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If you just came straight through IM, it'd probably be, what, $150K? Maybe less at an academic center.
ND's $600K sounds high to me; maybe he's at a center that's exceptionally profitable or something. Not that $600K is outlandish for a neurosurgeon; it seems a little high to me but not ridiculousl.
What surprises me is that I had thought that most neurosurgeons take major pay cuts to be in academics; I would have expected him to make much less than half of that, especially as a starting salary.
This is definitely not my field of expertise, but you can color me very surprised.
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