Physician financial literacy is dismal. In the past, many physicians got their first introduction to finance from insurance salesman or financial advisors who give presentations over a free steak dinner. My medical school’s attempt at teaching us personal finance was to have a financial advisory firm give a half-day lecture about student loan management, budgeting, and investing. While the advice wasn’t inherently bad, I don’t think many of my classmates retained ...

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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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I don’t want to be unclear here.  I don’t want to mince my words.  But I’m mad about an interaction I had on Facebook.  I was commenting on the Physician Side Gigs group page when someone riffed on one of my statements.  They mentioned that my opinions could be a slippery slope towards a future where doctors no longer see patients.  The insinuation was that we as physicians owe it ...

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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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A physician recently recalled to me a situation he found himself in on the last National Doctors’ Day. Those of you reading who work in health care, will already be aware that this is on March 30th every year. I have seen this day celebrated in every hospital I’ve worked in since I first came to the United States over a decade ago. I actually think it’s a nice gesture, and ...

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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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I love the idea of turning a negative approach to improvement in health care -- looking for problems -- on its head. Appreciative inquiry, a process of focusing on a group’s inherent strengths and fostering positive interactions among group members, is one way of fostering change with a positive approach. Positive deviance (PD) is another. Basically, PD involves identifying what’s working and usual local solutions owned by the people ...

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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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The absence of burnout does not equal wellness. While the focus on physician burnout as an epidemic is finally gaining more attention, we may be missing a larger issue. Most physicians are not burned out. We are able to function. We get through our days, make it to some of our kids' activities and even manage to go out to dinner on the weekends. We survive the work week as ...

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