Feb 3, 2018
We are a profession that comes out with a lot of skills, but are very unsure of how the world works. You have to educate yourself.
Medicine for me is a second career. I was drawn to medicine as a place to find fulfillment. I was an investment professional; I worked in finance for many years. I did biotechnology, healthcare, and medical device investing. When I was 32, I had the opportunity to get out of that business and I went to medical school. As I went through school, dermatology presented itself as a possibility. I find it a very fulfilling specialty because it has a lot of different elements, from medical to procedural.
Tips on Starting a Practice and staying in control.
You have to be able to lose money: it took 9 months for me to break even, let alone the investment I had to start the practice. You have to be prepared to sustain losses for a while. You also have to take advantage of technology, billing, reimbursements, and EMR (Electronic Medical Record). They really make the workflow a lot easier and it goes with the practice.
I think it is important that physicians continue to try to be solo practitioners or group-practitioners and keep the reigns of medicine in the hands of the physician, and out of the hands of investors and administrators.
On Physician Fulfillment
You can't define yourself by your profession. I have learned this is a very American way to view the world...Here in America, we define ourselves by what we do, I think that's not a great idea. I think that people are a collection of roles that we play. We put on the white coat and we play a role. The patients want you to play that role too. You are the doctor, you are the expert, but when you take off the coat you are a person, and you should have a life that doesn't involve you wearing the coat. I don't think you can be fulfilled completely if your entire fulfillment is coming only from your professional life.
A Tip For Our Listeners: "The Time Between The Time"
The tremendous power of a little bit every day. How do you accomplish anything? Every task seems insurmountable until you start it, including medical school. For me, it was gross anatomy, and I thought "how am I going to learn all of this?" It's a little bit each time. There is importance to discipline to the process. Write every day for 5-10 minutes... 10 minutes a day for a year. I'm using that time. I call that, "the time between the time". In 8 hours of work a day, you have a lot of free time. Use those moments...there's always 10 minutes.
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