maturation process

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It was actually better than FMLA for the physicians I managed in that situation.  They just got paid time off in our non profit.

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all the mistakes were enormously educational for my life. there will always be missed opportunities. good judgement comes from experience.  experienc...

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ZZZ wrote: @mpmd You’re an academic ER doc, right? While it may be easy in your shift based specialty with interchangeable docs and a academic employer to let someone ramp down or pick how much th...

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I don't confess to understand why making partner is so important to your self esteem- you say it's a toxic work environment.  why would you want your...

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good luck vagabond!

love you!

come back soon!

 

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StarTrekDoc wrote: Lordosis wrote: lakeswim wrote: So yeah, left it out on the sidewalk for an hour and that thing was gone.  Click to expand… I went away for a long weekend and left the garage ...

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jfoxcpacfp wrote: uteomfs wrote: I didn’t change my mind about FIRE, but wife and kids crushed any hope of that. So yeah, I guess it has changed. I will just keep plugging along. That being...

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you are a tiny dam in the way of raging waters.  i think nostalgia can only carry on for so long.  sad but you can still help the outpatients.  perhaps...

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To me, it doesn't sound like you are happy, it sounds like you are unhappy but trying to put lipstick on the pig.  sorry if i am misreading. good luc...

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right.  was one house meaning one house for your whole life, or one house at a time?  i can't imagine that there isn't some reasonable argument to be...

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did you see the newly released season 2 of supercars on netflix?  ludicrus plus tesla is involved.  no spoilers here.

 

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Yes and hotel and meals

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Kamban wrote: q-school wrote: i’m Always 2 years away from the next test.  Click to expand… I did all there in 1 sitting and am certified till 2025. Not participating in MOC...

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I’m thinking about it.  I don’t need the money but the benefits are compelling.  Potentially guarantee of access to health insurance and pension....

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I always take them.  Super expensive.  It’s the only way i can block out time effectively from work and family and study.  I’m specialized and...

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I don’t think the difference in investing 20k is enough to make a significant difference in overall value over 5-9 years and consequently i would focus...

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dayman wrote: Author’s premise is that owning a nice house in one of the most expensive cities in the US and sending your kids to an expensive private school is “middle ...

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Lordosis wrote: I worked summers.  My parents told me they wanted me to work hard so that I value my education and not get stuck working hard forever.  You can argue that medicine is still working hard b...

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Kamban wrote: q-school wrote: Yet i’m balking at the 70k per year even though i’ve saved diligently and have it in part because i know i’m subsidizing others. It’s an ethical dilemma for me. I lo...

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Hmm.  A colleague is in 33 and he gets all kinds of other offers.  He went to the pre opening of Star Wars and says they get early admission when they...

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NephronDon wrote: Thanks for the replies. My kids this past summer did dog-walking, volunteering at local library (apparently there is a requirement to do 40-hours of “volunteer” work for their s...

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How are you planning on using the points? If just park vacations, would you consider club 33 or alternately VIP concierge?    ...

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White.Beard.Doc wrote: q-school wrote: It’s fascinating to me that despite all the resources and cheap labor that are usually present at large academic centers, they still need to turn to paying...

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White.Beard.Doc wrote: southernerdoc wrote: Your friend needs to be advised that this may not meet EMTALA screening since he/she cannot perform a physical exam on the patient.   How would this...

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i also won't be but i like the look

 

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respectfully, you are already in practice and under 40.  i would suggest getting more term life, no need to be quite so efficient with money with both...

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i've seen it but would not describe it as typical. i've also had people decide not to come after cashing the check.  there is some cost to undo the...

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...

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White.Beard.Doc wrote: jfoxcpacfp wrote: I cannot answer your specific questions (of course) but wonder about his professional liability coverage. Does he have specific coverage and the nec...

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FIREshrink wrote: Telepsych is growing explosively. Some companies are growing 500-800% per year. Medicare reimbursement is dicey. Patients mostly love it and outcomes are comparable. It...

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jfoxcpacfp wrote: HumbleInvestor wrote: Thanks for the feedback. Didn’t really consider it part of NW even though it’s back of my mind. Am far from retirement and the po...

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honda pilot or mazda cx9.   it sounds like you keep your cars for a while.  you can take your family around in comfort.  you can carpool when you...

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not to save money but for hormesis.

 

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...

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Clearly mj and no need to even have the discussion...

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is wealthy=FI/RE number? personally i feel like there is FI/RE and a significant gap between what i would consider wealthy.  I think of wealthy as ...

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congrats again!  very pleased to see you go through the experience and successfully conclude your first real negotiation.

 

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Kamban wrote: RosieQ wrote: design a dream home on another section of the property which could be built for around 950k-1million. With permits and delays to construction this would still take 2-3 year...

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ChristopherMD20 wrote: LIFO wrote: When their one job is to “manage” the staff, you can never let them look like a patsy our make it appear that they’ve been out negotiated.  Click to expand… I certainly think that it was ...

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JBME wrote: I knew for awhile but my parents didn’t “come out” and tell me santa didn’t exist until I was 14! My brother was 11 which might have explained why they took so long to tell us. If you ha...

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overthinking. plenty of reasons not to go back to same practice.  if you practice good medicine and didn't screw over your partners, your reputation ...

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ChristopherMD20 wrote: q-school wrote: Why do you think there is a fixed amount you can make?  Click to expand… My current contract puts a cap on maximum compensation. They are not negotiable on this and quote Stark Law. Click t...

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ChristopherMD20 wrote: q-school wrote: How do the in-laws feel about this high stakes poker match?  Click to expand… They are astounded by the hubris/entitlement that I have to challenge my employer for a significant raise. I as...

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How do the in-laws feel about this high stakes poker match?

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FI/RE. That’s why this place is about. Good for him if he sticks to it. Lots of opportunities. Estimates are he’s walking away from 400 mil....

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JBME wrote: I think tiny private colleges are different from large private colleges in the sense that teaching actually is emphasized at the smaller schools whereas research (i....

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Steven Podnos MD CFP wrote: I guess we can disagree on this.   I’ve made it an interest to make a judgement on how good various peer physicians, financial planners, attorneys ...

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fatlittlepig wrote: Does anyone actually believe that the teaching at Harvard is any better than a state school or even a community college. You’re paying solely for the brand and to ...

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dianna912 wrote: I work at a clinic that has a fairly unusual problem. We have too many providers. I just hit year three in my contract. Like many contracts, my base sa...

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Steven Podnos MD CFP wrote: Other than perhaps (and I mean perhaps) a few elite schools open doors that are worth it, especially if your child wants a career ...

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i understand the math but i feel confident saying i know more physicians > age 75 who are not worth $10 million than who are worth $10 million plus. p...

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from your previous posts, you make a good living and seem to have plenty of free time.  i think you are underestimating the benefits of your current...

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White.Beard.Doc wrote: That is a funny question.  If I am in the 1% by income and I spend a lot, I will never make it to the 10M net worth of the 1%.   Click ...

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we did one at local community college.  it was not hard, called up the office and described what we want.  it depends on how much time and money you...

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we had a partner whose kid broke clavicle during skiing trip.  so far they are over 13k out of pocket on HDHP and he's still having trouble sorting out...

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does it make sense?  depends on how rich they are but generally no.  there are many strategies to pulling out of retirement plans.  not everyone agrees...

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i'm not sure what you are supposed to do with 10% of practice.  they are giving it to you as part of your salary, or there is a buy in that will essentially...

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Zzyzx wrote: q-school wrote: so now having been in practice for a long time and have had a chance to see how decisions get made in 3 reasonably sized organization...

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it's not exactly a cost, but your spouse may have to relocate with the match and s/he might not find a job right away.

 

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artemis wrote: Grandfathering is a practice born of necessity.  Older physicians often have an option the younger ones don’t:  they can quit.  Revoke their lifet...

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MPMD wrote: grandfathering in board cert never bothered me at all, maybe it should? obviously for EM lots of people were considered board certified through practic...

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what you think you look like (borrowed from biography.com)   what the freshly graduated doctor you hired thinks you look like (from aarp)   roughly when does this happen?  after fifteen years of clinical experience? twenty? more? literally no one will call you by your first name?   actually i do have a question for the board. i think m...

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i didn't follow, did you clean the dog's ear or the human's ear?

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Duckworth wrote: something frankly non clinical pulling you away from that is a part of every speciality but seems baked into the fabric of pcp and hospitalist jobs Click to expand... true of every clinical job, at ...

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snowcanyon wrote: IntensiveCareBear wrote: snowcanyon wrote: Yup. Seems like the future of medicine is PE or government work. If this is so, I’d pick the latter, and strongly advi...

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ChristopherMD20 wrote: We just found out a few hours ago my wife had a miscarriage   Click to expand... sorry.  take care of yourself and your family.  ...

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White.Beard.Doc wrote: I would strongly advise you to have the specifics of the malpractice coverage laid out in writing. 1) Amount of coverage 2) Claims Made or Occurrence 3) If claims made, who...

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ChristopherMD20 wrote: Those are good factors to consider. I have access to the wRVU by my other hospital employed colleagues. I produced 1500 and 1000 more wRVU than my colleagues respectively ...

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ChristopherMD20 wrote: Hello. I met with my boss and we had a verbal discussion so it was acknowledged that they heard my position. The next steps were to talk among the board of directors and wh...

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CordMcNally wrote: In 18 years it really won’t make a difference and you won’t remember anyway. Click to expand... some of us might not be around in 18 years! we still h...

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Peds wrote: q-school wrote: had an interesting discussion about budget with one of the retired docs the other day who insists on counting taxes as a spend, now that he is in retirem...

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you haven't heard anything at all from your one up leader?  not even, we received your letter, we are working on some of your requests?  that's unusual. a...

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apparently you guys are not counting taxes.  had an interesting discussion about budget with one of the retired docs the other day who insists on counting...

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it sounds like you are not committed to the practice long term (spouse has intermediate term obligations).  given that, i would negotiate hard for temporary...

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is the ED pay that much better than hospitalist where you are?  are you sure it's a career thing versus a specific job thing? what is it about ED th...

[q-school]

EntrepreneurMD wrote: q-school wrote: this isn’t directed at entrepreneurMD to be clear. i completely understand why people would want to keep things private, and would not post a picture of my car her...

[q-school]

coffee is for closers!

 

[q-school]

Charlie Munger wrote: CordMcNally wrote: Charlie Munger wrote: I also dislike the OR in general, which essentially eliminates anesthesia. Click to expand… Is there something in general about the OR you don’t like? It’s f...

[q-school]

this isn't directed at entrepreneurMD to be clear. i completely understand why people would want to keep things private, and would not post a picture o...

[q-school]

molar roller wrote: Part of the reason for the aggressive allocation is that 25-30% of my net worth is in my practice – which will be sold upon retirement.  That will result in a massive cash...

[q-school]

MPMD wrote: CordMcNally wrote: RocDoc wrote: OP might do well working ER as a younger doc and consider transitioning to UC or part time ER once older and FI if this is the type of work you’d truly like to do. I still do some...

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wRVU is set nationally by committee.  this is inherently political and great debates occur all the time. for your purposes, you should focus on conversi...

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ENT Doc wrote: Even if it is a mistake this is pretty sloppy. Poor communication and diligence at the very least. This isn’t like someone forgot to restock the pop tarts ...

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i would just assume they forgot what they said.  don't get aggravated by this at this point.

 

 

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good luck!

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do they still make them even?

 

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DCdoc wrote: A vote for rad onc if you’re smart enough. I was probably smart enough but didn’t realize it’s potential as a MS. Anesthesia will be tough if you don’t want to do nights/calls. I actually stopped both ...

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DCdoc wrote: I’m speculating since my kids are all under 3 and I have no personal experience. I will try to use fairly apolitical terms because I don’t want to start a huge debate, but I’m guessing people emp...

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yes. but if you are healthy, you can do quite a lot in late 40s and 50s, so the heavy lifting in your 30s and early 40s can really make the second half...

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Zaphod wrote: jacoavlu wrote: I hate to bump this thread after it’s died down but it seem appropriate to add here that based on some comments I reached out to EntrepreneurMD with an offer to / i...

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what features attracted you to your current employed position?  do you want to be an owner because something changed?  it sounds like they dangled another...

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are you sure you are staying there?  is it governmental 457?

 

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you seem like a very gentle person. take some time to think about what you are afraid of. i think they want you to work for them and don't know how...

[q-school]

StarTrekDoc wrote: fatlittlepig wrote: OUSOONERDOC wrote: Whenever discussing NP/PAs I always go back to my last month as a Family Medicine resident. I was seeing a 6yo girl for fever, the mother had taken them to walk-in clinics 3 time...

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kdeva wrote: My kids are 3 and 1. We are going to meet with an attorney next month for estate planning. I wanted to ask what the forum members who will eventually have high...

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Tangler wrote: I just went through this too! (i had a post called: “the borrower is slave to the lender” . Essentially they “own you” I had enough stocks to pay for the house with c...

[q-school]

eat the meat, not the heat.

signed

hank hill

 

[q-school]

FCP wrote: CordMcNally wrote: FCP wrote: Yep I have disability insurance. I assume that would not cover loss of medical license. Or…does it? I have guardian/berkshire. (side note: my license is fine but I just ...

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AR wrote:   But if we take a look at the group of docs that passes the boards and the group of docs that doesn’t, I’m certain that the average doc from the first group is a better doc than the average doc from the second by an...

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too hard to resist the urge, so i will just (be the first) to offer that you should not buy the house until you can afford it.  you are doing great,...