The lows don’t mean you are loser.  To the contrary, they mean something else that is completely antithetical.  They mean you are pushing the envelope.  You’re learning from past mistakes.  The lows mean that you are at an inflection point.  The trick is not to see the pit you are currently trapped in as a pit.  Think of it more as a privileged vista in which to view the pathway ...

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They say to be a good doctor, you have to leave everything behind when you enter the exam room. You walk in with a clean slate — shiny and sterile, crisp, clean and decontaminated. I wonder if that’s why we wear a white coat? To symbolize the unscathed, untouched and pristine figure who walks into the room and solves all the problems. The one who just woke up from a ...

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“Do not wait, the time will never be just right.” – Napoleon Hill “The perfect time to start something never arrives. Start now.” – T. Harv Eker Timing is everything. In life, love, and business, this axiom holds true. At least, that’s what we tell ourselves. But is this always the case? As a reader of this blog, you probably have some desire to establish some streams of passive income. So if you ...

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Physician burnout is the depression of the medical world. We are aware of its presence and the detriment it can cause, but yet, we don’t really like to talk about it. The problem is, just like depression, if we don’t talk about it or seek to address it, it persists and leads to a number of unwanted outcomes including decreased productivity, decreased patient satisfaction, and increase in medical errors. And ...

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There are a lot of what-ifs in life. If only I had made that putt on 14, I could have shot my best score ever. If only I had taken a different job or performed better at the interview, I would be so much happier at my job. For decisions large and small, there are ample opportunities to second-guess yourself. I’m sure you have your own what-ifs when it comes to investing. If only I ...

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Once every couple of years I have medical students from the local medical school over for dinner. At some point, the conversation usually turns to finance, and I commiserate with them about their loan burdens. I typically toss them a few pearls of wisdom, wish them good luck, and we move on to something else. They always think it’s funny when I say, “If you can’t live on $200K, you ...

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Recently, I was asked to give a talk on resilience and its role in reducing physician burnout.  I was excited by the opportunity, but asked if I could focus more on cultural change and institutional solutions for burnout.  When they said no, I declined.  Why? Well, it’s not that I don’t see the value in resilience.  A lot of physicians that I really respect write and speak about resilience.  I think ...

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Change and health care are closely interconnected. Health care organizations are continually faced with the need to adapt to change, whether it be advances in medical care or technology, growing demand for care delivery, a patient population that is increasingly active and involved in their own health and well-being, or evolving reimbursement and cost models. By recognizing that change is inevitable in the health care sphere, organizations can focus on ...

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I was recently asked what I thought was the number one problem that caused unhappiness in America. We are one of the most prosperous nations in history. You might think that with all that prosperity and wealth, Americans would be happy. Obviously, wealth does not equal happiness. Many would argue that since America has a lot of poor people, it can’t be considered a wealthy nation. But our poor are still ...

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Do you ever feel like time is always slipping away? Do you feel like you hardly get time to enjoy the things you love? For example, do you feel like you get enough time in your day to spend with your kids? If your answer is “no,” welcome to the club. You are not alone! I am a physician mom of young kids who used to feel like I never ...

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