The Teton Range and Snake River - 2022

Grand Teton National Park, WY

Practice Matters 

Your end of career transition is an universal challenge we all face. It affects us as physicians in common and individual ways. This includes personal, professional and medical practice matters.

This article provides an overview of practice considerations that have significant importance. A previous article discusses the rationale and benefits of undertaking proactive, preparation. More to the point, it includes the question of when and how to begin. I encourage you to review it as it presents the foundation for this and subsequent articles that I’m confident you’ll find very helpful.

The Big Picture…

There is a very close association between your professional concerns and practice matters that you must identify and consider as you begin to prepare.

These are common, significant issues for you to consider. It’s not a complete list and presented in no particular order...

Path to Swan Lake - 2022

Grand Teton National Park, WY

Professional Matters 

Your end of career transition is a new challenge we all face. It affects physicians in common and unique ways. This includes personal, professional and medical practice matters.

This article provides an overview of major professional considerations. A previous article discusses the rationale and benefits of undertaking proactive, preparation. More to the point, it includes the question of when and how to begin. I encourage you to review it as it presents the foundation for this and subsequent articles that I’m confident you’ll find very helpful.

The Big Picture…in Part

There is a very close association between your personal and professional concerns that you must identify and consider as you begin to prepare. There may be some overlap, but on close consideration, it becomes apparent that there are substantial differences. 

These are common, significant issues for you to...

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...

Facing Half Dome - 2008

Yosemite National Park, CA

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, small and large businesses, hospitals, churches and government bodies. 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 remains uncharacteristically quiet. Or the quiet man that emerges confidently from the...

Turmoil and Calm - 2007

Gulf of Mexico

How to Prepare and Overcome

The end of career transition process is an unfamiliar, major undertaking that we all face. It affects physicians in common and unique ways that include personal, professional and medical practice matters.

Most of you have the ability to plan and prepare in a timely, proactive manner. This is the optimal approach that provides you the most flexibility to deal with matters you know about now, as well as those you don’t…for the time being. It also creates some room to deal with matters unexpected and unwanted.

This is the essence of a planned transition, one that you can choose when to initiate on your terms.

In contrast, a reactive transition is one which begins when life thrusts upon you a surprising change that is often unwanted.

My Circumstance

A reactive transition was what I had to deal with, despite having made initial, preliminary plans for my own end of career transition. I can attest that...

Daring Dreams to Reality

The Teton Range and Jackson Lake

Grand Teton National Park, WY - 2022

How the Making of a Photographic Masterpiece Relates to the Creation of Your Future Lifestyle 

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.

I am, by nature a serious person, yet strive to not take myself too seriously.  Certainly, there are some things in life like faith,...

Enhanced Reflections - 2022

Swan Lake

Grand Teton National Park, WY

Advisors Are Important Contributors to Your Personal and Professional Success

When people think about their personal and professional success, it’s natural to think that it’s largely the result of their own effort. Upon further reflection, they usually recognize how they also benefited from those who cared about them and offered advice and mentorship.

Personal guides that probably influenced your life are personified by parents, family, friends, teachers, consultants, coaches, professors and mentors. Sometimes you may learn pearls of wisdom from those you barely know. There are times when your other best friend, a book, clarifies your thinking and may illuminate your life.

My Giants and Gratitude

I have benefitted immensely from all of the above, recognized early on their enormous value and thanked them accordingly. As time progressed, I felt gratitude even more deeply for those who cared and cheered me...

Sunlit Path - 2022

Grand Teton National Park, WY

 How to Make Solid Progress on Your Path

Your career transition is one of the most significant events of your lifetime that marks the beginning of the next phase of our life.

Most often, joy of anticipation is part of the experience but may be accompanied by some apprehension. Whether you are looking forward to it or not, the creation and execution of plans is essential to your success.

As you work to envision and create your new lifestyle, you’ll probably find that it’s well worth it.

Challenges and Opportunities

My personal experience, as well as consulting, has reaffirmed certain challenges that must be recognized and managed effectively through proactive, timely planning. This goes a long way to banish the stress of the unknown and help make the process a much more positive experience.

What are these challenges and related questions?

What Seem First Should Not Always Be

The first thing that most physicians...

The Teton Range - 2022

Grand Teton National Park

 When to Create Your Strategy and How to Execute the Tactics

Your future career transition is an event about which it’s natural to experience feelings of excitement as well as some concerns.

As the time nears, your concerns may become more prevalent. A major reason is the recognition that this is an unfamiliar process, yet you know it’s necessary to begin to plan.

But how do you know when is the right time to start planning, let alone what end date is possible? The reality is that it’s very difficult to determine when to begin to prepare when the necessary scope and duration of preparation is unknown.

In order to address that, it’s essential to consider significant personal, professional and practice matters. As you do so, it’s necessary to answer other preliminary questions to determine what it will take to prepare: 

• What is the nature of your career transition? 
• Are you planning a...

Proud Peony - 2020

Nevada

Honor Mom…from me to mine, from you to yours.

I am confident that each of us has reasons to be grateful. Beyond life itself, there’s our world of people that each of us can think of that warm our hearts and cause us to smile.

We have been graced by the benevolence of others. We recognize it and quietly think kindly of them. 

Sometimes, we want to thank them personally, in the manner that we were taught when we were growing up. To express our heartfelt gratitude. To do so brings joy to those who have given of themselves for our benefit, as well as satisfaction to ourselves.

I know that many of our blessings are divinely ordained. 

Another source is fellow human beings.  We know them as family, friends and acquaintances. Then there are those we do not know, but know who we are. They manifest their goodwill toward us even as we are unaware. 

Each has their unique version of love and goodwill that benefits each of us.

Grace and...