Doctors order a lot of tests. Let’s be clear, most of these tests are quite good and help with diagnosis and management. They can help hone down a wide differential diagnosis to a single diagnosis. Once a diagnosis is made, additional tests can help guide physicians on the best treatment. But there are some tests which are not necessary to order. In some scenarios, the next step in management (whether it be ...

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So physician burnout is real. Most physicians understand this because on any given day — we are living it: falling reimbursements, growing regulation, too little time with loved ones, pathetic sleep schedules and massive debt. And as The Physician Philosopher, MD, so aptly pointed out recently on KevinMD, finding our “why” can be part of the cure and our reason for getting up in the ...

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Kids watch our every move. Who hasn’t seen a young boy who imitates what his dad does. Even to the point of standing, just like dad, leaning up against a railing with his legs crossed, and a piece of straw hanging out of his mouth. They hear what we say at home and around the dinner table, especially when we are not talking to them. They watch how we spend ...

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Physicians-in-training make a pittance when one looks at the hourly rate,  Especially when I was residency, in the early 2000’s.  I often worked upwards of 100 hrs per week and made $30,000 per year.  The first year, called internship, is replete with long hours and crushing responsibilities.  Opportunities to make an extra buck are all but impossible.  In the second and third years, however, there is much more elective time.  During these ...

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Every day, we’re presented with choices. Some are larger than others, and though some make little difference in the grand scheme of things, some choices can be life-altering. In life and in business, when we have a big decision to make, it’s all too easy to err on the side of caution–sometimes to our personal or financial detriment. It’s human nature. But what is it that keeps us from making tough ...

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The sister of one of my best friends went off the deep end in college.  We will call her Trinity. She got caught up in the wrong crowd, made some bad decisions, and ended up dropping out of college.  The direction that Trinity ended up going was really distressing to her parents.  The crazy part?  They blamed it on the college that she attended. This was completely ironic, because she originally ...

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The savings rate in America is abysmal. As a result, many Americans rely on Social Security and pensions to fund their retirement. However, physicians would not be able to maintain their lifestyle on Social Security payments alone. And few physicians receive pensions from their employers. Therefore, they have to fund the majority of their retirement through savings. But how do you define savings rate? Let me count the ways. Do you use gross ...

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I frequently get asked how I balance my schedule as a physician who is also involved in lots of different things outside of clinical medicine. As any reader of my blog knows, I like to stay busy! As well as my work as a frontline physician (which I absolutely love and have no intention of ever leaving)- - doing a mixture of inpatient and outpatient work, I also am involved ...

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A frequent topic seen on this site and many other sites, blogs, and forums are the merits of using very low-interest financing for various things. The attraction is obvious. Not only do you not have to have the cash up front, but even if you do, surely you can do better investing than 0%, and if you borrow at 0% and earn at anything better than 0%, then you come ...

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In February 2017, I saw my last patient and left clinical medicine. Most people would say I retired. I have chosen to say I have repurposed. I no longer see patients, but I still work. I am writing the Doctors Guide series of books, keeping up a blog and working with physicians who need help with a financial makeover, usually to eliminate their debt, set themselves up for retirement or ...

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