To become a doctor, you spend so much time in the tunnels of preparation, that it's a shock. You find yourself at the other end with someone shaking your hand, asking how much money you want to make. That's how Atul Gawander begins his article for the New Yorker magazine. It's the story of a career turning point. After eight years as a resident in surgery - making $40,000 a year or so, came the fateful day. Gawander took a seat in the wood paneled office of the chairman of surgery at a Boston hospital. Congratulations, Dr. Gawander, you're a now surgeon with a staff position, he said. Now how much shall we pay you?