Big City Urology

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Big City Urology

I have heard many people say that urologists are paid less in big cities such as LA or San Fran. I am assuming this is due to competition, but I do not know how so. Does having competition mean that each procedure pays less because insurance companies know they can get away with it? or does this just mean that there is less volume?This is important to know, because the former would imply that you can never reach the potential you can reach in smaller cities, whereas the latter implies that it just takes a little longer to build your practice. Also, how much do incomes typically go up from the 1st year starting salary?

Edited by: nicky on 05/11/2015 - 19:50 Reason: Updated by FeedsNodeProcessor
Anonymous (not verified)

No one is going to dispute that there is more competition in big cities such as San Francision, San Diego and even other big cities.  Urologists will cluster in big cities especially ones that are felt to be more desirable to live in.  Also, jobs in rural areas will pay more because the hospitals need to fill a vacancy which can be challenging.  They throw large signing bonuses, loan repayments, and large salaries (up to $700,000) to entice people.  Many people would be enticed to San Francisco for less money. Relative salary is based on a lot of factors, and I believe this is what people criticize:1. Cost of living of the city you live in: Cost more to live in San Francisco than San Antonio which includes taxes, housing prices, etc2. Malpractice: especially states without tort reform malpractice can cost significantly more3. Medicare reimbursement: a lot of insurance company mirror there reimbursement based on Medicare.  Physicians reportedly receive less in certain areas of California and other regions in the country.  The same goes with Peds4. HMO's: earning potential is less and they control a large number of physicians, capitol, and patients.  California is full of HMO's for better or worse.In the end, you have to decide what type of lifestyle you want.  You will get paid more to live in South Dakota then California.  Does not mean you will not make it in California, but competition can be an issue

Anonymous (not verified)
big city

700k is pretty spectacular. What are jobs in San Francisco or LA going for? Also, where do you guys find jobs besides word of mouth? (Is there a good website?)

Anonymous (not verified)
When I was looking for a job

When I was looking for a job I started with places that I wanted to live, looked up the programs in that area, and cold called them to send out a CV.I ended up in Wichita, after training in NYC, because 1), I have family here, 2) the salaries are higher and the cost of living lower (5-600k production) and 3) low competition so you are as busy as you want and you get to be a pretty good surgeon quickly.  This started out as a 5 year trial job, but now starting on year 3 I realize I can fly to NYC or LA for $300 direct, so I am going to stick with it.Clay LyddaneWe are hiring BTW if interestedVia Christi Clinic, Kansas’ largest multi-specialty Physician group practice, is seeking a urologist with an emphasis on robotics and minimally invasive procedures, to provide quality care to its extensive patient base in Wichita, Kansas. Via Christi Health is the largest health care provider in Kansas and developing a highly integrated system including Via Christi Clinic, Via Christi Hospitals and Via Christi Senior Villages.

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Also seeking urologists with specialty training in pediatrics and female reconstruction.Emphasizing patient satisfaction, quality of care and collegial interaction! Our comprehensive health care organization is the largest in the state of Kansas with over 90 points of entry encompassing acute care, outpatient clinics and senior services. Employing over 200 Physicians across 40 specialties, there is a vast opportunity to build your practice within Via Christi Clinic. Live the Good Life in Wichita!

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