Granted this is word of mouth from several years ago amongst new grads looking for jobs in NYC and Boston, some in SF, who were looking to stay in academic cent

Granted this is word of mouth from several years ago amongst new grads looking for jobs in NYC and Boston, some in SF, who were looking to stay in academic centers. I would say that's the worst case scenario. (there's a huge line of aspiring NIH PI's who are willing to work for peanuts for UCSF, Mass General, etc. The NIH training grants who are supposed to compensate for "75% time" are $98k/year...so do the math for the full 100%...). For the Medscape study, I would say it's good to see the numbers are better in the private practice world, nationwide. But - most MD's will be presumably internal medicine and you'd have to look at the breakdown. The low end jobs in primary care, public health, etc start at $200k, and most folks who aren't surgeons or ophalmologists or dermatologists are in the low-mid $200's. That's assuming you graduate from residency in your late 20's or early 30's w/ the $350-500k in debt or whatever it is these days, unless you took the National Health Services or DoD scholarships, whereupon you then owe them 4-8 years of your life...