All Posts by Mitchel Schwindt, MD
Like it or not, there are companies in existence seeking to commoditize healthcare. While physicians still earn a decent living in the US, other countries see it differently. Also, telemedicine has become essential in providing access to care, but the compensation is racing to the bottom. When I took my first telemedicine consult around six years ago, each case paid $50-75. Present day, some companies offer a paltry $10-14. Most Telemed work is 1099, and after the self-employment and other taxes, the per case rate is plain sad.Read more
Good interpersonal relationships among physicians are critical in fostering excellent patient care. With ever-expanding mandates, both governmental and administrative, along with the changing landscape of medicine, physician-physician relations are often strained. These and other systemic factors contribute to physician angst and can lead to disruptive behavior and relationships. Tempers flare and conflicts develop over perceptions about another doctor’s ability, motivation, and decisions.Read more
…I was not fully vested and would have to forfeit over $67,000.
Holy shit. Seriously?!?
What a painful lesson. One I never want to repeat, and one I hope you never have to face. If only I would have used a financial advisor at the start, this painful lesson could have been avoided, before plowing blindly ahead into investments I didn’t fully understand…Read more
An impossible task would be to find a physician who has never wished to rewind time, even if just for a brief moment long enough to make a different decision. Patients are increasingly complicated and decision making cumbersome and pressured by the scarcity of time. As a generality, physicians pride themselves on their decision-making prowess, but this same skill can be clouded by ego and error…
Life in the trenches is difficult at best. Medicine continues to advance at an exponential rate, but physician burnout remains constant. Who will step forward with a solution before all the healers are destroyed?Read more
To paraphrase Tony Robbins, the quality of your questions determines the quality of your life.
Interviewing for a first attending job, considering a lateral move, or negotiating a contract all require poise, openness, and intuition to arrive at the desired end.
As physicians, we are experts at teasing out the details necessary to make a diagnosis. Digging deeper is critical to saving lives. The same applies to our futures.Read more
Perhaps the quickest way to accelerate progress in life and career is to find a mentor. Another is to hire a coach. I did both. Here are a few lessons I learned along the way.Read more
Tonight began like any other night. I sleepily entered the back door near the trauma bay and was greeted by a man sprinting down the hallway wearing one shoe, tighty-whities, and sporting handcuffs attached to one wrist.Read more
I hold out hope that education requirements for doctors will also adapt and consider the cost of continuous and life-long learning. Expensive doesn’t mean better, and the data on the impact of CME requirements and practice competency are lagging. It seems that legislative imperatives and public opinion have found their way into state-mandated education for healthcare professionals. While there may be value, consideration of the real cost for those jumping through these hoops would be appreciated.Read more
Having a mentor can make a massive difference in your career. You will be introduced to influential people outside your circle, rapidly gain knowledge, and accelerate professional development.
Data shows that young professionals who have mentors ultimately have higher career satisfaction, autonomy, and financial reward.
Don’t have a mentor? What are you waiting for?Read more
Your career in medicine will span several decades. Don’t become complacent and assume what you know now is the best and only option for your patients. Keep a curious mind and push yourself to explore interests and passions; your patients will thank you for it.Read more