Yellowstone River, Hayden Valley – 2020

Yellowstone National Park, WY

 What Would Happen if You Couldn’t Practice Anymore? My Story.

I was 59 years old and thought I had many more years of Plastic Surgery practice ahead of me. I purchased the standalone office building of my dreams and undertook a major renovation, including a surgical facility. 

I knew I needed to plan for my succession. This was the plan, although my own end of career seemed distant…or so I thought.

I resolved to do so soon, but never got the chance. Some months after the grand opening of my office and I was settled in, I was diagnosed with colon cancer. It was a big surprise as I had been diligent about physical exams, screenings and my health in general. That and other medical problems ended my Plastic Surgery career.

I am well, thankful and happy that for a number of years I have been cured of colon cancer. My days of practicing medicine are over, but I was motivated to guiding physicians, who spend their li...

Kenai Fjords National Park – 2012

Kenai Peninsula, AK

The Benefits of Proactive Preparation

The preparation of your practice for succession involves undertaking a series of measures that improve the performance of your practice, its profitability and value beyond its present condition. These enhancements will benefit you now and at the time of a sale by increasing its value.

Practices and Preparations 

As there are a variety of practice settings, the nature of corresponding preparations may vary. This article addresses the example of a solo, private practice as it is the most applicable to other types of practices. By customizing preparations, specific needs can be met.

The two major considerations can be broadly stated as preparing yourself first and then preparing your practice

Preparing Yourself

This involves preparing yourself personally and professionally. It is probably the critical necessity that is most under-appreciated because it may be unrecognized and overlooked. 

Haena Beach – 2022

North Shore, Kauai, HI

Review Realistically

The accomplishment of any grand goal depends on completing tasks that are part of a plan designed to achieve your objective.

When it comes to transitioning from your practice, the first items to address are to prepare yourself personally and professionally. These include the creation of lifestyle and financial plans to determine whether your current assets will support your desired lifestyle. 

Once completed, it is prudent to undertake a thorough, objective review of the current condition of your practice. The purpose is to ensure that it's functioning properly. As you do so, consider the buyer’s perspective.

Next: Optimize the Value of Your Practice

The next  step in preparation is one that will benefit you in the near term as well as at the time of sale. That’s to optimize profitability and its value to you as well as a prospective buyer.

As is common in life, there are things that stand out in importance for what...

Apparent Obstacles – 2022

Haena Beach, North Shore

Kauai, HI

A Path Amidst Impediments

The time has come in your life that you may find yourself having recurrent thoughts about transitioning from your practice. Some ideas will be specific and others rather vague. After considering this for awhile, you may realize that a long time has gone by without a clear idea of what to do, when or how. It is a challenge that remains.

You are not alone in this common experience.

At some point, there will likely arise from within you a powerful desire to act, to move forward and do what is necessary to prepare yourself and your practice. Hopefully, it is not too late to achieve your desired optimal outcome.

What to Do When

Over time, you will reach some conclusions, such as when you want to stop practicing, what do to do afterwards, what to do about your practice and much more. 

You will probably realize that the answers are often tentative because there is still much you do not know about t...

The Grand Teton & String Lake – 2022

Grand Teton National Park, WY

Plan Now, Prosper Later

The transition from your career is a major life event for which it is critical to prepare well in advance. 

Early on, you will recognize that the magnitude and scope of the challenge is significant. As a result, you will realize that to achieve a successful transition you will need to devote focused effort over a significant period  of time. Inevitable, initial questions will arise, such as:

• What should I do? 
• When should I do it?
• How do I do It? 

The First Step of the Path 

To begin, there are three major concerns for which preparation is essential.

The first of these is to prepare yourself personally, for the next great phase of your life. As you do so, it is important to keep in mind that your spouse and in unique ways, your family, are also going through a transition.

The second concern is to prepare yourself professionally.

The third is to prepare your practice, whether you a...

Bedrock of Serenity – 2022

North Shore, Kauai

Living Purposefully and Fully

To contemplate the passage of time and how you perceive it is a subject of wonder since the beginning of time.

Early humans pondered the coming and going of the sun and moon while keeping warm by a campfire near their cave. In the twenty-first century, we ponder and wonder about the same rhythms of life as we mark time on a digital clock.

The rotation of the earth on its axis that creates day and night is the same now as it was in antiquity.

The rotational march of the earth around the sun that creates the seasons and marks the years, is the same now as it was then.

So it is, that the objective march of time, was and is the same for all of us. 

But there are three things that differentiates you and I as individuals:

• How you choose to use the precious time of your life.
• How those choices reflect how you value your time.
• How you perceive the speed at which time passes. 

These three factors are ...

Flaming Gorge Reservoir – 2020

Utah

A Path to Readiness

The transition from your career is one of those major life events for which it is critical to prepare well in advance. 

Early on you will recognize that the magnitude and scope of the challenge is significant. As a result, you will also realize that to achieve a successful transition you will need to devote focused effort over a significant period  of time. These inevitable, initial questions will arise: 

• How do I begin? 
• What should I do? 
• In what order should I do it?

I know that you learned long ago, as I have, that great achievements require great preparation.

The First Step of the Path 

To begin, there are three major concerns for which preparation is essential.

The first of these is to prepare yourself, personally, to enter the next great phase of your life. As you do so, it is important to keep in mind that your spouse and family, are also going through a transition.

The second concern is to prepare yourself...

This painting by John Trumbull (1756-1843), depicts the moment when the first draft of the Declaration of Independence was presented to the Second Continental Congress on June 28, 1776.

The Seldom Declared History of its Writing

The summer of 1776 was a time of escalating conflict with England.  It was a dangerous time for the American colonies and in particular, its leaders.  Military and political uncertainties abounded.

The conflict between the American colonists and British soldiers that began in April, 1775 had grown into the Revolutionary War during the summer of 1776.

In the meantime, there had developed a significant movement in favor of independence from England.  Delegates to the Continental Congress were faced with the necessity to vote on this critical issue. 

In order to do so, the Continental Congress met in Philadelphia for the purpose of voting on the question of independence. To accomplish that, there was a parliamentary and political need to draft a resolution up...

Rising Above the Rest – 2022

The Grand Teton and Range

Grand Teton National Park, WY

Challenges and Leadership

Great, existential challenges have a remarkable way of evoking different reactions from individuals with diverse personalities. The responses may range from cowering fear to towering bravery. The latter is witnessed in men known for their genuine boldness as well as the man who has been perceived as quietly meek. This seemingly outward meekness is sometimes misunderstood for a quiet, steadfast resolve. 

Who Are These Leaders?

Exemplary leaders may be found at a humble home, businesses small and large, churches, government bodies, medical organizations and in your own medical practice. The list is virtually endless. 

Some have a long record of leadership service; others seem to arise to meet the challenge that confronts them. You may have witnessed, as I have, a range of behavior of individuals in the face of crisis:

The usually, boldly verbose that becomes uncharacteri...

Mt. McKinley – 2011

Denali National Park, AK

Your Lifestyle as Art

Grand art born of great, visionary artists often arises from a spontaneous idea, an image in the mind’s eye.  The evolution of an idea that culminates in a tangible work of art, whether a painting or a photograph of a spectacular landscape, requires a blending of grand vision and the execution of exceptional technique.

Similarly, in order to create a masterpiece that will be your new lifestyle, you must imagine a clear vision of your future before you begin to create it. The path to doing so is to prepare yourself by creating and executing a realistic post career lifestyle plan that will guide you to making your new life an exuberant reality.

There are some things in life like faith, family, country, etc. that require serious respect and appreciation. Then there are others that stimulate a special sort of devotion. For me they are,  among other things, fly-fishing and landscape photography.

In the course of my tra...