TRACK，和/或
介于其间的一种。泰牛之道一般而言，比较STRESS，要文章和FUNDING。临床的只要
搞好临床就行了。写些小文章锦上添花利于快升。象UC就有介于二者之间的CLINICAL
SCIENTIST，往往是以50%：50%的临床和科研，但对于文章和FUNDING没有泰牛那样
苛刻要求。这个路也可以走到泰牛--如果你确实能干和运气贼好。 |
g*******e
发帖数: 110 | 88 totally agree. for surgery, academic institution you can really do big cases
and some of them give you chance to help you for research if you want. and
operative skill really build up fast. majority of small private surgical
practice does not do good big complex cases due to lack of support, like in
the cards,renal, critical care and endo etc. and over years, your ability
regresses. the only thing is if you want to jump ship to private after
several years, you have to restart, no body will give |
s*****h
发帖数: 937 | 89 OMG,前阵子有个fellow在大学的offer有12万，我当时还致以深度的同情，原来这都是
不错的啦？！ 风MM你说的是中部还是东西两岸？
【在 a*********d 的大作中提到】
: 恩，我这里差不多，9万五，过去五年没有一个fellow留下来的。
:
: VA
|
u*******l
发帖数: 107 | 90 Thanks for your suggestion.
I agree talking to people already in the specialty filed helps; however, the
trend or the market could change in 3-5 years from we apply fellowship till
complete it.
look
options
general
a
【在 g*******e 的大作中提到】
: the point I am trying to make is when apply for fellowship, don't just look
: at this step, you should look one step further. where are you going after
: that, cause fellowship is relatively short. like in surgery field, most
: people likes surgi-onc, which you do the biggest of general cases, like
: whipple, but the fact is if you want to do big case cases, the only options
: is going to the big academic center, if not, you have to do alot of general
: surgery cases to supplement your income, and pay is no
|
|
|
u*******l
发帖数: 107 | 91 这么少？！ 那还是Hospitalist 挣得多阿。怎莫我从网上看的subspeciality 起薪要
比这多的多阿？
【在 s*******8 的大作中提到】
: 基本是全临床，还要做2-3个月attending,当然还有医学生教学。像acne讲的内科的起
: 薪都不高。我们这的儿科是7-8万。
|
a*********d
发帖数: 2763 | 92 中西部，但是大学的收入水平都是差不多的。
【在 s*****h 的大作中提到】
: OMG,前阵子有个fellow在大学的offer有12万，我当时还致以深度的同情，原来这都是
: 不错的啦？！ 风MM你说的是中部还是东西两岸？
|
a*********d
发帖数: 2763 | 93 网上的数据都是全国平均的，大部分是private practice，大学的收入是垫底的。
【在 u*******l 的大作中提到】
: 这么少？！ 那还是Hospitalist 挣得多阿。怎莫我从网上看的subspeciality 起薪要
: 比这多的多阿？
|
b*******e
发帖数: 67 | 94 这些只是base salary吧？看每个病人的billing应该还能分到一些吧
【在 a*********d 的大作中提到】
: 恩，我这里差不多，9万五，过去五年没有一个fellow留下来的。
:
: VA
|
a*********d
发帖数: 2763 | 95 其他地方我不知道，但是我知道我们这里medical center faculty的收入是set salary
,没有分红或者利润之类的。 |
