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  • Avatar AR 
    Participant
    Status: Physician
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    Joined: 03/10/2016

    Honestly I’m surprised more guys don’t just play one season then get out. That’s what I would do. (Well actually I would never play a sport where your brain is subjected to acceleration deceleration forces LOL)

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    You might want to check in to how nfl compensation works.  Basically Panscan covered it, but your plan would only really work for a very small percentage of players.

    Also plenty of players only play one season and then never again (although not by choice).

    in reply to: Andrew Luck Retires at age 29 #241455 Reply
    Liked by HikingDO
    Avatar AR 
    Participant
    Status: Physician
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    Joined: 03/10/2016

    Thanks.  Unfortunately, my state isn’t on the list.  Maybe we will get there someday.

    Avatar AR 
    Participant
    Status: Physician
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    Joined: 03/10/2016
    States have laws against holding the apology up in court as admissible evidence of wrongdoing. That too is reasonable.

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    I had no idea this was a thing.  Which states?

    Avatar AR 
    Participant
    Status: Physician
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    Joined: 03/10/2016

    I always chuckle when I hear “academic, but set up like a private practice” or something along those lines.  It’s an oxymoron.   “Academic” introduces certain unavoidable, intrinsic inefficiencies that make “like a private practice” impossible (unless you have an incredibly liberal definition of “like”).

    I’m sure this is what your group strives to do and some may even be naive enough to believe that they are achieving it.  But you shouldn’t fall into that trap.  Academic is academic, despite all representations to the contrary.

    in reply to: Advice on academic ophthalmology contract/salary??? #241187 Reply
    Liked by q-school
    Avatar AR 
    Participant
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    Joined: 03/10/2016

    I found it sort of ridiculous because it ignores the length of residency/fellowship training.  I know many female physicians who’ve had to undergo IVF or could not have children, likely at least partly due to waiting until training was over.   I think our residents get two weeks off after delivery.

    Better alternatives: CRNA, probably dental, many fields of business, law, engineering…

    Alternatives in terms of making the system more family friendly?  Shorten undergrad-medschool so that training is typically completed several years earlier like it is in other countries.

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    As far as business and law, the article gave specific reasons why those would be less attractive.  I know lots of female engineers, but they’re in all in the same general field, and they would strongly disagree.  But engineering is very broad and I guess there could be niches which are great.

    CRNA gets thrown around alot, but I’ve yet to meet a doc of any kind who says, “I wish I had been a CRNA instead” and is completely serious.  But I suppose it’s possible.  So, I’ll give that one a maybe.

    I’ll buy dental.  Shorter training, income and flexibility are probably comparable.  If dentistry appeals to you, it’s probably a great choice.

     

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    Dental would be the WORST for a mom.  I am a woman physician married to male dentist who owns his own practice.  Dentists come out with $250,000 – $400,000 in student loans similar to physicians.  Options coming out of dental school are to join an associateship (working with a small private practice), working for a FQHC, or working for a dental chain.  The only option to allow you to take FMLA might be a FQHC, but then you are working at a FQHC which has its own problems. Most young dentists are either going to be an associate making peanuts and at the mercy of the owner or a practice owner which is not mom friendly.  Many towns have a surplus of dentists unlike primary care physicians where they are many different options to negotiate part time hours.

     

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    My own dentist who I’ve gone to for 10+ yrs, works 2-3 days a week, has a couple of kids and seems pretty happy.  I definitely don’t know the whole story, though.  Also live in a pretty HCOL area, and I’m sure I drive past approx 20 dentists to get to her.

    Also when you say peanuts, what exactly are we talking about here? Based on posts I’ve read around here dentists seem to do OK.  Is salary really that much lower than a PCP?

    in reply to: Times article about female docs and work/life balance #240824 Reply
    Avatar AR 
    Participant
    Status: Physician
    Posts: 834
    Joined: 03/10/2016

    I found it sort of ridiculous because it ignores the length of residency/fellowship training.  I know many female physicians who’ve had to undergo IVF or could not have children, likely at least partly due to waiting until training was over.   I think our residents get two weeks off after delivery.

    Better alternatives: CRNA, probably dental, many fields of business, law, engineering…

    Alternatives in terms of making the system more family friendly?  Shorten undergrad-medschool so that training is typically completed several years earlier like it is in other countries.

    Click to expand…

    As far as business and law, the article gave specific reasons why those would be less attractive.  I know lots of female engineers, but they’re in all in the same general field, and they would strongly disagree.  But engineering is very broad and I guess there could be niches which are great.

    CRNA gets thrown around alot, but I’ve yet to meet a doc of any kind who says, “I wish I had been a CRNA instead” and is completely serious.  But I suppose it’s possible.  So, I’ll give that one a maybe.

    I’ll buy dental.  Shorter training, income and flexibility are probably comparable.  If dentistry appeals to you, it’s probably a great choice.

     

    in reply to: Times article about female docs and work/life balance #240814 Reply
    Avatar AR 
    Participant
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    eh, it’s actually quite a balanced article. i found it to be a nice discussion of how shift work and flexibility can make life outside of medicine easier. this has certainly been my experience as an EM attending.

    the bottom line is that it’s hard to have everything you want out of life and be a highly paid physician. this is not all that dependent on sex.

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    That was my impression as well.

    Basically it talks about how great it is to be a female doc these days. I’m not so sure my family would agree

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    So what’s the better alternative?

    in reply to: Times article about female docs and work/life balance #240795 Reply
    Liked by RocDoc, MPMD
    Avatar AR 
    Participant
    Status: Physician
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    Joined: 03/10/2016

    This mentor of your sounds pretty amazing.  Hope you’re able to accomplish what you set out to do..

    in reply to: Starting Scholarship #240607 Reply
    Avatar AR 
    Participant
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    If I did a 0% financing deal on a furnace or any other item I would not include it as a debt since I know I would be paying it off.  (Same with CC balances.)

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    Well, that’s your choice, but I don’t know why you would expect everyone else to act the same if they are asked about debt. It’s a debt (albeit a small one) there is nothing wrong with listing it.  It seems odd that failing to list it would some how make them more credible in some way.

    OP included it furnace as a debt so it makes me wonder……

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    About what exactly?  They explicitly stated that the plan was to pay off before having to make any interest payments.  Once again it seems strange that if they didn’t mention it at all, then it somehow makes them seem more responsible to you.

    Some people use 0% financing as an excuse to buy more stuff some people use it as a smart financing tool.

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    That’s true, but a furnace would be just about the weirdest impulse buy I could imagine.

    in reply to: CYAI – 3rd house? #240603 Reply
    Avatar AR 
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    A kid with bad grades that works hard will keep funding. A kid with bad grades because they don’t try will get funding pulled.

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    I suspect this determination may be harder to make than you think.

    in reply to: Public vs Private College #240594 Reply
    Liked by ENT Doc
    Avatar AR 
    Participant
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    I believe all car deals have the cash vs discount incentive pricing.    We recently got a KIA Soul for daughter and they BOTH — which was rare to see.  Grabbed it  1.9% x 4 years.  and plowing the $$$ into further savings.    That’s the key point.  Most folk simply plow the savings to more consumption.

    Again, leveraged debt isn’t bad.  Doing it correctly on savings/investment is fine within cashflow reasons.  Using debt for further consumption is the primary evil and temptation that financial gurus and FIRE folk oppose with passion.

    For 100-200 level savings — absolutely —stay away from debt period.

    For 300+ level saavy use of finances —  debt can actually get you to FI that much faster.

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    I haven’t purchased a vehicle in a long time, but I asked if they would give me a better deal if I financed and they said price was the same either way.  So, I can definitively state that it is not “all car deals”.  It could be many or most, though.

    in reply to: CYAI – 3rd house? #240020 Reply
    Avatar AR 
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    I’ve never bought the “0% financing is free money” argument, because it’s hard to believe it’s actually “free”. The lender isn’t getting that money for nothing. Somehow that cost is getting passed on to the consumer.

    The last new car I bought, the salesman explicitly said I could have the 0% financing or $xyz discount, but not both.

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    That’s definitely true sometimes, but not all the time.

    I’ve been in situations where the cash price is different from the price if I pay by credit card. Just because that exists, doesn’t mean I shouldn’t use credit cards.

    in reply to: CYAI – 3rd house? #239967 Reply
    Avatar AR 
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    Joined: 03/10/2016
    medical school scholarship sponsor
    Yup. I financed my last car (2018 Leaf). I had a checkbook in hand to pay, and the purchase price was set. The salesman then told me that there was 0% financing for 6 years and it would take 5 minutes to get approved. I probably sit on 20x the car in cash, but at 0%, maybe I squeeze out a couple hundred dollars per year. The payments are automated, so it is no big deal. But I don’t have two homes, one (let alone two) mortgage(s), underfunded 529s, etc.

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    OK, but why would having those things make squeezing out that “couple hundred dollars per year” a bad thing?

     

    in reply to: CYAI – 3rd house? #239965 Reply
    Avatar AR 
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    Yeah, buying this house is a bad idea.

    I think it’s odd that everyone is jumping all over the furnace loan.  It’s zero percent and will be paid off before any interest is due.  Hence, it’s mathematically and financially a sound thing to do.

    If we make the assumption that this furnace was a necessary purchase, then I see nothing to criticize about that loan.

    It’s not like it’s a huge benefit. Maybe a hundred or so dollars of value.  But it’s free money.  The handling of that loan is the least of their problems.

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    I’m also trying to figure out why 0% loans are a bad idea.  Is this based on the Dave Ramsey notion that people who don’t have their financial house in order should focus on their behavior first before necessarily making the right mathematical choices?

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    But new furnace doesn’t even sound like a behaviorally bad choice.  If not strictly necessary, but it’s pretty close.  And 7K doesn’t seem that bad. I paid quite a bit more than that for mine, but I ‘m sure there are a lot of variables in furnace pricing that I have no idea about.

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    I think the point isn’t that a new furnace is necessarily a bad choice, but that taking a 0% loan for it rather than cash flowing it is the bad choice.  I mean, that’s free money.  I suspect the “behavioral” counterargument is that this person sucks at retirement saving and most likely will just spend the difference.

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    I’m guessing at the counterargument just as much as you.  Even if your guess is correct, not taking that particular loan isn’t going to magically fix any underlying behavioral problem that they may have.  So, where exactly is the upside in not taking the loan?

    I almost certainly wouldn’t do it myself for that amount.  But suggesting that it is a terrible decision seems to go a bit far in my opinion.

    in reply to: CYAI – 3rd house? #239759 Reply
    Avatar AR 
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    Yeah, buying this house is a bad idea.

    I think it’s odd that everyone is jumping all over the furnace loan.  It’s zero percent and will be paid off before any interest is due.  Hence, it’s mathematically and financially a sound thing to do.

    If we make the assumption that this furnace was a necessary purchase, then I see nothing to criticize about that loan.

    It’s not like it’s a huge benefit. Maybe a hundred or so dollars of value.  But it’s free money.  The handling of that loan is the least of their problems.

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    I’m also trying to figure out why 0% loans are a bad idea.  Is this based on the Dave Ramsey notion that people who don’t have their financial house in order should focus on their behavior first before necessarily making the right mathematical choices?

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    But new furnace doesn’t even sound like a behaviorally bad choice.  If not strictly necessary, but it’s pretty close.  And 7K doesn’t seem that bad. I paid quite a bit more than that for mine, but I ‘m sure there are a lot of variables in furnace pricing that I have no idea about.

    in reply to: CYAI – 3rd house? #239754 Reply
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