Wife wants to go back to Med School...having troubles with the math on this.

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KK

Lifer
Jan 2, 2001
15,903
4
81
give the wife a sudoku book to challenge her.

Seriously though, not worth it at this point in her life.
 

Ns1

No Lifer
Jun 17, 2001
55,414
1,574
126
Oh, she doesn't like her managers? Why didn't you say so? There's a support group for that. It's called "EVERYBODY," and they meet at the bar.

reply of the week. straight gold.
 

Doppel

Lifer
Feb 5, 2011
13,306
3
0
How many couples at 50-55 years old can say they have a house paid off, a million or more in the bank, one spouse retired, and the other working part time and still making $150,000+? At that point an extra shift a week every now and then covers any vacation we'd want or college expenses for the kids.

It's that 10 year stretch setting it up that I really just don't know how to digest and say "yeah, lets do this".

That's where some of my selfishness is being teased.
How many? None, and BTW I know some couples that are both doctors and both got started much earlier than your wife--as in two doctors.

Based on your numbers a financial case can be made for your wife; you guys are going to end up with more money if she does this. However, if your current income of, I'm guessing, $200k is not 100% enough for you already, no amount of money will be.

BTW here was the link I mentioned earlier:
http://www.dailymail.co.uk/news/art...-career-path-pay-cuts-student-loans-bite.html

I know several doctors personally, family members and friends:
Of the physicians who are now older 3/4 of them drink too much, 2 of the 4 definite alcoholics.

Of the four I know who are young:
- one is currently in residence and cannot wait for it to be done, as he is working a ton of hours (has a baby at home) and soon will be making huge bank. I think he loves his profession.
- one I know got into it late after some other career, but always wanted to be a doctor. I think early on she regretted this move (going from teacher to doctor is also going from lots to no free time), but now she works 50-60 hours/week and since her husband doesn't make much she is the sole bread winner and her young child and upcoming baby spend now, and will continue to spend, a huge amount of their life without mommy so that she can work enough to pay for the new house they are building
- another I know, smart as hell, but hates medicine. She works 2 days/week, just enough for a little extra cash, but she is mostly home for kids. Her husband is also a doctor and makes most of the money and has to because they have a nice large mortgage as all doctors should. I think he likes being a doctor, though.

It's important for your wife not to hate the rest of her career, but I'm sure there must be at least one other way other than becoming an MD to do that. But don't forget this "10 year stretch" you need to get through is also known by your kids as "childhood". If your wife is spending the next 7 years in med school and then worked to the bone as a resident it is what they will remember of her when they grow up. Mommy always worked, mommy was always studying or working. You can generally tell what one's priorities are by where one places their time.

Maybe your wife's job does suck, but $125k doesn't suck. If she has a good marriage, house, kids, health, way above average income, but has to put up with a little crap at work over it, is this really such a sore hand she's been played? You can't have everything, and I don't say it in a "it's ok to be lazy" way, but in a factual one: you literally cannot. She would truly be trading away her family life for her career.

BTW here was the link I mentioned earlier. I assume the doctors polled began without student debt and also in most cases without children.
http://www.dailymail.co.uk/news/art...-career-path-pay-cuts-student-loans-bite.html

Anyway, my opinion is just one. I've never had a huge passion or desire to work long hours in a profession. I've been close to those who had and don't believe it enhanced their lives. Medicine is a difficult profession to balance one's life with. It demands a lot. Most of us have jobs that are typically around 40 hours/week and we don't do a heck of a lot with it after that; out of sight out of mind. Medicine isn't going to be like that.

I've seen some of your posts on here, vi, and you have it together way more than most people from what I can tell. I'd be highly, extremely cautious of upsetting the apple cart.

Some other great posts here, hate to pick a favorite, but #137 is right. You are in a pickle
 

alkemyst

No Lifer
Feb 13, 2001
83,967
19
81
Fwiw OP I saw an article on dailymail.co.uk a couple weeks back it said that almost half of current US medical doctors would not do medicine again.

Debt is fvcking insane and you work your ass off a lot of hours. It just is not a great career for one who wants to be around their kids. That is the reality of it. It is prestigious as a career but you will see your kids less.

I went through this in the early 1990's. Most of the docs said you will live for your life at 40+ and mostly your retirement. I was young and wanted a 9-5 $100k+ a year job (in 1990 bucks)

I made my career decision based on that (Pharmacy). I never was able to complete Pharmacy due to a life changing event.

In the end, I sort of wish I did Veterinary Medicine. At the time I read a lot about how many were just struggling and all that. In Palm Beach, vet medicine is very rewarding especially if you are great. Today I understand 9-5 is for mostly office staff, your salary at decent levels really not a huge factor once your bills are paid and saving for retirement, and in the end the high level jobs may work 60-80+ hours a week, but they include tons of other benefits like doing no work for 60-80 hours a week A LOT. I am all about working hard and playing hard now.

I do know a few docs that were able to enjoy life heavily in their 30's. It's very rare.
 
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Sust

Senior member
Sep 1, 2001
600
0
71
Some other great posts here, hate to pick a favorite, but #137 is right. You are in a pickle

It's an unfortunate truth that many doctors start young and naive. How in the world can an intelligently motivated 20yo young adult possibly know the consequences of trading the next 10 years of their lives(which theyll never get back) in exchange for dedicating the rest of their lives in service to other people's medical problems? Moreover, how can one know whether or not the training process will change their life goals?
I promise that no med school admissions committee can truly distill for devout passion for medical service. Thus you're sure to have a variety of ages, personalities, and temperaments who will live somewhere along the continuum between liking or hating medicine with a normal distribution curve sitting in the middle.

I would be interested to see the raw data for that survey b/c the doctors practicing before HMO managed care were hugely autonomous and collecting money hand over fist. Now, i'm sure that the practice climate must look to them like a dystopian scene out of Planet of the Apes in comparison. I sure as hell would regret my decision too if I thought that I would be fabulously wealthy as a result of medical school. I imagine ivy league or Law schools also have an increasingly similar scenario of diminishing returns?

In the end though, your post does raise a great question: OP, how bad does she want to go to medical school? Better yet, why now and would she still do it if physician re-imbursement lead to an ultimate pay-cut with same level of liability and obligation? Not saying that's going to happen, but if you're coming into medicine for the money, then you are making a terrible mistake and I think the majority of physicians will agree to that.

I will disagree and say that a medical career can be very satisfying even if im not bathed in money. Life is still relatively comfortable and if you are a good/fortunate clinician then there is the satisfaction of occasionally sharing good outcomes with patients/families who come to you in their hour of need. Plus you get to apply your knowledge and analytical skills towards solving very complex problems with multiple inter-related factors so it rarely gets boring. Do have to worry about burn-out in clinicians, but i'd be curious to hear about any field that doesnt have any? If you're burning out in any profession then you should probably taper back on hours or talk about it with a therapist so that your own issues dont compromise work performance(e.g. care of your patients) or lead to coping through substance abuse/dependence.
 

Dessert Tears

Golden Member
Feb 27, 2005
1,100
0
76
She'd be leaving a $125,000+ a year job. She'd have to cash out a 120k 401k to give enough of a blanket to pay mortgage, day care, taxes, 2nd apartment ect. She wouldn't be accrueing any more money into her retirement funds during that time. And mine would be scaled back to the bare minimum.

On top of the lost income, she already has a $70,000 student loan debt for her first round of schooling. Over the 4 years of med school that'd likely inflate up to $250k. During residency she'd at least be making $45,000 or so and we could maybe start using that income to pay back down stuff.

But the golden light at the end of that 7 year tunnel is that she'd be looking at a $350k+ salary (mal practice is covered by the employer) and more control over her career and life.
Have you entered all of this into a spreadsheet? I think it's important to model it on reasonable assumptions, then "shock" it by adjusting towards the worst-case scenario. Do the existing student loans stop accruing interest if/when she goes back to school?
 

MovingTarget

Diamond Member
Jun 22, 2003
9,001
113
106
"First year of Med School is 2 hours away so she'd have to rent an apartment and live there for a year while I solo it with kids"
Deal breaker

This. Very this. Although, I wouldn't give up on her dream of being a doctor. See if you can move closer to the med school this next year and then apply. Perhaps you can convince her to wait until the kids are a little bit older or when they go off to college. I can't imagine being away from my wife like that and we don't even have pets, much less kids yet.
 

sjwaste

Diamond Member
Aug 2, 2000
8,760
12
81
Possibility, absolutely. Upshot is that where we are is a "good" program but not a desireable one. It's no where near a competive program where your qualified/desirable applicants far outweigh the available positions.

Keep in mind that EM is a competitive residency to match into. It's not at all a guarantee that she'd get it.
 

RaistlinZ

Diamond Member
Oct 15, 2001
7,629
10
91
Hate to play "worst case senario" but what if she makes it through all this and ends up leaving you because of the strain it took out on her? She'll have her new $350k gig and you'll have no 401k savings and will be 7 years behind of where you are now financially.

She gets house. She gets kids. She gets child support. You get to start over at 50.

And please don't say "Well, that could never happen to OUR marriage" because it can. Happens every day.
 

LumbergTech

Diamond Member
Sep 15, 2005
3,622
1
0
She only gets to live one life. If this high level of accomplishment is attainable to her and its what she wants, you can only lose by trying to sway her.
 

the DRIZZLE

Platinum Member
Sep 6, 2007
2,956
1
81
Have you entered all of this into a spreadsheet? I think it's important to model it on reasonable assumptions, then "shock" it by adjusting towards the worst-case scenario. Do the existing student loans stop accruing interest if/when she goes back to school?

If this decision is being driven by finances you really need to do a comprehensive financial analysis and not the back of the envelope stuff done in this thread. As Dessert Tears said you also need to stress test it, and not just look at the best case, or even the most likely scenario. However, it doesn't sound like finances are driving this idea in the first place.
 

Sonikku

Lifer
Jun 23, 2005
15,751
4,558
136
Tell her to stay home and take care of the kids already like she's supposed to. Give them illusions of grandeur with "doctor" shit and they'll never learn their place.
 

Farang

Lifer
Jul 7, 2003
10,914
3
0
Her first obligation is to you, her second to the children. Anything that negatively impacts her relationships with you and them shouldn't be an option.

Her third obligation is to protect the financial integrity of the family. If she can hang with her current job for a couple of years, get that old debt paid off and some serious money accrued to cover her schooling, that might be a good time to re-evaluation the situation.

But moving away from her husband and kids for two years should never be seriously considered.

Choices have consequences, and she should honor the ones she's already made.

Agreed. This seems like a mid-life crisis. As much as she wants to be a doctor, she had 15 years or so to do that and didn't. She is really screwing the rest of the family over by doing this, in terms of making everyone make huge sacrifices.

That said a person will do what they need to do, if it means that much to them. So nobody can really say "no" except her.
 

Eug

Lifer
Mar 11, 2000
23,752
1,284
126
It's an unfortunate truth that many doctors start young and naive. How in the world can an intelligently motivated 20yo young adult possibly know the consequences of trading the next 10 years of their lives(which theyll never get back) in exchange for dedicating the rest of their lives in service to other people's medical problems?
Well, nothing is 100% predictable in life. If they decide they don't like it, they can quit and do something else... which sounds like what she wants to do. She did pharm, and is sick of it.

Moreover, how can one know whether or not the training process will change their life goals?
Life goals do change, and one adjusts accordingly. The thing about medicine is that if she decides she doesn't want to do emerg medicine anymore, that doesn't mean she has to leave medicine. There are a bazillion other options still available, and most will still pay significantly more than what she's making now.

Hate to play "worst case senario" but what if she makes it through all this and ends up leaving you because of the strain it took out on her? She'll have her new $350k gig and you'll have no 401k savings and will be 7 years behind of where you are now financially.

She gets house. She gets kids. She gets child support. You get to start over at 50.

And please don't say "Well, that could never happen to OUR marriage" because it can. Happens every day.
Actually in this context, often times the spouse will get a significant portion of the future earnings, if s/he supported the doctor and the family during the training years.

Agreed. This seems like a mid-life crisis. As much as she wants to be a doctor, she had 15 years or so to do that and didn't. She is really screwing the rest of the family over by doing this, in terms of making everyone make huge sacrifices.
If it's early 30s, it's not really a mid-life crisis. Early 30s is still pretty young. OTOH, it might be a completely different story if she were 50.
 

Rifter

Lifer
Oct 9, 1999
11,522
751
126
umm wow talk about turning your life upside down, that would be a huge huge strain on your marriage and especially your kids. they wont have a mom at all it would be like you are divorced. i commend her on her desire to be a doc but you guys got a family now, she makes a really nice salary and you guys are stable and solid. why fuck that up.

100% this, you cant put personal desires ahead of kids. IMO its to late in the game for this to be seriously considered.
 

StarTech

Senior member
Dec 22, 1999
859
14
81
On top of the lost income, she already has a $70,000 student loan debt for her first round of schooling. Over the 4 years of med school that'd likely inflate up to $250k. During residency she'd at least be making $45,000 or so and we could maybe start using that income to pay back down stuff.

I do not know what has happen in the last 7 years as far as income and what was her initial debt. I will assume you two are bringing in $250K/yr, and with that income there is still a $70K debt, which cutting a bit on the way of life could have been paid off by now -- just my thinking. Do you think it is realistic, after looking back at the pending $70K, that with your (assumed by me) $125+$45K you will be paying off any debt significantly while in her residency ? I would not count on it.

Have you made the numbers on the 401k withdrawals? I may be wrong, but if the penalty is 15% and your tax bracket ends up being 25%, it is going to cost you 40%. If I am right that is very expensive money. It would not make sense at all to be pulling from the 401K and paying 7% debt with it. Do you have any ROTHs ? If so I would look at the long term numbers of burning them. Also look at the numbers of stopping your 401K contribution vs withdrawing. Even counting the matching may be a cheaper option.

What about really tightening your belts for two or three years, pay off the $70 K and save a bundle in preparation?

Another point: how safe is your job if the economy takes another dive? Is your mortgage in good shape if you had to sell?

I do not envy your situation at all, and I do not think she realizes how much of the kids growing years she is going to let go because she will be too busy.
 

Marinski

Golden Member
Apr 5, 2006
1,051
0
0
classicboxingfights.blogspot.com
This doesn't sound fair to you to leave you with the kids to take care of and sacrifice while she goes and pursues her dreams. Maybe she shouldn't of got married and had kids if she wanted to do all this. Its typical of the way working women are nowadays though, only seem to care about themselves and their careers. If I had any advice for a young guy it would be to stay single and not marry a women that wants a career or find a women that doesnt care so much about a career.
 

alkemyst

No Lifer
Feb 13, 2001
83,967
19
81
You know in reality from a financial model, she could put herself in a 'students' economic life, save the difference from her $125k salary (which will probably grow to $135k+ in the length of medical school) and retire by 45-50 instead.

If becoming a doctor though is her passion and she's not chasing a paycheck then nothing will change that. The longer she waits the harder to impossible it will be for her to be accepted to any medical school.

School loans can usually be put on forebearence or the payments made extremely small during re-education. Interest still accrues though.

As said above and I agree, most doctors are working for their retirement and sacrificing living 'today'. Many of the ones you see in their late 20's with big houses and cars were from wealthy families or landed in positions akin to becoming an major actor, athlete, or rock star. For every doc making a million plus there are some making $60-75k (or less) in a farming town.
 

Eug

Lifer
Mar 11, 2000
23,752
1,284
126
It's pretty unusual for an established North American doc to make only $60000 as a non-trainee, unless they're only working 3 days a week or something with a light schedule each day.

Furthermore if the doc in a farming town, it's often very difficult to only work 3 days a week, because there may be no other docs around to cover the off-time.
 

Whisper

Diamond Member
Feb 25, 2000
5,394
2
81
You know in reality from a financial model, she could put herself in a 'students' economic life, save the difference from her $125k salary (which will probably grow to $135k+ in the length of medical school) and retire by 45-50 instead.

If becoming a doctor though is her passion and she's not chasing a paycheck then nothing will change that. The longer she waits the harder to impossible it will be for her to be accepted to any medical school.

School loans can usually be put on forebearence or the payments made extremely small during re-education. Interest still accrues though.

As said above and I agree, most doctors are working for their retirement and sacrificing living 'today'. Many of the ones you see in their late 20's with big houses and cars were from wealthy families or landed in positions akin to becoming an major actor, athlete, or rock star. For every doc making a million plus there are some making $60-75k (or less) in a farming town.

I'd actually say that more often than not when this happens, it's essentially a case of the individual reacting to going from 10+ years of near-poverty to suddenly (i.e., literally almost overnight) making $150+k/year and subsequently splurging. Although these individuals may have also been from well-off families, which likely added to the splurge.
 

Eug

Lifer
Mar 11, 2000
23,752
1,284
126
Well, if you live in a city where a 4000 sq. ft. McMansion costs $500000, it's actually pretty easy to buy one of those after a couple of years of saving if you're a doc making $250000 a year. A 20% downpayment on that is only $100000. There are tons of specialists who make $200000+ as soon as they finish residency, or maybe after residency plus 1 additional year of subspecialty training.

Furthermore, it's not as if they're working for free during their training. After med school, they're making enough money to live off of during residency (say $50000 a year), and more for fellowship training after residency.
 
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alkemyst

No Lifer
Feb 13, 2001
83,967
19
81
It's pretty unusual for an established North American doc to make only $60000 as a non-trainee, unless they're only working 3 days a week or something with a light schedule each day.

Furthermore if the doc in a farming town, it's often very difficult to only work 3 days a week, because there may be no other docs around to cover the off-time.

It's unusual. Some of my family likes the rural life and some of their docs do too. Many though have a 'traveling doc'...he shows up like 2x a week or something and lines them up

However, if you live in a major city the only way this usually happens is starting off with your own practice and the 'pay check' you reward yourself with.
 

Slew Foot

Lifer
Sep 22, 2005
12,381
96
86
Actually working in rural hospitals can pay better than working in a big city. Since no one wants to work there, they usually have to give out additional stipends to attract talent. Its the reason i live in San Jose and work in Gilroy/Hollister.
 
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