From Residency To Retirement

From Residency to Retirement tells the stories of twenty American doctors over the last half century, which saw a period of continuous, turbulent, and transformative changes to the U.S. health care system. The cohort’s experiences are reflective of the generation of physicians who came of age as presidents Carter and Reagan began to focus on costs and benefits of health services. Mizrahi observed and interviewed these physicians in six timeframes ending in 2016. Beginning with medical school in the mid-1970s, these physicians reveal the myriad fluctuations and uncertainties in their professional practice, working conditions, collegial relationships, and patient interactions. In their own words, they provide a “view from the front lines” both in academic and community settings. They disclose the satisfactions and strains in coping with macro policies enacted by government and insurance companies over their career trajectory. They describe their residency in internal medicine in a large southern urban medical center as a “siege mentality” which lessened as they began their careers, in Getting Rid of Patients, the title of Mizrahi’s first book (1986). As these doctors moved on in their professional lives more of their experiences were discussed in terms of dissatisfaction with financial remuneration, emotional gratification, and intellectual fulfillment. Such moments of career frustration, however, were also interspersed with moments of satisfaction at different stages of their medical careers. Particularly revealing was whether they were optimistic about the future at each stage of their career and whether they would recommend a medical career to their children. Mizrahi's subjects also divulge their private feelings of disillusionment and fear of failure given the malpractice epidemic and lawsuits threatened or actually brought against so many doctors. Mizrahi’s work, covering almost fifty years, provides rarely viewed insights into the lives of physicians over a professional life span.

In this issue of Thoracic Surgery Clinics, guest editors Drs. Stephen Yang and Jinny Ha bring their considerable expertise to the topic of The Professional Lifespan: From Residency to Retirement. Profession transitions in thoracic surgery are difficult at any point in one’s career, from fellowships and first jobs through mid-career moves and retirement. Every thoracic surgeon goes through these transitions, but needs guidance to do so effectively. This issue covers the entire career lifespan of a thoracic surgeon, plus important related topics such as finances, wellness, lifelong learning, and diversity. Contains 15 relevant, practice-oriented topics including the growing years: promoting yourself the first five years; navigating promotions in thoracic surgery; integrating advocacy into your practice; exit strategy: preparing for retirement; the mid-career crisis: moving on to the next job; and more. Provides in-depth information on the professional lifespan: from residency to retirement, offering actionable insights for a lifetime of clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

From Residency to Retirement tells the stories of twenty American doctors over the last half century, which saw a period of continuous, turbulent, and transformative changes to the U.S. health care system. The cohort’s experiences are reflective of the generation of physicians who came of age as presidents Carter and Reagan began to focus on costs and benefits of health services. Mizrahi observed and interviewed these physicians in six timeframes ending in 2016. Beginning with medical school in the mid-1970s, these physicians reveal the myriad fluctuations and uncertainties in their professional practice, working conditions, collegial relationships, and patient interactions. In their own words, they provide a “view from the front lines” both in academic and community settings. They disclose the satisfactions and strains in coping with macro policies enacted by government and insurance companies over their career trajectory. They describe their residency in internal medicine in a large southern urban medical center as a “siege mentality” which lessened as they began their careers, in Getting Rid of Patients, the title of Mizrahi’s first book (1986). As these doctors moved on in their professional lives more of their experiences were discussed in terms of dissatisfaction with financial remuneration, emotional gratification, and intellectual fulfillment. Such moments of career frustration, however, were also interspersed with moments of satisfaction at different stages of their medical careers. Particularly revealing was whether they were optimistic about the future at each stage of their career and whether they would recommend a medical career to their children. Mizrahi's subjects also divulge their private feelings of disillusionment and fear of failure given the malpractice epidemic and lawsuits threatened or actually brought against so many doctors. Mizrahi’s work, covering almost fifty years, provides rarely viewed insights into the lives of physicians over a professional life span.

This work includes a foreword by James Stageman. 'This book has been produced to serve as a resource for community physicians who bring medical residents into their practices and train them in their offices. This book has been designed with the busy community physician in mind. Each chapter is intended to serve as a practical, concise, easily read, stand alone resource on the topic covered.' - Paul M. Paulman, Audrey A. Paulman, Jeff D. Harrison, Jeff Susman and Kate Finkelstein, in the Preface. 'A comprehensive handbook for precepting residents. Although modern technology can change the way in which students acquire knowledge and skills, there is no substitute for a true mentor. In medicine, perhaps more than in any other profession, our mentors have always enjoyed a special place in our hearts and minds. Although some professional athletes may contend that "I am not a role model", there is no doubt where you and I, as preceptors, stand on this issue. We are role models. We are mentors and upon us falls the responsibility to prepare tomorrow's physicians for careers in public service that we can only begin to comprehend.' - James Stageman, in the Foreword. Written by practicing and academic physicians with decades of experience, this book is the only complete guide written specifically for busy community physicians who teach medical residents in their office. Each chapter is short, concise, easily read and serves as a stand alone reference on the topic covered. Its contents include: identifying learning needs and creating the learning environment; setting goals and objectives, providing feedback and evaluating residents; involving your office staff in teaching and integrating practice management into the preceptorship; preparing the community and practice for the residents and collaborating with local hospitals; documenting supervision and addressing ACGME competencies; and dealing with regulatory bodies and addressing liability issues. This book is an invaluable guide for practicing physicians teaching medical residents in the workplace, particularly those in family medicine, internal medicine and pediatrics, and a useful reference for residency program directors.

Written by a practicing emergency physician, The White Coat Investor is a high-yield manual that specifically deals with the financial issues facing medical students, residents, physicians, dentists, and similar high-income professionals. Doctors are highly-educated and extensively trained at making difficult diagnoses and performing life saving procedures. However, they receive little to no training in business, personal finance, investing, insurance, taxes, estate planning, and asset protection. This book fills in the gaps and will teach you to use your high income to escape from your student loans, provide for your family, build wealth, and stop getting ripped off by unscrupulous financial professionals. Straight talk and clear explanations allow the book to be easily digested by a novice to the subject matter yet the book also contains advanced concepts specific to physicians you won't find in other financial books. This book will teach you how to: Graduate from medical school with as little debt as possible Escape from student loans within two to five years of residency graduation Purchase the right types and amounts of insurance Decide when to buy a house and how much to spend on it Learn to invest in a sensible, low-cost and effective manner with or without the assistance of an advisor Avoid investments which are designed to be sold, not bought Select advisors who give great service and advice at a fair price Become a millionaire within five to ten years of residency graduation Use a "Backdoor Roth IRA" and "Stealth IRA" to boost your retirement funds and decrease your taxes Protect your hard-won assets from professional and personal lawsuits Avoid estate taxes, avoid probate, and ensure your children and your money go where you want when you die Minimize your tax burden, keeping more of your hard-earned money Decide between an employee job and an independent contractor job Choose between sole proprietorship, Limited Liability Company, S Corporation, and C Corporation Take a look at the first pages of the book by clicking on the Look Inside feature Praise For The White Coat Investor "Much of my financial planning practice is helping doctors to correct mistakes that reading this book would have avoided in the first place." - Allan S. Roth, MBA, CPA, CFP(R), Author of How a Second Grader Beats Wall Street "Jim Dahle has done a lot of thinking about the peculiar financial problems facing physicians, and you, lucky reader, are about to reap the bounty of both his experience and his research." - William J. Bernstein, MD, Author of The Investor's Manifesto and seven other investing books "This book should be in every career counselor's office and delivered with every medical degree." - Rick Van Ness, Author of Common Sense Investing "The White Coat Investor provides an expert consult for your finances. I now feel confident I can be a millionaire at 40 without feeling like a jerk." - Joe Jones, DO "Jim Dahle has done for physician financial illiteracy what penicillin did for neurosyphilis." - Dennis Bethel, MD "An excellent practical personal finance guide for physicians in training and in practice from a non biased source we can actually trust." - Greg E Wilde, M.D Scroll up, click the buy button, and get started today!

The definitive guide for anyone dreaming of living in paradise when they retire. Whether motivated by a desire for adventure, or the need to make the most of a diminished nest egg, more and more Americans are considering an overseas retirement. Drawing on her more than three decades of experience helping people relocate happily and successfully, Kathleen Peddicord shows how living in an unconventional retirement destination can cost less than a traditional home in Florida or Arizona. Peddicord addresses all of the essential issues, including: • Finding a home to own or rent • Researching and understanding your tax liability • Obtaining health insurance and medical care • Avoiding common mistakes and pitfalls • Opening a bank account Whether readers are interested in relatively unknown havens like Nicaragua, well-traveled areas in Italy, or need some help deciding, How to Retire Overseas is the ultimate guide to making retirement dreams come true.