anyone interviewed at california programs ?
I did with most of them. You can DM me any questions you have.
I just wonder how long this type of unequal relationship can last. At this point, fellow is taking on all the risks of going into an undersirable specialty with high attrition rate. Fellowship programs stand to benefit from the cheap labor, often exaggerating how well nephrologist do in private practice. It will take the fellow years into private practice to figure out, financially, it was a very bad decision. How long can this last before everyone figures it out?
Primary care and Hospitalists jobs are now being encroached by midlevels. Cards, GI, Pulmcrit and Oncology are competitive due to better reimbursement. I am guessing the coming wave of midlevels will force some graduates to settle for ID and Nephro just to be employed and have job security.
With 30-50% grads who eventually will not practice nephrology long term, I don't know how much of an upgrade it is compared to a hospitalist job. That's why I say all this only benefits the fellowship program, who are unscrupulous in taking anyone to fill spots for the scut work. People come into specialty with the hope of being better off than a hospitalist, only to have their hopes dashed by crude reality. Then they will look back and realize, oh wait, their really is good reason why this specialty is so non-competitive. People are living on hope of escaping a dreary hospitalist job.
Use your common sense, the truth lies within.I think I have asked you this before. How do you have this much knowledge about nephrology job market and realities ? Did you finish a nephrology fellowship and decided not to practice due to the stated reasons ?
Congratulations to those who matched. I was happy to hear about the success from a couple of you. Let me know if you have any questions about fellowship or practice.
Interestingly, number of applicants was quite a bit up this year compared to previous years, across all types of applicants except DOs. It will be interesting to see if that is related to some weird COVID/virtual interviewing year, or if it is a developing trend. The smart programs have been trying to spur more interest in nephrology with students and residents compared to the past so they may be seeing some results now.
Not surprising as many residents who were concerned about hospitalists and outpatient job market might have thought it is safer to rather do a fellowship (esp IMGs)
Congratulations to those who matched. I was happy to hear about the success from a couple of you. Let me know if you have any questions about fellowship or practice.
Interestingly, number of applicants was quite a bit up this year compared to previous years, across all types of applicants except DOs. It will be interesting to see if that is related to some weird COVID/virtual interviewing year, or if it is a developing trend. The smart programs have been trying to spur more interest in nephrology with students and residents compared to the past so they may be seeing some results now.
I've always found nephro fascinating. I know the job market isn't that good, but is it a field worth considering if you limit yourself to top 5-10 programs?
I've always found nephro fascinating. I know the job market isn't that good, but is it a field worth considering if you limit yourself to top 5-10 programs?
why do you keep saying nephro is such a bad financial decision when MGMA data states MEDIAN salary for nephro docs to be 400k??? I'm genuinely curious. I just don't think nephro salary is that bad, given data from legit sources like MGMA, especially with fields like interventional nephro that seem to be procedure heavy.I plead for applicants to use their brain. These fellowship programs will lie in your face on how well their graduates are doing in private practice. They will not tell you about the people who have given up and are not practicing nephrology. If neph was really as lucractive as they claim, they would not be begging you to join their fellowship. Simple market forces explain why this specialty is the least matched specialty. Don't go into it out of desperation. Too many of my colleages went into neph because they couldn't get anything else, end up wasting years of their lives, and now are right back where they started. A hospitalist.
why do you keep saying nephro is such a bad financial decision when MGMA data states MEDIAN salary for nephro docs to be 400k??? I'm genuinely curious. I just don't think nephro salary is that bad, given data from legit sources like MGMA, especially with fields like interventional nephro that seem to be procedure heavy.
yes obviously i dont practice it or else I wouldn't be asking about your pure hate for the field and asking questions regarding nephro on a nephro thread. your hate for the field is very interesting considering you give off the impression you are a nephro doc yourself. and you clearly seem to have initially liked the field with a name like renal prometheus. i guess the job market must really be that bad for you to strongly discourage everyone from entering the fieldIt's clear you don't practice nephrology. do you really think if everyone can make that salary that such a high percentage of graduates would choose hospitalist medicine over nephrology? The MGMA salary is an average of the people who are practicing nephrology and willing to volunteer their income data. It's not taking into account the people who have given up nephrology because they didn't think it was financially worthwhile to keep doing it. In other words, theirs a sample bias. You don't have to believe me. Just do nephrology and within couple of years in private practice, you will see your colleagues dropping out and quitting.
yes obviously i dont practice it or else I wouldn't be asking about your pure hate for the field and asking questions regarding nephro on a nephro thread. your hate for the field is very interesting considering you give off the impression you are a nephro doc yourself. and you clearly seem to have initially liked the field with a name like renal prometheus. i guess the job market must really be that bad for you to strongly discourage everyone from entering the field
You are putting yourself in a position for others to exploit you simply because starting salaries are so low and groups are faced with declining practice revenue. There’s a lot of shenanigans that are being pulled in private practice that you don’t know about because real world nephrologists don’t come on these forums to share how they were exploited or have dropped out. And even for those who do make partner many will discover they don’t make the same as older partners. Depends on the practice, not all medical directorships are shared equally or the older guys have the dialysis JVs and there are no more new dialysis units opening up. Literally after years of fellowship and getting underpaid, you might find yourself making 300-350k/yr working full time. This is laughable by cards/GI standards and less than a hospitalist on a per hr basis. I’ve seen the majority of my colleagues quit years into private practice when they realized that they were better off just being a hospitalist. Years of wasted earning potential because nobody told them the truth from the start to not waste their time. Who’s gonna tell you the truth? You expect fellowship programs who need fresh meat for scut work tell you to not join them? The fellowship programs will point to earning potential of the top 10% of nephrologists but that’s not realistic with new grads going into private practice today. What I am saying is, if money is important to you, do not waste your time here. Very few will make it worth their time and the average grad will constantly debate themselves whether to jump to hospitalist work or keep doing nephrology.
this is last year's thread.Anyone heard from any programs yet?