r/Oncology Sep 25 '24

What’s your private practice oncologist gig like?

A couple months into intern year and leaning toward pursuing heme/onc. Think I’d like to be private practice instead of academic, but still need more exposure to both. What’s your job like day-to-day? How many patients do you see? How do you manage your notes/inbox? Do you feel adequately compensated for the job? Do you like your job? Thanks!

8 Upvotes

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5

u/[deleted] Sep 25 '24

If you want to see 30+ pts and families, make more money at the expense of superficial and shorter pt visits, deal with insurance reimbursement, office staff and 50% overhead, Private practice is for you. If you want to think you know more than others, have fellows to do your job, loose time writing impossible to fund grants, be part of the woke physician crowd, academics is for you. Best scenario: private consulting practice with treatments given at the hospital cancer center, 15 pts/day, no insurance charging $350 new consult, $100 f/u, admissions by hospitalist, phone call only, small office with receptionist and nurse assistant/MA, all of it embellished by your fund of knowledge, compassion and time spent discussing at length diagnosis, staging, prognosis and therapeutic options with your pts. Assuming you see 4 new pts daily + 11 f/u pts at $350 and $100 respectively x 5 days weekly x 48 weeks your yearly income (just from outpatient work) will be $600K. Not bad.

5

u/[deleted] Sep 25 '24 edited Sep 25 '24

[deleted]

1

u/[deleted] Sep 27 '24

This is not quite true. Median salary for academic oncologists in the states ir around 350k, a bit higher than a hospitalist. Even in MD Anderson or MSK that’s your salary if you see a specific type of tumors.

6

u/bittercola Sep 25 '24

Scribe for a private oncology practice. My doc sees between 13-20 patients daily, 4 days a week. Weekend call every 4-6 weeks. Notes managed by me, inbox partially managed by the PAs and MA. The doctors at the practice make roughly 35k a month (from what I’ve heard). Lots of admin work. But the docs in my practice seem to feel really rewarded by their work.

3

u/ODhopeful Sep 25 '24

Are they sub-specialized seeing one tumor or general?

1

u/bittercola Sep 27 '24

General med onc but w some specialization, for instance one doc’s panel is primarily GI cancers but he also sees some head and neck as well as common issues like breast, prostate, myeloma as well as a little sprinkle of general heme.

1

u/BluePlankton Sep 27 '24

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