"A practicing anesthesiologist for the past 14 years, when COVID hit, and the ORs came to an abrupt halt, I needed to occupy my mind. An opportunity to learn about the business behind running a practice came to me via a good friend who is a founding member of an award-winning Fintech ...

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"We lack the necessary signaling of the nonverbal cues when only looking at one’s face. The presenter’s large face only a few inches from our screen may evoke our primordial threat response with its resulting cascading transmitters. The angulation of computer and phone cameras causes facial distortions. Unless one aligns oneself to ...

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Negotiations are not just for the job interview and annual review. We negotiate every day. Negotiating in place can be a powerful mechanism to make your current job a better fit. The key to effective negotiations is to think like the boss. What are her concerns, goals, and interests? How can you align your goals with those of the boss and institution so that everyone wins? At every point where you are ...

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Faced with starting a women’s cervical cancer program at 12,000 feet at the top of the world in the Himalayas was daunting. I had no idea how I was going to do it. I had my colposcope (a microscope to see the cervix) and a few speculums that I hoped would make the two-day trip through the mountains on a barely ...

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"To understand how to create good shifts irrespective of external factors, I turned to the ancient philosophy of Stoicism. One of its core tenets is that we must focus on what is within our control. Epictetus said: 'Happiness and freedom begin with a clear understanding of one principle: Some things are ...

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For most clinicians, this will sound familiar: I can feel the resentment bubbling up as I sit down to chart on a beautiful Saturday afternoon. I’ve got dozens of charts hanging over me, and if I don’t get them closed, there will be yet another miserable head thrashing with my practice admin. My kids are clamoring for my time, and every fiber of my being is resisting getting these charts done. ...

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I am an orthopedic surgeon, and I only take cash. When I tell people this, it usually conjures up images of some money-grubbing doctor eager to make a dollar any way they can. Personally, I am not incredibly incentivized by money in and of itself. I try to live a reasonable lifestyle and keep my expenses under control. I started a cash-only practice not for the love of money but ...

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"We in medicine are experts in delayed gratification. We’ve been in school for what, about 21 years before residency? Then we finally become an attending.  Then we can splurge a little. But still, we were told to hold back. Live like a resident. This is a great skill to have as an entrepreneur. ...

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Dear colleague, Sorry for my delayed response. I didn't know if I was going to follow up with you on this issue.  When you initially messaged on LinkedIn, on New Year's Eve, I was holding my daughter.  She's five, and she was desperately trying to stay awake for the ball drop.  She was determined to ring in the New Year.  Which, unfortunately for me, meant that I had to keep my ...

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As a young and optimistic business school graduate, I recall when the consulting firm I worked for was retained to evaluate “USA Hospital and Medical Clinics” (pseudonym). “USA” had grown quickly and was struggling to manage the recent expansion. We interviewed doctors, nurses, and medical assistants, and they told us about the problems they faced every day: They were pressured to get patients in and out quickly to keep average visit ...

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Even if you have a great health insurance plan, you may be faced with large unexpected medical bills that can significantly impact your finances and may lead to medical debt. High deductible plans, the rising cost of care, and high-cost treatments for conditions ranging from cancer to COVID-19 can put almost anyone at risk for medical bills that put strain on their budget. In fact, about a third of adults ...

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"We must continue to work to create gender equity as here is where we stand today: A significant gender pay gap still exists in medicine where women doctors earn up to 33% less than their male counterparts. Even though women make up 36% of practicing doctors in the country, only 15% of ...

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With 2020 behind us and the pandemic still raging, it is incumbent upon us to take a close look in the rear-view mirror. While the vaccines' approval gives us all hope, the vaccination initiative's slow rollout should worry us. Physicians, health care providers, nurses, and essential workers, and patients and family members have borne the brunt of the pandemic. On the last count, about 3,000 health care workers had lost ...

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The reality is just setting in: I’m months away from finishing my family medicine residency! I want to yell it from the mountaintops, but let me also channel my elation into some advice. This is for the next generation: all you phenomenal DO and MD students who are on the cusp of becoming physicians.

In deciding where to rank highly, I cannot overstate the value of being ...

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October is traditionally known as breast cancer awareness month. For me, seeing all the pink on social media is a stark reminder of my brush with the terror of breast cancer. As I was about to scrub into an operation, I got a call from my office manager. She asked if I would be at my wife's doctor's appointment with my partner that afternoon. I told her I was busy, but ...

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Back in January of 2020, the average physician burnout rate was a staggering 42 percent.  However, as COVID cases continue to surge, that statistic is now undoubtedly larger.  Physicians are exhausted, both physically and mentally.  They’ve watched colleagues suffer extensively or even die as a result of contracting COVID from infected patients.  There is not enough staffing to support the needs of the increasing patient load. Resources like basic equipment ...

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As a fellow, I made a list of what I wanted in my first job. I dreamed, prayed, and wished for the contract to finalize. It did. I went to Ohio hoping that this was my first, last, and always job. Eight years later, I left feeling completely broken. On my first anniversary of leaving, here are the major lessons that changed my life. 1. It's not my job's job to make ...

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The most common question I am asked when someone finds out I managed my own real estate while I was a full-time general surgeon is: "How could you possibly have time to manage your rental real estate while being a full-time general surgeon? General surgery is a full-time job. It's not possible to fit a second full-time job into your schedule." The thing is, managing real estate is not a full-time ...

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There’s not a perfect financial planning vehicle in existence. Salary deferral plans, like many retirement plans and 457 plans, carry pros and cons. Many hospital systems have a combination of 401(k), 403(b), and 457 plans. The 401(k) is often designed for the employees who make under a certain amount, say less than $150,000 or so. Then the 403(b) with an option to contribute to a 457 salary deferral plan is ...

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A lot is happening when graduating medical residents are looking for employment after completing graduate medical education. They are finishing their residencies, taking the specialty boards, and trying to decide where they will be spending the rest of their lives. Considering a new job offer can be both exciting and stressful. It is natural in such circumstances to focus on what the job promises, where it is located, and how much it pays—and easy to overlook the fact ...

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