Non Clinical Doctors
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Career and Money Strategies for Physicians

Using AI to Find a Job

9/17/2023

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By Alex Evans, PharmD, MBA










AI writers, powered by artificial intelligence and having access to the whole of the internet, made big headlines earlier this year with the release of ChatGPT. But while ChatGPT made AI famous, AI writers have actually been around for a while. Jasper, a popular AI writer, was founded in February 2021, while WriteSonic, my personal favorite AI writer, was founded earlier than that, in October 2020.
 
The problem, though, was that even last year AI writing technology was not very good. I remember trying out an AI writer in the fall of 2022 and the writing quality was so poor it wasn’t usable. That quickly changed, and the latest GPT4 technology is essentially undetectable from a human writer.
 
Now they are capable of passing exams from law and business school and, yes, even medical schools. One study even concluded that ChatGPT beat out doctors in answering patient questions. They have become so useful that many professionals now can’t imagine not having them.
 
There are myriad ways you can use an AI writer, from writing real estate descriptions to blog articles. I have used them quite a bit for my medical writing business as well as for my travel site. I’ve even made them spit out a nearly complete continuing education activity.
 
In this post, though, I want to give you a few ideas for using AI writers to help you find a job - whether you are looking for another clinical job, an industry job, a medical writing job, or something else.


Tip #1: Find companies hiring in your field
AI writers are great at helping you find companies hiring for the type of job you want. While most AI writers do not have the most up-to-date access to the internet, and so at this time cannot find open jobs, identifying potential employers is a big step forward in the job search.
Example
Let’s say you’re an MD or DO looking to get a side gig in medical writing. One very common type of work for physician medical writers is producing continuing education.
 
Knowing this, we can ask an AI writer to help us find companies that create continuing education for physicians. While you’re at it, you might as well ask for companies doing CE for PAs too, to broaden your field a bit.
It’s a good idea to ask it to exclude organizations that are unlikely to hire freelance writers. In this case, I asked it to exclude universities and hospitals.
 
Here is what a prompt for that may look like:
 
“Name 15 companies that create continuing medical education for physicians and physician assistants. Do not include universities or hospitals.”
 
Here’s the output I got from WriteSonic. As you can see, there are lots of great ideas for companies that may hire you to produce continuing education:
 
  • HME: A trusted company providing continuing medical education for over 15 years.
  • American College of Physicians: A national organization that offers a variety of CME courses for physicians.
  • UpToDate: An online resource that provides clinical decision support and CME for physicians.
  • Medscape: Offers CME courses in a variety of medical specialities [Chat History].
  • American Medical Association: Provides resources for CME and professional development.
  • Med-Challenger: Offers online CME courses and resources for medical professionals.
  • Pri-Med: A leading provider of professional medical education.
  • BoardVitals: Offers online CME courses for physicians in various specialities.
  • DocCME: A CME provider that offers a variety of courses and educational resources.
  • PESI HealthCare: Offers continuing education for healthcare professionals, including physicians and physician assistants.
  • NEJM Group: They provide a variety of CME resources for physicians and physician assistants.
  • Clinical Care Options (CCO): Offers a wide range of CME activities covering multiple specialities.
  • Medical Education Resources (MER): Provides multi-speciality CME conferences for physicians and physician assistants.
  • Oakstone: Provides comprehensive CME resources for medical professionals in various fields.
  • AudioDigest: Offers CME programs across a wide range of specialities for physicians and physician assistants

I demonstrate this strategy in my course AI in Medical Writing, but you can check it out as a sneak peek lecture on my YouTube channel.

Tip #2: Get help with your cover letter
If you’re applying for a full-time role you’ll likely need a cover letter. You may need a cover letter for some freelance opportunities as well. Here again, AI writers can save you a lot of time.
 
You’ll need to tell the writer a little bit about your background, but it can fill in the fluff.

Example
Here’s an example of a prompt I would use for this:
 
Write me a cover letter for a job entitled “Medical Writer.” I have a BS in Biology, a Doctor of Pharmacy (PharmD), and an MBA.
 
Please describe some of my accomplishments:
  • Wrote consumer health articles for GoodRx.com.
  • Wrote healthcare professional articles for PharmacyTimes.com, Drug Topics, and Patient Care Online.
  • Wrote peer-reviewed publications for International Journal of Pharmaceutical Compounding
 
Here’s what I get when I put it in ChatSonic:
Dear Hiring Manager,
I am writing to express my interest in the Medical Writer position advertised on your website. With a Bachelor’s degree in Biology, a Doctor of Pharmacy (PharmD), an MBA, and numerous professional writing experiences under my belt, I am confident that I have the skills and knowledge necessary to excel in this role.
Throughout my career, I have honed my writing skills by creating informative, accurate, and engaging content for a number of reputable healthcare platforms. Recently, I have written consumer health articles for GoodRx.com, where I translated complex medical concepts into understandable language for the average reader. I took great pride in making healthcare information accessible and comprehensible to the public, thereby empowering individuals to make informed decisions about their health.
In addition to consumer articles, I have written numerous professional pieces for various platforms such as PharmacyTimes.com, Drug Topics, and Patient Care Online. These articles required a deep understanding of various healthcare topics, along with the ability to effectively communicate this information to healthcare professionals. My ability to write for both professional and lay audiences showcases my versatility as a writer.
Moreover, my work has been published in the International Journal of Pharmaceutical Compounding. My peer-reviewed publications required rigorous research, meticulous attention to detail, and precise writing skills, all of which I am eager to bring to your team.
With my extensive educational background, including a PharmD and MBA, I possess a deep understanding of medical, pharmaceutical, and business concepts. This unique blend of knowledge allows me to approach medical writing from various angles and produce well-rounded content.
I am excited about the possibility of joining your team and using my skills and experiences to create top-quality medical content that will inform and educate your audience. Thank you for considering my application. I look forward to the opportunity to discuss my qualifications in more detail.
Sincerely, [Your Name]
Try copying and pasting that prompt into an AI writer and see what you get. Then play around with it and see if you can adjust the prompt to fit your background, experience, and the job you are applying to.


Tip #3: Pitch an editor
For many freelance writing opportunities, you’ll first need to pitch your article idea to an editor.
 
WriteSonic has a really cool tool in their dashboard called the Cold Emails tool. You can use it to get a pretty good start on an email.
 
Another option is to use a Chat Writer. Tell it what you are wanting to write about and who you are pitching it to.

Example
I plugged this simple prompt into Chat Sonic:
 
“write a pitch to an editor for an article on pharmacotherapy for heart failure. I am hoping to get this article published in the American Academy of Family Practice (AAFP). I am a cardiologist practicing in San Francisco and teach cardiology residents.”
 
It gave me this - as you can see, it did an incredible job getting me started on a pitch:

Subject: Innovative Pharmacotherapy for Heart Failure: A Comprehensive Guide for Family Practitioners
Dear Editor,
I hope this message finds you well. I am a practicing cardiologist based in San Francisco, with years of experience teaching cardiology residents. I am eager to share my insights on an important topic that will benefit the AAFP's readership: pharmacotherapy for heart failure.
Heart failure is a complex and prevalent condition that affects millions of individuals each year. While it is often managed by cardiologists, family practitioners are frequently the first point of contact for patients, and they play a critical role in early detection and ongoing management.
My proposed article aims to provide a comprehensive, up-to-date, and practical guide on the pharmacotherapy options for heart failure. It will be tailored to the needs of family practitioners, focusing on the nuances of various therapies, potential side effects, drug interactions, and considerations for patient-centered care.
The piece will also highlight the latest advancements in pharmacotherapy, and how they can be incorporated into everyday practice. This is a topic I am deeply passionate about, and it has been the focus of my teachings with cardiology residents.
As a specialist in the field, I believe my unique perspective and practical knowledge will resonate with AAFP's audience, and equip them with the tools necessary to provide optimal care for their patients with heart failure.
I would be delighted to discuss this proposal further and look forward to the possibility of contributing to AAFP's esteemed publication.
Best Regards,
[Your Name]


The Bottom Line
AI writers have transformed not only the world of writing, but also how professionals in all industries communicate and work. You can use these tools to save you time and to help you craft the perfect message that helps you land that next role.
About the author: Alex is a pharmacist and medical writer in Jacksonville, FL. He is also an Assistant Dive Instructor and lived in Hawaii for five years, barely getting dry before his next shift at the pharmacy.
Course: https://membership.pharmacists.org/ai-medical-writing-course/
Ebook: https://www.pharmcompliance.com/ai-medical-writing


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Controlling your online reputation

8/25/2023

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As a physician, your reputation matters. Traditionally, patients have depended on word of mouth when it comes to which doctor to go to. Everyone would tell family and friends which doctors they liked or didn't like, while referring physicians would refer to the specialists whom they trusted as good doctors to take care of their patients. 
 
But things are changing. Stringent physician networks limit which doctors patients can see, and patients often look to online rating sites to decide which physicians are best.

The truth is that the vast majority of people don't bother to rate their physician at all- so there are very few ratings out there. But, terrible ratings and comments from irate patients can be a real cause of distress for doctors.

Why people post unfair negative comments
Many doctors want to know what to do about unfair, potentially damaging comments.
Unfair negative comments can happen when:
  • A patient doesn't understand the bill (the doctor doesn't personally send the bill, but medical bills reflect poorly on the doctor)
  • A patient doesn't receive disability or other benefits
  • Patients don't receive certain substances he may have demanded from the physician
 The medical community is aware of these biases, but most patients aren't aware of these factors when they look up a physician online. 

And, doctors are often frustrated because the negative comments are not usually directly related to the particular dispute, but are often falsified. Nevertheless, they are out there for everyone to see. 

No one is perfect, and unfortunately, people are more likely to post bad comments when they are unhappy with the outcome than they are to post good comments when things turn out well. Many people achieve a sense of satisfaction and feel more 'in control' of life after posting a negative review. 

This tips the factual comments in favor of the negative. In fact, some doctors try to redirect practice away from medical conditions that are commonly associated with patients who are more likely to be "toxic." This can be challenging for patients who have  these stigmatized medical conditions. 

What can you do?
Because of patient privacy concerns, physicians, unlike other business owners, cannot rebut a complaint by explaining in a comment on the website, 'this patient asked for ...'  But there are some things you can do.

* Contact administrators of physician rating sites, as negative ratings can have a harmful impact on referrals and on the livelihood of good physicians who are treated unfairly online. 

*Some doctors have tried litigation, which is a costly and lengthy process. But, as with all legal issues, precedents may change things over time.

*Some physician rating sites are starting to charge a fee for services such as 'enhanced search engine optimization' and 'high rating profiles.' This is still a very new concept and it may turn out to benefit doctors who jump on the idea early, or it may not make a difference.

*One way to control your professional online presence is by presenting yourself online as yourself. When old-fashioned word of mouth was the way things were done, a doctor's personality could shine through. Now, doctors can show who they really are through writing patient-centered articles that demonstrate to patients how a doctor may interact in person. Consider writing an article for nonclinicaldoctors.com or for another website as a way to control your own online reputation.

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Using a coach or ghostwriter to write a book

8/23/2023

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By Marie Hasty

Think about your favorite physician leader - chances are they’ve got a book to their name. Getting published is an unspoken strategy for building an expert personal brand. A book can open the door for speaking engagements, consulting opportunities, and waiting lists of referrals.

As a nonclinical physician, you’ve collected a wealth of knowledge and experience extending past clinical practice. A book helps your insights and ideas reach more people and elevates your brand. But if you’re just starting the writing process, or you're bogged down in a manuscript, what are your options for getting help? Should you work with a book coach, hire a ghostwriter, or go it alone? 

I’m a ghostwriter for clinical entrepreneurs and physician leaders. Physicians often come to me unsure about what process is the best fit for them. So let’s talk about how to know if you should write your book yourself, hire a ghostwriter, or work with a book coach. 

Writing Your Own Book 
Writing your own book can be deeply rewarding. If you love writing, and you want to get better at it, I’d recommend trying your hand at writing your own book. You’ll get complete control over every word, and there’s nothing quite like reading your very own words on the printed page. 

On the other hand, writing your own book is time-consuming, and you’ll need to commit hours every week to getting a manuscript ready. It can be a serious juggling act to balance writing alongside your professional and personal responsibilities. Writer’s block and self-doubt can also make the writing process more turbulent, and staying motivated is challenging for most first-time authors. 

If you're thinking about writing a book yourself, you’ll want to think about your answers to these questions:


  1. What’s my timeline for when I want to publish? Writing a book yourself typically takes far longer than working with a ghostwriter. If you don’t have a tight timeline in mind, writing your own book is a great option. 
 
  1. Do I enjoy literary writing? Clinical and professional writing is very different from literary writing. Do you love storytelling and building narratives? Is writing a skill you want to nurture? If you love it, and you want to improve, writing your own book will help you flex your skillset. 
 
  1. How much bandwidth do I have for this project? Writing your own book takes time and energy, especially for first-time authors who are learning the craft. You’ll need to commit to spending hours every week on drafting, and for many nonclinical physicians, that’s just not possible. Be honest about the energy you have for this project before setting unachievable goals for yourself. 

In thinking about your answers, I hope you’ve found some clarity on whether writing your own book aligns with your goals and time constraints. And there’s flexibility in this process; you might try your hand at writing, find you don’t enjoy it, and end up working with a ghostwriter. There’s no shame in consulting the experts. 

This brings me to when and why a ghostwriter might be a better fit than writing your own book. Let’s talk about who should consider this option. 

Hiring a Ghostwriter
If you want the benefits of a published book without going through the (sometimes painful) writing process yourself, you’ll want to work with a ghostwriter. A ghostwriter brings a wealth of writing expertise and storytelling finesse to the table, ensuring that your ideas are articulated with clarity, precision, and impact. And a great ghostwriter doesn’t just emulate your voice — they elevate it. 

When physicians come to me to write their book, it’s typically because they don’t enjoy writing, they’re constrained by time and other commitments, and they want professional advisement on the publishing process. But some authors don’t like feeling so removed from the content of their book. You still get final say on your book with a ghostwriter, but you don’t get the control that comes from writing every word. 

If you’re considering working with a ghostwriter, answer these questions:


  1. Am I open to collaborating with a creative partner? Ghostwriting isn’t just channeling your exact words onto the page, there’s still deep creativity that goes into the ghostwriting role. A ghostwriter can bring fresh insights on building narratives around your vision, but only if you’re willing to collaborate. 
 
  1. Do I have limited time or writing experience? Working with a ghostwriter is typically much faster than writing a book yourself. For example, my manuscripts are typically complete within five months of starting a project. If you’re on a tight schedule with your publisher, a ghostwriter can help you meet your deadlines. 

A ghostwriter can be a great resource for physicians who want to invest in their career growth with a book, yet they don’t have the time to write themselves. And business books require strategy to get to where you want to go. A great ghostwriter will consult with you on your audience, your key narratives, and the structure of your book to make it marketable. 

Psst. . . Curious about how to find the right collaborator? Check out this article on picking a ghostwriter. 

But there’s a third option that falls between writing your own book and hiring a ghostwriter: book coaches. A book coach is someone who helps you make progress on your manuscript without writing it for you. Let’s get into what you can expect when working with a book coach, and why you might choose this over the other two options. 

Working with a Book Coach
A book coach is an invaluable ally for physician leaders who want support and guidance while still writing their book themselves. Book coaches provide expert mentorship, helping you clarify your book's purpose, structure, and target audience. With guidance from a great book coach, you can strategize and write a professional book yourself. 

What’s more, a book coach is an accountability partner throughout the writing process. They can help you set a timeline, and be sure you stick to it. And many book coaches work on a monthly basis, which helps incentivize you to get your book done faster. 

Book coaches are an excellent option if you. . .
  • Have been trying to write your manuscript, but you’re getting bogged down in the process
  • Aren’t sure about the content or structure of your book, but you know you want to write it yourself
  • Don’t have the cash to hire a ghostwriter, but you still want consultation on your book
  • Want to become a better writer
  • Need guidance during the writing and publishing process
  • Aren’t sure how to market your book

A book coach can help you articulate your ideas yourself while sticking to a timeline. And with a great book coach, you’ll learn lessons to apply on this book, the next one, and the next. 

To learn more about book marketing for nonclinical physicians, see this article.

Check out this quick info comparing writing your own book with ghostwriting and book coaching

Writing Your Own Book
Cost: Nothing
Timeline: Up to you
Major benefits:
  • Total control
  • Improved writing skills
  • Personal achievement
  • No financial cost
Major drawbacks:
  • Takes time and energy
  • Writing can be frustrating

Working With a Ghostwriter
Cost: $25,000+ per manuscript
Timeline: 4-6 months
Major benefits:
  • Faster
  • Expert writing
  • Less work for you
  • Advice on marketing and publishing
Major drawbacks:
  • Expense
Working With a Book Coach
Cost: $1,000-$2,500 + per month
Timeline: 6 months-1 year
Major benefits:
  • Expert consultation
  • Personal achievement
  • Accountability
  • Advisement on marketing & publishing
Major drawbacks:
  • Expense
  • Writing can still be frustrating

Which Option is Right for You? 
Whether you choose to write yourself, work with a book coach, or hire a ghostwriter, getting published is a big achievement. A professionally written and published book can pay dividends in your career, and be a lasting legacy of your expertise. Books have helped many physicians become household names. Whether you want to get more speaking gigs, consulting contracts, or just expand your personal brand, and book can help you achieve your goals. 

If you’re curious about the writing process, I encourage you to try writing yourself. You might get into the process and realize how much you love putting your stories to the page. Ghostwriters and book coaches are always there to help if you need guidance (or someone else to take the wheel). 

If you’d like more specific consultant on what route is right for you, I’d love to help you gain clarity. My website is linked below, feel free to reach out to me with your questions.
About the Author: Marie Hasty is a concierge ghostwriter and content marketer for clinician leaders. A registered nurse, she loves helping advance careers for physicians who are advancing health and medicine. When she’s not writing books and articles, she’s oil painting or hiking. Learn more about her work on her website.


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How to Find the Right Ghostwriter

7/12/2023

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By Marie Hasty
Have you ever thought about publishing a book? As a physician, you have a unique perspective on the human experience. And putting “published author” behind your name sounds pretty nice. But publishing a book has more tangible benefits than you might think. If you’ve got high-reaching goals for your career, a book could help you get there. 


For physicians who leverage their medical background in business, investing, or leadership, establishing authority is crucial. A book can set you apart from your peers and rocket your career forward, with the right strategy. 

I’m a concierge ghostwriter for physician entrepreneurs and clinical leaders, and the best part of my job is seeing my clients succeed because of the books we put together. These projects change lives. So let’s dive into the top 5 benefits of publishing for nonclinical physicians.


5 Benefits of Book Publishing for Nonclinical Physicians
The books I write for clients are career investments with specific goals. These are the top reasons my clients choose to get published:
1. Establishing Thought Leadership
Lots of docs have social media accounts, but not many have published a book. Publishing is a powerful way to establish thought leadership in your industry. By sharing your expertise, unique perspectives, and innovative ideas, you position yourself as a trusted authority. Social posts and blog articles can get lost in the chaos of the internet, but a book solidifies your place in the conversation. Look at the thought leaders in your specialty; do they have a book to their name? I bet many of them do. 

2. Expanding Patient Reach and Impact
If you’re wanting to have more impact on patients without putting in clinical hours, a book can help you do that. Your book can serve as a lasting resource that patients can refer to for expert support and guidance. You might address common misconceptions, debunk health myths, and foster a deeper understanding of complex medical topics. And by sharing successful case studies or offering practical strategies, you can encourage patients to overcome challenges and adopt healthier habits.

3.Opening Doors to Speaking Engagements and Consultation Opportunities
If you’ve been looking for a way to get your foot in the door for speaking gigs and consulting contracts, a book can help. Many event organizers look for published authors when they’re seeking out speakers. Having a book table at the back of your next speaking engagement is a great way to market your business. And there’s no better way to promote your consulting work than to send high-ticket clients a copy of your book. 

4. Building a Strong Personal Brand
Do you ever wonder how those doctors on talk shows get those opportunities? They’ve invested in their personal brands. They’ve established themselves with media representatives to become the go-to person in their niche. Your book can do the same for you. Building a personal brand goes beyond clinical practice, giving you a platform to advocate for the causes you care about. Publishing a book is a giant leap forward in building your platform. 

5. Leaving a Legacy on Your Industry
If you’re wanting to shape the future of healthcare and medicine, you should plan to publish a book. By sharing your experiences and insights in a lasting way, your book leaves your mark on the industry. You can drive progress and inspire positive change. You might influence industry conversations and guide leaders. Government decision-makers often look to expert-written books to guide their decisions, and you could be one of those experts. 

Using a Ghostwriter
All these benefits sound great. Maybe you’ve seen other medical leaders publish their own books and reap the rewards. But you’re busy, and you probably don’t have the time to write your book yourself. Enter: ghostwriters. 

Some experts estimate that up to 70% of the nonfiction section in every bookstore is ghostwritten. But we ghostwriters can be an elusive bunch. How should you find the right ghostwriter for your book project? And what’s the process for vetting them before you work together? Let’s talk about it. 

How Can I Find the Right Ghostwriter? 

If I was a clinician looking for a ghostwriter, I’d check out these resources: 

Personal Referrals
Have any of your friends or peers written a book or had one ghostwritten? They’d be the first people I’d ask when you’re ready to start your own book project. If you don’t know anyone that has published a book, you might check out these avenues for referral recommendations:


  • PR groups
  • Marketing firms
  • Publishing firms
  • Literary agents

Ghostwriting is a personal process, and referrals are the #1 way that writers get projects. But you can also find great ghostwriters on social media.

Linkedin
Linkedin is the second way that clients tend to find me, and while there still aren’t many ghostwriters on the platform, it’s a great way to compare writers. Search ‘ghostwriter’ and check out the profiles that come up. 

Ghostwriting Agencies
Groups like Reedsy and Gotham Ghostwriters are another way to get placed with a ghostwriter for your project. Both of these groups have thousands of ghostwriters in their network, so you’ve got a good chance of finding the right fit. The downside is that there can be a lack of continuity when you work with an agency, so make sure you read your contract thoroughly before getting started.  

Speaking of contracts, let’s go over a few tips for partnering with the right ghostwriter. 
Tips for Choosing Your Ghostwriter: 
  • Hop on a Call: Every ghostwriter I know starts every new project with a Zoom or phone call. Your writer needs to understand your needs and goals to see if you’re a good fit to work together. Don’t sign on with a ghostwriter (and certainly don’t pay them) without speaking with them first. 
 
  • Know Ghostwriting Rates: Ghostwriting is not a cheap service, and professional rates range from $25,000 to six figures. You can certainly find ghostwriters for less than that, but you risk wasting your time and money on bad writing. I wouldn’t recommend spending less than $20k on a manuscript. 
 
  • Ask for Samples: Ghostwriters can be hard to vet since many of us (myself included) work behind stringent Non-Disclosure Agreements. But every writer should be able to provide writing samples, preferably within your niche or industry. 
 
  • Read Your Contract: Ghostwriting contracts vary, so read yours closely. For example, I have a clause in mine that says that either of us can walk away from the project at any time. Not every ghostwriter includes this option, but it’s a nice insurance against getting locked into a project.
 
  • Understand the Publishing Process: Do you know if you want to go with a traditional publishing house, a hybrid publisher, or the self-publishing route? How you choose to publish will determine whether you need to put a book proposal together or jump straight into a manuscript. I help my clients make this decision, but most ghostwriters don’t, so you might want to do some publishing research of your own. 

And there you have it. Following this guide can help you find the right ghostwriter for your book. When you partner with the right ghostwriter, you speed up the book-writing process so you can get the benefits of publishing faster. Plus, you won’t have to spend your precious time sweating over drafts. 

If you’d like to learn more about my ghostwriting process, or you have questions about how to get published, I’m happy to help. Check out my website below to learn more.
About the Author: Marie Hasty is a concierge ghostwriter and content marketer for clinician leaders. A registered nurse, she loves helping advance careers for physicians who are advancing health and medicine. When she’s not writing books and articles, she’s oil painting or hiking. Learn more about her work on her website.


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What I Gained From Hiring a Coach

12/23/2022

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By Amruti Borad DO

It was one month prior to the first COVID19 Omicron Surge when I thought to myself: “If I have to write one more note or sign one more order, I think I might leave medicine.”

This thought frightened, disappointed, and angered me. Why did I spend the last umpteen years striving to and dreaming of becoming a Family Physician, only to end up feeling this way? How could medicine let me down? My relationship with medicine turned from finding the love of my life to a tragic sudden break up (If you haven’t heard the Chris Stapleton song, “Cold,” take a listen. This is exactly how I was feeling).

I felt lost.

I had already spent hundreds of hours reading about burnout, listening to every podcast under the sun, hoping to find my way back to the excitement I felt on my first day as an Attending Physician. And then I came across an article that discussed a few unique ways of addressing this epidemic is via coaching, mentorship, and peer support programs.
Coaching stood out to me as I had already been considering it for it for a few years and by chance I met a physician coach within my own department. It was time to invest in myself, and I did.
Not only did coaching help me navigate and grow as a novice Clinic Medical Director and a Department Wellness Director, it brought back the joy of clinical medicine, consistently reinforced my “Why” in both my professional and personal life, and drew me into a world of endless possibility. It also allowed me to pay it forward by bringing coaching (both formal and informal) to my colleagues in need and to our department.

Here are my takeaways from my coaching journey:
  1. My thoughts create my feelings, and I do have control over my thoughts.
  2. In every situation, you either get the result you want, or the lesson you need.
  3. It is possible for me to be vulnerable, and vulnerability is a sign of courage and a path towards helping others.
  4. I can do difficult things.
  5. My voice matters.
  6. I am on my own path and have my own back.
  7. I ask for what I want.
  8. I respect myself.
  9. “Should” is “could” with shame.
  10. I can set boundaries and not feel guilty about it.
  11. Engage in self compassion in order for me to just be myself.
  12. A relationship is only what you think about the other person
  13. All I have to do is take the next best step.
About the author: Amruti Borad is a board-certified Osteopathic Family Medicine Physician. She completed her residency at UCLA, continued a career at UCLA in academic medicine for a few years, followed by joining a non-academic patient-centered clinic at UC San Diego Health. During this time, she was a volunteer preceptor for one of the UC San Diego Health Free Clinics, Department COVID19 Lead Physician, Clinic Medical Director, and Department Wellness Director.
She had the opportunity to achieve her Lean Six Sigma Blackbelt and graduated from the Health Leadership Academy at UC San Diego Health. This brought her great purpose – the ability to be at the forefront of Physician and Staff burnout prevention and treatment and to make positive changes for her patients on a larger scale within the healthcare system.
She recently began working at a UC San Diego Health Concierge Medicine practice, which she feels allows her more time to build meaningful relationships with her patients, resulting better in health outcomes, and achieving a true work-life balance. She credits her physician coach with reinvigorating her joy in medicine, and she wants to pay it forward. She is currently in coach training at The Life Coach School, with a goal to work with physicians.
In her free time, she enjoys playing the piano, songwriting, meditating, reading non-fiction, having great meals and conversation with close friends, playing with her loving golden retriever and golden doodle, and attending concerts and traveling throughout the United States with her husband.

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Telemedicine: The Future of Rural Health and Equity

10/7/2022

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  By Jenny Han

Hospitals are a crucial part of society. This is especially the case for rural areas. However, there are currently 1,844 rural hospitals in the United States, with 120 of them closing. Now, there is a need for healthcare in these rural areas. The problem stems from two factors.
Either:


  • Patients are forced to travel to urban hospitals for medical care. OR,
  • There are little to no resources or places that are in reach for rural residents.

As of March 2022, 38% of patients have access to telemedicine, or “telehealth” or “virtual care.” While this was originally prompted by the COVID-19 pandemic, there is still a need for this type of care in the rural areas, despite the pandemic slowly wearing down.

So, what is telemedicine, and how can it shape the future of rural health and equity?

Types Of Telemedicine

One of the positives of telemedicine is that it’s customizable. In other words, there is no one form of telemedicine, because all patients are different.

With that said, there are currently four types of telemedicine. Here are those four types in detail:
  • Live Video
Live-video telemedicine is synchronous, with its two-way interactive feature. A patient can communicate with, say, a healthcare provider, a caregiver, a physician, etc. using audiovisual telecommunication (which involves video and display devices). This form of telemedicine can be used for consultations, diagnoses, and treatments.
  • Remote Patient Monitoring
Healthcare providers can monitor their patients with telemedicine. With this technology, a provider can track a patient’s healthcare data after a patient is discharged to home or a care facility. This helps reduce hospital readmission rates significantly.
  • Mobile Health
Another form is mobile health, or what’s referred to as “mHealth.” This technology involves providing resources (e.g., patient education, public health programs, etc.) to people via mobile communication devices. Patients can even sign up for real-time alerts on disease outbreaks, helpful tips, etc.

Benefits
Next, let’s dive into the benefits of telemedicine, in regards to rural areas:
  • Timeliness
From making appointments to being seen for medical emergencies, timeliness is key. With telemedicine, patients can receive certain types of care whenever they need it, rather than having the patient travel to a facility, or wait to be seen.
  • Patient Comfort
Patients can be comfortable with meeting with healthcare providers whether they’re at home, at work, or wherever. Plus, this reduces the discomfort that comes from having to step into a physical hospital.
  • Transportation
Again, transportation will not be an issue for patients who aren’t able to travel to an urban area for medical help. Instead, patients can be seen at home and speak to a doctor or healthcare provider from their computer, phone, or other mobile device.
Why Telemedicine?
Telemedicine is essential to rural places, because of the severity the need is in such areas. Here are some common reasons why telemedicine is in high demand in rural areas:
  • Unnecessary Barriers
Barriers to healthcare access can come in the form of:
    • Transportation difficulties
    • Long distances (from rural to urban, for example)
    • Social stigma
    • Quality of health insurance coverage
    • Poor health literacy
    • Workforce shortages, etc.
  • Provider Shortages
The problem is, as mentioned earlier, there aren’t enough healthcare providers or hospitals to care for the rural communities. With not enough people working in the medical field, rural areas are at risk of going without much-needed healthcare needs.
  • Low Incomes
As of 2020, the average rural per capita income in the U.S. is $45, 917– that’s a significant difference from the average per capita income of $59,510 for all Americans. As a result, rural residents might not want to visit the doctor, due to low income. Telemedicine offers a cheaper way for rural patients to get the help that they need from healthcare providers.
  • Weak Digital Infrastructure
Finally, according to the Pew Research Center, 72% of rural residents in the U.S. claim to have Internet access at home. But what about the rest of the rural population? Therefore, telemedicine hopes to bridge the gap between those who have Internet, and those who don’t. In this way, everyone can get the medical help that they need, regardless of Internet accessibility.

Conclusion
Ultimately, telemedicine can help rural areas in more ways than one. With technology continuing to advance every day, and with a severe need for more convenient medical care, telemedical can be the solution for rural America.

About the author: Jenny Han is a writer at Law Essay and Essay Help. She is also a contributing writer for Assignment Help. As a content writer, Jenny writes articles about digital marketing strategies and entrepreneurship.
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Finding a Pharmaceutical Job

10/6/2022

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By Alex Evans, PharmD, MBA

Long before I began pharmacy school I had an itch for adventure, and as I went through school I always kept an eye out for opportunities to either make the most of my summers off (other than my rotation) or to combine my love of travel and the outdoors with pharmacy.
I remember one wintery day, when it was snowing hard outside, I logged into the library’s computer and began a search for a summer escape. I don’t quite remember what I typed in, but I discovered a Divemaster Internship on Roatan, an island off the coast of Honduras. I grew up snorkeling and had recently gotten scuba certified, so I didn’t hesitate! I spent 4 weeks there, working in the shop, helping on the boat, and leading dive tours nearly every day.
The next summer was the summer after I graduated, and I practically wore a snorkel to my graduation. I talked Walgreens into letting me start June 1 and flew out to Roatan right after graduating to do an Assistant Instructor Internship, diving nearly every day for 3 more weeks. 
About a year after graduating, I moved to Hawaii, lived there for 5 years on both the Big Island and Maui, dove another 150+ times, and came back to the mainland, where I got into project management, finished an MBA, started a medical writing business, and got into business and pharmacy consulting.
You’re probably wondering by now - why am I telling you all of this?
Because I strongly believe that the biggest thing limiting your career is your imagination.
I’ve had a crazy, nontraditional career that admittedly many people might prefer living only vicariously (or maybe not at all). However, I have discovered along the way that regardless of what you are looking for, whether that be a job in a new location, a nontraditional job, a new practice setting, or even a promotion within your current company, there are patterns, tips, and tricks that make the journey from where you are now to where you want to be more accessible.
Here, I would like to share my top tips with you to find and get that next move.

#1: Make the most of job search engines
Many people use search engines by only searching for their job title. The problem with that, however, is that it returns limited results. For example, if I search ‘pharmacist,’ guess what results I will get? It might sound obvious, but if all I see are pharmacist openings then I’ve really limited my options.
 
Instead, try other, broader search terms. For doctors, instead of searching ‘doctor,’ ‘rheumatologist,’ etc., try searching ‘MD,’ ‘healthcare,’ ‘healthcare remote,’ or ‘medical writer.’ If I were a doctor, I might also search ‘DO,’

#2: Take stock of the companies around you
If you’re reading this article, there’s a good chance you work in some capacity for a hospital, clinic, or other healthcare setting. All of these organizations contract other companies to take care of certain aspects of their operations on their behalf. All of these companies also need employees, and sometimes they hire healthcare professionals.
 
For example, Inmar is in the business of helping pharmacies manage drug recalls, get credit for expired medications, and reconcile their claims, among other things. They also hire pharmacists. EMR systems, like Cerner, Epiq, and Athena, probably need pharmacists, nurses, and doctors with a background in informatics. Wolters Kluwer, which makes Lexi-Comp, hires pharmacists and probably physicians to keep their drug references up to date.
 
If you see every company around you as an opportunity to explore, then the world is your oyster. There’s no harm in at least looking at their career pages or reaching out to someone in the company to express interest.

#3:  For jobs in a new location, use Google Maps to your advantage
Finding a job in a new location, especially an international location or area where there aren’t many traditional jobs, can be tough. However, I’ve found the secret weapon: Google Maps.
 
Let’s say you are a family medicine doctor and your dream has always been to move to Saipan. You aren’t interested in nontraditional jobs and want to practice as a doctor, but just love the idea of living on Saipan. I’m using Saipan as an example because most of us would picture it as being a very tough place to find a job.
 
After typing in ‘hospital Saipan,’ I headed on over to Google Maps. There, I noticed a few results, but the Commonwealth Health Center in particular stands out because it has a website and appears to be the primary hospital on the island. I clicked on their site, headed over to their Careers Page, and as of the time of this writing found physician openings for multiple specialties.
 
I then headed back to Google Maps and typed in ‘clinic Saipan.’ In looking at the results, I see the Marianas Medical Center and Marianas Health both look promising.
 
As you can probably imagine, if it’s possible to quickly find 3 potential employers in a location as remote and small as Saipan, then if you’re looking to move nearly anywhere within the continental United States this strategy would be a very effective way to find your next position.

#4: Start your career spreadsheet
The gurus always tell us that we should tailor our resume to every single job, but unfortunately that could make applying for multiple jobs extremely time consuming. In addition, after you’ve been in practice a while it’s not easy to remember all the great things you did that could impress employers.
 
Meet the career spreadsheet. This spreadsheet compiles all of your career accomplishments, large or small, into one place. You can use this spreadsheet to tailor a resume or cover letter or even to prepare for an interview. Having it on hand for a phone interview, for example, will allow you to refer back to it as you are asked the very predictable behavioral-based interview questions. For in-person interviews, reviewing it in advance will refresh your mind of your accomplishments.
 
I keep mine on Google Sheets so I always have it with me. Column A is the employer and Column B is the accomplishment.

Interested in learning more?
If you found these tips helpful, I hope you’ll join me in my course entitled Mastering the Job Search and Land Your Dream Job in Healthcare.
In it, I go much more in depth with videos where you can watch me locate nontraditional and hard-to-find jobs and also see numerous hidden spots where your next opportunity might be hiding. We’ll also look at opportunities to build skills that employers want. Finally, I’ll guide you through writing your resume and cover letter that gets noticed and give you a template for both, and also help you through the job interview.

About the author: Alex is a pharmacist and medical writer in Jacksonville, FL. He is also an Assistant Dive Instructor and lived in Hawaii for five years, barely getting dry before his next shift at the pharmacy.
He created a free intro course to help people decide if they want to pursue medical writing.

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5 Common Myths About Starting a Business As a Physician

1/18/2022

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By Maiysha Clairborne MD

It was 2004 straight out of residency that I started my first business.  I didn’t know a thing about business, much less running a practice. However, I jumped in headfirst without a life vest.  The journey that began in August of 2004  became one the scariest and most exhilarating journeys of my career.  Now, almost 15 years later, I share the knowledge, expertise, and learnings that I’ve acquired about stepping into physician entrepreneurship and what it takes to start, grow, and successfully maintain a business without pulling your hair out with other doctors wanting to do the same. I speak with women physicians and other moms in medicine daily who are thinking about quitting medicine, but aren’t sure they have what it takes to start their own business.  They have this grand view that starting a business is this impossible mountain.  Here are some of the top 5 myths I hear about becoming a physician entrepreneur and starting a business.
 
You have to have an MBA or have a business background
 
I have known many physicians (and non-physicians) who have had MBA’s who are either not utilizing the degree (meaning they have not started their own business), or who are failing at starting, growing, or maintaining a successful business. On the contrary, I know even more physicians (and non-physicians) who have no such degree and have started and grown multiple businesses.  The point is, while having an MBA or business background is not a bad thing, it’s certainly not an indicator of whether or not you can start or be successful as a business or practice owner.


You have to have business experience to start a business
 
This is like saying to a newly graduated college student that they have to have experience in a position before they can get a job.  While, the former helps, it doesn’t predict one’s success in the field.  Having prior exposure to running a business (through family or other ties) is an added benefit, but not a necessity to be able to successfully run a business. What is required is the willingness to educate oneself, learn from mentors or coaches, and grow into the expertise. I grew up in an entrepreneurial household.  However, when I first started my practice, it failed because I knew nothing about business. I knew I wasn’t going to spend $40K and 2 years on a business degree, but what I did know is that I could attend workshops, conferences, and seminars. I bought programs, hired coaches, and participated in masterminds. This willingness to learn is what has made me successful in my businesses.

Starting a Business is Complicated
 
Actually, starting a business is fairly simple.  In fact, that may be part of the problem. It’s so simple that many people do it without taking the proper steps to create a strategy.  When you have the right systems, structures, and systems in place starting a business is actually pretty easy.  There can be a lot of moving parts, but if you realize that starting a business is not a “solo project”, and you get at least one other person to help you put the necessary systems in place, you can start and build a business fairly quickly.  The physicians I coach are always surprised at how quickly they can go from idea inception to business setup, and how fast they can even begin having patients or clients once they get past the view that it’s too complicated.
 
Don’t expect to make a profit for 5 Years
 
While in some business models this may be true, there are MANY business models where you can see a profit within the first 2 years and some within the first year. For those who choose to go big at the very beginning (meaning they are embarking on large acquisition projects that require huge capital up front), it may take more than 3 years to turn a profit. But for the physician who wants to transition into something more virtual (like virtual online programs, courses, information products, coaching, consulting, etc), turning a profit can happen much quicker than one thinks. My first practice (a cash based integrative medicine practice) took about 5 years to mature to profit status (likely because it was started just before the 2008 recession).  However, when I started my physician coaching and training company, it only took 10 months before I could fully transition out of my full time job.  So, it depends on what type of business you are starting as to how long it will take before it becomes profitable, however most businesses can be profitable within the first 2 years and some much less.

If you fail, you are obviously a bad business person
 
I am the poster child for not letting failure define me as a business person. Not only did my first practice fail, I’ve probably had more failures in business than successes. However, it’s the failures that have led me to those major successes, and it’s the mindset that failure is feedback that keeps me in the game.  If you are going to be a physician entrepreneur and be in business, you have to get that failure is just part of the game. If you are not willing to fail, then you are really not willing to succeed. 
 
14 years after my first business adventure, I continue to step into new territory.  It is the life of an entrepreneur… always “leveling up”.  I take the lessons I learned over the last more than decade, and not only re-apply them in new ventures, but also teach my physician entrepreneur mentees and students everything I’m learning along the way. The most important thing for physicians who want to embark upon starting a business to know is that it’s not so much a destination but a journey. When you choose business ownership you choose the mountain with no top. It can be a scary journey, but the biggest failure in business is to not try at all.
 
Maiysha Clairborne is an integrative family physician, coach and trainer of Neurolinguistic Programming, Hypnosis, and NLP Coaching. To learn more about her programs visit www.drmaiysha.com Listen to her podcast The Black Mind Garden at www.theblackmindgarden.com 

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Being Part of a Physician Community

11/15/2021

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By Michelle Mudge-Riley, DO

If you missed The Physicians Helping Physicians Nonclinical NEXT conference, keep your eyes open for the next one. where you can join a community of physicians who openly share ideas and valuable networking opportunities…AND get CME....


Over a decade ago, I felt completely lost and unsure about my career path as a doctor.  Although I got into med school on the first try and had succeeded in medical school - I actually LOVED medical school - along the way I had realized that traditional patient care wasn’t the right career path for me. I didn’t know what I was going to do or even what I wanted to do. 

I guess I should have seen some of the clues, but I didn’t.  In medical school, SPAL (standardized performance assessment lab), where we simulate an H&P and go through the motions to practice a doctor-patient interaction, was my least favorite class. I didn’t know why at the time and I didn’t really think about it until rotations my third and fourth year, when I didn’t get excited enough about any direct patient care specialties to think about doing them for the next 40 years. While academically, things were great, I was horrified to realize I didn’t enjoy direct patient care. That scared me. It caused my classmates to question me. What was wrong with me?  

Turns out, there was nothing wrong with me, but it took me many years (and two more unnecessary degrees!) to realize it.  Along the way I started writing about my struggle and when physicians of all specialities, out of residency and practicing for 3, 5, 10 even 20 years started reaching out to me to tell me THEY never liked patient care or were ready to do less of it, I realized I wasn’t a huge failure or a jerk.

What helped me the most? Meeting and interacting with other physicians who had also decided to work in a nonclinical or nontraditional job.  I realized I had options - lots of them!

What are your options for a nonclinical career?

You may have been considering a nonclinical career for years!  In my experience coaching other doctors who want to transition to a nonclinical career, I’ve seen burnout can motivate a doctor to want to transition to another career. Boredom in a chosen specialty is another reason doctors may start looking at their options. For a certain subset of doctors, medicine may have been the wrong choice from the start.  

Through my journey and through helping other doctors, I learned that there are lots of nonclinical options for doctors. My first nonclinical job was working for a medical device company as a clinical liaison. I wanted to get into something that emphasized wellness and prevention and by luck, I stumbled on a job as director of wellness and medical management for a brokerage firm.  That led to other consulting opportunities.  Once I got into that first nonclinical job, my world started to open up as I learned about things I didn’t see or learn about in medical school.  I also started to recognize opportunities to work in jobs where I could use my medical degree (and get paid as a doctor) within the business world.  Pharmaceutical, public health and insurance companies are obvious places for most physicians who want a nonclinical job but there are also opportunities in finance, banking, writing, consulting, teaching, leadership, IT, marketing, public relations, entrepreneurship, nonprofit, government, international relations, nutrition, real estate, comedy, speaking...and more!  Many of these are options for physicians who are not licensed or board certified.

A nonclinical community

Connecting with other physicians pursuing nonclinical paths really helped me map out what I wanted, identify opportunities, and understand that I wasn’t alone. Eager to help other physicians enjoy that same camaraderie, in 2008 I founded Physicians Helping Physicians, a community of like-minded physicians who coach and advise each other about nonclinical and nontraditional career opportunities.

Every year we bring our community together for a conference to support each other. The conference is called Physicians Helping Physicians because that’s our mission.

Some of the doctors in our community realized traditional patient care wasn’t for them early in their careers. Others came to the conclusion after practicing for five, 10 or even 20 years. Some suffered a health issue or needed more time at home with small children or aging parents. Others had a hard time getting out of bed each day because they didn’t look forward to their work anymore. Many of these doctors were clinically depressed. Some were suicidal. These doctors found hope in a nonclinical or nontraditional career.

If you’re considering a nonclinical career, I recommend that you start by taking the following three steps:

Create a resume. CVs are traditionally the norm in the scientific and medical fields, but resumes are becoming more common because they quickly describe a person’s experience and skills. Knowing how to translate a CV to a resume can help you communicate your value to employers. I didn’t receive training on creating a CV or resume in medical school, and my first resume was a mess of a document.  If you want to create a resume, make sure you list your professional experience first, use bulletpoints to highlight how you bring value in your job (your results) and keep your resume to 1-2 pages.  Be careful if you are considering hiring a professional resume writer.  I’ve seen nice looking resumes that don’t help physicians because a non-physician resume writer may not understand how to effectively translate your clinical skills and experience into the right business terms or industry specific language.  That will hurt your chances of getting into your ideal nonclinical job.

Put together your one- to three-year personal development plan and an elevator pitch. To find the right job, knowing where you want to be a few years down the road is essential. Do you want to live and work at the beach? Why? Are you more interested in working internationally? How much money do you need?  What’s your work-life balance goal?  

These are all important questions to know the answers to when you get to the point of evaluating job opportunities. Asking yourself questions like these will also help you create your 30-second elevator pitch to provide context about your skills and value to those you meet and interview with for jobs. 

Learn how to find jobs and effectively network. Knowing what your options are can help you narrow your focus and make your search more effective.  You can learn more about options by reading books like Careers Beyond Clinical Medicine by Heidi Moawad or listening to Physicians In Transition podcasts.  Finding specific jobs and getting interviews often involves the help of others. Networking is key to finding those people who can and are willing to help you.   Networking through Linked In and scheduling phone calls with people works well.  

It takes purposeful action steps to figure out what you want to do and then do it.  These steps will help you get started.  The good news is that physicians who have transitioned to nonclinical careers are likely to remember their own transitions and be willing to help you.  You have so much to offer so don’t lose confidence in yourself.  You are still a doctor and you always will be.  

Every year, we bring our community of physicians in nonclinical careers together in a conference to help other doctors who are interested in learning more about or getting into a nonclinical or nonclinical career.  The conference is called “What’s NEXT”, where NEXT stands for Nonclinical EXit Transition.  Physicians who have successfully transitioned will share pros and cons of their new job and industry, answer questions about salary and lifestyle and help attendees with resources.  If you are interested in learning more about a nonclinical career, please check out our conference.  The conference is CME approved.  You can see the schedule and learn more about future conferences here here.
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Learning How to Present Yourself

10/21/2021

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 How to Network
 by Robert Priddy
 Networking is part of finding a non clinical career.


Making connections can be easy, and people often want to be helpful. It’s catching up with long lost relatives, attending business and organizational parties, and connecting with friends and associates you usually just pass in hallways or in elevators.
People will honestly ask about you and what you’re doing. Starting your conversations with, “I’m looking to make this a great year of change,” will certainly elicit responses of tell me more, and what kind of change. Then, “Well, as you know I…. , and I’ve been involved in doing a lot of…., so now I’m working on…,” stands a great chance of getting the attention you want.
So, don’t think for a minute you should be hanging up your Nonclinical Career Transition resume, stump speech and business cards when you are networking.

Some years ago I administered the Birkman Behavioral Assessment® to a group of high level members of a national physician executive organization. What differentiated them most from my control group was their elevated interest in “persuasive behavior.” Note, the Birkman assessment interprets “persuasiveness” with an orientation towards direct, persuasive communications.
While interests may or may not translate into actual behaviors, those results showed a heightened awareness in the need to convince others of their message. Outside of practice, in pursuit of a nonclinical career transition as well as in nonclinical work, physicians, like everyone else, need to be selling their ideas, their recommendations and their results constantly.
While starting your sentence with, “As a physician,” may turn heads and gain initial
attention, it won’t guarantee you’ll get your way.
Persuasiveness is a skill, and a skill that can be learned. Learn to make a case for your point and presently it knowledgeably, logically and cogently, and you’ll find many more opportunities for success await you.
I recently wrote about your Stump Speech as the best way to make the best first impression. However, it is more than that. Actually, the basic content of what I’ll call your expanded Stump Speech can be primary material for almost every question you’ll be asked during networking and interviewing sessions. Let me explain.
 
First, the elements of the expanded Stump Speech:
  • Who I am
  • What I’ve done
  • What I want to do
  • How I can help you
  • How you can help me*
  • Why I’m leaving clinical practice*
So, consider this as just one example of effective use of your Stump Speech in a networking environment. Let’s assume you’re attending a conference and you sit next to someone and turn and smile:
  • She says, hello, I’m Jane Doe, and you… Your response: Who I am. 
  • She then states that is interesting, and asks why you are attending…. What I’ve done coupled with What I want to do.
  • You ask what she does, and to that you respond with How I can help you tailored to her organization, company, etc…
 
The key to a good Stump Speech is to be brief and focused. It’s an introduction and it’s a way of setting conversational focus and boundaries. It is not your autobiography.
With enough practice, it will become very easy to network with many people with a highly focused and managed content structure that clearly communicates important information about you while setting boundaries for the conversation.

If you'd like to learn more, don't hesitate to contact me for an initial Hallway Consult... Text or Call 720-339-3585 or email: [email protected].
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Income Expectations in Non-Clinical Physician Careers

9/16/2021

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Heather Fork, MD, MCC is a master certified coach, blogger, and founder of The Doctor’s Crossing. Over the past 10 years she has helped hundreds of physicians find greater fulfillment both in medicine and in nonclinical careers. In addition to coaching, she also recruits for several nonclinical companies. Dr. Fork ran her own successful dermatology practice for 9 years in Austin, Texas.
In this interview, Dr. Fork shares her insights about the financial aspects of transitioning to a non-clinical job including the anticipated salary and how to approach a contract negotiation.
Dr. Fork explains that many physicians who want to pursue non-clinical jobs are often hesitant due to financial concerns. She says that it is important for physicians to consider their long-term salary expectations and how much they would be willing to accept through a transitional phase.

Many of her clients carry a heavy weight of financial responsibility as the primary breadwinners of the family. Dr. Fork says that some doctors feel trapped, but she wants physicians to be aware that they have more career flexibility than they realize. She says that most doctors are surprised to learn that primary care physicians can expect to earn a starting income in a non-clinical field that ranges between $160,000 and $300,000.
She also explains that specialists— who have a depth of knowledge when it comes to high cost services, such as in orthopedic surgery, neurology, or cardiology—may be offered salaries above $300,000 by pharmaceutical and insurance industry employers. 
Dr. Fork encourages doctors to consider all aspects of an anticipated salary, and explains that stock options, bonuses, and yearly pay increases, as well as eventual promotions are routine in the non-clinical healthcare industry. She tells doctors to calculate hourly compensation in clinical work by including time spent charting and responding to off hours calls to be able to make accurate apples to apples comparisons between jobs. 
She suggests that doctors to do their homework and learn the industry standards when negotiating a first contract. Dr. Fork explains that she had a client who had more experience than a typical entry-level physician. Because Dr. Fork had other clients who worked for the same company, she was familiar with compensation range and her client was able to negotiate an increase in compensation before starting the job. 
She also recommends that physicians consider the long-term career potential of a new position. Sometimes a physician may accept a lower salary than they are used to in order to have better work-life balance. This is not uncommon, especially for the higher earning specialists, such as radiology and oncology. Taking a pay cut in the interim can also be a way to develop expertise in a new area with the goal of rising in the ranks and regaining the salary. 
Dr. Fork says that in her experience, it is realistic for some physicians to continue to see patients a few days a week while working part time in a non-clinical role. This is often specialty dependent. In fact, she says that this arrangement can help prevent burnout and may keep a physician’s skills sharp, helping build skills in both jobs.
With her extensive experience guiding physicians through career transitions, Dr. Fork also reminds doctors that it is important to formulate financial goals and become comfortable with financial issues and investments. She points out that it helps to understand your relationship with money and to try to develop a healthy attitude about money. For example, Dr. Fork says that some doctors have a hard time knowing when they have enough money to take the foot off the gas. In reality, they have piles of money but they still feel compelled to keep working hard. They’re often aware of this compulsion, but still have difficulty slowing down.  It’s also common for some physicians to be so focused on providing for everyone else —helping extended family members, saving up for the kids college, donating to worthy causes, etc. that they neglect their own self-care and well-being. They feel guilty spending money on a gym membership or a massage. 

When making a career change, she advises that physicians get a good handle on their financial goals, their habits around money, have a good understanding of their true income potential in a variety of jobs and careers. 
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How to Become a Physician Hospital Executive

9/15/2021

5 Comments

 
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By John Jurica MD
Instructor of online course Securing a Career as a Medical Science Liaison


Shortly after finishing my residency, I worked in a small family medicine practice. I held inpatient privileges, and spent many hours in the local community hospital caring for my patients. As a result, I attended many medical staff committee meetings. I balanced work in the office, nursing homes, and the hospital for a long time. I enjoyed working in the hospital environment.
Ten years later, I was hired as Vice President for Medical Affairs, the hospital’s first ever physician executive. I was later promoted to Senior Vice President / Chief Medical Officer (CMO), and I stopped all direct patient care.
In the next few paragraphs, I’m going to explain how to make the transition from practicing clinician to hospital executive, based on my experiences and conversations with CMO colleagues.
Characteristics of an Emerging Hospital CMO
Physicians best suited to this career generally have the following characteristics or backgrounds:
  • Enjoy working on teams and attending and running meetings;
  • Interested in improving the health of populations of patients;
  • Affinity for reading financial reports, working on QI projects, and starting new service lines;
  • Trained in a hospital-based specialty such as: hospital medicine, anesthesia, surgery, cardiology, pulmonology/intensive care medicine, or emergency medicine.

Why Seek a Leadership Position?
Working as a hospital executive enabled me to make measurable improvements in cohorts of patients. I relished the sense of accomplishment I felt by working on quality improvement and patient safety teams. The opportunities for advancement are excellent. Besides, the job payed much more than I could earn as a primary care physician.
The demand for hospital physician executives is rising, as are the types of jobs. Today you can find physicians in C-suite positions with roles beyond that of CMO, including, chief quality officer (CQO), chief clinical officer (CCO), chief medical information officer (CMIO), or chief patient safety officer (CPSO), and even as chief operating officer (COO) or CEO.
Steps to an Executive Career
The process of moving from clinician to hospital executive requires three major components:
  • Demonstrating your interest and commitment;
  • Acquiring and demonstrating the necessary knowledge, skills and experience; and,
  • Convincing someone to hire you.
Unpaid Management Opportunities
I demonstrated my interest and gained management skills by volunteering on hospital-based committees and teams. The most meaningful experiences come when serving as chair of such committees. Here are a few examples:
  • Medical Staff Department
  • Quality Improvement Committee
  • Pharmacy and Therapeutics or Formulary Committee
  • Credentialing Committee
  • Continuing Medical Education Committee
  • Service Line Committees (Cath lab, Imaging, Laboratory, etc.)
Management Courses
To enhance your education, attend leadership and management courses presented by the American Association for Physician Leadership (AAPL), the American College of Healthcare Executives (ACHE), or the Greeley Company. Attend courses addressing:
  • Financial Analysis and Reporting
  • Negotiation
  • Healthcare Law
  • Measuring and Managing Quality
  • Population Health
  • Leading and Managing Physicians
More Management Experiences with Paid Positions
I further demonstrated my interest and enhanced my skills by working in a series of part-time paid positions while still practicing:
  • Physician Advisor for Utilization Management
  • Medical Director for a Family Planning Clinic
  • Medical Director for an Occupational Medicine Clinic
Additional Experience on Nonprofit Boards
I gained additional experience running meetings, participating in major projects, and analyzing financial reports by serving on:
  • Hospital Board of Directors
  • Hospice Board, and Finance and Quality Committees
  • County Board of Health
Serving as chair of the hospice and health boards were particularly useful in learning about annual budgets, financial reports, and working with other leaders.
Universal Tactics
Here are other helpful tactics to use concurrently:
  • Find and use mentors. I had two excellent mentors, one a physician leader, the other a hospital CEO.
  • Create a complete LinkedIn profile. This is more important today than ever.
  • Join the AAPL. Take advantage of its business and management courses, career services, and job listings.
  • Network. Reach out to colleagues, and former medical school classmates and co-residents, to find job openings.
Is a Business Degree Necessary?
At some point in the process, you might consider getting a business degree, such as an MBA, an MMM, (master's in medical management), or MHA (master's in health administration). But my advice is to get your foot in the door and then convince your employer to help fund the cost of the business degree.
Final Steps
The final part of the journey is to find opportunities and apply. A brief summary of that process is to:
  1. Find openings by networking, and using recruiters (B.E. Smith, Cejka, Tyler & Co, etc.), the AAPL, and LinkedIn.
  2. Do thorough research on the prospective health system and position being offered.
  3. Prepare and send a cogent cover letter and resume, customized for each employer.
  4. Rehearse for the interviews with a friend or coach.
Take this advice to heart, and follow this plan to land your first position as a hospital executive. The process may take a year or two to complete, but it's worth it.
About the Author: John V. Jurica, MD, MPH, is a certified physician executive, host of the Physician Nonclinical Careers Podcast and “admin” for the Physician Nonclinical Career Hunters Facebook Group. You can access a free guide to 3 Top Hospital Management Jobs, minicourses, and articles by going to vitalpe.net/nonclinicaldoctors.
5 Comments

A Physician's Guide to Medical Malpractice Tail Insurance

9/14/2021

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By Nana Korsah MD

Have you ever felt overwhelmed with the transition from one job to another? The pressures that come with this life change is somewhat unavoidable, but there is something that is sure to ease the process, and that is tail insurance coverage.
 
So, what is tail insurance? According to www.studentdoctor.net, “tail coverage is an extended reporting period endorsement, offered by a physician's current malpractice insurance carrier, which allows an insured physician the option to extend coverage after the cancellation or termination of a claims-made policy.” In this guide, I will get into how you can set up tail coverage with ease, if needed, and how to discover different types of malpractice insurance. This is information that I wish my coaching clients knew sooner, but my hope is that this will prevent the stress of tail malpractice insurance coverage.

The two basic types of medical malpractice insurance are “claims-made” and “occurrence.” The claims-made policy will only provide coverage if the policy is in effect. In other words, if a physician has a claims-based policy and decides to leave his/her job, he/she will need tail insurance to extend coverage for a significant period of time in case a claim is made. On the other hand, occurrence-based insurance covers a physician while on the job and after they leave, so a tail insurance policy is not needed.
 
Fortunately, after my Nephrology fellowship and prior to applying to jobs, recent graduates advised me to take jobs with occurrence insurance, so that is what I did. I am glad I took their advice because when it was time to leave my first job, I did not have to worry about tail coverage. However, not everyone has been as fortunate. Some of my former colleagues feel stuck at their jobs simply because they cannot afford to buy tail insurance coverage.
If you happen to have a job that has a claims-made policy, then you will need tail insurance and I have a few recommendations for you. Firstly, look at your contract to see if your current employer will cover tail insurance when you leave. If it is not covered, consider negotiating for that to be included in your contract. Also, determine how much tail is going to cost if your employer will not cover it, and put away a tail freedom fund to allow you the flexibility to leave a job without worrying about tail insurance costs. You can find this information by calling your insurance career. If none of these work for you, you also have the option to ask your new employer to cover your tail, and strictly stick to jobs that are willing to do that.
In conclusion, when it comes to malpractice insurance, pick a job that has an occurrence-based policy. If you should decide to go for a claims-made policy, make sure you have established one of the following: your employer will cover tail insurance when you leave, you have a tail coverage fund, or your new employer will pay for your tail policy. I encourage you to use these simple, practical solutions at your disposal because no one should be imprisoned at a job because of tail insurance.

About the author: Nana Korsah, MD is a former Nephrologist turned locum Hospitalist. Board certified in Internal Medicine. She has side gigs as a Telemedicine Physician, Neora skincare/wellness company brand partner, a certified life, and financial coach for physicians who want to pay off debt and live wealthy lives quicker. She helps physicians who want to enjoy the lives they sacrificed so much to create, but they don't know where to start. She helps them build wealth and say yes to the lives they want using the magic of personal finance and multiple streams of income.

You can contact Nana Korsah, MD through her website www.mdworklifebalance.com or via email at [email protected]

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How Physicians Can Learn to Manage Money

9/13/2021

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An interview with Physician on FIRE's Leif Dahleen, MD
Leif Dahleen, MD is a part-time anesthesiologist on the brink of early retirement from medicine at the age of 43. When he realized that work had become optional in his life, he started a website, Physician on FIRE (Financial Independence Retire Early) to help educate and enlighten others on personal finance topics. He can be found via his website, Twitter, Facebook, and Instagram.

Do you think doctors approach money differently than other groups? Why?

Well, money is money and the money we doctors earn is no different than the money that everyone else gets. Nevertheless, there are some unique aspects to our career trajectories that necessitate an approach to money that addresses them. We get a late start, are often saddled with large student loan debt, and are taught next to nothing about money management throughout our education and training.

Do you think physicians have any financial advantages? 
Physicians earn a lot of money. Any published list of the top-earning professions will be dominated by medical specialties. The high salaries are an advantage in that they allow us to potentially save a lot. However, it's not unusual for a doctor and his family to spend the vast majority of that income. Gratification has been delayed for so long that it's hard not to splurge once you finally see a real payday.

We also benefit from relatively good job security. I actually lost my first "permanent" job as an anesthesiologist when a hospital was going bankrupt, but that's relatively rare and I had plenty of opportunities at that time to work elsewhere. Our skills are portable, too. Locum tenens work can be a great way to supplement our incomes without having to learn a "side hustle."
Do you think physicians have any financial disadvantages?
They start earning late, the massive debts, and the lack of financial literacy. That last piece makes us sheep facing a financial services industry with far too many wolves. 

Physicians also too often mistakenly assume that because they've been successful in their careers, they will also be successful in other endeavors. Unfortunately, understanding the complexities of the nephron does not translate well to the business world. I've known physicians to go bankrupt after putting too many eggs in one faulty basket with business and real estate ventures.

How would you recommend that a physician get started learning about managing money and investments? 
Start with a good book or two. My first money book was The Only Investment Guide You'll Ever Need, which I read as a medical student. I read The Millionaire Next Door shortly after finishing residency. Since then, a few good books have been written by physicians, including books from The White Coat Investor and The Physician Philosopher.

With a good foundation from a well-organized book, delve into topics of interest via blogs and podcasts.
What blogs, websites, books or podcasts do you recommend? 
I've written a pretty thorough guide to DIY investing that's chock full of resources. I've also got a two-part series on Investing Basics for busy professionals. But my site is just one little sliver in the personal finance world, and the number of physicians participating has increased more than tenfold since I started in 2016.

I'm a part of the White Coat Investor Network which also includes WCI, Passive Income MD, and The Physician Philosopher. All are excellent.

Helpful podcasts include Dr. Nii Darko's Docs Outside the Box, Dr. David Draghinas' Doctors Unbound, and Dr. Carrie Reynolds' Hippocratic Hustle. These are insightful podcasts with guests doing unusual and extraordinary within and in addition to medicine. 

There are dozens of other great resources out there, and I can't possibly mention them all. I do my best to keep a blogroll that's reasonably up-to-date, but the landscape changes rapidly in the online world.
Do you think there is a magic number in terms of how many hours/week a physician should spend on managing money? 

The number isn't magic, but for the vast majority of physicians, that number should be less than one. I think people ought to spend a few hours a week learning about personal finance, but money management is generally best when it's automated and not tinkered with much at all. Invest in a three fund portfolio or variant and earn the market returns. Most who try to do better fail, including very well-paid investment managers with vast resources in terms of data, connections, and quantitative analysis. 

Simple and effective money management shouldn't take much more than an hour a month once you've set things up the way you want them.
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Demonstrating Confidence

8/10/2021

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Always Act Like You've Been There Before
by Robert Priddy

I try to refrain from sports analogies, but this is one of my favorites. I'm from Ohio, so, yes, I'm a buckeye at heart, and one from the Woody Hayes era of The Ohio State University football. So, the legend goes, a young Ohio State player scored his first touchdown for the Scarlet and Gray. He then performed some celebration in the end-zone before returning to the sidelines, whereupon Coach Hayes reportedly grabbed him by the front of the jersey and pulling him in close growled, "Son, when you play for THE Ohio State University, you act like you've been there before."

I speak with many physicians who tell me they hope to secure a nonclinical job where they will be mentored, since they see this move as very new to them. To which, I state, no, you may want to be mentored, but no-one wants to have to mentor you, so when you walk through that door, you need to act like you've been there before. Organizations are more likely to hire you if they believe you bring new knowledge, new expertise and new opportunities than if your expectation is simply that they will teach you a job.
Further, mentoring, good mentoring that is, is not a commodity to be assigned, but is rather a relationship that develops. Nearly everyone I know, myself included, is mentored in each job by someone, if not by several people. But you don't ask to be mentored, you observe, you emulate, you ask questions.... see one, do one, teach one. See, you have been there before.
If you'd like to learn more, don't hesitate to contact me for an initial, no-charge, no-obligation Hallway Consult...voice or text to 720-339-3585 or email [email protected].

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A Physician Coach Talks About Mindset

4/3/2021

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An interview with physician coach Karen Leitner MD.
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How did you get into coaching?
There was a point before I started to transition away from clinical medicine where I was burned out and lost, trying to juggle a busy practice and a growing family. I genuinely thought the problem was not having enough time. I felt pulled in a million directions and therefore inadequate at doctoring and mom-ing (despite outside evidence to the contrary). I would look around at my colleagues who seemed like they were all managing OK and I wondered what was wrong with me that it felt so overwhelming and out of control. I felt like I was letting everyone down and there was a lot of shame.
It was only after I completely changed everything  (new job so I could work from home, set my own schedule, be around my kids, make more money) and still felt unfulfilled that I realized the problem was not the external factors. A big part of my dissatisfaction was my mindset and the unrealistic expectations I was setting for myself. If I didn’t change that, it didn’t matter what I did; I still wound up feeling like I was not enough.
So (to make a long story long!) through a life coaching podcast,  I was exposed to the thought model that I now use with my coaching clients, and it was like a light went on for me.  I realized a lot of my thinking was hurting me. I did a lot of work on myself and my mindset with the tools of coaching and being coached, and it made all the difference!
Now I can handle whatever life throws at me. I am more balanced, independent, self assured of my value both at work and at home and I’m excited to live my life on my terms.

Do you have a niche in coaching?
I exclusively coach women physicians. It has been a fascinating journey and  I am compelled to help other women physicians learn the skills of coaching, earlier, before they reach burnout like I did. I love to coach them to help increase their confidence and fulfillment in their careers and relationships.

What surprises have you have about your client's professional lives and needs since you started? 
 It has surprised me how much fun we have in coaching and how many friends I have developed in my clients and the coaching community. Group coaching has been deeply meaningful to me, both as a participant and also in the group coaching programs that I run. 
There is such commonality among women physicians and what we struggle with. What I mean is that we are a brilliant, hardworking, dedicated, capable, powerful, compassionate group. Yet on the whole we lack self compassion, we put others’ needs ahead of our own, and many of us feel inadequate much of the time since we are trained in a system that relies on external validation. We don’t recognize our intrinsic worth and when things go wrong with patients or our families, we are extremely harsh and unforgiving with ourselves. We also negotiate for ourselves on the whole quite badly.   I love helping physician women grow into the best version of themselves and realize how much value they contribute and how worthy they are of their own love and compassion. 

What one piece of advice do you have for physicians who are not satisfied with their careers?
Before you switch jobs, clean up your thinking. A lot of us think if we can just switch jobs, partners, institutions, % FTE, etc we will be happier and more fulfilled. If we do that without looking at the thoughts that are contributing to our dissatisfaction, we risk recreating the same situation wherever we wind up. If you are a people pleaser, hate saying no and take on too much work without setting boundaries in one job, chances are you will do the same in your next job if you don't work to change. Through coaching I help clients take radical responsibility for their lives. As long as it is up to your boss or partner or kids to change in order for you to feel happy and fulfilled, you don’t have much control. Recognizing that how you think about EVERYTHING Is what really creates your life is a huge game changer.
How can a doctor know when it's time to call a coach?
I love this question! Everyone can benefit from coaching. A common misconception is that coaching is only if you are having trouble or are unhappy. I am very happy and successful and I still commit to investing in coaching for myself because it helps me set new goals and pushes me to attain them, as well as work on the parts of me that I’d like to improve. Think about athletes:  Poor performing athletes need coaches. Michael Jordan needed a coach. Being a human is both wonderful and also incredibly challenging, especially as a physician and as a woman. The culture of medicine does not focus on taking care of us and we in turn do not do a very job of caring for ourselves.  We pay a price for that, just look at the rates of mental health problems, addiction and suicide in medicine. We need help and there is a stigma around pursuing it. Coaching should be part of medical education so we learn the tools of resilience and self preservation. I could go on and on. 

What is your favorite thing about coaching? 
My clients! Meeting them, getting to know them, seeing their strengths and watching them transform and grow and reach their goals. They are incredible, each and every one.


You still maintain work with Teladoc- what are the benefits of doing that? 
I enjoy it  because of the members I am able to help. Currently I work exclusively with Transgender folks in a longitudinal virtual care program.  They are an incredible and gifted community of folks  who have unique challenges in navigating the healthcare system. I love getting to know them and helping to make it easier for them. These relationships enrich my life.
You can contact Dr. Leitner, 
karenleitnermd coaching  at www.karenleitnermd.com
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Advice for Starting a Clothing Business

7/31/2020

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By Jessica Lubahn, MD


When I went to medical school, I never imagined that I would become a Urologist, much less start an underwear company. As rigorous as medical training is, there is something very comfortable about having a step-wise path that leads to a mostly stable endpoint. Entrepreneurship has been anything but comfortable, with no discernible blueprint to follow.
The merging of these dichotomies started soon after I began my first private practice job after residency. In my line of work, I directly bear witness to the impact incontinence has on my patients, as well as my close friends and family members.  Incontinence can drive isolation and depression. I treat women and men with medications, nerve stimulators, botox, and even surgery. The distress may be great even when the leakage is “mild” from a medical standpoint due to the shame experienced by the patient.
The idea for leakproof underwear developed while I was on maternity leave, and I thought about extrapolating cloth diapering technology into stylish, adult underwear.


5 Common characteristics of an entrepreneur
Navigating the ins and outs of the fashion industry has been --- interesting. For a person with a scientific background, negotiating the lack of standardization at every level was eye opening. For instance, there is no encyclopedia of general fabric properties. Juxtaposed to the urgency of medicine, steps in business seemed to move at a snail’s pace.
To enjoy this environment, certain characteristics apply:
  1. Risk tolerance 
  2. Self-Motivation
  3. Resourcefulness
  4. Networking ability
  5. Opportunistic
 One of the best pieces of advice that I got was to talk about the idea. Like many, I was afraid of getting “scooped.” However, in speaking about it to everyone I knew, I was able to connect with the right people, who then enabled the development of the product.
Steps to starting a clothing brand
I wish I knew what I know now, and I think that I could have created this brand through a much more efficient route. However, mistakes helped me really learn about the production process.

  1. Sourcing materials: At this stage, I went down many search rabbit holes trying to find the right materials. Samples can then be requested from the many different kinds of suppliers. 
  2. Creating a Prototype: Here, you need two people: a pattern maker and a sample maker. The pattern maker is the architect, who takes your sketches and ideas and drafts a blueprint that can be made. The sample maker then creates a version of your product. 
  3. Production partner: This is finding the factory that can produce the product at scale. There are risks and benefits to choosing an international versus domestic partner. This can start to get complicated with issues such as tariffs and customs.
  4. Packaging: The number of options is astounding.
  5. Brand creation: This is the hard part in determining who you want your product to speak to. It involves the color palette, the imagery, logo design, messaging.
  6. Marketing
  7. Intellectual Property protection: patents, trademarks
Each of these steps can be daunting in its own right. The upfront investment is quite high. These steps can be done a la carte, through the hiring of freelancers on sites like Fivver or Upwork. There are many “all inclusive” design firms, fashion accelerators, consultants that can also help guide you through the process.

In the end, this company has been quite complementary to my medical practice. It has brought me more joy to my own practice, as it has made me a better listener to the pain points of my patients. It has challenged me, not only from a treatment standpoint, but also to think of more inventive ways to look at their problems.

About the Author: Dr. Jessica Lubahn, MD is a medical doctor and urologist. She is a health writer and consultant and is the creator of ONDRwear (ondrwear.com) which are plant-based leak proof underwear for preventing leaks.
Facebook: https://www.facebook.com/ondrwear/
Instagram: ONDRwear (@ondrwear) • Instagram photos and videos

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Physician Disability Insurance Tips

5/27/2020

6 Comments

 
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I recently had the opportunity to talk with Eric Bork of Pattern Insurance. Pattern is an independent insurance brokerage that caters specifically to physicians. Eric shared some great insights about physician disability and life insurance that every doctor needs to consider when selecting an insurance policy—and when reviewing already existing policies to see if any updates are needed.


When should physicians start thinking about disability insurance?
For disability insurance, the answer is yesterday! Nobody can predict what illness or accidents you may face in your life when they might occur. You will never be younger and healthier than you are now, so that is the ideal time to purchase disability insurance. This will allow you to get coverage with fewer health restrictions, if any, and the cheapest rates possible. Protecting your future income after all those years in training is crucial for any doctor at any point in their career.

What about life insurance? What about doctors who have never been married and don't have children?
Life insurance is a little different and depends on each individual's circumstances. If you have any dependents or are married, you need life insurance right away. If you are single with no dependents, it can still be a good idea to get life insurance as it is cheaper while you are young. However, your needs should be discussed with a financial professional before deciding what is best for your situation.  Overall, term life insurance is very cheap and can fit in every doctor’s budget.

Do the costs and benefits differ by specialty? What if a doctor has a completely non-clinical role like chart review?
The cost of disability insurance does vary by specialty, along with many other factors including your state, income, and age. Certain specialties are deemed as more risky for potential disability, so they are all separated in what are known as occupation classes by the insurance company.

Insurance companies also look specifically at your duties when applying for coverage to assign the right occupation class. However, the great thing about getting a true own-occupation policy, is that if your duties change over the course of your career, you would be covered according to your specific duties prior to the time of disability. This can work to your advantage if you get a disability insurance policy in training while less specialized with a cheaper occupation class. Even as you add specialization or additional duties over your career, your policy will now cover you even at the cheaper rate.

How about doctors who have an inconsistent salary and can't even estimate their salary in advance? Such as doing locums clinical work or expert witness, which are both sporadic projects?
This can vary a little with each insurance company. Insurance companies will typically look at some income documentation to determine how much coverage you are eligible for. This could include paystubs, tax returns or even employment contracts. If you have inconsistent pay, the insurance company will most likely look back at your entire prior year taxable income to come up with an appropriate benefit amount.

Do physician moms who work part time or step away from work for a while still need to get life and disability insurance?
Life insurance is absolutely a must if you have young children.

Anyone who makes an income that is relied upon by themselves or other family members should get disability insurance.  In other words, if you or anyone else would have financial difficulty if you became disabled and couldn't earn your income, you should protect that income with disability insurance. 

How does specialty specific insurance come into play when a doctor becomes disabled and could do something that isn't physically demanding—like telemedicine? What if there are jobs but the doctor can't seem to find a job or the new job pays less than the in-person job? Can he or she collect some disability payment long term or temporarily?
This is the exact reason why you want to get a specialty specific or true own-occupation disability insurance policy. If you cannot perform the specific duties of your specialty, you can collect a disability payment, even if you can work in another job. This would include telemedicine, teaching, etc. You could get the full benefit from your disability policy as well as the entire income from your new job. The other great thing about a true own-occupation policy is that if you can’t find a job or choose not to work in a different job, you do not have to. You can still collect a full benefit as long as you cannot perform the material and substantial duties of your specialty at the time of disability.

How does divorce affect rates? Should doctors adjust the policy when this happens?
Divorce is not one of the factors that affects the rates of disability insurance.  However, it can affect how much coverage you need.  For instance, if you are married and living in a two income family where your income makes up 50% or less of the total family income, you could opt for less coverage than if you were divorced and single and solely reliant upon your own income and without the support of your spouse's income.

 How can you keep an open mind when assessing different policies?
The first thing to do is to educate yourself and determine what you absolutely must have in a policy and what you absolutely do not want in a policy.  Once you know these things, you can begin to narrow down the options.  One thing to avoid is talking to any insurance agent who represents one insurance company. Even if they say they are unbiased but are employed by a single insurance company, they will have a conflict of interest and most likely be incentivized to sell that company's policy.  Find an independent broker who works with all of the major companies and who has a long track-record of working with doctors and being trusted by doctors.  Between educating yourself and finding a trusted, unbiased broker to work with, you will be able to discern what is really best for you and avoid getting "sold" something that's not in your best interest.
If you are ready to talk to an unbiased, independent broker who specializes in own-occupation disability insurance, visit
Pattern to learn more.


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Targeting Your Audience

3/25/2020

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By Robert Priddy
This is something I’ve said for years, and I’ve had it misunderstood on occasion to mean incorrectly, that I be­lieve other people aren’t smart. On the contrary, I believe most of the people I work with are more intelligent than I am. However, I don’t believe they all have the same knowledge base that I possess.
 
I would encourage you to take that same position. You will likely deal, in the nonclinical world, with very intelli­gent people. However, they will not possess your same knowledge base, your educational exposure or your context for decision-making.
 
Therefore, never assume your audience is operating on your plane. On a practical level, I coach my clients to appreciate that most conversations, most presentations, most interactions whether inter-personal or in groups can always be elevated to represent a higher level of knowledge. You can use abbreviations because you see everyone expects you to say HIPAA rather than Health Insurance Portability and Accountability Act, or you may skip a couple of slides, telling your audience it’s obvious the background content of those slides is unnecessary for the group.
 
It is best if you have a clear understanding of your audience’s subject knowledge. In some settings, you can simply ask the group to tell you their knowledge level. There is nothing wrong with asking, “Tell me your back­ground and experience with this...” But when in doubt be prepared to communicate at different levels depend­ing on their reaction... drowsy eyes or rapt, engaged attention.
 
As an aside, you might also consider the statement, never confuse intelligence with knowledge or knowledge with intelligence. Weigh your communications on the balance of whether it is predicated on knowledge or in­telligence, and move forward from there.


If you’d like to learn more, don’t hesitate to contact me for an initial Hallway Consult... Call or Text 720-339-3585 or email [email protected].
More advice by Robert Priddy-The Resume Recruiters and HR People Hate, Physician Career Change,
and Self Protection Is Self Defeating
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How physicians can contribute to improving healthcare IT products

11/29/2019

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By Naval Asija MD

A computer is a machine that works very fast and makes things easy. How fast, depends mostly on the hardware, and how easy mostly depends on the software.
Software or applications are fancy terms for the computer program. A computer program determines how well the computer is told to do things.
“Machines are excellent workers, but poor leaders”. It can’t be truer than the case of computer programs. If you don’t tell the computer to do its task in a proper manner, it will never do it properly.
Computer programs are based on stacks of information known as databases. And then, the written instructions tell the computer whether to run or not run elements of the database.
This process of giving instructions to the computer is based on logic statements using binary results in the form of TRUE or FALSE and the use of “Operators” like IF and THEN, AND-OR, GREATER THAN-LESS THAN.
The actual instructions to the computer are however provided through use of special programming languages like HTML, C++, and Python which are known by software engineers. They convert the above logic statements into “Code” and this process is called coding.


Can The Physician Intervene at The Level of Database?
Generally speaking, No! The physician can’t.
The databases for healthcare IT are normatively accepted as industry standards, sometimes even by law.  Some of the examples of databases that are universally used by different industries operating in the healthcare market are given below.
  • SNOWMED CT and LOINC systems for developing Electronic Health Records.
  • ICD 10, ICD 10 CM, DSM codes for reporting diagnosis.
  • PCS and CPT for coding medical procedures and tests.
  • ATC classification for classifying drugs.
  • HL7 for interoperability of medical messages, and continuity of care documents.
Some in-built features common in all these master databases create a breeding ground for huge troubles in the software/application. The two most important problems are listed below. 
  1. All these are huge in size, with some of them being enormously large. This poses the problem of lots of redundant and unnecessary information being fetched each time there is a transaction.
  2. One patient can simultaneously have many diseases, prescriptions and investigations. These keep on changing over time. So the amount of information captured for each patient at a point of time can be huge. In contrast, the entities in these databases have little links and relationships defined with other parts of the database. So, while the practice of medicine is grey in nature; the databases mostly exist as black and white, often leading to misalignment.
Due to these structural difficulties, the applications formed using such databases result in products that are often hated by their users. The typical example of this phenomenon can be seen in United States’ EHR industry, where the handwritten to EHR conversion has led to the emerging problem of clinician’s burnout.
However, the physician can sometimes intervene at the level of database, especially in the cases of true innovation, when an entirely new application is being formed and a new futuristic industry is being created. The synthesis of an appropriate medical database should be the core responsibility of the physician in charge of the product. For example startups deploying techniques like AI, AR, and VR in healthcare processes mostly build their databases from scratch and try to avoid the above problems by keeping it lean and focusing on relationships of individual entities.   

What If The Physician Can’t Alter The Database? What Skills Does The Physician Require?
The physician can intervene at the workflow part of the application while also forming the logic rules for running the parts of database.
Programming rules that facilitate integration with the clinician’s workflow and enable quality information entry and increase usability of the application should be the physician’s top priority targets of intervention. The physician could use intelligence and clinical experience to make the user experience seamless, smooth and enjoyable.
Some of the examples in this regard could be:
  • Use of modular approach to fetch only parts of databases that are highly relevant to the user in the first paint. The other modules should be available on request. For example, a cardiologist may be forced to always document “No history of anxiety or depression.”
  • Use of biological control variables like age, gender, and past history to avoid data entry errors and provide text suggestions for data entry.
  • Use of relationships to link variables like latest HbA1C levels being linked with diabetes status.
  • Learning from client’s experience to improvise the software.   
  • Helping the IT-development team in finding bugs, reporting issues and following up about their prompt resolution.*
  • Working with IT-testing team to feel the user experience before the final release of the software.*
* The last two suggestions may require that the physician learn computer coding and work with specialized software that the physician could learn to use over time. These skills could develop in interdepartmental meetings or through formal training, similar to how the computer engineers who would be simultaneously learning the medical terminology.
About the author: Dr. Naval Asija is from India and has a postgraduate qualification in health administration. He has worked for four years in Synodex, Innodata as a Med-Tech Physician. He currently writes about various health issues. You may also like reading his blog post A Typical Workday Of The Physician In A Healthcare IT Company that was posted on his personal blog.


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    Using AI to find a job
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    How to find a ghostwriter
    Benefits of hiring a coach
    Becoming a physician coach
    Starting a clothing business
    Telemedicine and rural medicine
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    Disability insurance tips
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    How to become a physician hospital executive
    Getting started with locums
    Wound care specialty training
    Healthcare IT
    Salary of non-clinical jobs
    Medical malpractice insurance policy
    ​If you lost your medical license
    Demonstrating confidence
    Expanding non clinical job market for physicians
    Knowing your value as a physician
    Targeting your audience
    Defensive behavior
    US clinical experience for international medical graduates
    Physician review sites
    Retirement finances
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    Physician recruiter insight
    The alternative to multitasking
    Getting a dual MD/ MBA
    What is a Functional Resume?
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