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  • $1mil jobs

    Posted by mouzaalj_95 on April 14, 2023 at 3:12 pm

    I keep seeing recruiters send messages for jobs where you can earn over $1mil and then when you talk to them its salaried 400k and you can get that mil if you read 250+ studies every day and weekendsis this a new trend to get people to reply to job posts?

    Are there truly ways to make more than 600-700 without being partner in a churn and burn place? Ive heard rads who say they make close to $1mil on AM but never share how

    Razeir replied 1 year, 6 months ago 47 Members · 355 Replies
  • 355 Replies
  • afazio.uk_887

    Member
    April 14, 2023 at 4:08 pm

    There are no shortcuts. The money is directly correlated with the amount of work you do.

    Only free lunch was when groups sold out and screwed their non-partners.

    • mircea.cg_544

      Member
      April 14, 2023 at 4:11 pm

      Hospital CEO

      • petitegrandepoubelle_264

        Member
        April 14, 2023 at 4:37 pm

        Insurance executive

        • Patrick

          Member
          April 14, 2023 at 5:02 pm

          I have known a few. 2 week vacation types that crush studies, spectrum or future burnouts or very rural.

          Cant wait for the 7 figure MSK telerads guy to return to AM and endorse path to ghost-reading-use-of-foreign-MDs without US licenses. Oh, yeah, and there are the shady telerads guys (yes overwhelmingly male) that are living off every click.

          • alvarezgga1

            Member
            April 14, 2023 at 5:10 pm

            its possible as a partner in private practice and few things aligning 🙂

            • Robbro524_990

              Member
              April 14, 2023 at 6:20 pm

              It’s possible if you read a ton of cross sectional studies AND mammography AND still own a portion of an imaging center.

              • Unknown Member

                Deleted User
                April 14, 2023 at 7:17 pm

                Can do it as an independent contractor reading a bunch of 3d screening mammos …I know rads doing 200 rvus a day doing this and clearing 7 figures.

    • smfst7_929

      Member
      April 15, 2023 at 4:32 am

      Unless youre an old school shady PP- one of the ones that has low pay for partner tract and burns out their employees before they make partner. Basically perpetual sweat equity. Those places somehow still exist but almost certainly those at highest risk for implosion if they cant hire in this market.

      • Radscatter

        Member
        April 15, 2023 at 5:11 am

        It is very doable in the outpatient IR world. You have to take on risk to get the reward.

        • ruszja

          Member
          April 15, 2023 at 6:37 am

          Is there a ‘job’ where you can make this ? Probably no. Are there business owners who happen to be radiologists who make this, sure.

  • buckeyeguy

    Member
    April 15, 2023 at 7:02 am

    Quote from fw

    Is there a ‘job’ where you can make this ? Probably no. Are there business owners who happen to be radiologists who make this, sure.

     
    Correct, which is the problem. In the new America coming to you in the next 6-12 months, there will be even less of an ability to hide the disparity of income, which doesn’t help things given demand for us is so high. For some reasons the public hates doctors making good money, but never really focuses on C suites who don’t do any of the work or have liability, but make millions …

    • radiologistkahraman_799

      Member
      April 15, 2023 at 8:52 am

      To play devil’s advocate, at some point, you are working for ~ 50% on the dollar.  I’m not one to let the tax tail wag the dog, but….

      • kstepanovs_485

        Member
        April 15, 2023 at 8:55 am

        I’ve seen job ads for Alaska that say you can make 1 mil as partner. But you have to be on site…

        • jtvanaus

          Member
          April 15, 2023 at 10:59 am

          I wish I knew who to complain to to shut down these **** listings and recruiter emails.  
          It’s false advertising / deceptive marketing.
           
          Edit: I wonder if the FTC would care?
           
          I wonder if I could make a claim through the EEOC – they sent this but when they heard my non-american name, they offered less? Is that racism?

          • ranweiss

            Member
            April 16, 2023 at 3:16 am

            We got pretty close this past year. This was because we lost a significant amount of rads and were basically operating at half capacity, very little time off, and very high volumes. 
             
            Simple math. Other than that, pretty hard to get past 700’s without killing yourself, unless your group owns assets etc. 

            • sraghuvanshi1

              Member
              April 16, 2023 at 1:32 pm

              It’s very possible to make $1M or even more if you work enough hours and read enough during those hours.
               
              Generally, most jobs are tilted towards lifestyle, not income maximization, so you won’t see many job offers above $1M.
               
              High volume $500/hr night job for 2000 hours could get you there. Or you could take a more relaxed approach and do it in 3000 hours doing more normal volumes and hours. Those scenarios are generally gonna be considered more than one FTE though.
               
              It’s very difficult to get beyond $1.5-2M just off individual effort, even if you went all out. That’s the real ceiling without business ownership or leveraging off other people’s work.

              • ranweiss

                Member
                April 16, 2023 at 5:27 pm

                Quote from golden gate

                It’s very possible to make $1M or even more if you work enough hours and read enough during those hours.

                Generally, most jobs are tilted towards lifestyle, not income maximization, so you won’t see many job offers above $1M.

                High volume $500/hr night job for 2000 hours could get you there. Or you could take a more relaxed approach and do it in 3000 hours doing more normal volumes and hours. Those scenarios are generally gonna be considered more than one FTE though.

                It’s very difficult to get beyond $1.5-2M just off individual effort, even if you went all out. That’s the real ceiling without business ownership or leveraging off other people’s work.

                 
                Yup. If you’re willing to read 100 + mixed volume per day, only take 3-4 weeks off for the year….work 9 hour shifts….q3 call…good payer mix..can hit 1 mil. Like I said, our group just about did that. Not by choice. Most rad groups are happy with 6-7, less work, lots of vaca. 

                • Unknown Member

                  Deleted User
                  April 16, 2023 at 5:45 pm

                  Quote from ar123

                  Quote from golden gate

                  It’s very possible to make $1M or even more if you work enough hours and read enough during those hours.

                  Generally, most jobs are tilted towards lifestyle, not income maximization, so you won’t see many job offers above $1M.

                  High volume $500/hr night job for 2000 hours could get you there. Or you could take a more relaxed approach and do it in 3000 hours doing more normal volumes and hours. Those scenarios are generally gonna be considered more than one FTE though.

                  It’s very difficult to get beyond $1.5-2M just off individual effort, even if you went all out. That’s the real ceiling without business ownership or leveraging off other people’s work.

                  Yup. If you’re willing to read 100 + mixed volume per day, only take 3-4 weeks off for the year….work 9 hour shifts….q3 call…good payer mix..can hit 1 mil. Like I said, our group just about did that. Not by choice. Most rad groups are happy with 6-7, less work, lots of vaca. 

                  Why are you leaving then? Sounds like a good gig once they hire more rads.

                  • ranweiss

                    Member
                    April 16, 2023 at 6:22 pm

                    Quote from drad123

                    Quote from ar123

                    Quote from golden gate

                    It’s very possible to make $1M or even more if you work enough hours and read enough during those hours.

                    Generally, most jobs are tilted towards lifestyle, not income maximization, so you won’t see many job offers above $1M.

                    High volume $500/hr night job for 2000 hours could get you there. Or you could take a more relaxed approach and do it in 3000 hours doing more normal volumes and hours. Those scenarios are generally gonna be considered more than one FTE though.

                    It’s very difficult to get beyond $1.5-2M just off individual effort, even if you went all out. That’s the real ceiling without business ownership or leveraging off other people’s work.

                    Yup. If you’re willing to read 100 + mixed volume per day, only take 3-4 weeks off for the year….work 9 hour shifts….q3 call…good payer mix..can hit 1 mil. Like I said, our group just about did that. Not by choice. Most rad groups are happy with 6-7, less work, lots of vaca. 

                    Why are you leaving then? Sounds like a good gig once they hire more rads.

                     
                    If you weren’t aware, hiring rads in this market isn’t that easy. Also family reasons/ kids / location / want to work less. 

                    • pdbauer

                      Member
                      April 16, 2023 at 11:27 pm

                      its possible

  • tdetlie_105

    Member
    April 17, 2023 at 4:14 pm

    Quote from Sam679

    I keep seeing recruiters send messages for jobs where you can earn over $1mil and then when you talk to them its salaried 400k and you can get that mil if you read 250+ studies every day and weekendsis this a new trend to get people to reply to job posts?

    Are there truly ways to make more than 600-700 without being partner in a churn and burn place? Ive heard rads who say they make close to $1mil on AM but never share how

     
    Here’s one I recently received:
     
    “Would you be interested in a teleradiology position offering 3 different shifts, working 26 weeks per year PLUS 4 weeks of PTO, and earning $750K-$1MM?”

  • DanielQuilli

    Member
    April 17, 2023 at 4:53 pm

    Certainly possible in private practice if you read high volume and take little time off, I think most sane people would burn themselves out in short order doing this though. Juice isnt worth the squeeze.

    • Unknown Member

      Deleted User
      April 17, 2023 at 5:34 pm

      Yeah I think most radiologists realize on some level that we are working to live and not living to work. To me, the question is not how much I can make but how little I can get away with making and still living it up.

      • amyelizabethbarrett28_711

        Member
        April 17, 2023 at 5:42 pm

        I know a few employed rads who make > $1M.

        They earn it. They have a whole nother gear.

        • ranweiss

          Member
          April 18, 2023 at 5:58 am

          Quote from acpce1

          I know a few employed rads who make > $1M.

          They earn it. They have a whole nother gear.

          Same. Employed and PP. 
           
          That being said, no way I could keep the volume and lack of vacation needed to usually do it, i’d collapse. However, i guess everyone is different. I’m not the guy that wants to run a marathon, run every day, or even work out much. I suppose there are David goggins versions of radiologists out there lol. 

          • Unknown Member

            Deleted User
            April 18, 2023 at 8:24 am

            Id much rather be David Goggins running ultra marathons in my free time than working more to earn double, thats for sure.

  • gmail.com

    Member
    April 18, 2023 at 3:46 pm

    It would be a very rare private practice where you can make $1M as partner.  I am sure you are working very very hard.
     
    In an eat-what-you-kill or pay-per-click compensation setup, I can see a rad making $1M, but they are reading very quickly and efficiently as well as accurately.  Plus they have to work enough hours and maintain that hourly production rate.  So it’s possible but those rads are working very hard.   
     

    Quote from Sam679

    I keep seeing recruiters send messages for jobs where you can earn over $1mil and then when you talk to them its salaried 400k and you can get that mil if you read 250+ studies every day and weekendsis this a new trend to get people to reply to job posts?

    Are there truly ways to make more than 600-700 without being partner in a churn and burn place? Ive heard rads who say they make close to $1mil on AM but never share how

    • tdetlie_105

      Member
      April 18, 2023 at 5:03 pm

      Quote from PPRad

      It would be a very rare private practice where you can make $1M as partner.  I am sure you are working very very hard.

      In an eat-what-you-kill or pay-per-click compensation setup, I can see a rad making $1M, but they are reading very quickly and efficiently as well as accurately.  Plus they have to work enough hours and maintain that hourly production rate.  So it’s possible but those rads are working very hard.   

      Quote from Sam679

      I keep seeing recruiters send messages for jobs where you can earn over $1mil and then when you talk to them its salaried 400k and you can get that mil if you read 250+ studies every day and weekendsis this a new trend to get people to reply to job posts?

      Are there truly ways to make more than 600-700 without being partner in a churn and burn place? Ive heard rads who say they make close to $1mil on AM but never share how

       
      I would imagine 18-20K RVUs/year…some rads however find this manageable 

      • afazio.uk_887

        Member
        April 18, 2023 at 6:28 pm

         
        Doing this with Telerad and their low per RVU rates is truly insane, like SLACman. 

      • 22002469

        Member
        April 18, 2023 at 6:37 pm

        Quote from jd4540

        I would imagine 18-20K RVUs/year…some rads however find this manageable 

         
        For 18-20k wRVUs per year to get you 1M, you would have to be getting $50-55/wRVU. For a pay-per-click job? Virtually impossible, especially if daytime. 
         
        We’re talking 30k wRVU per year to approach 1M, some do it. Most that do make truly pathetic reports but don’t seem to care. Very rare a rad can pull it off acceptably. 
         
        Only possible exception is a pay-per-click breast only job where 1M can potentially be reasonable, given breast wRVU’s are inflated about 40%.

        • afazio.uk_887

          Member
          April 18, 2023 at 7:07 pm

           
          Taking working standards that payroll companies use – there are 260 work days in a year.  8 hours of work per day.  To do 30k RVU would require around 15 RVU per hour on average.  What is that, like 10 CTs of various kinds per hour?  Definitely busy but not insane imo.  
           
          This would be for a $1M salary per year. 
           
          But Rads typically want more time off than the average worker out there…. so… 

        • mgmacielendocrino_912

          Member
          April 18, 2023 at 7:10 pm

          I know groups that make this but read a lot (17k+ wRVU), have optimized their work flow and billing, and have ownership in hardware, software, offices/land etc. 

        • tdetlie_105

          Member
          April 20, 2023 at 4:04 pm

          Quote from Radsoxfan

          Quote from jd4540

          I would imagine 18-20K RVUs/year…some rads however find this manageable 

          For 18-20k wRVUs per year to get you 1M, you would have to be getting $50-55/wRVU. For a pay-per-click job? Virtually impossible, especially if daytime. 

          We’re talking 30k wRVU per year to approach 1M, some do it. Most that do make truly pathetic reports but don’t seem to care. Very rare a rad can pull it off acceptably. 

          Only possible exception is a pay-per-click breast only job where 1M can potentially be reasonable, given breast wRVU’s are inflated about 40%.

           
          My bad. I was referring to jobs in general, not pay-per-click tele.

          • ranweiss

            Member
            April 21, 2023 at 7:02 am

            it’s doable in private practice….but as others have mentioned, lot of grinding required. Pretty sure I was around 20k RVU for our calendar year. wasn’t fun. 

            • afazio.uk_887

              Member
              April 21, 2023 at 7:22 am

              Some people can just grind endlessly. Its impressive imo as I cant do it. Hiring someone and finding out they are a grinder is a wonderful surprise.

              • consuldreugenio

                Member
                April 21, 2023 at 12:43 pm

                Hiring someone and finding out they are deliberately being slow as molasses is a terrible surprise. It is interesting how rads can be so different, even coming out of the same residency or fellowship.

                • Unknown Member

                  Deleted User
                  April 22, 2023 at 11:04 am

                  Why would someone be deliberately slow?  
                  Ive heard the reasons justifying being average; which I dont admire, but understand the logic. 
                  But to be deliberately slow? In my experience the pathological slow outliers have some sort of psycho dysfunction. Their employment is problematic on many levels. It can have a serious outsized effect on group morale. Got to keep on top of it. 

                  • andy.lippman_422

                    Member
                    April 22, 2023 at 5:13 pm

                    I am deliberately slow because I share the list with people who are slower than me. So, if we’re not super behind, I can read a case then go make some coffee or something and nurse it for another 10-15 minutes.

                • sarah.r.huntington

                  Member
                  April 22, 2023 at 6:32 pm

                  Quote from Umichfan

                  Hiring someone and finding out they are deliberately being slow as molasses is a terrible surprise. It is interesting how rads can be so different, even coming out of the same residency or fellowship.

                  Not really that surprising. Residency/fellowship gives you the knowledge & skills. Personalities & traits are molded into a person well before even medical school.

              • Unknown Member

                Deleted User
                April 29, 2023 at 11:06 am

                Small private group here. Midwest college town. Good payor mix. 170 shifts a year. Pedal fast for 8 hours but usually headed out the door by 4 pm. High 6 figures is average. Have cracked 7 before. But thats the trade off for living in a flyover state rather than the coast.

                • gshaughness

                  Member
                  April 29, 2023 at 11:23 am

                  Quote from getrad1

                  Small private group here. Midwest college town. Good payor mix. 170 shifts a year. Pedal fast for 8 hours but usually headed out the door by 4 pm. High 6 figures is average. Have cracked 7 before. But thats the trade off for living in a flyover state rather than the coast.

                  [link=https://jobs.acr.org/jobs/view/interventionalgeneral-radiologist-in-private-practice/68680365/]https://jobs.acr.org/jobs…ate-practice/68680365/[/link]
                   
                  Partners close to 950K

                  • tdetlie_105

                    Member
                    April 29, 2023 at 3:37 pm

                    Quote from keptinthedark3

                    Quote from getrad1

                    Small private group here. Midwest college town. Good payor mix. 170 shifts a year. Pedal fast for 8 hours but usually headed out the door by 4 pm. High 6 figures is average. Have cracked 7 before. But thats the trade off for living in a flyover state rather than the coast.

                    [link=https://jobs.acr.org/jobs/view/interventionalgeneral-radiologist-in-private-practice/68680365/]https://jobs.acr.org/jobs…ate-practice/68680365/[/link]

                    Partners close to 950K

                     
                    Wow, thats a thought provoking job listing (coming from someone who lived in that area as a permanent employed rad in another PP about a decade ago)…Personally its a rough place to live but for that type of compensation, it may be doable (though my wife would surely divorce me before returning to that area).  Based on personal experience, groups low-ball compensation to some extent so its quite possible partners are over 7-figures

  • 22002469

    Member
    April 18, 2023 at 7:57 pm

    Quote from ultimaterads

    I know groups that make this but read a lot (17k+ wRVU), have optimized their work flow and billing, and have ownership in hardware, software, offices/land etc. 

     
    Agreed. Apologies if I wasn’t clear, but I was referring to making 1M with a pay-per-click employed job and all the $ coming from the professional component of reading cases.
     
    Certainly can do it for less than 30k wRVU if we’re talking private groups with multiple revenue streams. 
     
     

  • aldoctc

    Member
    April 19, 2023 at 7:25 am

    As is usually said in a different context…..
     
    “Your money or your life.”  
     

    • JAMELLESEABURY_446

      Member
      April 19, 2023 at 8:23 pm

      If someone makes around 1 mill in radiology and they’re doing it with integrity you can guarantee they’re also burned out. Take solace in knowing that I guess. 

      • sraghuvanshi1

        Member
        April 20, 2023 at 2:48 pm

        I think it’s fair to say that at that level of compensation, a lot of grinding is required. Some can tolerate grinding better than others.
         
        There are people out there who run marathons and don’t even get paid a dime. Humans are crazy creatures.

  • ljohnson_509

    Member
    April 23, 2023 at 4:27 am

    In my experience the pathological slow outliers have some sort of psycho dysfunction.

    Yes. Some may have OCD which really slows you down because it infuses doubt into many things including your confidence and professional competency.

  • jtvanaus

    Member
    April 23, 2023 at 9:37 pm

    Quote from Sam679

    I keep seeing recruiters send messages for jobs where you can earn over $1mil and then when you talk to them its salaried 400k and you can get that mil if you read 250+ studies every day and weekendsis this a new trend to get people to reply to job posts?

    Are there truly ways to make more than 600-700 without being partner in a churn and burn place? Ive heard rads who say they make close to $1mil on AM but never share how

     
    These recruiters should be called out.  This is a bait and switch. 
     
    When lawyers really screw up, they get disbarred
     
    When we screw up we get sued.
     
    From pretty much everyone I know’s experience, these stories are the standard practice int he business.
     
    Why do we tolerate who wasteage of our precious time from people who make money off our labor?
     
    The FCC fines telemarketers 43k / incident.  
     
    Every one of these horse crap communications is a drain on our resources.

    • pdbauer

      Member
      April 23, 2023 at 11:52 pm

      .

      • ranweiss

        Member
        April 24, 2023 at 5:49 am

        There were a few months between fall and early this year where partners in our group were 100k range….175 is wild. 

        • ds_428_213

          Member
          April 24, 2023 at 6:57 am

          F all the haters. Go SNACman Go!

          • Unknown Member

            Deleted User
            April 24, 2023 at 7:15 am

            The real question is what one is doing with ones life other than accumulating wealth. Half million a year or 2 million a year, whats the difference if all one does is read studies and spend money. I think SNACman had published a radiology review book, presumably because its a passion. Thats the stuff thats interesting.

            • abd.fawzi_217

              Member
              April 24, 2023 at 7:40 am

              if slacman is still doing 6a-2p from home, even if its almost every day, that still seems like a better lifestyle gig than many rad jobs

              • pdbauer

                Member
                April 24, 2023 at 10:15 am

                  
                my day looks liek this:
                 
                [b]9-10am: [/b]wake up some time in this window 
                 
                [b]10-12am (2 hours of work): [/b]knock out 20 MSK MRI for my side gig. This is only M-F. No weekends.
                 
                [b]12am-3pm:[/b] Free time/lunch/gym. Work on side stuff liek radstep or a few other hobby’s/projects im working on. Usualy I take a small nap
                 
                [b]3pm: [/b]Pick up kid from school
                 
                [b]3pm-6pm: [/b]Daddy/daughter time: Snack, activities (piano), homework, cook dinner with kid, maybe ill do some errands if needed.
                 
                [b]6pm-8pm:[/b] Wife gets home. Free time with wife/going out to dinner/watching a show, etc 
                 
                [b]8pm-1am (5 hours of work): [/b]corp tele shift. This is usually every day except Fridays for now (my choice)
                 

                • pdbauer

                  Member
                  April 24, 2023 at 10:16 am

                  also, spread the word
                   
                  [link]https://www.radstepmd.com/[/link]

                  • Unknown Member

                    Deleted User
                    April 24, 2023 at 10:57 am

                    Quote from theSNACman

                    also, spread the word

                    [link=https://www.radstepmd.com/]https://www.radstepmd.com/[/link]

                     
                    That’s pretty awesome

                    • mouzaalj_95

                      Member
                      April 24, 2023 at 11:05 am

                      Radstepmd.com looks really cool! Taking on Prometheus but your site looks much better

  • mouzaalj_95

    Member
    April 24, 2023 at 11:05 am

    Radstepmd.com looks really cool! Taking on Prometheus but your site looks much better

    • Unknown Member

      Deleted User
      April 24, 2023 at 11:47 am

      How the heck can you 1k an hour working for corporate sweatshop?! Envious…I am sure you have zillions of posts on this I am just too lazy to search lol

      • pdbauer

        Member
        April 24, 2023 at 12:35 pm

        Come rested and work hard

        • pdbauer

          Member
          April 24, 2023 at 12:35 pm

          The hard part is doing it 26 days a month

          • pdbauer

            Member
            April 24, 2023 at 12:36 pm

            Prometheus is for residents. Mine is mainly for medical students for the usmle. Very little overlap

            • pdbauer

              Member
              April 24, 2023 at 1:12 pm

               Also, many of you will notice, when i talk numbers in posts, i usualy go in and delete the posts/numbers in the posts days to weeks later

              • afazio.uk_887

                Member
                April 24, 2023 at 2:08 pm

                Waste of time to work like that.

                In America, investment income is favored to earned income.

                My portfolio compounds at an insane rate.

                Its dumb to kill yourself for earned income.

                Now, I work in Rads mostly for the health insurance and to fuel a good lifestyle.

                My portfolio will likely compound to $50M if I live into decent old age.

                Thats the game in the US not sweatshop labor gig anywhere, including Rads.

                Compound interest is a miracle.

                • pdbauer

                  Member
                  April 24, 2023 at 2:09 pm

                  my friend, i work 43 hours a week
                   
                  This month will be exactly 172 hours of work (130 hours corp tele + 42 hours side gig)
                   
                  I feel good putting in a solid 43 hours of work for a week. 
                   
                   
                   

                  • pdbauer

                    Member
                    April 24, 2023 at 2:10 pm

                    .

                    • afazio.uk_887

                      Member
                      April 24, 2023 at 2:17 pm

                      Again, you missed the point.

                      Its about work load vs. time.

                      Any Rad can read more at $25 per RVU and make more money at any time.

                      However, it is not worth to most.

                      For me, it would never be worth it, because my portfolio with compound massively without me lifting a finger.

                      Its about making money while you sleep.

  • pdbauer

    Member
    April 24, 2023 at 2:20 pm

    .

    • pdbauer

      Member
      April 24, 2023 at 2:21 pm

      .

      • afazio.uk_887

        Member
        April 24, 2023 at 2:25 pm

         
        So you are building your capital base, that’s fair.  
         
        Yes, anyone can make big money in Rads because it is just a matter of more volume.  
         
        Getting a pathetic low payment per RVU like $20 or $25 doesn’t matter if you are willing to do insane volume.  
         
        It is a glitch in the system that some Rads will exploit obviously.
         
        Personally, I think it should not be legal for a Rad to read over 15k RVU per year, as it is the patients who will be harmed. 
         
         

        • pdbauer

          Member
          April 24, 2023 at 2:28 pm

          But isnt that true for any job in America? Everyone is hiring, anyone can make more money in any industry by working more hours lol

          Im not following the 15k rvu logic, elaborate

          • pdbauer

            Member
            April 24, 2023 at 2:29 pm

            .

            • afazio.uk_887

              Member
              April 24, 2023 at 2:49 pm

              The idea is not to work hard.  

              Hard work directly takes away from leisure time and doing activities you enjoy.  

              The idea is to have great lifestyle, money compounding at large sums passively, and staying rich until you die while never working hard again. 

              That’s the goal. 

              • pdbauer

                Member
                April 24, 2023 at 2:49 pm

                Im gonna go ahead and work hard lol

                • afazio.uk_887

                  Member
                  April 24, 2023 at 2:50 pm

                   
                  LOL, just another slave then. 

                  • pdbauer

                    Member
                    April 24, 2023 at 2:51 pm

                    Yes mastah

          • 22002469

            Member
            April 24, 2023 at 3:05 pm

            Quote from theSNACman

            But isnt that true for any job in America? Everyone is hiring, anyone can make more money in any industry by working more hours lol

             
            You just said you don’t work more hours, you just see 3x the number of patients as most radiologists in a similar # of hours (i.e that’s how you can get to 1k+/hr with Corp tele rates). 
             
            In a general sense, it’s hard to to something multiple standard deviations better or faster than group of already motivated and intelligent people (and continue to do it well).
             
            Perhaps you are the Chosen One. Perhaps your reports are complete junk. Maybe it’s somewhere in between. Only you and those you work with know. 
             
             

        • 22002469

          Member
          April 30, 2023 at 7:54 pm

          Quote from Waduh Dong

          Personally, I think it should not be legal for a Rad to read over 15k RVU per year, as it is the patients who will be harmed. 

           
          Back to this quote…. It goes without saying wRVU are not the best way to evaluate productivity or what is “safe”, though it’s at least a common terminology we all understand.
           
          If 15k was the limit, the radiologist shortage would be WAY worse. I can’t even imagine how far under water some groups would be if you stopped everyone at 15k, so I certainly would not be in favor of anything close to that. And I know plenty of rads over 15k per year doing a great job. 
           
          But I would say that from a patient care point of view, there is a very good argument there should be SOME limit, either hourly or per shift. If people want to work more they should make more, but there is also likely some point at which people are simply not reading cases safely. I don’t think this should apply to 99% of rads, but only those 2-3 standard deviations beyond average. 
           
          To put some rough #s on it, reading more than 20-25 wRVU/hour (again, wRVU isn’t the best way to look at this) is unlikely to be appropriate for patient care. That would cap corp tele around $600-700/hr. I’ve yet to see anyone read faster than that without making major speed related errors. 

          • pdbauer

            Member
            April 30, 2023 at 8:09 pm

            .
             
             

            • 22002469

              Member
              April 30, 2023 at 8:15 pm

              I am sorry Chosen One.

              I have yet to see someone reading 40-50 wRVU/hr consistently while doing an acceptable job. You certainly could be the first.

              My opinion that there should be some limit of cases per hour thats roughly 3 SD beyond average (would affect less than 1% of rads) is unchanged.

              • pdbauer

                Member
                April 30, 2023 at 8:16 pm

                .

                • pdbauer

                  Member
                  April 30, 2023 at 8:20 pm

                  .

                  • 22002469

                    Member
                    April 30, 2023 at 8:28 pm

                    Quote from theSNACman

                    what is the fastest (in minutes) you think a rad can safely read the following:

                    25 yo MVA

                    CT HEAD
                    CT C 
                    CT T
                    CT L 
                    CT FACE
                    CT Chest
                    CT AP 

                    Assume the following: you dont have to enter history/technique/comparison/etc. The exam is negative and there are no incidentals. 

                     
                    You keep saying stuff like this. And I don’t doubt many of these exams can be read VERY quickly.
                     
                    But if it was normal to read 40-50wRVU/hr and to make 1k+/hour in corp tele with these “easy” studies, why wouldn’t more people do it?
                     
                    The fact is that people reading fast are making $300-400/hr. Maybe even double that. And thats with all of the easy studies and prelims you claim makes it reasonable to go so fast. 
                     
                    So I’m sorry if the idea of making 6k for a 5 hour corp tele shift sounds a bit shady.  But I do hope you are the Chosen One. 

                    • pdbauer

                      Member
                      April 30, 2023 at 8:29 pm

                      .

                    • pdbauer

                      Member
                      April 30, 2023 at 8:31 pm

                      .
                       

                    • pdbauer

                      Member
                      April 30, 2023 at 8:33 pm

                      .

                    • pdbauer

                      Member
                      April 30, 2023 at 8:38 pm

                      .

                    • 22002469

                      Member
                      April 30, 2023 at 8:43 pm

                      Maybe I just need some more data points from people reading 40-50+ wRVU/hr that aren’t botching things left and right.
                       
                      It’s obviously a very small sample size of rads on the far end of the Gaussian distribution, but my limited experience has not witnessed any success stories (for patients) yet.
                       
                      I’ll keep my eyes open though. 

                    • pdbauer

                      Member
                      April 30, 2023 at 8:44 pm

                      .

                    • pdbauer

                      Member
                      April 30, 2023 at 8:53 pm

                      .

                    • 22002469

                      Member
                      April 30, 2023 at 8:55 pm

                      Know plenty of tele peeps. 1-1.5k/hr isnt normal for anyone I know. Seems 99th percentile+ to me.

                      Working a lot of hours make sense and of course will increase yearly salary, but cant hide the fact that making over 1k/hr is a bit off the end of the curve.

                      Super secret efficiency I suppose.

                    • pdbauer

                      Member
                      April 30, 2023 at 8:57 pm

                      .

                    • pdbauer

                      Member
                      April 30, 2023 at 8:57 pm

                      .

                    • 22002469

                      Member
                      April 30, 2023 at 9:05 pm

                      I suppose its possible the Gaussian Distribution for all of radiology productivity is artificially lowered because the entire field is lazy.

                      Therefore, those doing 99.9% more than most arent actually that going that fast. It just APPEARS fast.

                      Not my experience, but I suppose the possibility shouldnt be entirely ruled out.

                    • pdbauer

                      Member
                      April 30, 2023 at 9:06 pm

                      .

                    • pdbauer

                      Member
                      April 30, 2023 at 9:07 pm

                      .
                       

                    • pdbauer

                      Member
                      April 30, 2023 at 9:09 pm

                      .

                    • 22002469

                      Member
                      April 30, 2023 at 9:11 pm

                      99.9% admittedly isnt precise.

                      But the volume and making well over 1k/hr corp tele seems 2-3 SD above norm from what Ive seen.

                      Maybe I just havent seen enough.

                    • pdbauer

                      Member
                      April 30, 2023 at 9:13 pm

                      .

  • pdbauer

    Member
    April 24, 2023 at 3:10 pm

    .

    • afazio.uk_887

      Member
      April 24, 2023 at 3:14 pm

       
      QA is a very low bar.   
       
      Company gets a big cut of everything you touch, they have no incentive to stop you. 
       

       
       

      • pdbauer

        Member
        April 24, 2023 at 3:15 pm

        So what metric are you being my performance off of lol

        • pdbauer

          Member
          April 24, 2023 at 3:20 pm

          Are you basing*

          • afazio.uk_887

            Member
            April 24, 2023 at 3:26 pm

             
            We are all Radiologists, many in high volume practices, so we are actually the only ones who really can judge. 
            If god forbid a lawyer asked any practicing Rad if your numbers are reasonable, every single one likely would say the numbers are insane and likely dangerous for any human Radiologist to perform.
            It seems highly unlikely you are some special form of Radiologist with unique skills everyone else lacks.  
            Truth is, you may be ethically challenged. 
            But whatever, you do you.  But please tell me how to avoid your reads for my loved one LOL. 
             
             
             
             

            • pdbauer

              Member
              April 24, 2023 at 3:29 pm

              Damn dont who hurt you

              • pdbauer

                Member
                April 24, 2023 at 3:29 pm

                Damn dong*

                • afazio.uk_887

                  Member
                  April 24, 2023 at 3:31 pm

                   
                  You may lack empathy for the patients you may maim and injure. 
                  Narcissistic personality disorder is possible. 

                  • Unknown Member

                    Deleted User
                    April 24, 2023 at 3:46 pm

                    Radiologists making $2M a year, radiologists with $50M in investments.
                     
                    I’m genuinely happy you are doing well but you are outliers and this is just flaunting your blessings among the common folk of radiologists who “only” make half a million a year that makes them less grateful for what they have and makes them think something is lacking when nothing is lacking. 

                    • pdbauer

                      Member
                      April 24, 2023 at 3:47 pm

                      I wont hit 2 this year. But honestly your right. Ill prob keep it to myself from now on

                      Always appreciate the perspective flounce

                    • afazio.uk_887

                      Member
                      April 24, 2023 at 3:50 pm

                       
                      The people are on the other end of those images are real people, with families and lives. 
                      They don’t have a choice who reads their exams, if they did they would run far away from a Rad like you.
                      They would want someone who is not putting out volume of trash for money.
                      Sad really. Too bad you didn’t get weeded out earlier by the system. 
                       
                      You delete your posts because you know what you do is shameful.  
                       
                      I genuinely believe you have sociopathic tendencies and complete lack of empathy. 
                       
                       

                    • pdbauer

                      Member
                      April 24, 2023 at 3:56 pm

                      Weeded out? Im getting bonuses for the extra work

                    • afazio.uk_887

                      Member
                      April 24, 2023 at 3:58 pm

                       
                      Weeded out by the various admission processes…. now it is too late, the patients will have to suffer. 

                    • pdbauer

                      Member
                      April 24, 2023 at 3:59 pm

                      The only thing suffering right now is me reading these posts lmao

                    • afazio.uk_887

                      Member
                      April 24, 2023 at 4:01 pm

                       
                      You don’t get it because you have a personality disorder at a minimum and perhaps a full on mental illness. 
                       
                      It’s not normal to have such a lack of empathy and integrity. 
                       
                       

                    • pdbauer

                      Member
                      April 24, 2023 at 4:02 pm

                      .

                    • afazio.uk_887

                      Member
                      April 24, 2023 at 4:03 pm

                       
                      Anyone can make bad choices, even a psychiatrist. 

                    • pdbauer

                      Member
                      April 24, 2023 at 4:04 pm

                      Dong you are too much fun. I mean that.

                    • 22002469

                      Member
                      April 24, 2023 at 4:06 pm

                      Quote from Waduh Dong

                       
                      Weeded out by the various admission processes…. now it is too late, the patients will have to suffer. 

                       
                      On the bright side, it might make a good Netflix show someday.

                      [link=https://www.vox.com/culture/2020/4/1/21200503/how-to-fix-a-drug-scandal-netflix-review-dookhan-farak]https://www.vox.com/cultu…x-review-dookhan-farak[/link]
                       
                      [link]https://en.wikipedia.org/wiki/Annie_Dookhan[/link]
                       
                      [i]The probe revealed that Dookhan’s superiors had ignored [link=https://en.wikipedia.org/wiki/Red_flag_(idiom)]red flags[/link] surrounding her before 2011. For instance, she reportedly tested over 500 samples per monthfive times the normal averageeven though her supervisors and colleagues claimed to have never seen her in front of a microscope, and that she frequently misidentified samples.[/i]
                       
                       
                       

          • 22002469

            Member
            April 24, 2023 at 3:31 pm

            1 extra case out of 100 or 1,000 or 10,000 doesn’t have a lot of meaning unless we know how often people get QA’d in general (I presume these are major misses we’re talking about).
             
            Most people I’ve seen that produce useless reports are QA’d a tiny fraction of a percent and can make similar claims about very small miss rates in comparison to their peers, since QA numbers many places are very low. 
             
            If you are happy going 3x faster than most people and missing more important findings than the majority of the rads doing corp tele, congrats on finding the right fit or yourself. 

        • nelson33.jn

          Member
          April 24, 2023 at 3:22 pm

          Waduh dong, how did you get there? Im curious. 
           

  • pdbauer

    Member
    April 24, 2023 at 3:33 pm

    .

    • afazio.uk_887

      Member
      April 24, 2023 at 3:35 pm

       
      Again, meaningless in a corporate setting.  
       
      The Rads are cash cow they skim off of, there is no incentive to stop Rads from reading way past what is reasonable and safe.  In fact, the incentives are the opposite. 
       
       

    • pdbauer

      Member
      April 24, 2023 at 3:36 pm

      Also you guys realize there is no basis or evidence for anything you guys are saying except from your opinions and coming off butt hurt lol

      • afazio.uk_887

        Member
        April 24, 2023 at 3:39 pm

         
        We are all Radiologists, we fully understand how you get to those numbers.  Almost every Rad in the country would say what you do is dangerous to patients and borderline unethical.  
        We are the only people who can fairly judge actually. 
         

        • pdbauer

          Member
          April 24, 2023 at 3:41 pm

          Again no actual basis for anything just opinion and anecdote. Ill keep using the data and review from our medical director to guide me instead of some random dude on aunt Minnie lol

          • afazio.uk_887

            Member
            April 24, 2023 at 3:43 pm

             
            You have just found a loophole in the system to exploit for your own greed.  There is not too much more to it than that.  I’m sure there are similar ethically challenged physicians in GI and Cards etc who do similar thing. 
            Hopefully, someday this loophole (RVU cap per Rad?) is addressed to prevent such behavior by Rads of questionable moral integrity.  

            • pdbauer

              Member
              April 24, 2023 at 3:44 pm

              Being paid per case is a loop hole? Explain

      • 22002469

        Member
        April 24, 2023 at 3:46 pm

        Quote from theSNACman

        Also you guys realize there is no basis or evidence for anything you guys are saying except from your opinions and coming off butt hurt lol

         
        Like I said, only the docs and patient you work with know how bad the reports really are.
         
        Generally speaking, people who are 3+ standard deviations faster than a highly qualified group of people are either The Chosen One or cutting a lot of corners. Either way, congrats on making it this far.
         
         

  • pdbauer

    Member
    April 24, 2023 at 3:48 pm

    Like I always do Ill prob delete all my posts within a few days

  • pdbauer

    Member
    April 24, 2023 at 4:08 pm

    If only 70% of her work was reviewed every day

    • 22002469

      Member
      April 24, 2023 at 4:15 pm

      Quote from theSNACman

      If only 70% of her work was reviewed every day

       
      Even if your Netflix special is simply about you being The Chosen One, that would still be interesting 😉
       

      • pdbauer

        Member
        April 24, 2023 at 4:16 pm

        Call me neo

        • pdbauer

          Member
          April 24, 2023 at 4:16 pm

          Flounce is right though, no more flaunting.

          • afazio.uk_887

            Member
            April 24, 2023 at 4:22 pm

             
            You have nothing to flaunt about.  Many ways to make lots of money in this world if one is lacking character and ethics.  

            • pdbauer

              Member
              April 24, 2023 at 4:23 pm

              Thats why I started a radiology only fans

              • afazio.uk_887

                Member
                April 24, 2023 at 4:31 pm

                 
                What is fascinating about your psychology is that you actually believe others are jealous of your situation.  When in fact, what you do is highly unethical and probably should be illegal.  This points to dark triad traits.  I am convinced you should never have been admitted to medical school, as you could never have actually cared about patient care. 

                • pdbauer

                  Member
                  April 24, 2023 at 4:32 pm

                  Lol man your so insecure

                  Im trying to enjoy last nights episode of succession and you keep buzzing my phone (email) like little gnat flying around

                  • afazio.uk_887

                    Member
                    April 24, 2023 at 4:37 pm

                     
                    I just think your character is extremely suspect, that is all.  Most Rads with any scruples would likely agree. It has nothing to do with money, as I am already rich and got there with integrity. I am serious – please tell us which states to not go for medical care to avoid a friend or family member landing on your unread list.  

                    • pdbauer

                      Member
                      April 24, 2023 at 4:38 pm

                      I am eternal

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