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How much expenses do the doctors have to pay?

I know doctors make a good amount of money but how much do they have to pay via taxes, college, and other fees if there are any? Also, since there are many fields in medicine, is it possible to become a doctor in two professions at once? Like being a psychiatrist and a dermatologist? medicine dermatologist psychiatrist healthcare hospital-and-healthcare

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Richard’s Answer

If you can keep your expenses down (live with parents, attend community college which can be free in some cities, complete your degree at an inexpensive public institution etc) debt doesn't have to be out of control. However the typical student does not do everything they can to decrease expenses then has to be stressed during their first years of practice.

Another unfortunate consequence of debt is limiting the student's choices after graduation. If a student has a passion for pediatrics, but crippling debt, they may be forced to apply to residencies with higher future earning potential.

A typical experience would be to complete residency and become an employee of a group. You aren't able to pay down your debt much because you are saving to become a partner. You buy into the group and then start making partnership money. That's when you are able to really tackle that debt.


But typically you are looking at 10-15 years to pay back your student debt.

On a side note, watch this video which compares a UPS driver to a physician. It makes a lot of assumptions about debt and saving/investment, but concludes that the average primary care physician doesn't become financially better off than a driver until age 53.

https://www.youtube.com/watch?v=2503XQU1feE\


To practice in 2 different specialties would require 2 complete residencies, not a very attractive option.
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Rachel’s Answer

The short answer is- a lot. In the US, medical school tuition is about $30-50 thousand per year x 4 years, plus living expenses. Most people take out loans to pay for this. You'll need to take 3 licensing exams in order to graduate, and one more after that, which will run you several thousand dollars. It also costs several hundred dollars to apply for residency, and you are responsible for the travel costs for interviews. You do get paid during residency, although not much (average $50,000 per year). It doesn't end after residency - you then take your specialty board exams for about $2000, with renewal every 10 years, and pay for maintenance of certification and continuing education. A DEA license (so you can prescribe drugs) costs $700, and some hospitals will also charge you for credentialing (this is the paperwork involved to allow you to work in a hospital). There is also state licensure (variable cost and renewal frequency depending on the state/how many states you are licensed in). That said, once you are done training you a pretty much guaranteed a 6 figure salary, so it is possible if you are smart with your finances to pay of your debt and manage all the costs. For most, the career is rewarding enough that this is all worth it. Unless you are in a very high pay specialty, you will not not be rich, but you'll be comfortably middle class.

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Rachel’s Answer

To answer your second question, there are a number of combined residency programs where you can get training in two specialties at once. A lot of these are combined with internal medicine or pediatrics (more broad specialties) with other specialties. Check out the links below to see what combined residencies are available. Currently, there are no combined Psychiatry/Dermatology residencies (they would have to be done separately).

Rachel recommends the following next steps:

Internal Medicine combined residencies: https://www.acponline.org/about-acp/about-internal-medicine/subspecialties/combined-training-programs/internal-medicine-residency-training-combined-with-other-disciplines
Pediatrics Combined Residencies: https://www.abp.org/content/combined-programs
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