Model the career before it becomes your life.
A career operating system for physicians: a decisive report prices the life you want, five workspaces go deep on offers, loans, call, production, and ownership, and one Decision Case carries your assumptions through every tool into a final action plan.
Phases of report building
Career Report
$1.68M
Required Gross Earnings
To hit early FI targets by 52.
Key Trade-off
Schedule Control
Autonomy over hours
42/100
Autonomy
Choosing a specialty or fellowship
Test which fields actually fit the life and income you want, before you commit years. Net-worth curves price the training, not just the ceiling.
Valuing a real contract
Guarantee, wRVU tiers, ramp, clawbacks, tail, call burden, and state take-home, projected over five years, from the terms in your own offer letter.
Finishing with a plan
Every analysis files into one Decision Case. When enough is known, it synthesizes a Career Summary and Action Plan unique to your decision.
One system, three moves
See the workspaces →1Get your report
Answer a few questions. The report prices the life you want, ranks the paths that can fund it, and says what it is least certain about.
2Go deep where it matters
Five workspaces: career path, training runway, offer analysis, productivity, and ownership. Each tool reads the same assumptions.
3Leave with an action plan
Results file into your Decision Case. The chain ends in a Career Summary & Action Plan built from your numbers, not a template.
8,826
Neurosurgeons in the NPPES roster
One of the smallest surgical workforces in American medicine.
The national neurosurgery roster is small enough that the job market behaves like a professional guild: individual departures move local markets.
Limit: NPI registry roster; does not guarantee full-time clinical FTE..
Download to share
Contract-grade tools, free to start
All tools →
Every medical path on one map.
Plot modeled specialty paths across decision dimensions and find where your lifestyle and income goals intersect, then drill into any point.
Open the Career MapIncome Ceiling
95/100
Lifestyle Control
95/100
A direct comparison showing specialty trade-offs
Pick your match-up. The chart then gives you a head-to-head comparison of your chosen field(s).
Neurosurgery
Spine / MIS / Endoscopic vs Endovascular Neurosurgery
Income ceiling
Lifestyle control
Ownership / facility upside
Sleep / call burden
Career Summary & Action Plan
Every analysis ends in one plan, unique to your decision.
A different report for each decision: medicine fit, specialty choice, fellowship ROI, a job offer, or an attending pivot. Run the tools your decision needs, and the Decision Case synthesizes them: your assumptions, every result, the open risks, the unanswered questions, and the moves to make now. The free diagnosis comes first; premium unlocks the full reasoning and the plan.
Sample readout
Private practice spine vs academic spine
Required income range
$620K-$780K
Clears the target only if call-heavy years are acceptable.
Main trade-off
More upside, less schedule control
Next question
Can the family tolerate 1:3 call?
Memo takeaway
Choose the higher-earning path only if recovery time is protected on purpose.
Every figure is a modeled estimate or a labeled public-data proxy. Never a salary promise, and never an individual physician's income. Medicare and Open Payments data are public proxies, not take-home pay.