As doctors, we carry more educational debt than most other professionals. We want to enjoy a nice lifestyle for our efforts, so we buy nice houses and spend our money. To make our hard work and sacrifices worthwhile, we have to invest our earnings to keep up with inflation. Choosing how to invest our money is full of risk. One under-appreciated risk that we face -- even if diversified -- is ...

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"Appreciation in the personal finance world has two different components to it:
  • Quantitative: increasing value of net worth and financial assets
  • Qualitative: feeling of gratitude for one’s finances, resources, and circumstance. This is not dependent on the dollar amount.
These are both important, but the qualitative is the best predictor of increasing ...

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Over the last decade, as health care solutions have become more specialized and fragmented, primary care physicians (PCPs) have frequently been cut out of the loop, particularly in coding initiatives. Retrospective and in-home risk assessment solutions work around PCPs. This dynamic further complicates PCPs’ ability to thrive in value-based care, which hinges on primary care being underscored. PCPs can take back control of care and accelerate their own transition to and ...

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"Why real estate? By having a 'why' you want something, it’ll help keep you motivated to pursue your goals when setbacks and mistakes occur. For our family, we wanted passive income streams. Passive income gives you options. I love options. It doesn’t matter if you want to work forever, retire early, or change careers, multiple income sources can make it happen. Our passive income is not ...

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You may be familiar with the words stoicism and have an idea about what it means to be stoic (there’s actually a lot of confusion and misconceptions out there about exactly what they mean). Let’s take a step back for a moment before we dive in any further. Stoicism is an ancient Greco-Roman philosophy founded by a gentleman called Zeno around 400 BC in Athens after he had suffered a ...

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I remember reading a post recently on a Facebook physician group that involved a cardiologist who asked for help on how to manage her finances after a divorce. The pertinent aspects of this situation involves the physician being left with essentially nothing in retirement savings. She is mid-career with children and wants an option to reduce her schedule eventually to spend time with her children during the weeks she has custody. ...

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It’s good to have options, isn’t it? So why isn’t there an option when it comes to taking your boards? In other words, can’t residents have a say with which board to become certified with once they’re done with their residency? Well, there’s good news for you. The answer is yes. You definitely have options. There are other boards for your initial written exams. (And that also includes the oral exams for ...

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Medicine and dentistry are two professions that on paper seem to be rather similar. Both professions require extensive studying, grueling exams, and rigorous training. Both are experts at following procedures and guidelines, using evidence-based data and science to provide care to their patients to the highest possible standard. Patients trust us with their health because we are the experts. And we can all appreciate the responsibility of being the person our ...

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"Signing up for an improv class was unchartered territory. It was far beyond my comfort zone, like skydiving, for a little thrill. I’m not an adrenaline junkie interested in the ultimate adventure nor an aspiring actress hoping for a guest appearance on SNL. I’m a physician and a physician leader. Learning improvisational theatre wasn’t on my comprehensive, personal to-do list. But I’m ...

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Brené Brown’s book, The Gifts of Imperfection, has recently been re-released with a new cover and subtitle: 10th Anniversary edition, Including New Tools to Make the Work Your Own.  I’ve had my original paperback copy for 8 years. It’s dog-eared, highlighted in three different colors, with lots of hot pink Post-It notes sticking out of all sides. Brené has published five other books, yet The Gifts of Imperfection continues to ...

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So, you’re finishing residency this year. Congrats! Sort of. Chances are, you are $200K or more in debt. You’ve survived a pandemic and probably have a few battle scars to show for it. And now you are starting to look for your first real job (as if 80-hour weeks and barely making minimum wage as a resident doesn’t qualify as a “real” job) in the most turbulent and unpredictable physician ...

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"What is SEO? In short, it is the process of optimizing content found online in order to help it be seen by those searching for the information found in that content. It used to be that people would just stuff their poorly written, short, and low-quality blog posts with their keyword, and they would rank for that keyword. Long gone are ...

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"Physicians are advocates of health. This must include our own. Physicians identify threats to health. This must include those that threaten our own – burnout is proven a grave threat. Physicians seek, prescribe, and perform curative treatments. We have the treatment for burnout available – we must prescribe it for each other and seek it for ourselves. Physicians advocate for vaccination ...

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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 on a mission to make a change in the credit card processing industry. I was stunned to learn ...

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This article is adapted from Called to Care: A Medical Provider's Guide for Humanizing Healthcare. Imagine getting a call that your child has injured himself during football practice. Although you are up against a work deadline, you have to find an available doctor, leave work early, pick ...

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It took me 47 years to hear those two devastating words, “You’re fired.” It’s not like I didn’t have a slew of jobs before becoming a physician.  I cut lawns and raked leaves as an early teen; I worked in a fast-food restaurant when I was 14 using my older brother’s ID, I worked in a carwash one summer, I even worked for a national department store. I was always polite, ...

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Populous cities are populous, well, because people want to live there. Whether the appeal comes from greater career opportunities or simply being closer to family, these places have continuously grown over the last few decades. The growth is seemingly self-sustaining — certain industries and businesses exist because there is a population that desires these services. In return, these businesses require workers, so they attract people to the region. Add nice weather ...

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"You are a physician. You have put in years of hard work and sacrifice getting here. Now what? Does your life look and feel exactly how you imagined it would? If not, what does your ideal life look like? Certainly, answers to this question are deeply personal, and will vary depending on the individual. As physicians, we need to engage in a process ...

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Oftentimes, when thinking of “wellness,” people first think about the physical health of the human body. And while wellness does include a healthy body, it also encompasses mental health. Just like it is important to take care of your body, it is just as vital to take your mental wellness into consideration. According to Meagan W. Vermeulen MD, co-author of the Career and Life Planning Guidebook ...

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Forums and Facebook groups abound with a frequently asked question that sounds something like this: "Should we sell our positive cash flow rental to buy (insert fun new toy), so we don't have to attain a loan?" When someone wants to buy a new car, boat or motorhome — but they have learned that buying toys with borrowed money is a bad idea — they start thinking about how they can ...

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