Welcome to the comprehensive guide on money and medicine (or rather money in medicine). Before I begin, I have something to tell you.
I have a confession to make. As much as I love medicine, business is still my first love. While in medical school, whenever I have time, I would read about business books. I would browse through business articles. I would think about how to integrate business with medicine. And I am constantly trying to sharpen my knowledge on the art of making money.
Because of my background and my undiminished fire for business, the money and medicine section is going to be the section I will most enjoy writing.
Stop Avoiding the Subject of Money
Most doctors don’t talk about money. Maybe they don’t know much about it or maybe they don’t want to remind people of their relatively high salary. Maybe talking about money would make them seem less like a caring doctor and more like a greedy doctor.
The truth is that medicine is business. And those who do not understand that will either leave medicine or work for someone else who understands that medicine is business.
Financial Education is Lacking in Medical School – That Could Cost You Big Time!
My medical school does not teach about money. So far in my two years in UMDNJ-SOM, I have not learned about money, insurance, or medical practices, apart from a few guest speakers during lunch.
Part of the problem for the lack of a medically-oriented financial education is due to the schools. But students have to take the blame as well for not demanding it.
It is very easy to think that the money will fall into place once you become an attending. That may be the case. But tell me something. Do you know or hear of doctors who are very dissatisfied with their profession because of decreasing money and decreasing autonomy? The answer is most likely going to be “yes.” Physician salaries are not what it used to be. They are less than before. The decline in salary (and insurance reimbursements) could keep on falling in the future. Pretty soon, it could be you that will be complaining about decreased salary and decreased freedom to practice.
Everything that I wished my school taught me out medical finances can be found in the money and medicine section. If your school does not teach you about finances either, have no fear. You can find all the information here.
Medicine Has More Than One Path to Wealth
Most doctors are going to make a decent amount of money by working for someone else, whether it is for a hospital, a group practice, or even an university. But I also want you to know that there are so many more options out there than finding a high paying job in a high paying specialty. Every medical student is fighting to get onto the E-ROAD (or ADORE), which are attractive medical fields that offer a good salary first and a pretty chill workload second. The competition is fierce and many people do not make it.
I want to show you other options out there of making “good” money. I want to show you what other doctors have done to build their wealth, even if they were not walking the E-ROAD.
(By the way, for those who do not know what E-ROAD is, it is Emergency Medicine, Radiology, Ophthalmology, Anesthesiology, and Dermatology.)
What You Will Find in the Money and Medicine Section
In this section, you find expect to find information about the following:
- different medical specialties (and their requirements and salaries)
- different medical practices
- different medical insurances
- unconventional physician jobs
- anything else related to money and medicine
By considering your financial options now, you will be fully prepared to take charge of your future right out of residency. Even if you are already done with residency, I’m sure there are some more things you can learn about money and medicine. Don’t let your profession as a doctor or physician keep you from taking responsibility of your finances.
Making Money in General Medicine
Deeper Look at AtlasMD and Concierge Medicine – Interviewing Dr. Josh Umbehr
I was actually very excited to write this section. I was lucky enough to interview Dr. Josh Umbehr, MD, who runs a concierge practice, AtlasMD, in Wichita, Kansas. At the time of the interview, he started a practice just one and half years ago. He reveals lots of information about concierge medicine and the challenges of starting a practice from scratch.
How Access Healthcare Thrived as a Cash-Only Practice – Interviewing Dr. Forrest
This is another section that I was very excited to write. I got to interview Dr. Brian Forrest, MD, who runs a cash-based (concierge-lite) medical practice, Access Healthcare, in Apex, North Carolina. Although this medical practice is somewhat similar to AtlasMD in that they do not accept insurance, Access Healthcare’s model takes on more patients. In addition, paying a membership fee is not necessary. Read further to find out exactly how Access Heathcare works and why it is so successful.
MedLion: Help to Set Up a Cash-Based Medical Practice – Interviewing Dr. Qamar
If you read the two previous articles, I may have convinced you to go into general medicine (i.e. family medicine, internal medicine, etc.) and to start a cash-based medical practice. But what if you need help setting up the practice? What if you just want to be a doctor and have someone else do all the back work (i.e. marketing, making sure your practice is legal, setting up the customer database, etc.)? If that is the case, you may want to consider licensing with MedLion. Read further to see how it works and it is the option for you.
How to Set Up Your Own Medical Practice
The Medical Entrepreneur: How a Serial Entrepreneur / Dermatologist Made a Boatload of $$$
If you want to open and operate your own medical practice the right way, make sure you read this section. In fact, this is mandatory reading if you want a practice that is wildly profitable, without breaking any of the numerous medical laws.
More About Money in Medicine
How Money Always Ruled Medicine: The Rise and Fall of Medical Doctors
One of the most common reasons for pursuing medicine is to help people. But based on history, those in medicine out primary there to help themselves. Read more to find out how money is always the primary factor in medicine.
Is Being a Doctor Worth It Financially? Not as Much as You May Think
This section explores if it is worth it or not to be a doctor, from a monetary point of view. If you consider the cost of medical school and the low salary as a resident, is being a doctor better than being an average college graduate? The answer may be shocking.
Are Doctors Going Broke in Today’s Healthcare Environment?
This section examines a few cases where doctors are financially struggling with their medical practices. It will examine three qualities a practice will have that will likely lead to low or no profit.
Why Medical Training Is Not Enough: How an Ivy-League Doctor Got Screwed Over by the Healthcare System
This is a very chilling interview with Dr. Curtis Graham. He talks about the reasons why he went bankrupt and what you can do to prevent the same thing from happening to you. You cannot miss this.