SEAK and Ye Shall Find

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The aptly named SEAK, Inc. (Skills, Education, Achievement, Knowledge) is a continuing education company that sends me annual brochures touting how physicians like me can make money outside of the clinical practice of medicine as we know it.   They are the ultimate purveyors of exit strategy, the mantra hidden between the lines of their pamphlet whispering, “Someday you will …

Is Your Portfolio Easy Like Sunday Morning?

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One of my resolutions for 2017 is to bare more personal details, so in this spirit I’ll share my investor policy statement* for your perusal. Asset Allocation: 100 – (% in bonds) to be divided among stocks as follows: Domestic Equity (65%) International Equity (25%) Real Estate Investment Trusts (REITs) (10%) numbers rounded for simplicity 3-6 months’ expenses in Money …

Live Like A Resident, Earn Like An Attending

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You have worked like a dog through your undergraduate years, medical school, residency and perhaps fellowship to reach your professional apex as a working physician.  Finally you get your first check, and it has more zeroes at the end than any document you’ve seen short of your student debt statement. One friend from your study group who has the same …

The Unconventional Life

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A recent New Yorker article summarized the three stages of the American immigrant experience: First Generation: work hardscrabble jobs, sacrifice for children’s education Second Generation: academic achievers pursue professional careers in medicine, law, finance Third Generation: take Improv classes I found this a concise way of capturing the internal tensions we all struggle with to some degree:  on the one …

Top 10 Reasons I Always Travel Carry-on

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Checked bag fees and lines are for suckers. Secret to eternal youth: less stress + less back pain = greater stamina. Missed connections / delays will never deprive you of clean underwear. Join a secret society: carry on travelers share a self-sufficiency gene that is the key to evolution. I’m a control freak. Keeping my bag in reach is one …

All I Really Need to Know I Learned from Rick Steves

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I was one lucky son of a gun: 22 years old, graduating college, accepted to medical school.  I had an airline ticket (thank you, generous aunt and uncle), a Eurorail pass (thank you, savings from college gig as a Sunday school teacher), and a ginormous new Eagle Creek backpack bought on sale (if only I’d known that used is the …

Cultivating Gratitude

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The key to living well is living not just within, but comfortably beneath your means.  This means cultivating habits that will reward you in the future.  One key habit is to adopt a perspective that allows you to appreciate how good your life is right now.   While it has always been fashionable (if tiring) to whine about low resident …

What Is Pleasure Out Of Proportion?

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In medical school we studied necrotizing fasciitis, colloquially dubbed “flesh-eating bacteria” in the lay press.  One of the hallmarks in distinguishing this disease from less aggressive soft tissue infections is pain out of proportion to physical exam findings.    I’d come to remember this concept decades later, as I began to develop a reciprocal theory: pleasure out of proportion.  (Decontextualized, …

Cultivating Growth Mindset

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Freshman year at Stanford had been a humbling experience.  Everyone around me, it seemed, was smarter, more experienced, more accomplished than I was.  Shawn Green was a personable guy in my dorm – and the only frosh I knew getting a $725,000 signing bonus as a first-round draft pick for the Toronto Blue Jays.  Our dorm also claimed the new  …

Adapt Your Medical Career To Your Life Needs

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I had just turned 40, and was leading a busy life that might resonate with your own: a full-time job in community practice, marriage and fatherhood.  Since I didn’t want to take time away from my wife or kids, self-replenishing (i.e., pleasure out of proportion) pursuits suffered.  A writing group I’d started in internship began to founder because the handful …