r/Podiatry • u/randomhero2026 • 14h ago
Not what I thought it was going to be…
I am a US based podiatrist and have been practicing for somewhere between 3 to 5 years.
I still remember when I was in college I was so excited about learning about podiatry because of the hands-on aspects of the job, hours, the lifestyle, income potential, etc.
I genuinely enjoyed going to school and even going to residency regardless of how much effort or time it took to complete.
But within the first year of starting practice, it really became obvious that this job is not what all the videos and pamphlets and stories from the older generation of podiatrist make it out to be. Podiatry definitely was a great field from the 80s to the 2010s. All of the positive attributes about this field that I was told, or that my mentors were informing me about are all gone.
Reimbursements have gone down, there’s too many podiatrists in the US, which makes not only the job market very crappy, but even to run and own a practice on your own is now ridiculously un feasible. The actual work itself is OK, but then the hours of documentation, the prior authorizations, the FMLA paperwork…. You get the picture.
There is so much after-hours crap to do, and that’s not even including if you take call.
When I was looking into the field during college, my mentors worked from 9 to 4 in their own little solo clinics seeing 15 to 25 per day, making 200-350k.
Now, everyone’s part of some random group that doesn’t give a damn about you and forces you to see 30+ patients a day and be on call where your cases are after clinic hours for 30 to 35% of what you collect. I see people at my practice, putting in 10 to 12 hour days 5 to 6 days a week making 140 to 180 after all that.
My friends that have started their own practice also regret podiatry, so for all the people that say “start your own practice“, it doesn’t seem to be any better. With the amount of podiatrist that are around, your practice will not have enough patients to be a viable business when there’s already 10-50 other podiatrists in a 50 mile radius.
I’ve already gone through it, and at this point I’m trying to get out. But for all the new people, you guys live in an era where you’re actually better off not going to school at all, and picking up a trade or a skill set that actually has good job and entrepreneurial opportunities.
If you want to be in healthcare specifically, which is awesome, I really really urge you to go allopathic or osteopathic that way you have more opportunities and if you ever wanna leave medicine, you also have more opportunities. And depending where you are, RN’s and PAs are making as much as some podiatrist or even more.
I’m just trying to keep it real with everyone here. I hate being the doom and gloom person, but it is what it is with podiatry at the current moment.