Interventional radiology private practice reddit. In residency call is much worse than in private practice.

Interventional radiology private practice reddit Clinicians seeing the same number of patients in private practice easily makes 3x that of radiologist since they get cuts from Radio/Patho/Pharma. Academics seems to be ~200-230k starting. Yeah, my eyes got opened to this starting private practice radiology. I was president of my radiology club in med school and was sure my future was interventional radiology. They are generally doing lung/liver/kidney biopsies some CT guided and some not, nephrosotomy tube placement/exchanges, uterine artery embolizations, some tunneled catheters depending on the complexity and basically anything that the PAs do if time permits/they feel like it. I can answer some of your questions. 75-2x by the group though, so most people end up making another $200,000-300,000 through call. Topics include multiple sclerosis, seizures/epilepsy, stroke, peripheral neurology, anatomy of the brain and nerves, parkinson's disease, huntington's disease, syncope, medical treatments, ALS, carpal tunnel syndrome, vertigo, migraines, cluster headaches, and more. moving to interventional radiology will be a good option. Plus have to consider a range of other costs - secretaries, rental of hospital space, theatre costs etc. Because if you treat it like one, you are not going to like it. Work for a hospital system which has a med school, residency and cards fellowship but it still more of a community practice then academic. If after 2 years you have no patients that are loyal to you, you are of no value to that practice. I didn’t choose it for the money. Radiology has become a complete grind now where you don’t get up from a (So called “angry chair”) chair for 8 hours straight yes there is interventional radiology but most practices you must take interventional call while you are still reading films and get paid all the same as your general partners. Where I used to work the IR consultant was 1st oncall for any IR related queries as well. Need huge investment. I am at a large upper-mid tier university program. Invasive simply means I do my own diagnostic heart caths but don't put stents in. There’s a lot of private practice jobs not in the big cities (NYC, LA, SF) where you’re just doing clinic for 3-4 weeks and and one week inpatient. It's nice to have someone who likes it on occasion, but private practice is mostly looking for neuroRads and body rads (as in abdomen). In practice, it is neurosurg and IR that run the vast majority of programs. Private practice is more like 230-300k starting with partners >400k (several docs on r/pathology are making >600k). Try it out! I know for what I do I'm in the room the entire time, so if you're okay being exposed to some level of radiation 5x/week (with lead on, of course), then go for it. Etc. The rounders take consults, work them up, help with scheduling, and manage the post procedural patients (EKOS thrombolysis, drains etc). I’ve always felt like these medscape surveys weren’t very representative. Path less travelled ika nga. Interventional oncology and hunting down tumor Mets. We have rounding PAs and procedural PAs. Most academic radiologists I know get around $300k. Can’t say for other groups, the interventional cards folks are on call a lot at our institution… it’s a really cool field. I suppose if you build up a sizable elective practice. The job is essentially all medicine no administration. Honesty, you would probably make more money and have an easier life for the first several years of practice if you joined a private practice doing IR/DR (and that's assuming your personal venture is successful). Pay is probably about the same in private practice. I am in a hybrid model. Try not to dwell so much on the salary figure. An MSK rad is nice to have, but few groups need more than 1 or 2. Take this over pay or many other perks. Anyone can see somebody else’s patients. Tech and Innovation: IR is rapidly evolving on multiple fronts. Some practices use APPs for straight clinical work, staffing clinics, inpatient rounding and consultations. The IR/DR certificate recognizes competency in both diagnostic radiology and interventional radiology. 52 (median), yet they earn considerably more per year—$573,000 vs. Also, I chose a fellowship that was very heavy in MSK intervention to develop a new skill set. I recently told a fellow to pound sand and instructed the practice manager to cancel their LOI when they started making all sorts of demands that xyz practice is some snow dump misery was offering a 100k sign on, and 50k fellowship stipend and 75k salary more than our offer and that we must match because they were from some big name east coast Yes, as a salaried employee - radiologist makes more than any other branch. I met a neuroradiologist who burned out after 10 years of practice and went to do a neuroendovascular fellowship (e. Was wondering what peoples' thoughts are on the most marketable radiology fellowship for private practice. And you’re left with a mediocre private equity job. If compensation simply kept up with inflation, it should have been 733K in 2023 IR provided the same kind of variety in private practice if you want to read diagnostics part time. Some subspecialties like retina lose that schedule but still have comparatively good schedules compared to other surgical specialties. Yes you may have to read some DR, but imo, we’ll worth it. Or fall back more on your non-interventional subspecialty (more feasible for vascular neurology since it can be more office based than ICU). Base pay for a 5 day work week and no call is like $400,000. There are huge variables. But not generally required. It both is and is not “sitting in a dark room all day looking at screens. Step by step for each procedure was also great. Urban setting, community hospital, whether you are a partner or employee all affect hours. Plenty of time off. 1M guarantee for 2 years, Midwest, private group, then eat what you kill after. We have a drastic shortage of consultants at the moment and I am already being offered consultant jobs despite being 2 years from finishing. Neuroradiologists can fall back and do more diagnostic radiology work. A lot of general surgeons are pulling in 350ish and a lot of radiologists are pulling in 450ish. It should be split into private versus academic at the least. interventionalastroid; (Twitter) LinkedIn Reddit Pinterest Tumblr WhatsApp E-mail Share Link. There are all but no private practice groups that have need of a peds rad. I think it is rare the other way around - to not have clinic. SE. Anesthesiologist here. Posted by u/togavaulter3 - 3 votes and 2 comments The Handbook of interventional procedures was great for learning indications, contraindications and such. Mar 29, 2019 · By examining the career of one private practice interventional radiologist, insight into lessons learned and strategies for promotion of a fulfilling career might apply to others. Others may be used for straight procedures. Sometimes they have to do it at a much faster pace because it's between a Y90 and port. Rebates etc So need a good CEO/CFO and management team. Certificate holders can practice both diagnostic radiology and interventional radiology. We get some real garbage read from the outside, but their volume is like 2-3 times what the typical academic volume is, so it's kinda understandable. In private practice, partners can make $600-900k per year. I’m really stuck between IC and IR. Mind you - all of that is hard cash. I hated it. A one-year clinical year e. Need hungry big dog radiologists. Jan 23, 2017 · When I was a M1 radiology caught my attention however this past year I have been obsessed with IR. I’m pretty sure an interventional speciality is most suited to my interests (diagnostics, lots of procedures, private work, technology). I am a cardiology fellow in my last year, going into private practice invasive (not interventional) general cardiologist. If you don't, don't go into IR. Private practice: Pros = 9-5 no call, no weekends, $700,000 or ball park. Pay is great compared to other options in medicine. Not sure why people keeping parroting the salary is great. They are very profitable for our group. LCOL. ” As a med student, a radiology rotation is terrible. Like every other specialty, the biggest variable is academics vs private practice. In the end, if you go to private practice and work hard and efficiently, you will be rewarded. Then I actually did a radiology rotation and had an existential crises. If you are going into private practice, 75% of your work will be general radiology. ASRT Interventional Radiology credit course was basic but really helped me understand fistulas (which I had a lot of questions on). Otherwise, yes, you could. There is a vast everyday difference in the basic specialty. In our private practice group of a tertiary center, there are two kinds of PAs in IR. If private practice/ concierge ($$$) medicine is your thing, there are increasing numbers of office based labs that operate akin to private practice derm/plastics. Most private practices will aim for a ramp up to 50th%-ile within three years. If you have like minded radiologists can start a practice. Hi guys ! I'm planning to chose interventional radiology in residency program (not in the us ), however i'm concerned about how serious the radiation exposure is to the physician who is to close to the C arm of the fluoroscopy , And is this risk , a valid reason to abandon this dream and choose another path ? Thank you guys , Radiology residency (5 years), diagnostic neuro fellowship (1 year), NIR fellowship (2 years) Academic NIR generally approaches 100% NIR; private practice is more often a mix with the other portion made up by neurosurgery, neurology clinic, or diagnostic neuro. Sure but it depends on the practice. E. Plastics, ortho, interventional radiology, standard radiology, dermatology However to build a good private practice you need to be a consultant and have a good reputation. Firstly, I think the question you should be asking is surgery vs radiology. Radiology has an interventional SS too, but interventional cards is better established in India than IR. I’d echo every other comment that these factors pale compared to actually liking the practice of radiology. Job market is hothothot right now, our midlevel creep has likely hit its zenith, good work/life balance, excellent pay, no notes, no clinic, no wards, cool procedures, can do ASA 5E trainwrecks one day and chill orth the next, play a central role in helping and treating patients during one of the scariest moments of their lives. South. Love my job. I doubt there is much private work for interventional. The diversity of procedures they do, minimally invasive, scrubbed in, wire work, and the ability to also read regular DR as part of a 50/50 job has been so attractive to me. Kinda depends. What are your takes on the two specialties - both from a fellowship standpoint, and an attending lifestyle/workflow standpoint. It doesn’t. Radiology is super cool but the practice of it just seems awful. Some institutions (I believe Mayo for example) pay significant better. (that is why I do not like the new separate IR 'residency'). Posted by u/Complete_Ad3956 - 8 votes and 6 comments Chose MSK radiology because I felt I wasn't very strong in MSK cross sectional imaging and wanted to be a strong all-around general radiologist for private practice. Hey, I am a radiology resident who is starting fellowship in interventional radiology (IR) next year. **Also, these are the numbers when you're a partner in the practice and splitting the profits. He told me at that time the pace of private practice was brutal and he just got sick of locking in for 10 hours at a time with no end in sight. The only bit of advice I’d give you is watch out for groups that are potentially looking to sell. Both me and my gen colleagues work around 40-50 hours/week though sometimes hit 60. It's a terrible idea for a lifestyle and has since come back off my list. Radiology is the only specialty out of all surveyed by MGMA that has DECREASED in raw compensation since 2010, not even accounting for inflation. My only advice is don’t work for private equity and avoid hospital employed positions if you can. Diagnostic rad here. Currently in a radiology residency program (only have DR program in my region) but intended to become an interventional radiologist. The other option would be A&E but the rota is exhausting plus not much private work/extra earning potential. g. I do not think this is rare. Call really depends on practice setting but most private practice you will be on call q4 or so. Well I don't know how private practice compares, there are private practices for CT surgery? That's interesting. e. As for IR, it's not all bad for everyone. Some labs are a little more sleepy and do mostly low stress cases like inserting venous lines for the patient to get meds, or drainage tubes into abscesses, or the stomach. TBH I'd rather do pure diagnostic radiology and chill reporting from home for a private teleradiology company. You are dealing with very sick in this model. There is a lot more flexibility with IR. Dear fellow colleagues, I am a final year medical student in a Middle Eastern country. It’s hard to turn down two weekend day shifts that pay the same as an entire week. I’m interventional cards in a smaller northeast city. As with any medical specialty I'm sure private practice is more lucrative in London but so is the cost of living! I believe there's a huge future in radiology. Is it harder to get into IR? Is it more difficult? And what are the earning potential of being an interventional radiologist? Thank you for all the wise advise so dad. Some places just do bread butter stuff like paras/thoras/PICCs/LPs and at some places, you can scrub into complex stuff. I'm not at all scared of being "outsourced" to India or something, but it is a bit terrifying to see these large radiology practice groups springing up. A lot of practices I’ve seen only have 1:8 weekend call. In private practice you can fight for procedures and at least do as many breast biopsies as you want. Most procedures are done in an angiography suite, and oftem involve getting access into the blood vessels to stop bleeding, insert a stent/tube, place a catheter, etc. In regards to pro 1: Radiology can be very stressful in the reading room, particularly on call when you can be nonstop busy with the phone ringing off the hook. I’m definitely not into GP, did is as F2 rotation, didn’t like it. Academic setting will be different. , no hands-on during procedure, no questions answered (usually being brushed off). Also ceiling is higher in Medicine super specialities, especially if you go for interventional stuff (e. Full time private. Interventional radiology discussion forum. I was debating chest as well. Radiology is still one of the most fascinating, rewarding specialties. You are usually stuck at an academic center while your private practice colleagues are making more money with less onerous call. And yes. Lot of radiation laws. As an MSK radiologist in a community private practice, I do biopsies, drainages, and injections. I’ve heard of a few people who join a group expecting to make partner in 2 years and then the partners decide to sell to private equity to cash in. interventional Cardiology or neurology). So the question you should be asking, do you LOVE radiology. I enjoy radiology, could certainly see myself being a radiologist. Also, you can just practice DR until you find the right IR job. Depends on type of private (telerad, consortium, private hospitals), location, effort levels and subspeciality. To be honest, even if I could afford to survive on a public hospital resident's salary in the Philippines, I don't think I can establish a practice without incurring a substantial loan. Rads average appears to be mid $450s whereas FM is around $200. we are way better off than most of the other specialties. Generally speaking, though, chest is near the bottom of the list in terms of fellowships that make you attractive to PP (or so I have consistently read on sites like Aunt Minnie). Most groups would ask you cover more than just MSK or neuro. IR is the hot thing in radiology right now because people see it as an essential thing where you'll still be needed to be physically present in the hospital. So long as you can efface the employment model of medicine from your practice profile you will be financially successful in the field. In reality, there is very little difference in pay between radiology subspecialties. A clinician with a decent number of patients makes more than 2-3 Lac just from the cuts that the radiologist gives them. No problem. Interventional Radiology PAs Job Advice I’m currently applying for a potential IR position and wanted to see if any PAs working in this specialty can shed some light on how IR is in terms of work/life balance, autonomy and onboarding/procedure training. Which ones generate higher income? Best lifestyle? Highest RVUs? What about litigation risk? I've heard breast is best lifestyle, but can be mundane/not many like it overall. 8-12 hour shifts slapping out reads every minute of that shift. Like I said, it can be done but I don’t think it’s the norm based on published numbers. Oct 17, 2022 · To investigate whether private practice interventional radiology (IR) groups self-report higher overall productivity given differing case mix and more diagnostic radiology interpretation. Community Former chief- 900k salary X 3 years, then rvu based after. Oct 20, 2011 · I am in private practice (Radiology) in a large metropolitan area. Additionally, it pays significantly less than spine surgery with way less cases. I know of some APPs working for private radiology groups that are more procedure heavy since the radiologists want to focus on reading studies. You day would likely be spending most time reading general studies and then clean the list of MSK/Neuro reads of all those post op lumbar spines or post op knees etc etc. A well run private practice profit shares more or less equally between the partners. Long story short, some patient contact is there if you want it. in IM is possible but not mandatory. I was in your exact shoes and chose radiology, for many reasons. On average, I'm at work at 730 and usually finish at 530 to 545 if no more cases, but will stay until last case is done. In the case of ophthal, it requires getting into a competitive speciality, fellowship(s), competing to get a consultant post in a decent area with PP opportunity, building private practice over several years of being a consultant, then doing a bunch of private work on top of full time/40-44 NHS hours. Work in private practice. Associates or new comers on the partner track will just make a set $ amount, usually 50-70% of a partners salary. 2nd Year radiology resident almost 100% committed to neuroradiology fellowship My senior residents are highly confident that body procedures are unavoidable as diagnostic radiology regardless of fellowship choice (paracentesis, solid organ biopsy, CT guided drainage/biopsy, central line placement, etc). At a major US hospital our top surgeons push $1M after bonus. I can chime in on this. Graduates of an IR residency qualify to take the IR/DR examination offered by the American Board of Radiology (ABR). Extra work if I want to make more money. Meaning you’re going to read chest CT, abdominal MRI, neuro and MSK cross section. I met a private practice doc in rural Alaska making close to 400k but he was on call q3 and lived at the end of the road system. Is it possible to ever "finish early" in radiology, i. they clearly aren’t competent enough to actually report the images, they’re just listing May be due to our volume. I enjoy both, especially the procedures. Not feasible talaga. There are three general practice models for IR: hospital-based (by far the most common), radiology groups (second most common), and private practice (pretty rare) Hospital-based: likely where you will see the most action. IR Private Practice Job. Bulk bill Vs PP. Noticed recently that a lot of chest x-rays at my hospital are being “reported” by reporting radiographers- no exaggeration but the reports are all “this could represent an area of consolidation, but could also be pulmonary oedema, and underlying malignancy cannot be ruled out” I. Hindi ko kaya yung rights to practice, hospital stocks, at long wait times to establish my practice. Call and weeks are reimbursed 1. In my experience, you don't need to do private practice to profit in IR. That’s what private practice is all about In the private practice setting, you will be judged primarily on your ability to read (1) quickly and (2) accurately, with the preference being in that order too, quite honestly. In private practice, it isn't uncommon for people to get 400-500 and have ~8-10 weeks of vacation time. Minsan may mga consultants na nagpapamana ng practice nila sa sobrang dami nilang hinahawakan na ospital at diagnostic clinics. But to each their own. I’ve had two private practice jobs in 13 years. Private practice makes more, actually get paid for your hours, people care about each other, and more vacation. $451,000 (by median figures for tenured and partner radiologists). Unlike clinical specialties, di ganun ka saturated ang radiology. I enjoy my life in private practice. I’m a travel tech! I’ve worked in interventional radiology, and cardiac cath labs all over the country :) Every lab is different, obviously. In an employed, non-academic job, the average moves up to the $400-550k range. A private practice neuro IR attending in the Midwest is going to make a much different salary than an academic peripheral vascular IR attending in Los Angeles. Procedures are usually done by an interventionalist (MD with a background in radiology who is certified to perform interventional procedures) and assisted by a surgical tech. I loved reading images and have always been super into tech. Radio: Love its life-style, I don't mind to sit in a room alone and read the studies day after day. Private practice. Either way, remuneration should be lower on the criteria while choosing between medicine and Welcome to r/neurology home of science-based neurology for physicians, neuroscientists, and fans of neurology. Work life balance is pretty good. Some notes: Like already mentioned, it's practice specific. , for consults and consideration of a procedure, and post procedure. Priorities may vary depending on stage of career, but some common themes of meaning and purpose that most interventional radiology (IR) physicians embrace throughout While it definitely varies from group to group, common private practice DR procedures are thora/paracentesis, u/s guided soft tissue biopsies, CT guided abdominal biopsies/drain placement for fluid collections, joint injections using fluoro, u/s, or landmarks, LP's, fluoroscopic studies like upper GI or OPMS, percutaneous gastrostomy, and PCN placement. You need a group of supportive colleagues who will permit you to grow as an operator during your first 5-10 years of practice. Diagnostic Radiology makes as much or more in private practice Right now the market is good enough that anyone can do private practice assuming you can take call and read the body CT list. Goal for most private practices is the national average. Don't worry about AI. But running the business side will be a lot of work. Call is not non-existent like some people may lead you to believe, but it is manageable. Started radiology this year, it's been great. But as soon as you get into private practice - the scenario does a 180 turn. Private practice and academics are pretty different. I doubt IR onc will get poached but I may well be wrong. Its a lower probability than that. IR is gonna make $450-900,000 depending on practice location, private versus academic, call schedule, neuro interventional versus vascular/body interventional, etc. Also there are specialties within radiology that make much more. It's really hard to make 60LPA just by being a radiologist, iam not a radiologist, but iam from India's top premier institute and I've spoke to radiology PG seniors and they said it's not easy to make crazy money in radiology until you have a private setup with USG machines, and most of them from my college actually do online consultation ( they read MRI or CT in online and report them and it I have a friend in a private practice DR program who makes like 3x a standard resident salary, seems pretty underrated to be able to take call from your house on a weekend and make more than you can moonlighting an entire weekend in an ER. It's definitely worse than DR but you can get in with a good practice with a decent call schedule. Academic: Pros = super high tech, cutting edge, life saving treatments for acute bleeds, strokes, etc. , usually leave on time. Neurosurgeons typically dont complain about workload. The real question is, would you rather be a radiologist or a cardiologist? Once that is accomplished, then you can start interventional training. Current State of Private Practice and Academic Interventional Radiology: Differences in Practice Structure, Case Mix, and Productivity - Journal of the There seems to be a big discrepancy between the perception of IR work schedule by people who are in medicine but not IR and the few IR docs that I've talked to about their work schedule (talking exclusively hospital/academic centers, not private practice). You need to make your own practice and have your own patients. Schedule: Generally, Monday-Friday. Stats/Interviews: Step 1: 246 Step 2: 245; CK pass No AOA. Well, training is 7 years versus 4. Radiology is moderately competitive as it offers rather decent working conditions and €xc€ll€nt income in long-term private practice. In residency call is much worse than in private practice. Radiology is not for everyone and as an attending or even resident your mind will be on all the time constantly reading, there are high expectations for volume in private practice. Cons = no sexy stuff, mainly fistula maintenance and veins. Most of these clippings from the internet are inaccurate. By UK standards, it is good. Interventional radiology is applied diagnostic radiology. I definitely enjoy cardiology itself a lot and therefore find IC inherently interesting, I also enjoy that it involves emergency presentations. Stuff you do is highly dependent on the practice. Yes, invasive radiology can put you with patients, but in essence most radiology is a hospital based specialty whereas Psychiatry involves a number of different settings from IP to OP and public to private. Once I started radiology residency, I realized DR was better than IR and never pursued IR fellowship. If you’re doing EP you generally only have to take that call not interventional. Due to a dearth of IR consultants and expanding on-call IR services, there's a lack of internal cover for IR services, such that you can make an absolute killing just doing extra NHS work (provided you are interested in doing on-calls and coming in to make your money). Those numbers are not that important imo, as long as the practice is sound and makes everyone partner (most do). It seems to me like path and primary care compensation are pretty similar these days There are 6 physicians who rotate between 3 similar sized hospitals in the area much like the PAs do. In the private world, the VIR guys are often forced to read studies to continue to contribute to group productivity. surgical hours for 2 years) in order to scale back on reading films. Not an Ivy or prestige program. I loved my Private Practice of Psychiatry. Trust me when I say it is not a surgical subspecialty. Interventional radiologists in private practice work slightly fewer hours per week than their academic counterparts, 50 vs. So, I opted to save up to leave instead. Anyone can see hospital patients. Interventional radiologists are even doing much better. I am currently an R2 (PGY-3) Radiology Resident trying to decide between specializing in Interventional Radiology or Abdominal Imaging. Very interesting question on starting a practice. Full private at the private hospitals is much less likely and usually only works in London and for a few very skilled radiologists in certain subspecialties (MSK) who have had very good connections through prior NHS work. Some random general advice to young middle class 1st generation medical students -- Gas is also a nice career option because it's flexible in the sense that you can do fellowships to do have a vastly different practice by doing things like ICU or pain. $600-750k as above. Base comp around $700k. In general for neurosurgery total compensation, academic range is 450-600, and private range is 700-1M plus. Long story short (as this is what I wrote my personal statement about) is I think interventional radiology combines the personalities attracted to radiology with a surgical field that requires creativity, critical thinking, and real-time problem solving on a daily basis. It’s usually better to apply to only one specialty, that will allow you focus on solely on that specialty and it can taxing to have so many interviews. Recruiting staff in a competitive market. Friend- $850k plus incentive compensation. No way a partner level private practice pathologist in a busy service should be pulling $316k. Virtually no training in my IR posting, e. I didn’t switch, but I was very serious about radiology through M1-3. I can tell you that I heard all the same doomsday scenarios 7 years ago when I was applying. According to MGMA 2010 report, radiology averaged 515k, according to MGMA 2021 report, radiology averaged 505K. I personally view clinic days as either opportunities to recruit patients for procedures or to follow up after a procedure, no exciting things are happening, the RVUs are way lower than procedures as well. I got news for you - it's mostly all just hype. Endovascular procedures for the brain can be done by neurosurgeons, interventional radiologists, interventional neurologists (a tiny field) and (surprisingly) interventional cardiologists. Many traditional private practices that haven’t been bought out by PE and/or merged to form mega groups still require their radiologists to function in some capacity as a general radiologist. Embolizations, thrombectomies, LPs, abscess drains, PEG tubes, central lines, etc. Also, expected to be capable to read diagnostic exam as well because after all, you are a radiologist not a vascular surgeon. But even those who just want to do DR have to have done at least 250 IR procedures at the end of the five-year residency. If earning money/private practice is the only objective - one can avoid this branch. STEMI call obligations are reasonable. No one really needs a chest rad or a nuc med rad. I can't make up my mind between Radiology and Internal Medicine(gastroenterology to be specific). . I wouldn't necessarily pin it down as a 50/50 that you'll make more than 350k. I actually entertained going the interventional neurology rout during med school. Both run a clinic, where I see patients pre-procedure if necc. In private practice, all you have is your patient panel. I have some interest in interventional radiology so I could certainly do ESIR or a fellowship after. I don't see how a staff surgeon out of fellowship is making $1M a few years in, but I don't have a big sample size. Non radiologists on Reddit love to pretend that breast radiology (and MSK for some reason) are these money printing machines. You NEED NEED NEED adequate backup/support during your first job. Secondly, just so you are aware, radiology is not immune to mid-level creep as there are people called radiology assistants out there doing fluoro and reading radiographs. work efficiently to cut your shift down to 5-6 hours? Is it possible to make that coveted 600-700k while working 40 hours a week, no nights or weekends? Private practice MSK here. A lot of young senior consultants are more than happy to help and guide you when you start your private practice. If vulnerable/underserved populations are your area of interest, you can focus on dialysis or PAD interventions. gfeem qmhqlkb rvfm gvjxsiu gwgo onch xiry kgvg ncgcnjp srkwl