Dropping Out of Medical School

I am a first year medical student. Graduated from a mid-tier college in May 2020. To be completely honest I entered medicine for the pay and job security, not because it is my passion.

I majored in finance in college and really enjoyed it. I also interned at a healthcare focused hedge-fund one summer. They tried to sway me from going to medical school with a job offer straight out of college, but I declined.

Medical school has been monotonous and this same fund has extended a $100k base + bonus offer to me if I drop out and go to work for them. From a purely financial perspective, what do you think is the better move here? I'm torn.

23 Comments
 

Screw med school. If you're in it for the money (as you said you are), then the answer is obvious already.

Also, if you're feeling doubt and it's only your first year… it's going to be a painful journey ahead of you then. 3 more years of graduate school not to mention 3-7 years of residency afterwards depending on your specialization. During that entire time you'll incur massive debts from school loans and living expenses.

 

Can you do some sort of leave of absence from your med school to check out the hedge fund and still have an option to go back?

 

I don't know very many happy doctors. Most work terrible hours, don't like the work, are absolutely buried in debt, and want out but can't because they need the salary to pay down the debt.

 

Could not agree with this statement more. Most of my friends and family are in medicine and they all hate it. Pay goes down every year across all of their specialities. Limited upward mobility. Decreased bargaining powers with insurers. Massive debt needed to even enter the field. Overall, would not recommend the field to anyone. Finance is not great, and as an analyst WFH, my WLB has been trash, but the pay is better than many mu family friends who are practicing physicians and we work fairly similar hours. 

 

This is gravely false. Have close connections at multiple top healthcare systems and even at the largest hospitals, there are generally only a handful of physicians making 500k+ these days. Most individuals making that much are hospital administrators with no medical background. 

 

I am from an area in the country that is a metropolitan area (although a low tier one) and I personally know many doctors making over half a million. They all have private practices and are likely billing aggressively etc. but it is by no means an outlier story (compared to some comp numbers you hear on this site)


If you want to replicate that from scratch you’d definitely need to put in some elbow grease but it’s very doable

 
Most Helpful

Always interesting to hear the misconceptions about physician comp on this forum - for reference basically everyone important in my life is an MD, but me. A couple of general rules:

  • Physician compensation is inversely proportional to cost of living (barring the extreme outliers) - all else equal, a specialized physician will make much, much more in Wyoming than NYC. This is due almost entirely to supply and demand (like all pricing tbh). Educated people (read: Doctors) like to live in cities, thus there are more of them to go around.
  • Physician compensation increases with specialization - primary care / internal medicine will often barely crack six figures in many cities right out of residency. Conversely, many specialties will see you hit 500-600k out of the gate. Since people on here love absurd outlier comp stories, here's a personally verifiable anecdote for them: I am very close with the residency director at a strong academic hospital in a somewhat niche, but very needed specialty. Every year, there area handfull of kids (~3-4 / 15ish) who get offers for >1mm immediately after their 5 year residency. This occurs like clockwork every year from the same set of orgs - see point 1 for the caveat.
  • If you are an academic physician, you're comp will increase 4-6% a year on average with larger bumps for tenure ranks / leadership positions. Private practice is its own animal.
  • For private practice physicians, there are two main models: The employee model (read: you get a salary, and maybe a bonus - more common) and the partnership model. The latter usually requires buying into a partnership in some way. Note those words - this isn't the free equity you get at a startup, you have to pay (many different ways this happens)
  • In the partnership model, base/bonus breakdown can often look like finance % wise. I have a close friend who is in private practice emergency medicine, base was a fixed 250k and profit share brought total comp to ~600k. (note that this is unusual for ER - typically physicians get paid hourly with a bonus that is 20-40% coming from this person)

If you want to be a doctor, and you are smart, hardworking and personable you can make 1mm+ at 35 with pretty tight variance if that is the one item you optimize for. You won't do it in NYC, Boston or San Fran but it absolutely can be done and replicated somewhat formulaically. 

"one for the money two for the better green 3 4-methylenedioxymethamphetamine" - M.F. Doom
 

Let’s see. 8 year of no income (so say $1M of lost income from a $125k job) and $200k+ of debt if you go the med school route. If you join the fund, I assume you won’t have much debt and you will be making at least $150k off the bat, and even more if you/the fund does well. I think you know the answer to this. 
 

Also forgot to mention: Med school is fucking awful in terms of experience. You’re going against type A assholes who are peers in name, but competitors really for residency. This isn’t like college where you hang out with ur buddies and join clubs and go to parties all the time. You study 24/7 with no fun really. It fucking sucks. At least if you join your fund, Ull be making $$$ and can have fun too in the prime of your life the 20s 

 

You must love medicine. Otherwise, you will not be able to succeed in this specialty. So I think you should drop out of medical school and go to college to study economics if you like it that much. I believe that this will be the right decision, and most importantly, I'd correctly explain my departure from medical school to my parents so that they would not worry so much. I love medicine, and I was able to enroll in medical school for the second time. The first time I could not enroll in medical school because I had no experience in research -- I learned that I needed it after the first attempt, I read about it on https://www.trinityschoolofmedicine.org/blog/is-research-required-for-medical-school.

 

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