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Regional contempt chain of dentist's income

On March 22nd, Ruier Group, a domestic dental chain medical enterprise, landed on the Hong Kong Stock Exchange, becoming the first dental specialty chain enterprise in the Hong Kong stock market and the first national brand chain listed company in China dental industry.

Its listing has brought private dental clinics and high-income dentists into public view. According to the financial report data, the average income of full-time dentists in riel dentistry who focus on high-end dentistry is1287,900 yuan, while Huang Jiansheng, the chief dentist in prosthodontics, said in Weibo that the highest salary of riel is 600,700 yuan.

This is quite an amazing number. On the Internet, which is famous for its high salary, the highest annual salary (general contracting income) of Ali P7 is only 6.5438+0.2 million.

At first glance, dentists seem to be an industry more worthy of young people than the Internet. But is this really the case?

Like many industries in China, the income gap between dentists also exists based on cities and working years, but the income gap between dentists is as high as dozens of times.

Take the fourth-tier cities as an example, the income of ordinary dentists is about 654.38+million, and the highest director is only 20.3 million, while the income of dentists in first-tier cities can easily reach more than one million.

Chatting with dentists in fourth-tier cities in Sichuan. In her story, I found that dentists in first-and second-tier cities and dentists in fourth-tier cities and below are like two completely different jobs, facing completely different consumer groups, local markets and even ways to make big money.

"Persuade people to study medicine, and the sky thunders."

"A monthly salary of 1 10,000 pounds is still not a good job."

Song Yuanyuan works as a dentist in a fourth-tier city with a population of just over 2 million in Sichuan. She actually has two jobs: a full-time job in a public hospital and a part-time job in a private clinic. The former can get seven or eight thousand a month, and the latter two thousand a month, which adds up to about ten thousand a month.

This is an income that is less than the previous income and greater than the next income.

In the local area, the monthly income of urban residents is only in the early 3000 s, and her income is quite good in the local area. Although there is a gap with first-tier cities, this gap is bound to exist because of the different speed of urban development.

"Then why do you say,' Persuade people to study medicine, and the sky thunders'? "

Song Yuanyuan said quite helplessly: "Because of the large investment in studying medicine, the output is small."

A complete medical education takes eight years, five years for undergraduates and three years for postgraduates. But for many people in small cities, eight years of study is too long, and the continuous tuition investment will be too much, so many people will choose to try to work in a hospital after five years of undergraduate study.

In Sichuan, because of the signboard of Huaxi Stomatology, the whole doctor industry, especially the oral field, has a very high degree of participation.

When I graduated from Song Yuanyuan, a smooth path was to apply for a three-year poverty alleviation project in the west, and then use the extra points of this experience to join a better local hospital in Chengdu. Song Yuanyuan went this way.

When Song Yuanyuan participated in sideline projects, the scenery outside the hospital-pictures were provided by the interviewees.

However, in the three years she supported, the wind of involution blew from east to west, and the academic requirements of Chengdu 3A hospitals were raised from undergraduate to postgraduate and even doctoral. With the support of Song Yuanyuan, it was difficult to stay in Chengdu, so I went down one by one and finally found a job in a public hospital in a fourth-tier city.

If you want to find a better job, you need at least undergraduate and graduate studies, plus 2 or 3 years of working experience in a quality medical unit, and the overall need is 1 1 year.

"1 1 year, you have accumulated a lot of things in other industries, and your income has doubled, but being a doctor has just begun."

Next, if you want to get a raise, you need to crush your head to get a promotion. This process usually takes 6,654,38+00 years. In a small city, it is undoubtedly more difficult for everyone to stare at this position. Many promotions even take more than 654,38+00 years.

"But you have been a director for decades, and you can get thirty thousand dollars a month, which is the top. This is still a situation where I work six days a week and am very busy every day. "

Therefore, in first-tier and fourth-tier cities, the official income of a public dentist is mostly between 654.38+ 10,000 and more than 300,000. Although the bottom line is guaranteed, the upper limit is low, which basically belongs to the income at a glance.

"Would a private clinic be better?"

"If private clinics want to survive, they need years of user accumulation, otherwise they will easily go bankrupt, which is not much different from the time and income needed for the development of public hospitals."

In the public comments, there are more than 7,600 results in the search of Chengdu Stomatological Clinic, and the competition is extremely fierce.

At the same time, doctors are not an easy profession, and it is easy to be too busy when there are many patients. Every doctor has to work the night shift at night, from 8 pm to 8 am. Although all medical students know that staying up late is not good, everyone who is a doctor has to stay up late.

Busy, often working the night shift, although the income is stable, it has not changed much. These factors led to Song Yuanyuan's disillusionment with studying medicine. She repeated many times in the chat: "Persuade people to study medicine, and the sky thunders."

"Dentists in small cities have to make money by giving lectures and selling books."

How do doctors in small cities get rich?

But after listening to Song Yuanyuan's explanation, two problems appeared:

First, why do dentists in first-tier cities earn so much? It is difficult to directly attribute the price difference of dozens of times to "different urban development speeds".

Second, why do dentists in small cities that people usually contact seem to be quite rich?

It is on these two issues that Song Yuanyuan pointed out the differences in market conditions and career development paths faced by first-tier cities, new first-tier cities and low-tier cities.

The income gap of dentists mainly comes from fees and the number of patients.

In terms of cost composition, because 90% of consumables come from abroad, there is little difference in the cost of consumables between coastal and inland areas; In terms of equipment, there will be a certain cost difference between domestic equipment and imported equipment, but this difference will be compensated in terms of cost. Hospitals and clinics that use good equipment are aimed at middle and high-end people, and the overall charges will be higher.

Private clinics usually include dental chairs, filming machines and other equipment, but there is a big difference between imported and domestic ones.

However, it is technology that really widens this cost gap.

In first-tier cities, a highly skilled dentist can charge tens of thousands for a tooth. Locals are willing to pay for technology. However, this willingness to pay is basically only in the first-tier and new first-tier cities with relatively developed economies.

In the fourth-tier cities where Song Yuanyuan works, most consumers don't have the concept that "teeth are very important".

They usually wait until the toothache is unbearable before going to see a doctor. At this time, root canal therapy is generally needed. The cost of a set of consumables for root canal therapy is usually 400 500 yuan, plus the use of equipment, the doctor's time and energy, and the minimum operation cost is 1500 2000. This is unacceptable to most local people. This money can even support the expenses of some families for one month.

What impressed Song Yuanyuan was that 15-and 16-year-old children often came to see a doctor and their teeth were broken. She told her parents that root canal therapy was needed, which cost about 2000 yuan. The first sentence of many parents is: "Can you pull it out?"

"In many small inland cities, stomatology is not just needed. For many locals, they can survive without teeth to eat soft porridge, so this is not a problem. " Song Yuanyuan concluded that "other cities in different lines face completely different consumer groups."

This directly leads to the weak penetration of many dental businesses in low-tier cities.

"For example, regular inspections and tooth washing are rare here; For example, general dental treatment, root canal treatment, pulp surgery, denture restoration and so on. Most of them will also drag on; As for those who are willing to spend money on orthodontics and implants, there are even fewer, because many people think that this money is expensive and unnecessary. "

Teenagers

The lack of the concept of dental care and dental care and the limitation of the local average income level eventually led to fewer and fewer people coming to see their teeth, and fewer and fewer people were willing to spend a lot of money on their teeth.

In the dental community, there is actually a clear understanding of this situation:

"Want to do a good job in the mouth, a line and a new line. Look at cities on the second line and individual cities on the third line. No money to earn any more. "

"So how do dentists who look rich make money?"

Song Yuanyuan with the wave, "now, that's another way. Climb up, climb to the professor, go out to lecture, lecture, teach students, open remedial classes, and earn other income. These are the big heads. "

"Is there no way out for ordinary doctors in small cities?"

Song Yuanyuan smiled at me and shook his head. The eyes seemed to say: Are you dreaming?

In the oral rivers and lakes, there are clear gaps between large and small cities.

"If dentists want to make a fortune, they have to make a fortune by * * *."

On the road of dental career development, there are obvious gaps among first-tier cities, new first-tier cities and low-tier cities.

In economically developed cities, local residents have a demand for dental care and beauty, and are willing to pay for it. From the experience of developed countries, the same is true: the development of dental industry is closely related to the improvement of income level.

Take the United States as an example 196 1987, the per capita GDP of the United States increased from 4,000 dollars to 20,000 dollars. In this process, the dental care market experienced rapid growth, with the per capita dental expenditure increasing from 15.2 USD to 104.5 USD, with a compound annual growth rate of 9.6%.

1980 or so, the per capita disposable income in the United States reaches 9,000 US dollars, and the high-value and non-medical insurance reimbursement projects in dentistry and orthodontics have ushered in rapid development, which also proves that the oral cavity will usher in rapid development after the income reaches a certain amount.

In the United States, there is a significant positive correlation between per capita dental expenditure and income.

In 20 17, the per capita disposable income of first-and second-tier cities in China reached or approached $9,000. In an industry research report, some analysts regard "implant and orthodontics" as two gold mines in the future of China dental industry. However, in low-tier cities, many people's demand for teeth is still based on "availability", and their willingness to pay for teeth is very low.

Song Yuanyuan added: "Whether in public hospitals or clinics, the main way to make money is to let more people see a doctor and pay for it. But we usually see that it is good that one out of five people is willing to treat. And generally choose the cheapest. "

As a result, the differences in economic income, dental awareness and willingness to pay eventually lead to the differences in the development of first-line and new-line stomatology and low-line stomatology, as well as the differences in doctors' income.

Can the first listing of dentistry benefit the whole industry? I'm afraid this needs a question mark.

In low-tier cities, consumer demand, ability and market have not yet been developed, so it is probably difficult to talk about making big money.

With the development of dentistry, the internal competition has become very fierce. Sichuan, where Song Yuanyuan is located, has fierce competition because of the existence of Huaxi Oral Cavity. At present, it has developed into a doctor+good internship to enter a better stomatological hospital in Chengdu.

These old first-tier cities in the north, Guangzhou and Shenzhen, because of their early development, high income and more participation.

This involution leads to the uneven distribution of medical resources among different cities, and the strength of medical funds is greater than the demand of cities.

The dental industry in East China is obviously higher than that in other regions. Source: Dentist's Instructions

This is an industry greatly influenced by the region. Song Yuanyuan hopes that the concept of oral care and the economic development of low-tier cities can develop simultaneously.

At first, she entered the profession because dentists had more freedom (whether in hospitals or clinics), and only when the demand of the public rose could she pursue the life she wanted more flexibly.

Dentists will continue to sink.

The development status of stomatology between different cities is actually a microcosm of the rapid development of China and the different development speeds between cities in the past.

This rate difference is not limited to income level, but includes citizens' consumption concept, industry development, employment and many other aspects.

The Internet has smoothed out some regional differences to a certain extent, but when the industry landed in a specific city, different urban temperament and different urban citizens will make the local development of this industry look completely different.

The phrase "oranges born in Huainan are oranges, and oranges born in Huaibei are oranges" still applies today.

But on the other hand, it also means opportunities.

In the case that the oral development potential of low-tier cities has not been fully stimulated, whoever can cultivate the consumption habits of users in such areas and establish a highly loyal user base will become a new unicorn in the low-tier market.

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