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[quote=Anonymous]I am a pediatric sub specialist. I was taking call every third night and weekend and would regularly get called into the hospital after hours to take care of sick patients. I did six years of post medical school training and do highly specialized work, but it isn't procedure heavy. Patient loads were heavy and there wasn't enough time to see everyone that needs to be seen in clinic because there simply weren't enough of us. I was doing work that literally less than 300 people in the country are trained to do. I was a relatively recent grad and my board certification number is in only in the triple digits, meaning that less than 1000 people have been certified in my field, ever. 
So I'm working crazy hours, was always in the hospital, saw lots of patients and did highly technical things. There are a very small number of people who could do my job and my services were in high demand. Despite this, I was making less than $150K with six figure debt. And was being told that I wasn't seeing enough people to justify my salary. All because of a system that artificially kept down reimbursement based on a formula cooked up years ago. 
It doesn't make sense from an economic, policy or societal perspective. And I got tired of seeing other people in the hospital night in and night out  (because we were all taking the same crazy call) telling me thier high salaries were justified because they "worked so hard."
So I left. Even though I loved the work. I went to pharma. And I couldn't be happier. My lifestyle is better. I'm at home more. I have much less stress and I get paid significantly more. 
And that's a tragedy. My colleagues are left to see even more patients and take even more call. And the patients suffer. And I was talented. I'm not trying to brag, but I was doing a lot more good for people then than I am now. 
Our professional society is faced with a shortage and has regular meetings asking how to address it. The answer is so obvious. But the system prevents it from being implemented.

It truly is insane. 
[/quote]

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