<p>What are you talking about? $501K doesn’t magically become more money – and certainly not 40% more – with good management. In fact probably more than half of that sum will go to taxes.</p>
<p>And besides all that, the average starting age is probably like 38. They’ve been making $45K as a resident/fellow for a good ten years before that.</p>
<p>Finally, all the surgical lifestyles – yes, plastics included – tend to work VERY long hours.</p>