Newbie Wants To Accelerate To Supersaver (1 of 2)

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A reader is an independent contractor in emergency medicine. He is married with young kids, looking to buy a house in the next 1-2 years in a high cost of living (HCOL) area in a high income tax state. He still has student loans under $200k, but they are refinanced at a low rate where the math favors paying the …

The Budget Bon Vivant

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We’re baa-aack! This summer’s big trip (vacation is a term my wife and I reserve for travel without children; trip refers to travel with children) was to Spain, and I thought it might be worthwhile to share the tips and tricks that made this one wonderful, as well as the fails that we’ll learn from going forward. We began in …

Taking On A Loved One’s Emotional Burden

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Yesterday I watched a particularly moving film, The Farewell. [I hate spoilers, so nothing that follows is not already evident in the trailers.] The film follows the Americanized branch of a Chinese family through the eyes of a millennial granddaughter as she returns home for a final visit to the family matriarch who has been diagnosed with terminal cancer. Heavily …

Does Your Career In Medicine Cause You Shrinkage?

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I was in junior high school the first time I accepted a friend’s invitation to join him in the Pacific Ocean. He’d been surfing since grade school, and agreed to lend me a spare bodyboard for our afternoon at the beach. After his mom dropped us off, he wrapped a towel around his waist and shimmied into a full length …

Primary Care Business Owner Wants To Cut Back (3 of 3)

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In our second installment, we explored variables within Dr. PBO’s control that might reduce the unpleasant aspects of his job. Assuming he has adjusted those within his control, let’s talk about he might go about becoming (apologies to Seinfeld fans) a master outside his domain. Dr. PBO’s scenario already has one great advantage: he is a business owner, an increasingly …

Primary Care Business Owner Wants To Cut Back (2 of 3)

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In our first installment, we determined that Dr. PBO’s journey to Financial Independence (FI) needs to begin with an assessment of his starting point, his destination, and consideration of the vehicles he intends to use to arrive at FI. Variables Largely Within Your Control It can be surprising to realize that despite feeling stuck, many of the variables to improve …

Primary Care Business Owner Wants To Cut Back (1 of 3)

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If you read through my list of physician finance bloggers, you’ll note that shift-based specialists like anesthesiologists, radiologists and emergency physicians are over-represented. Where are the primary care physicians? They do not blog in proportion to the half of the physician work force they comprise, leaving a vacuum of first person testimony as to how such clinicians might cut back …

Free Medical Advice For Family: No Good Deed Goes Unpunished

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I come from a driven immigrant family. During a recent podcast interview with the ever-gracious Dr. Nii Darko, we discussed the pressures we felt with being the first generation raised in our families’ adopted country, and the responsibility we inherited to realize our parents’ dreams of success. Our professional careers, for better or worse, commonly become the validation our parents …

My Life Partner

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The following post comes courtesy of Vagabond MD, a radiologist who cut back who is a friend and much revered guest-poster on this blog and many others. In it he addresses the (possibly vanishing) culture of his single-hospital democratic group (SDG), a physician-owned partnership that was historically the basic unit of medical practice. It has recently been replaced en masse …

Docs Who Cut Back #21: Doc G

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Doc G in an internist best known for his prodigious writing via his blog, DiverseFI, as well as being one half of the dynamic duo behind the What’s Up Next? podcast. We met at Fin Con 18, and I was not the only person struck by his gift with words. The details of how Doc G build his home-based concierge …