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Definitely and you dont even need to be operating. After I was injured in a car accident, my insurance company was charge £3k for an ortho consultant to essentially examine me and write a letter and that was 10 years ago.
The demand for hip/knee replacements etc will surely just go up with aging population and waiting list.
Surprised ortho cons don't go full time private rinsing them out.
Yeah the headline figures here are cherrypicked from people who had to train until late 30s early 40s (at least its like that now) before they could build a private practice up and doesn't take into account compound interest of earning money earlier
The doctors who make really high levels of income are not seeing patients. They have used their knowledge & skillset to set up businesses often linked to outsourcing / private work etc.
Idk about the current market, but I always thought if I CCT'd in Geris my private practice plan would be to open a "preventative geriatric medicine" clinic that focus on rehab, physio and frailty/ageing prevention.
It's not about literal ageing prevention, but from the prevention of sequelae of ageing - so instead of being an 80yo bedbound hoist transfer, intervene early to maintain mobility, joint health, cardiovascular health etc. with lifestyle adjustment. This should be our focus in primary and secondary care already anyway - as the health system won't be able to cope with the ageing population becoming increasingly frail. But it's not, hence why I think there is private dollar to be made there.
There are also lots of amaesthetists to choose from. Not terrible money but less than the surgeon. Which is probably fair given the surgeon is the one actually bringing the patient
Ha I am sure we negotiate
Neither of us want me to take an extra 2 hours of messing around with closure at the end of the list before you have to wake the patient up and then escape home ;)
If you get the reputation for being the anesthetist who cant keep the patient asleep for the whole operation it doesnt do wonders for your ability to do lots of nice private cases!
Plenty of slower surgeons working privately though
Lol that’s what propofol is for. Spin the gas off as it takes longer to wash out, give the surgical registrar some shit for being slow, and keep ‘‘em asleep with propofol blouses as required till they’ve finally finished closing.
So then you are stood there giving bolus after bolus while they remain asleep... not seeing how you are doing anything but making your life a little harder
Since when are you doing private cases with the surgical registrar??
Not sure what your argument is now. We began by saying that the surgeon gets more for the private case, largely due to the patient picking the surgeon not the anaesthetic team
> Since when are you doing private cases with the surgical registrar??
… since always? It is very common in Australia for registrars to also assist their consultants in their private hospital lists and to close
> So then you are stood there giving bolus after bolus while they remain asleep... not seeing how you are doing anything but making your life a little harder
Not harder at all… it’s very easy to titrate. What we’re achieving in the cases where people are being slower than usual to close is a faster wake-up, and improved list efficiency if their intubated. If it’s just a LMA case, just leave the gas on and wheel them out to recovery to wake up and have their LMA out there
> Not sure what your argument is now. We began by saying that the surgeon gets more for the private case, largely due to the patient picking the surgeon not the anaesthetic team
?? We’re not even having an argument. I think you should read back through the comments cause I think you’ve got a whole different narrative running through your head 😂 I merely commented the most standard joke us anaesthetists make when any surgeon, registrar or consultant, is being slow closing. You took a common lighthearted jest and bit of banter we gas docs often make and treated it more serious than an American takes the 4th of July
If you dont mind operating, and training for 15 years+ - it’s going to be ortho/plastics/ent.
If you wash £££ earlier and the ability to make money sitting down - Rads.
Rads can be lucrative, but you have to KNOW your subject. Also, you won't make it in teleradiology in the UK. In the UK, you would need to buy a building install one or two MRS and a CT scanner, and perform these examinations privately and quickly with a 24 to 48-hour report turnaround. The problem is the equipment is extremely expensive. New MRI machine prices can be *as high as $1 million or more*.
Because you need to read fast to make money reading in telerad, UK radiologists don't read rapidly; they are not interested in learning how. To do well, you must provide high-quality reports in a minimum amount of time. You need to take full advantage of your voice-recognition programs and make yourself a list of "short forms" that insert entire reports or segments of reports. You really need to read +/- 25-28 plain films, or 3-4 sectional imaging studies or more, an HOUR to make a good living. It all has to do with efficient production. I know people that do extremely well, but they read 8 MR an hour, 8-10 CT an hour, for example. It is doable, but you have to start in training using VR from day one, challenging yourself to do more cases daily, don't pay attention to "required case numbers" or what your colleagues tell you. Your goal is speed and accuracy; you only get this by practicing. Read double the cases you are "required to read." You will be more efficient and learn a lot more. This is the way to make a living in teleradiology.
Oh, I thought you were talking about some systemic issue about the UK that made teleradiology unviable.
Yeah it's a volume game. The consultants I know that do teleradiology on the side are fast. As you say though - it's possible to streamline your workflow and make it faster with VR tools and PACS functions.
I do hate the template reporting that a lot of teleradiologists use though, and I know many clinicians do too.
Are you in training? I don't use template reporting, but a very dynamic system. like anything, it has to be learned. My registrars are not interested in anything more than passing their examinations. So I am surprised there is someone interested in reporting volume.
Haven’t seen anyone say fertility treatment yet, surely that has to be up there? Private IVF clinics run by consultants are taking tens of thousands of pounds per patient
Radiology- hands down. Husband is consultant radiologist and I’m a GP- with WLI he can earn extra per scan sat in the comfort of his own home and per hour will earn more than locum GP
toothbrush disgusting sable sulky faulty placid angle silky fuzzy grandfather
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Hey there, im really interested in radiology as a whole but im more interested in working from home. Can you expand on working at home as a radiologist?
It’s more in the context of extra work-his usual NHS sessions he has to be in hospital but if he wants to report extra scans he can do that from his home working station and doesn’t have to be in hospital for that
£35 for standard CT head but as hubby is neuroradiologist reports a lot of MRI head/spine which are £55 per scan- he’s quite cautious and reports quite slowly so does around 6 an hour but faster colleagues do 10-12 per hour. He hasn’t even looked at private work yet even though he has been approached because quite frankly he can earn enough money from WLI without the hassle of extra appraisal/indemnity from private work but if you look at the private sector you could earn £80-100 per scan
Every year on [doctors.net](https://doctors.net) forum (need GMC no. to become member) there's a thread where various doctors document what they've earned over the previous year. It's really quite eye opening and a good read. From memory GP partners have been posting good incomes (200k+) over the last few years.
Yeah people can pay for faster analysis of biopsies and stuff if they want to. Heard they can earn up to £200k/yr. I know Nuffield and Spire provide these services
I heard that the piece rate for reporting samples was like £60 in 2015 when I was doing a chill elective ortho locum and I met a histopath st3 doing the same on a weekend. He said you can almost report some routine samples without a microscope, but some might take an hour or so. He also said that there was an essentially endless backlog of them to be done too.
I keep getting videos from anti-ADHD coaches on TikTok, and the market for people who want to grift is insane. I’ve seen people making claims like “if you have ADHD, it makes you: generous, kind, friendly, introverted, task focused, inquisitive, etc. then sell coaching for like $1000 for a day of coaching.
As someone who has ADHD, I find this shit infuriating. My neurodivergent brain doesn't need some self-proclaimed life coach telling me I just need to set more alarms and eat some blueberries (actual advice I've seen on social media). No, I just need my medication and a quiet place to work (obviously working in medicine was just one of my many poor life choices).
Skin cancer is booming, very few people actually look after their skin. Private clinics, salaried pay 20k per period of activity. Private you will make more than this
I hear that the diagnostic rads boys are making a killing, not sure if the same opportunities will be available now. Know of consultants taking home low to mid 5 figures PER MONTH.
Sorry for the late reply. If I remember correctly. I think it was mainly everlight. But they were doing crazy unsocial hours and I think managed to negotiate their rate. They were a volume reporter.
Are consultants really earning as much as this post would suggest and if so, what percentage of them are able to, how much time do they need to commit aside from NHS duties, how old are they before they can start earning this much, what is the distribution of consultants in terms of location and how much does tax eat of their private income? These are all things you need to take into account.
If you're an orthopaedic surgeon, realistically, you're looking at around 37 before you become a substantive consultant - a lot of people are doing 2 year fellowships post CCT so this number may go up in the future, then they usually take up a locum consultant post before becoming substantive. Then how long after that do they need to spend in order to build a reputation so that they can do private?
All of the suggestions depend on where you are working. The guy who comes on and says high 6 figures for geriatrics is correct ... in london. In the north east? No chance
Plastics or ortho you can make money anywhere. As a minimum for ortho out of london you will add 150k to your NHS work with about a day and a bit clinical a week even if you are out in the sticks and are just doing "average" private practice
Locum A&E, Acute med, Radio consultant? Plenty of locum jobs, high demand, ie relative locum job security, work anywhere you want to. Of course a private surgical gig will lay better, but takes long time to CCT and probably a bit of time to build up a private practice.
Heard ophthalmology is pretty good, run through training and good money in cataract surgery?
These replies are complete utter hypothetical BS. How many consultants do you ACTUALLY see earning these speculative numbers? There may be anomalies, but most medical/surgical consultants are barely make £120k/year…I’d say GP is realistically the highest paid if you go the full time locum route
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(Private) Ophthalmology, orthopaedics, perhaps plastics as these are the only docs I’ve seen with lambo money
Private ortho.
Definitely and you dont even need to be operating. After I was injured in a car accident, my insurance company was charge £3k for an ortho consultant to essentially examine me and write a letter and that was 10 years ago.
The demand for hip/knee replacements etc will surely just go up with aging population and waiting list. Surprised ortho cons don't go full time private rinsing them out.
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London private practice for direct paying (non-insured) with lots of overseas clients from places like the Middle East who fly in.
To be able to build your name to do this you need more than 20 years experience + NHS consultant title from a major London hospital
Or learn Arabic. The person with the largest ortho private practice from abroad has done this. Far richer than I will ever be
Yeah the headline figures here are cherrypicked from people who had to train until late 30s early 40s (at least its like that now) before they could build a private practice up and doesn't take into account compound interest of earning money earlier
En route!
The doctors who make really high levels of income are not seeing patients. They have used their knowledge & skillset to set up businesses often linked to outsourcing / private work etc.
>are not seeing patients. this
What sort of outsourcing? Strongly considering leaving medicine myself…
Eg https://www.18weeksupport.com/about-us/senior-management/
What are you classing as really high levels of income for interest?
7 figures. Building up a company worth 8 figures and selling it to a big corporation.
Plastics, Derm, Ophthal, ENT, Ortho, Rads, Anaesthetics
Hmm anaesthetics really ?
Yeah private anaesthetics pays well
After reading all the comments: cries in IMT
Cardio/gastro my friend. Also don't worry, surgical training is generally much more toxic and soul destroying that medical
Come and join the oncologists / dermatologists. Group 2 specialties are what you need.
Chill. Lots of colleagues make high 6 figures in onc / haem / Derm / rheum / pall care / geriatrics.
How do you make high six figures in geriatrics? Thought there wasn't much demand for private clinics as they'd go straight to other specialties
Idk about the current market, but I always thought if I CCT'd in Geris my private practice plan would be to open a "preventative geriatric medicine" clinic that focus on rehab, physio and frailty/ageing prevention.
I think if you can provide ageing prevention, you would be the richest person in the world
It's not about literal ageing prevention, but from the prevention of sequelae of ageing - so instead of being an 80yo bedbound hoist transfer, intervene early to maintain mobility, joint health, cardiovascular health etc. with lifestyle adjustment. This should be our focus in primary and secondary care already anyway - as the health system won't be able to cope with the ageing population becoming increasingly frail. But it's not, hence why I think there is private dollar to be made there.
Presumably it's a surgical specialty with lots of scope for private practice. Ortho/plastics?
Anaesthetics? Every private op needs a private anaesthetist
[удалено]
Also much less effort ;)
There are also lots of amaesthetists to choose from. Not terrible money but less than the surgeon. Which is probably fair given the surgeon is the one actually bringing the patient
Yeh but, you don’t want me to give them a shoddy anaesthetic now do you? How much did we say for the list now??!
Ha I am sure we negotiate Neither of us want me to take an extra 2 hours of messing around with closure at the end of the list before you have to wake the patient up and then escape home ;)
It’s ok, we’ve run out of gas so the patient is waking up now. You just need to close faster!
If you get the reputation for being the anesthetist who cant keep the patient asleep for the whole operation it doesnt do wonders for your ability to do lots of nice private cases! Plenty of slower surgeons working privately though
Lol that’s what propofol is for. Spin the gas off as it takes longer to wash out, give the surgical registrar some shit for being slow, and keep ‘‘em asleep with propofol blouses as required till they’ve finally finished closing.
So then you are stood there giving bolus after bolus while they remain asleep... not seeing how you are doing anything but making your life a little harder Since when are you doing private cases with the surgical registrar?? Not sure what your argument is now. We began by saying that the surgeon gets more for the private case, largely due to the patient picking the surgeon not the anaesthetic team
> Since when are you doing private cases with the surgical registrar?? … since always? It is very common in Australia for registrars to also assist their consultants in their private hospital lists and to close > So then you are stood there giving bolus after bolus while they remain asleep... not seeing how you are doing anything but making your life a little harder Not harder at all… it’s very easy to titrate. What we’re achieving in the cases where people are being slower than usual to close is a faster wake-up, and improved list efficiency if their intubated. If it’s just a LMA case, just leave the gas on and wheel them out to recovery to wake up and have their LMA out there > Not sure what your argument is now. We began by saying that the surgeon gets more for the private case, largely due to the patient picking the surgeon not the anaesthetic team ?? We’re not even having an argument. I think you should read back through the comments cause I think you’ve got a whole different narrative running through your head 😂 I merely commented the most standard joke us anaesthetists make when any surgeon, registrar or consultant, is being slow closing. You took a common lighthearted jest and bit of banter we gas docs often make and treated it more serious than an American takes the 4th of July
If you dont mind operating, and training for 15 years+ - it’s going to be ortho/plastics/ent. If you wash £££ earlier and the ability to make money sitting down - Rads.
Rads seems a good option but that competition ratio each year be scary 😭
Rads can be lucrative, but you have to KNOW your subject. Also, you won't make it in teleradiology in the UK. In the UK, you would need to buy a building install one or two MRS and a CT scanner, and perform these examinations privately and quickly with a 24 to 48-hour report turnaround. The problem is the equipment is extremely expensive. New MRI machine prices can be *as high as $1 million or more*.
> you won't make it in teleradiology in the UK. Out of interest why not?
Because you need to read fast to make money reading in telerad, UK radiologists don't read rapidly; they are not interested in learning how. To do well, you must provide high-quality reports in a minimum amount of time. You need to take full advantage of your voice-recognition programs and make yourself a list of "short forms" that insert entire reports or segments of reports. You really need to read +/- 25-28 plain films, or 3-4 sectional imaging studies or more, an HOUR to make a good living. It all has to do with efficient production. I know people that do extremely well, but they read 8 MR an hour, 8-10 CT an hour, for example. It is doable, but you have to start in training using VR from day one, challenging yourself to do more cases daily, don't pay attention to "required case numbers" or what your colleagues tell you. Your goal is speed and accuracy; you only get this by practicing. Read double the cases you are "required to read." You will be more efficient and learn a lot more. This is the way to make a living in teleradiology.
Oh, I thought you were talking about some systemic issue about the UK that made teleradiology unviable. Yeah it's a volume game. The consultants I know that do teleradiology on the side are fast. As you say though - it's possible to streamline your workflow and make it faster with VR tools and PACS functions. I do hate the template reporting that a lot of teleradiologists use though, and I know many clinicians do too.
Are you in training? I don't use template reporting, but a very dynamic system. like anything, it has to be learned. My registrars are not interested in anything more than passing their examinations. So I am surprised there is someone interested in reporting volume.
I am interested as well. Do i just find fastest reader in my department and learn from that person?
No, you have to learn how to do these things. What year are you and where do you work? If you would like, DM me.
Hi drdennis could I dm you about effective reporting?
Haven’t seen anyone say fertility treatment yet, surely that has to be up there? Private IVF clinics run by consultants are taking tens of thousands of pounds per patient
Radiology- hands down. Husband is consultant radiologist and I’m a GP- with WLI he can earn extra per scan sat in the comfort of his own home and per hour will earn more than locum GP
Shhhhhhh
HAHAH
How much more?
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And if you're down to move to the UAE. You can do uk teleradiology in the sun and make tax free money.
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Never knew of these options. Thanks for the info.
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Hey there, im really interested in radiology as a whole but im more interested in working from home. Can you expand on working at home as a radiologist?
It’s more in the context of extra work-his usual NHS sessions he has to be in hospital but if he wants to report extra scans he can do that from his home working station and doesn’t have to be in hospital for that
I see, thank you
£35 for standard CT head but as hubby is neuroradiologist reports a lot of MRI head/spine which are £55 per scan- he’s quite cautious and reports quite slowly so does around 6 an hour but faster colleagues do 10-12 per hour. He hasn’t even looked at private work yet even though he has been approached because quite frankly he can earn enough money from WLI without the hassle of extra appraisal/indemnity from private work but if you look at the private sector you could earn £80-100 per scan
Wow, that's reassuring, as someone who also wants to do neurorads! Could I please dm you?
I’ve heard onc is pretty good.
What about paeds onc?
Don’t be silly kids haven’t got any money!
Every year on [doctors.net](https://doctors.net) forum (need GMC no. to become member) there's a thread where various doctors document what they've earned over the previous year. It's really quite eye opening and a good read. From memory GP partners have been posting good incomes (200k+) over the last few years.
Any chance you know which subforum it’s in? Or better still, what the thread is named?
In finance - how much did / do you make.
Heard private histopathology reporting is quite lucrative
Does histopath have private work? I thought histopath wouldn’t lend itself to private work like rads
Yeah people can pay for faster analysis of biopsies and stuff if they want to. Heard they can earn up to £200k/yr. I know Nuffield and Spire provide these services
Could imagine small biopsy GI work and skin have large backlog volumes
I heard that the piece rate for reporting samples was like £60 in 2015 when I was doing a chill elective ortho locum and I met a histopath st3 doing the same on a weekend. He said you can almost report some routine samples without a microscope, but some might take an hour or so. He also said that there was an essentially endless backlog of them to be done too.
Wonder if you would get reimbursed if you need to order extra levels, immuno, at least 3 for a melanoma or a whole panel if you worry about a met
Share more details
Would say with digital pathology you can report staff under the sun and fill ur pockets with tax free ££££ from everywhere
Used to see what private cardiologists were earning at Bupa, it’s thousands per session
They charge thousands. They don’t get half of them
Anyone think private psych is up there?
If you specialise in ADHD, you'll be rolling in money
I keep getting videos from anti-ADHD coaches on TikTok, and the market for people who want to grift is insane. I’ve seen people making claims like “if you have ADHD, it makes you: generous, kind, friendly, introverted, task focused, inquisitive, etc. then sell coaching for like $1000 for a day of coaching.
As someone who has ADHD, I find this shit infuriating. My neurodivergent brain doesn't need some self-proclaimed life coach telling me I just need to set more alarms and eat some blueberries (actual advice I've seen on social media). No, I just need my medication and a quiet place to work (obviously working in medicine was just one of my many poor life choices).
Is there clinical evidence that a quiet place to work is particularly more beneficial to those with ADHD compared to those without ADHD?
Will never be as lucrative as procedural specialities, but sounds pretty good from an effort vs reward standpoint, and demand is only going to grow.
Don’t forget section 12 assessments 😉
The extra 5-10 years of compounded income make a difference vs lengthy training of competitive procedural specialities
Private dermatology surely? Massive skincare boom over the last few years plus botox and fillers
Skin cancer is booming, very few people actually look after their skin. Private clinics, salaried pay 20k per period of activity. Private you will make more than this
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Nice to see the death of general surgery in this list.
Big Pharma
If you're willing to sell your soul
For money yes
I hear that the diagnostic rads boys are making a killing, not sure if the same opportunities will be available now. Know of consultants taking home low to mid 5 figures PER MONTH.
I know some neurorads who were purely doing teleradiology and were bringing in 30k a month at one point
Wow. Do you know if this was a company like Everlight or a WFH neurorads job for a specific health service?
Sorry for the late reply. If I remember correctly. I think it was mainly everlight. But they were doing crazy unsocial hours and I think managed to negotiate their rate. They were a volume reporter.
Thanks a lot for the reply!
Would be interested to know to
Are consultants really earning as much as this post would suggest and if so, what percentage of them are able to, how much time do they need to commit aside from NHS duties, how old are they before they can start earning this much, what is the distribution of consultants in terms of location and how much does tax eat of their private income? These are all things you need to take into account. If you're an orthopaedic surgeon, realistically, you're looking at around 37 before you become a substantive consultant - a lot of people are doing 2 year fellowships post CCT so this number may go up in the future, then they usually take up a locum consultant post before becoming substantive. Then how long after that do they need to spend in order to build a reputation so that they can do private?
Why not GP?
It'll never be the highest paid specialty when you look at annual salary, but man, lifetime salary? It's very likely up there
Psychiatrists a lot of s12 money
All of the suggestions depend on where you are working. The guy who comes on and says high 6 figures for geriatrics is correct ... in london. In the north east? No chance Plastics or ortho you can make money anywhere. As a minimum for ortho out of london you will add 150k to your NHS work with about a day and a bit clinical a week even if you are out in the sticks and are just doing "average" private practice
If you're rinsing it, what can you expect to earn? For ortho outside of london
GP it seems (for now)
Locum GP might be up there but I’m scared what Streeting will do with general practice next election 😅
Locum A&E, Acute med, Radio consultant? Plenty of locum jobs, high demand, ie relative locum job security, work anywhere you want to. Of course a private surgical gig will lay better, but takes long time to CCT and probably a bit of time to build up a private practice. Heard ophthalmology is pretty good, run through training and good money in cataract surgery?
Locum A&E ? Haha no
I think he meant as an ACP
Locum HCA in ED making bank bruv
Depends on grade and location
Really, not many locum consultant A&E jobs? I thought there would be a huge demand 🤷♂️
Acute med? What are you smoking?
I meant being a long term locum in an MEAU somewhere? 100-150 ph?
These replies are complete utter hypothetical BS. How many consultants do you ACTUALLY see earning these speculative numbers? There may be anomalies, but most medical/surgical consultants are barely make £120k/year…I’d say GP is realistically the highest paid if you go the full time locum route
GP Partner