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which path in medicine can make me millionaire?

I have applied for medicine for its ROI. i am not passionate about being doctor, just hoping to find a way to get that lambo and live like my dreams. i have already been accepted and i need help deciding if i should follow through. if i do, what should i do post grad in? sure google says cardiovascular surgeon pays the most but from my experience, i have met an IVF specialist who is young (30-35) shows up in a new generation ferrari so it is the real deal. Is it even worth going through medicine for the lifestyle or should i focus my efforts into something else. The main question: from your experience, which post grad has the best time to income ratio. sure othopedics provides alot but the post grad is 8-10 year which is too much in my opinion. your feedback is valuable.

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In the UK? None, as they all get paid the same while working for the NHS. Some fields have more scope for private practice than others which can be lucrative, but even then I seriously doubt you will be "millionaire driving ferrari" rich. If that's what you care about you should aim to go into investment banking or something.

Also obviously, if you're only in it for the money chances are you're going to burn out within a couple years of graduating when you realise getting paid £14 an hour as an FY1 doing something you have no interest in is not really working out for you.
Word of warning if you see a youngish doctor with a great house and a flash car - medicine is a career which historically attracted a lot of students from relatively prosperous families. If you see someone with money it may have come from inheritance or parental support more than earnings.
Reply 3
Original post by Abdullahirea34
I have applied for medicine for its ROI. i am not passionate about being doctor, just hoping to find a way to get that lambo and live like my dreams. i have already been accepted and i need help deciding if i should follow through. if i do, what should i do post grad in? sure google says cardiovascular surgeon pays the most but from my experience, i have met an IVF specialist who is young (30-35) shows up in a new generation ferrari so it is the real deal. Is it even worth going through medicine for the lifestyle or should i focus my efforts into something else. The main question: from your experience, which post grad has the best time to income ratio. sure othopedics provides alot but the post grad is 8-10 year which is too much in my opinion. your feedback is valuable.

if you wanna get rich in medicine i’d advise you to move to the us
Original post by abimt78
if you wanna get rich in medicine i’d advise you to move to the us

If they're not already a US citizen/permanent resident (green card holder) this is a non-starter as well as far as wealth goes, because IMGs can only really successfully apply for underfilled specialties like psychiatry and family medicine, and some internal medicine or EM residencies in less desirable (usually = more rural) areas. The specialties that make the most in the US are mainly procedural specialties with a large scope for developing one's own private practice like urology, dermatology, orthopaedics, etc. More hospital based specialties and non-procedural specialties tend to earn less I understand.

I guess if you become the only family doctor for 150 miles in rural Nebraska though then you can be rich by rural Nebraska standards. That's probably a fairly low bar though...
Anyone going to medical school in the UK to get rich - particularly these days - has made a very significant miscalculation. Some doctors in the US become very wealthy but this is only the case for a small proportion in the UK. There are many things you could do that would improve your chances of becoming rich than training as a doctor.

Cardiothoracic surgeons do not make more money than any other doctor and - if anything - they probably earn less because there will be few lucrative private practice opportunities.

Most doctors with extravagant lifestyles have high earning spouses or - more commonly inherited large sums.
Original post by Abdullahirea34
I have applied for medicine for its ROI. i am not passionate about being doctor, just hoping to find a way to get that lambo and live like my dreams. i have already been accepted and i need help deciding if i should follow through. if i do, what should i do post grad in? sure google says cardiovascular surgeon pays the most but from my experience, i have met an IVF specialist who is young (30-35) shows up in a new generation ferrari so it is the real deal. Is it even worth going through medicine for the lifestyle or should i focus my efforts into something else. The main question: from your experience, which post grad has the best time to income ratio. sure othopedics provides alot but the post grad is 8-10 year which is too much in my opinion. your feedback is valuable.


Mate, doctors in England are on strike for pay restoration - what does that tell you?
Reply 7
Original post by Abdullahirea34
I have applied for medicine for its ROI. i am not passionate about being doctor, just hoping to find a way to get that lambo and live like my dreams. i have already been accepted and i need help deciding if i should follow through. if i do, what should i do post grad in? sure google says cardiovascular surgeon pays the most but from my experience, i have met an IVF specialist who is young (30-35) shows up in a new generation ferrari so it is the real deal. Is it even worth going through medicine for the lifestyle or should i focus my efforts into something else. The main question: from your experience, which post grad has the best time to income ratio. sure othopedics provides alot but the post grad is 8-10 year which is too much in my opinion. your feedback is valuable.


Medicine lifestyle is very long and not very good, and they pay is not worth the difficulty of the job. Even medical school is very challenging and takes a toll on you. If you don't enjoy it you will hate every minute of it. Going into medicine without wanting to be a doctor is a bad idea. And forget about being a millionaire in the UK, generally only top or very lucky entrepreneurial doctors make it. You will need to go abroad (US for example) to make anything. Also almost all specialities take 8-10 years after med school to become a consultant duing which time you don't earn a huge amount. You need to be an excellent student and top doctor and someone without the passion for it will not make it into a competitive well paid specialty. Not worth it, you can make much more money in finance. Also in the UK all doctors are paid the same until consultancy when you can start private work.
Original post by artful_lounger
you're going to burn out within a couple years of graduating when you realise getting paid £14 an hour as an FY1 doing something you have no interest in is not really working out for you.


I make more than that mowing lawn :redface:
It’s very unethical in my opinion to train in medicine and become a doctor if you have no interest in it. And medicine won’t make you a millionaire so ditch that career choice if being really rich means so much to you. That’s more likely to happen by going into banking, trading and other finance-related sectors.
(edited 1 year ago)
Original post by StriderHort
I make more than that mowing lawn :redface:

Part of why they're striking now! Although it's not just FY1s striking but essentially all non-consultant doctors I think!
Original post by Abdullahirea34
I have applied for medicine for its ROI. i am not passionate about being doctor, just hoping to find a way to get that lambo and live like my dreams. i have already been accepted and i need help deciding if i should follow through. if i do, what should i do post grad in? sure google says cardiovascular surgeon pays the most but from my experience, i have met an IVF specialist who is young (30-35) shows up in a new generation ferrari so it is the real deal. Is it even worth going through medicine for the lifestyle or should i focus my efforts into something else. The main question: from your experience, which post grad has the best time to income ratio. sure othopedics provides alot but the post grad is 8-10 year which is too much in my opinion. your feedback is valuable.

Tbh none of yall have actually answered my questions. fine, screw uk, ill go USA. then what? cardio or neuro or something else.
Original post by Abdullahirea34
Tbh none of yall have actually answered my questions. fine, screw uk, ill go USA. then what? cardio or neuro or something else.


Well - I think @artful_lounger has laid out the position. Could you be a millionaire in GBP by 35 should you qualify as a doctor and train in a US residency then get a visa to work there? Possibly - decent chance by 40. Which specialities would interest you? Broadly speaking you have to decide on a speciality much earlier under the US route than in the UK. As noted above many are pretty much no goes (any surgery other than general and possibly ob-gyn), and some would be very tough (radiology at the moment).

To make it tougher the competitiveness varies year by year so you may work towards one speciality and find that when you come to apply no non Americans stand a chance - a few years ago lots of IMGs could get into radiology but EM was impossible. That situation was the complete opposite this year. Nightmare if you spent a large amount of money and many hours doing radiology research. $600k starting salaries don't come for free..... ah, and they probably are not in hospitals which give visas. People give visas to avoid paying US wages (or enough to tempt anyone with freedom of movement to live in rural Nebraska or inner city Missouri/ Louisiana).

I think people overstate the impossibility of getting into US medical residencies. What people don't point out is the amount of up front money you need to have to stand a chance of being competitive, and the amount of knowledge you need to have early on to plan your application path years in advance. With family funding in place - sure - have a look.

The thing is - if you look at all the hoops you have to get through, consistently being a top performer among top performers and the lifestyle sacrifices you would have to make (way more than a US citizen would), and applied the same efforts and abilities to something like computer science you may well do better in CS without the downsides and downside risks. If you invest $100k (inc some allowance for loss of earnings) in trying to get to the US there are no second prizes if you don't make it.
(edited 1 year ago)
Reply 13
Original post by Abdullahirea34
Tbh none of yall have actually answered my questions. fine, screw uk, ill go USA. then what? cardio or neuro or something else.

You are massively underestimating how hard it is to get into those fields in the US, or to even get into the US in the first place. Especially for someone not interested.
Original post by Abdullahirea34
Tbh none of yall have actually answered my questions. fine, screw uk, ill go USA. then what? cardio or neuro or something else.


that's because being a doctor won't make you a millionaire
Original post by Abdullahirea34
Tbh none of yall have actually answered my questions. fine, screw uk, ill go USA. then what? cardio or neuro or something else.

You have basically zero chance of getting into any surgical (including CT surgery and neurosurgery - in fact especially those) or procedural specialty (including cardiology) in the US unless you have a green card or are a citizen, due to how visa requirements work there. Neurology I'm not sure, maybe?
Original post by artful_lounger
You have basically zero chance of getting into any surgical (including CT surgery and neurosurgery - in fact especially those) or procedural specialty (including cardiology) in the US unless you have a green card or are a citizen, due to how visa requirements work there. Neurology I'm not sure, maybe?


wdym, ive seen statistics with thousands of people from south asia going to the states after doing USMLE
Original post by Abdullahirea34
wdym, ive seen statistics with thousands of people from south asia going to the states after doing USMLE


Sure - in undersubscribed specialties like family medicine, psychiatry, general internal medicine and I think nowadays EM. Anything procedural is almost certainly a no go though. Gastroenterology, cardiology, interventional radiology, any surgical specialty - unless you already have contacts in the residency programme who are happy to basically groom you for it for a few years after you move there and work in a non-training post and get you into their programme, it's not happening. Likewise any competitive/popular specialty (like dermatology, urology, and radiology - the former two being procedural anyway).

All the big earning specialties are the ones that IMGs have almost no chance of getting into. If you just want to live in the US and practice medicine there are options. If you want to live in the US and make millions while practicing medicine, that's not something that's going to happen until you get a green card usually at least, and even then it's difficult I gather without existing contacts in the programme.
Original post by Abdullahirea34
wdym, ive seen statistics with thousands of people from south asia going to the states after doing USMLE

Becoming a doctor for money is morally questionable. How are patients meant to expect the best level of care from you when you're just doing it for a lambo? If you want money, medicine is definitely not it.
Original post by Abdullahirea34
wdym, ive seen statistics with thousands of people from south asia going to the states after doing USMLE

There are - thus I dislike the argument that its impossible or highly unlikely. It does depend on your circumstances and appetite for risk. Can your family afford say, $70k for costs plus house you for free while not working? You should probably add in an extra $30k in case interviews go to in person again?

Can they afford that for a 50% chance?

If you follow the stories of the south Asians and others who do make it you'll see the level of up front time and spend allowed. Also be cautious - some medical schools around the world allow for rotations in the US before graduating (which I understand can work better than post graduation experience) - I think there are schools in Dubai and Saudi plus Lebanon which offer this pathway - plus some Caribbean schools - their graduates fare better than the average. They also cost a lot.

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