Considering leaving current role - want to make sure I'm not being unrealistic

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I always heard it was "You can't hide a $100 bill from a plastic surgeon" ...

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First thing next week (after the Holiday) I'd call the local (in your state) office of my US Senator/Rep and identify myself as 1.) a constituent 2.)...

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You've gotten lots of good advice here. Would agree with others about being careful about the in state loan forgiveness program and being wary of clawbacks...

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I've used FreeTax USA and it did something similar. I don't remember the exact mechanics of it but had a similar issue the first year we did back door...

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If I may ask - what kept you there while the others were leaving?...

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We're just in the black, but considered (and treated as) a loss leader. True that we don't see nearly as many patients as we could as we're doing all...

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Clearly it's the collegial thing to do! They'll probably just hire another doc to replace me and no more staff though...

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These problems in this job definitely existed before COVID. Unlike in a prior job they seem to never improve and our physician bosses just don't seem...

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Thanks to everyone for all the thoughtful replies and support. It's nice to see the consensus that I should get out ASAP. They are probably in breach...

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Thanks. It's been said by our physician leadership that it's basically take it or leave it - they get CVs all the time from others who want to work there...

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Hello! I'm reaching the breaking point at my current job and want to make sure my expectations aren't unrealistic.

I'm about a decade out...

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It might be helpful to run the numbers (even back of the envelope/spreadsheet) and come up with projections for the two scenarios - pay off loans in one...

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This is a relationship/risk tolerance question not a math problem. Your guts are telling you different things and neither gut is right or wrong. ...

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Roughly on par with Ann Taylor or Banana Republic in general but I think the quality is better. (Fabric feels heavier, pants have lining, etc) IIRC you...

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+1 to Stichfix!! Have had great experience and used them to build up my "professional" wardrobe- including the caveat that I need machine washable...

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Primary care physician here. I get lots of letters to me as Dear Dr. Lastname and occasionally Dear Firstname, neither of which I mind. A few years ago o...

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Ha. I wish we had coders who would help with stuff like this. I figured this all out when I got tapped to give the billing and coding lecture series...

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Academic primary care so patients with many complex problems and most of my visits are 99214 or 99215. Start with the medical decision making and w...

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Not ID but academic Peds in US, do global health and lived in East Africa, so take with an appropriate grain of salt. Typhoid - Vaccine provides li...

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Examining a patient who denied any past surgical history. Noted a small scar on her abdomen and asked what it was from. She exclaimed “oh I forgot!...

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No experience. When last visiting Napa the tour guide quipped that the fastest way to make a small fortune in the wine industry was to start with a lar...

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Oh I’m so sorry this sounds just awful. Are you part of any of your local social media “physician moms” groups? It might have old posts for r...

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I must be one of those money grubbers then! We use them for our pediatric vaccines when given as part of an office visit (WCC or problem based) when...

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Congratulations on your acceptance! NHSC scholar alum here, did 3 years of primary care payback at an FQHC (plus an extra year without NHSC support). ...

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Thanks all! I can’t find info on his pre-2008 basis but 2008-current is well above $200 so won’t owe any penalty on it. Yes FirstCommand is among th...

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Thanks Johanna!  No, he did a custodian to custodian transfer of his Roth IRA to Vanguard in 2017, but due to the liquidation a small amount wasn't able...

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Can anyone help me unravel this?  Prior to us being married my husband had a Roth IRA and brokerage account with FirstCommand/Pershing.  (I quickly...

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trebizond wrote: I am trained in IM and peds and there is nothing that scares me more than a crashing neonate, especially one that’s slippery, cold, blue, and apneic right out of the womb. I can...

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PCP here. Will say one of the biggest factors in a specialist being my “go to” for referrals is whether I get a consult note or letter/message back....

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Agree, but there are some states where it's much harder to get a license than others.  I had a permanent license in the state where I trained, and kept...

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FreeTaxUSA. Not as nice of an interface but TT was unable to handle our complex multiple state return situation last year and I was very happy with i...

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My husband is active duty and from NY, and while not a CPA I do the taxes. I think you’re getting misinformed advice. He has spent his career ...

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You can only contribute to Roth IRA for 2018 if you had earned income in 2018

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I keep a small plastic tub of really basic first aid supplies in the car - gloves, 4x4s, tape, kerlix, small ACE wraps, scissors, tweezers, etc in the...

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Thanks so much, Jim and bean1970 - really helpful to have that perspective and your advice!  We're waiting to hear on the next assignment and figure...

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Does anyone have any experience here working for at a military treatment facility as a civilian, particularly primary care?  My spouse is active duty,...

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Nope. Doesn’t seem worth it for the documentation burden. The transitional care management/hospital follow up codes and non-face to face visit codes...

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You need to read carefully any documents about the compensation plan. Even if bonus is paid quarterly there may be an annual threshold to hit otherwise...

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First - congratulations!!! Second - my 2 cents. I changed after getting married 4 years out of training and right around the time I left my first po...

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NHSC scholar alum here. NHSC Is a giant and seemingly disorganized bureaucracy but they are quite vigilant about identifying nonqualifying loans and n...

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Our hospital lab has a third party software program to interface with the EMR that figures out which lab (Quest, Labcorps, or in house) is in network...

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Our 1500 square ft townhouse is far too big. I haven’t been upstairs in a week. We should have rented a 1 BR a closer to work. I commute an hour each...

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You have a little over 1x gross income in mortgage debt for both properties so that’s not bad at all and sounds like you are living on approx 50% of...

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Agree you’re in a tough spot personally and financially. Your wife is home with an infant with special healthcare needs and you’re working two j...

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Med/peds here. First, congratulations! Second, This is totally expected behavior for a 35-weeker. I’d be MUCH more nervous going home with one o...

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WCI recently featured a medical billing and coding course, by a urologist, so may have some surgical sub specialty applicability.  I haven't used it...

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They don’t make it easy. I found they’d often us any extra payment to advance the due date not apply to the principal. I started sending checks with ...

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As WCI says - you can have anything you want but you can't have everything you want. Same goes with weddings! Figure out your priorities in order. W...

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My third year out of training I got what was obviously influenza during a bad flu season. I went home Wednesday afternoon, I slept all day Thursday and...

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I would second the E/M university courses above - they are done by an MD who is also a certified coder. Its revolutionized the way I bill and makes more...

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We do, actually!  I'm the amateur but husband has spent the bulk of his military career at sea and has 20+ years of sailing experience.  It's our retirement...

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I never thought to look back at last year!  8O I do wish that it were easier using the tax software to switch back and forth between MFJ and MFS - i...

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Spent the weekend doing our taxes, and to my great surprise, we actually come out ahead as Married Filing Separately.  Our situation is probably unique...

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Academic primary care doc married to military (non-doc) spouse.  Long time lurker, really appreciate all the great info on the site!

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Is this through the National Health Service Corps State Loan Repayment Program?  There is some guidance here: https://nhsc.hrsa.gov/currentmembers/stateloanrepaymentprogram/faq/#terms...