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Nonclinical physician career, income & lifestyle.Freelance MD is an active community of physicians that gives you greater control of your medical practice, income, and lifestyle, even if you’re clueless about where to begin and you’re already working 80 hour weeks. Join Now For Instant Access To Members Only Content & Downloads. It's free!
 
Sunday
Aug262012

Physician Leadership On Nonprofit Boards

Practical insights for physician board members and chief executives.

Physician leaders are often asked to serve on boards of nonprofit organizations.  Physicians in transition may also want to explore this—not only as an opportunity to apply their leadership skills outside of clinical practice—but also as way to give back to their communities.

I have found that a lot of ink has been devoted to the theories that drive nonprofit board leadership—but perhaps, too little about the nuts and bolts of ensuring effective boards.  While serving on a nonprofit board can be richly rewarding, it can also present a leadership challenge.  Depending on your past experience, you may want to take a closer look at the practical aspects of nonprofit governance, including formulating board structure and process, developing a strong partnership between board and staff, and structuring effective board and

Click to read more ...

Sunday
Aug122012

New Media Boot Camp For Doctors

Harvard Medical School and the Discovery Channel have teamed up to offer first-of-its-kind media training conference for physicians.

About a year ago, John Whyte, MD, vice president for continuing medical education at Discovery Channel, introduced himself to me and said, "Discovery Channel and Harvard Health Publications should host a joint conference for doctors who want to take their careers to the next level."

What seemed like a bit of a wild idea at first has become a reality, and the conference titled Creating the Brand Called Dr. You: Media Training Boot Camp for Doctors will be held at the Discovery Channel global headquarters in Silver Spring, Maryland. When I visited John at Discovery Channel, it was truly an amazing place to be, and I think it's the perfect location for this course!

nonclinical media training conference for physicians

Doctors (and other professionals) who take this all-inclusive course will come away with:

  • Live TV training
  • Teleprompter experience
  • Radio coaching
  • Professional headshot
  • Video/reel
  • Strategies to improve an online platform
  • And much more!

This is a first time ever offering, and we're not sure if we'll do it again. There are only 100 slots for attendees, so we expect it to fill up fast. Therefore, if you are interested in attending, check out the website, and I hope to see you there!

Learn more about this conference here.

Wednesday
Aug012012

The 90/30 Conundrum: How To Change Medicine (If It's Even Possible)

nonclinical physician changeGuest post by Aaron Schenone

Is it possible to change the healthcare industry?

I recently read an article entitled “Rebels at Work: Motivated to Make a Difference” a conversation with Lois Kelly. In her research she refers to the 90/30 conundrum where 90% of respondents agreed activating creative thinking can improve culture and drive innovation, yet only a third of those respondents were satisfied with innovative individuals’, the so called rebels, ability to provide that outcome.

Her research goes further defining these innovative individuals as creative, curious risk takers that aren’t driven by monetary gain, but by the ability to make a difference. They aren’t afraid to call out problems or be the first to do things differently. She also found people are uncomfortable with these individuals who challenge the status quo, circumvent the rules, question organizational leaders, and initiate projects without permission. Too often leaders react by throwing these habitual truants into the trapped box with the label “Rebel” on it.

It’s no surprise that innovative individuals gravitate to the world of entrepreneurship, starting their own organizations where they can create a culture that not only understands their purpose, but more importantly can provide an outlet for their ideas to make a difference in the world. We intuitively know some of these types of individuals such as Steve Jobs, and Richard Branson, but these individuals are in every industry and industry leaders are starting to recognize their value. People like Carmen Medina, former CIA Deputy Director of Intelligence, who supported the creation of a novel and dynamic approach to searchable actionable intelligence through a program affectionately called Intellipedia.

In medicine many of our innovative medical students and residents have had similar frustrations often being misunderstood and thrown into the trapped box with the label “Cowboy” on it. We feel misunderstood, locked out and all too often make an early exit from the very organizations and patients who need our ideas the most. I believe the 90/30 conundrum is a reflection on the challenges innovative people and organizational leaders have had in attempting to build trusting, productive relationships. It’s something that as innovative minded medical students and residents many of us have been battling since we sat in our first years of didactic lectures. We continue to ask whether actionable change is possible in such a large numbers driven industry.

Today, I believe it is possible to make actionable change in the healthcare industry. But to get there we must first gain the trust of our leaders. We must prove we’re not just cowboys without a cause; we’re passionate activists ready to drink H. Pylori to prove there’s a better way.

About: Aaron Schenone Third Year Medical Student in St Louis, studying clinical research in oncology

Friday
Jul202012

Is Telemedicine A Perfect Solution? 

Telemedicine has been the subject of many recent discussions between me and this guest author, Murdoc Khaleghi, MD, MBA, FACEP, FAAEM.

Keeping up with the healthcare trends is essential, whether you are practicing clinically or in a non-clinical job because those trends determine tomorrow’s opportunities.  The Supreme Court decision regarding the Affordable Care Act set certain wheels in motion regarding future mandates and legislation.  However, we would argue that the US health system is in the midst of innovation and change regardless of the judicial system.   Some of the problem like rising costs, older, sicker people and consumerism are independent of any federal legislation.

Technology solutions aim to solve some of those problems and have been written about on this site.   Jeff Barson discussed how medical outsourcing is becoming standard practice for certain specialties (http://freelancemd.com/blog/2010/12/6/physician-outsourcing-technology-will-flatten-the-medical-wo.html).  Arlen Meyers wrote about different interface technologies that are intended for non-medical use but have potential medical or healthcare applications or value (http://freelancemd.com/blog/2010/12/12/working-on-the-edge.html)

Telemedicine or telehealth appears to be one of the fastest growing areas of health care.  Physicians like the flexibility of when and how much they work, without the tie to the office.   Not having to work in an office also reduces overhead significantly, while allowing physicians to work from anywhere.  It seems telemedicine may be another tool for the doctors who are looking for help improving and expanding their practices or exploring a non-traditional medical area.   One doctor had this to say,

“I can consult from the comfort of my deck, or easily schedule exercise and breaks into my day.  I am even planning a few consults per day at a vacation home.   There are no refills to sign for, no urgent care calls in the middle of the night.”

Obviously, telemedicine does not take care of all medical issues, such as those that require procedures or immediate interventions, but for preventative care and low-acuity complaints, telemedicine can be an effective form of healthcare delivery.  For example, telemedicine can take advantage of many internet-based features.  Health information, diagnostic tests, consultations, and recommendations can all be performed or shared with providers and patients via the cloud.  A recent article published online on June 22 in the British Medical Journal reported that for patients with long term conditions, telehealth can reduce 12-month mortality by nearly half.  Other benefits included reduced hospital stay and mean number of emergency admissions.

WellnessFX and ISelectMD are two telemedicine companies that seem to be doing something unique and innovative.  WellnessFX has a focus on preventive medicine but hires doctors of all specialties.  Companies like Teledoc, American Well and Ring-A-Doc also continue to bring new and useful products and services to market.  These companies all hire doctors as consultants to do work on a part time or piece meal basis.   Some doctors want to launch concierge medicine services and others want to bring in more clients and offer service outside of traditional working hours. 

As physicians, we are always interested in patient outcomes and patient satisfaction. Many patients like telehealth because it allows for more flexibility in scheduling appointments and they can avoid time in waiting rooms.  Going back to recent health reform trends, with more regulation and legislation, patient satisfaction scores are becoming more important as a reflection of overall quality of care.  Interestingly, telehealth seems to be meeting patients’ needs.  From these actual notes, it seems apparent to us that telehealth not only meets patient needs but also can contribute to coordination of care. 

"WellnessFX saved my life. Without it, I would have struggled through more specialists, different drug treatments, and continued fatigue and ill health. Now, I'm in control to optimize my health."

"I would like to take the time to thank ISelect MD for helping me over the weekend. I tried several times to reach my doctor over the weekend who did not return my call. I called ISelect MD and within 10 minutes I received a call from one of your doctors.

He asked me a variety of questions relating to my issue and knew all about the problem. He spent a great deal of time on the phone with me….and directed me to a specialist who I now have an appointment with.  I was surprised by the concern that the ISelect MD people have for me. Since the initial call, I have been contacted by the doctor and the staff at ISelect MD three times for follow up.  This has been the best experience I have ever had concerning my medical needs."

What do you think of telemedicine?  Is this a solution to some of the problems in healthcare?

 

Thursday
Jul122012

Physicians Who Feel Relevant

I'm always surprised at the number of physicians I work with who worry about, discount, or do not see their relevance outside of clinical practice. I do, of course, recognize their relevance - the trick is to get the docs to.

For many physicians, venturing into positions of leadership, becoming a Department Chair, VP Medical Affairs or even Chief Medical Officer) is a logical step for those looking to expand their skills and take on new responsibilities that grow their career.  The physicians that pursue these roles have obvious relevance in this arena, particularly when they bring the years of relationships and their history with the hospital into the role.

But for docs actually leaving the familiarity of the hospital environment, the fear of being irrelevant seems to be a common (if not typically expressed) theme.  Many physicians worry that while they have developed very deep skills and expertise, their repertoire is relatively narrow, and this makes them fear that they lack the requisite skills to be successful in the non-clinical world.  For most, this is simply not true.

Physicians come to the table with a myriad of transferable skills, as well as a wealth of needed knowledge and expertise.  Many times organizations are hungry for what the doctors have to offer, and for the value that they provide.   

In my experience, one of the best parts of working with physicians interested in non-clinical pursuits has been accompanying these intelligent, creative and energetic professionals as they realize that they have a lot more to offer - and are more in demand - then they ever thought they would be.  

The truth of the matter is that you, as a physician, bring years worth of skills and experience that can position you to be a tremendous value to organizations that lack your unique combination of ability and expertise.  Value comes in the form of younger docs with years of disciplined schooling under their belts and a willingness to "jump in", or mid-career physicians who have enough experience to know what they didn't know in the beginning (and how to use that for the best outcome), or seasoned docs that bring decades of experience and perspective with them into their role.  

Many of the physicians I know that have transitioned completely outside of medicine into start-ups, biotechs, or pharma companies often remark that they cannot believe the organization functioned without a doc in their role.  It gives them a window into the need for physicians' skills and knowledge base outside of clinical work, and how they can impact many more lives than they would seeing patients one-by-one.

They feel validated.  And indeed, they feel relevant.

Saturday
Jun162012

I'll Bet You Know a Few Almost Psychopaths!

Almost a Psychopath?

One of the things that I've been spending a lot of time working on this past year is a series of books on subclinical symptoms in mental and behavioral health. This series, called The Almost Effect is already changing the way a lot of people think about mental health. The idea is based in solid science and an understanding of how both physical and mental abnormalities occur on a spectrum--from nearly imperceptible to quite severe.

The first book, Almost Alcoholic, has been adopted by colleges and universities in peer to peer substance abuse training and many other programs. It has also been the topic of a lot of buzz on the internet with people wondering just how much alcohol is too much. (Answer: read the book!)

The second book, Almost a Psychopath, has been getting a lot of press with many of the reporters saying that they didn't realize just how many "almost psychopaths" they knew. (Hint: the number of subclinical psychopaths in the U.S. is approximately equal to the combined populations of Texas and New York!!). An easy way to consider whether you might be dealing with one is if you've been asking yourself, "What was THAT about?!"

In an interview with the authors, Emily Rooney of WGBH asked them some questions about the infamous Clark Rockefeller who is on trial for murder in California. The authors elegantly side stepped these questions (Consider: ethical issues are important if you are a physician who publishes a book--to see how these authors handled Rooney's questions, watch this TV clip of the Greater Boston).

This is an exciting new series of books, and definitively demonstrates why publishing is not dead. In fact, there are many doctors with incredible expertise and extremely important information to impart. If you are one of them, consider how your work and your message might be published as a book.

Saturday
Jun162012

I Have Fallen In Love With Patient Care Again

What I love to do is encourage patients to get more involved in their medical care and their well-being by easy to use methods that have great impact.

Yes, it's true. I have for a long time loved the practice of medicine. A few years into practice, I realized the importance of my role as a primary care and the tremendous impact I have on my patients. I started practice post-residency with one of the hardest group of patients (in my opinion) working for the country health department. I knew that if I survived beyond my first year at the health department, I could pretty much make it anywhere, so I set my mind to make a difference and stick to principles of healing, health and well-being all the while, also practicing the art of medicine. Some days were a big challenge but it was a great experience. In fact, things went so well -- I lasted 6 years there making a huge impact on the lives of the patients I served and they in the same way, making an impact on me.

From there, I went into private practice which was also a great learning experience. Only thing, though, was I felt that I was on a hamster's wheel, expending so much energy into providing care for my patients but not seeing the corresponding on my investment because of decreased re-imbursements, malpractice insurances, taxes and overhead and the typical other things that needed to be paid. I knew after few years of doing this that if I continued things this way, the joy of medicine will be snuffed and sucked right out of me. So I had 2 options. One was re-evaluate if I wanted to continue with the profession or choose some other nonclinical path....(but I really liked patient care), OR create a way in which come decreased re-imbursement or overhead or salaried position or whatever, I was financially to do what I really loved. 

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