By the time you read this, I will have completed a transition to working half-time. Now, I know a lot of docs out there think emergency docs are already only working half-time, so perhaps I ought to start with explaining why that isn’t the case, even if emergency physicians work fewer hours than many other physicians. Let’s start with the fact that most Americans consider 35 to 40 hours a week ...

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As we get older, time becomes are more valuable commodity.  I clearly remember that as a college student, I was more than willing to wait in line for over an hour simply to get a free sandwich promotion.  Nowadays, I’m not even too interested in waiting 20 minutes to be seated at a restaurant.  Our priorities evolve. One interesting aspect of time that remains relatively unchanged over time is our tolerance ...

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A common proverb teaches that, “The road to hell is paved with good intentions.”  Medicine is a world where people are well-intended. Yet they fail to change a system that is broken and continues to produce burned out, depressed, and suicidal doctors. We can see their final destination, look back, and realize that we helped pave the road that carried them to that destination. Today, I want to hammer ...

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At some point in your investing career, you’ve likely heard of a stock that’s gone on a ridiculous run or a certain part of town that has now become the trendiest in the area, and you’ve kicked yourself for not investing. We’ve all been there. Well, the cliche is true: hindsight is indeed 20/20. In hindsight, who wouldn’t have purchased as many shares as they could of Amazon or Apple back ...

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This article is sponsored by Careers by KevinMD.com. Employer consolidation due to the mergers and acquisitions of hospitals and health systems is becoming increasingly common within the health care industry. In fact, merger and acquisition activity doubled in the first half of this year, with the volume of value health care sector deals increasing to 
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We all know the importance of compound interest in building wealth. The fuel for compound interest is time -- the longer you are committed, the greater chance your investments will grow. This applies not only to financial growth but also to essentially everything else. As a rule of thumb, the more you study for a test the better you ought to do. The longer you have practiced medicine, the more ...

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If you have been following my writing, you know I have been out of the surgical workforce for a year and a half. I have settled into a much more relaxing lifestyle as an author who can set his own work schedule. This week I got a flashback of what my old life was like as a general surgeon when I attended a four-day conference called FinCon. Each morning of the ...

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I believe we have power.  That deep inside each of us resides a unique purpose and identity that are unstoppable.  That embracing this power leads to lifelong contentedness.  Finding this well of vitality is complicated.  Certainly it starts by telling ourselves the right stories about our lives.  By becoming the protagonist of our own unique narrative, we dive deeper into ourselves.  In the past I have even gone as ...

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The tricky part about retirement planning is uncertainty. Uncertainty in retirement planning comes from three major sources. 1. Current and future income Doctors are fortunate in that they have very high job security. Even if you were to be let go from your current position, there will almost always be another position somewhere in the country (although you might have to move out of your current metropolitan area). However, the high income doctors currently ...

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I have talked in the past about coping with financial freedom.  Once we reach the mountaintop, we undergo a number of emotional changes.  It is, however, a mistake to believe that the transformation only begins once we have attained our goal.  In my humble opinion, there are five stages of financial independence.  These stages begin with conception and meager bank accounts, and end with financial freedom and hopefully ...

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