I would like to know more about the hierarchy of medical professions in Brazil. In terms of the politics that are related to them (doctors are typically influential with regards to other medical professions) and in terms of monthly earnings that one can expect.
I work in Belgium as a physical therapist, which is a master degree at the university.
I am currently taking a postgraduate course in manual therapy (various spinal manipulations etc) and get paid roughly 60 euros or 70 USD per hour, before tax.
But my patients need a doctors note with a medical diagnosis before they can make appointments at the physical therapy clinic. Without the doctors note, the patients don't get a partial reimbursement via their health insurance plans.
So doctors hold a lot of power over physical therapists this way. To give you an example my employer wines and dines with all doctors in the area because it is very important that they get along. If a doctor does not like you, he will not send patients to your clinic. He'll send the patients to an other therapist.
It happens regularly that doctors are totally wrong about their medical diagnosis as an indication for physical therapy, but we are not allowed to say that to patients. Because if the doctor hears about it and it damages their egos, we can say goodbye to the clientele.
A Belgian doctor typically has spent 7 years at university. I have spent 5 in physical therapy, now doing 2 for manipulations as postgraduation, then will spend 5 years for osteopathy (DO) and another 2 years for pediatric osteopathy. Giving a total of 14 years of training, but still doctors (7 year program) consider themselves the specialists and the government agrees. This hierarchy is extremely outdated though and osteopathy has been up and coming since the year 2000.
Do I have to expect the same hierarchy in Brazil?
I have checked for osteopaths in Sao Paulo and found roughly 20, which is a very small amount for 17 million citizens. But I know from friends that physical therapy in Brazil is not a tough course, and osteopathy is only a 3 year program. You can't become a fully capable therapist in so little time.
I heard about doctors in Brazil making roughly R$ 10 000 (2500 USD) per month, and I assume this does not include their health care plans and taxes. I don't know if these are starting wages, or it depends on their specialties.
If I would work in Sao Paulo at the same rate as I do back home, I would make twice as much as them. That would be rather strange. I don't know if there are lawfully determined rates for an osteopathic consult, or a therapist can ask for as much money as they like.
A Brazilian friend advised me to take my osteopathic classes in Brazil. I don't want to offend him but there is a European academy of osteopathy with extremely high standards, and the Brazilian 3 year program would not allow me to work anywhere outside of Brazil.
I hope that the Brazilian education program is not protectionist, and will accept the degree.
Thoughts are very welcome