I have two Achilles' heels.  Two mental health issues that continually challenge me no matter how introspective and self-aware I become.  One is food.  I have talked before about how food was my money.  As annoying as that can be, I feel like I have a good hold on that one.  With the right intentions and self-control, I no longer have to wrestle with this demon as frequently. ...

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I had a strange thought that both delighted and frightened me in my intern year: I was sitting in my parent’s living room, exhausted. I had been fortunate enough to complete residency near my parents and visited with them pretty regularly. I realized that being a doctor is like no other job because you eat, breath and sleep medicine, it becomes your life. You are a doctor when you are ...

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This article is sponsored by Careers by KevinMD.com. When searching for a new job, building strong relationships is an important part of the process, especially when you’re working with a physician recruiter. The relationship you create with your recruiter will set the tone for your job search and ultimately have an effect on whether or not you ...

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Anger. Jealousy. Envy. Frustration. I was feeling all the emotions when NYU announced in August that their incoming and subsequent classes would be tuition-free into perpetuity. One consolation: at least I wasn’t one of the chronologically unfortunate that graduated from the school just months, or a year, before that announcement. For them, the time difference was small, but the difference in loans was vast — one year of tuition costs ...

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I have talked in the past about how I try to tackle the philosophy of financial independence.  Part of the reason is that there are so many other amazing voices that manage the mechanical side.  The other part is my profound belief that the grand majority of Americans can either cleave a path to financial independence or at least substantially improve their economic situation.  Yet, the majority don’t. ...

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By this point, a lot of people have heard the famous Dave Ramsey quote, “If you live like no one else, later you can live like no one else.”  Ramsey is known for being a proponent of attacking debt aggressively when people ask, “How should I pay off my debt?” He proposes one method that I think works for the vast majority of Americans, but today I’ll argue that method isn’t necessarily ...

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Financial freedom means different things to different people, but to me, it’s when you can quit your day job and be able to cover your expenses with other sources of income. The dollar amount depends on your unique situation, where you live, and the lifestyle you lead. I believe all physicians can attain financial freedom, but some encounter obstacles that delay them from reaching that point and sometimes keep them from ...

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Gender politics aside, let’s talk about why the way doctors get paid matters to you as a patient. Female physicians don’t just get paid less because they prioritize their families, they get paid less because they prioritize patients. In the fee-for-service model, doctors are paid per patient visit, so the more patients they see, the more they get paid. This means that the worst doctors are paid the most. Health ...

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Some of us like to micromanage.  Obviously, this trait is useful only for certain tasks that you need to accomplish.  Managing money can take some attention to detail, but fortunately, many issues work themselves out if you follow broad principles.  How much you should micromanage your daily expenditures really depends on your own tolerance and your individual financial situation.  We’ve all seen discussions about the cost of daily artisanal cups ...

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On a Saturday morning, Michael, a physician, was making his way through the hospital atrium after his weekend rounds.  On his way out, he noticed a family he knew well.  They were talking quietly and appeared distraught.  He asked them if they were okay.  They said that the husband’s mother had been admitted overnight with a malignant pleural effusion, and since all beds on the oncology floor were full, she ...

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