The Most Expensive Estate Tax Mistakes w. Tammi Caress

What really happens to your money, property, and loved ones when you die—and how much could it cost them if you don’t plan properly? In this episode, estate planning attorney Tammi Caress breaks down why revocable trusts are one of the most powerful (and misunderstood) tools in estate and tax planning. She explains what a trust actually does, how it functions like a will, who benefits from it, and why avoiding probate can save your family significant time, stress, and money.

Don’t Die Without Answering These Important Estate Questions w. Atty Tammi Caress

What happens to your family, your business, and the people you love when you’re no longer here? In this episode, Attorney Tammi Caress shares why estate planning isn’t just about documents; it’s about the conversations, decisions, and people you choose long before they’re needed. Listen in for practical guidance to help ensure your spouse, children, and even your pets are protected and that your plan actually works when it matters most.

New Year, New Job – Considerations For Pain Fellows w. Dr. Jennifer Xiong

What do you wish you’d known before stepping into your first attending role? In this episode, I'm joined by Dr. Jennifer Xiong, a Harvard-trained, double-board-certified anesthesiologist and interventional pain specialist, to discuss the realities physicians often aren’t prepared for. We talk about the non-clinical side of medicine that hits fast and hard once training ends, from insurance denials and prior authorizations to referrals, networking, and practice dynamics. Don't miss this conversation that shines a light on what life really looks like beyond fellowship.

Working To Close Gender Pay Gap Via Negotiation Education w. Drs. Altelisha Taylor & Brittne Halford

What if mastering your finances could feel as achievable as mastering medicine? In this episode, Dr. Altelisha Taylor and Dr. Brittne Halford, co-founders of Wealth Minded MD, share their journey from practicing physicians to financial educators. Listen in as they break down how physicians can navigate wealth building, negotiate confidently, and advocate for themselves in both personal and professional arenas.

SPECIAL EPISODE Hosted by Dr. Jed Wolpaw – Wealth Building Tips For Anesthesiologists

What’s changing in the financial landscape for anesthesia providers in 2025? In this special crossover episode, Dr. Jed Wolpaw and I explore the latest trends shaping compensation, job opportunities, and the future of anesthesia practice. From rising pay to evolving employment models, we dig into what’s happening in the field and what you need to know to make informed career decisions.

Adding Ancillary Services & Scaling A Private Pain Practice w. Dr. Zwade Marshall

Using Mentorship To Shape The Future Of the Specialty w. Dr. Nirmala Abraham

Important Private Practice Updates On The Future Of Anesthesia w. Drs. Mo Azam & Joshua Miller

Specialty Collaboration At An All-Time High In Spinal Therapies w. Dr. Tim Deer

What does the future of interventional spine and nerve care look like—and how are new innovations changing patient outcomes today? In this episode, Dr. Tim Deer, founder of the Spine and Nerve Center of the Virginias, shares how his team has pioneered groundbreaking treatments that are now used by physicians worldwide. He explains why outpatient procedures are reshaping the demand for anesthesiologists, how fellowship training is evolving, and why collaboration and mentorship are essential for elevating the entire field.

Creating A Sustainable Approach To Serving Medicaid Patients w. Dr. Jay Grider

What happens when healthcare policy, physician incentives, and emerging medical procedures collide? In this episode, Dr. Jay Grider, an interventional pain physician and healthcare strategist, unpacks the complexities of modern healthcare, from reimbursement systems and hospital reinvestment to the impact of anesthesia shortages on patient care. Listen in as Dr. Grider shares strategies for incentivizing physicians to spend the necessary time on complex cases and offers insight into the evolving landscape of regenerative medicine.

Key Considerations For Disability Insurance Timing & Coverage Types w. Brian Leet

What would happen to your income and your family if you couldn’t work tomorrow? In this episode, we sit down with insurance expert Brian Leet, who brings decades of experience from both the insurance carrier and client side. He shares powerful stories from his career, including moments when clients discovered too late that they were unprotected. Brian breaks down the critical importance of disability insurance, especially for physicians and other professionals whose income is essential to their financial plans.

How To Effectively Run An Anesthesia Group w. Atty Mark Weiss

What does it take to successfully run a private medical practice, especially when your training didn’t cover business fundamentals? In this episode, Attorney Mark Weiss joins the show to break down the legal and operational challenges physicians face when navigating the business side of medicine. From launching and growing an anesthesia group to managing governance and leadership transitions, Mark shares advice tailored to clinicians operating in a business world. Listen in to hear how to build a strong decision-making structure, why internal delegation matters, and how to avoid the common traps of inefficient meetings and slow-moving subcommittees. Mark also explores the importance of knowing when to bring in external expertise and how good governance can set the stage for a strong exit strategy. You’ll learn the value of aligning group operations with individual career goals and how leadership style can shape both day-to-day decisions and long-term success.

Investment Moves To Make In A Stock Market Selloff

What should you do when the market is down—and how can you use it to your advantage? In this episode, we dive into smart investment strategies for navigating today’s volatile market environment. From tariff-driven uncertainty to broader economic shifts, I will provide context around the current market conditions and explore how global dynamics are influencing investor decisions. You’ll learn practical tactics like dollar-cost averaging, rebalancing, and tax-loss harvesting, and why a down market could be the perfect time to consider Roth conversions. Whether you’re 10+ years from needing your money or just want to make smarter moves right now, it’s important to understand the benefit of having a plan and sticking to it. Because when markets get rocky, clarity and strategy are your best friends.

Using QMEs in California To Accelerate Financial Progress w. Dr. Daniel Orlovic

Navigating the world of Qualified Medical Evaluators (QMEs) in California can be complex, but understanding the system can lead to financial and professional growth. Dr. Daniel Orlovich, Interventional Pain Specialist, joins us to break down what QME is, how it works, and why objectivity and thoroughness are crucial in this field. He also shares his journey of branching out on his own, the importance of financial planning, and the key factors to consider before making a career shift.

Looking Beyond First Year Salary To Assess Job Fit w. Dr. Melissa Murphy

What should fellows be looking for when searching for their first job? In this episode, Dr. Melissa Murphy, an anesthesia-trained interventional pain specialist and private practitioner, shares expert advice on navigating employment contracts, identifying red flags, and setting yourself up for long-term success. From understanding fair compensation to recognizing non-negotiables, she breaks down the key factors that can make or break your first job.

Taking The Pain Out Of The Car Buying Process w. Andrew Guthmiller

Why is buying a car such a frustrating and time-consuming experience—even when you know exactly what you want? In this episode, Andrew Guthmiller, owner of Car Concierge, shares his insights as an expert in car buying and selling. Andrew delves into the pain points of the car buying process and offers solutions for making it smoother and more efficient. From finding the best deals in the market to understanding when to lease versus when to buy, he walks us through the steps of getting the right car at the right price.

Helping Aging Parents Get Financially Organized

Have you ever had to navigate the difficult conversation of finances with your aging parents? In this episode, we explore the crucial yet uncomfortable topic of helping your parents get financially organized before it’s too late. I’ll walk you through practical steps for initiating these talks early, making life easier down the road rather than dealing with a financial disaster later.

Attack Financial Anxiety Head-On With This Helpful Paradigm For Disaster Prep

What would you do if an unexpected financial disaster hit tomorrow? In this episode, we dive deep into the financial durability ratio—a tool that measures your ability to withstand unforeseen expenses or catastrophic events. We’ll discuss how this ratio helps you identify vulnerabilities in your financial preparedness and reduce the anxieties that stem from unknown risks.

Saving For Kids’ Education, Managing Competing Goals For New Attendings, & More!

Today I will be answering some of the most common questions listeners face, such as how to prioritize student loan repayments versus contributing to retirement accounts like Roth IRAs or 401(k)s. You'll learn how to map out a clear repayment plan for your student debt while ensuring you're taking advantage of key retirement benefits that can reduce your tax burden.

How To Protect Your Parents From Financial Fraudsters

In this episode, I’m revisiting the critical topic of financial fraud, which I last discussed back in episode 144. This time, I’m bringing a fresh perspective on how you can protect yourself and your loved ones from increasingly sophisticated scams. Cybercrime losses topped $12.5 billion in 2023 alone, with over $3.4 billion of that lost by people over 60, so the stakes have never been higher. Listen in to learn why it’s so important to stay skeptical, the value of working with a financial advisor, and why reporting any suspicious activity to law enforcement is absolutely critical.

Is Direct Indexing Really All It’s Cracked Up To Be?

Curious about how to make the most of your investments? In this episode, I’m excited to share a recent chat I had with Dr. Jimmy Turner on the Money Meets Medicine podcast. We dive into the world of direct indexing, a powerful portfolio management tool that’s especially valuable for business owners with significant taxable assets.

Are Index Funds…. Safe? Depends On Which Index!

In this episode, we are diving into the complexities of using index funds as a "safe" investment option, particularly for short-term financial goals. Drawing from recent client interactions, I explain the misconceptions around the safety of index funds and why they may not be the best choice for investments needed in the short term.

How Private Equity Can Enhance Your Practice (Or Not) w. Dr. Yesh Navalgund

In this episode, we dive deep into the world of medical business leadership and practice management with Dr. Yash Navalgund, Chief Medical Officer at National Spine and Pain Centers. Dr. Navalgund shares his extensive experience in growing and scaling pain management practices, including his journey from a single practice owner to overseeing over 100 centers across 12 states. We explore the challenges and successes in building a strong culture within a medical practice, the intricacies of opening multiple sites, and the importance of branding and reputation in the healthcare industry.

Asking The Right Questions When You Sell Your Practice w. Michael White

Managing director at Founders Advisors, Michael White, joins me on the show today to help explain the role of a business liquidity event within the financial journey of a physician. We align in how we help physicians understand their businesses and, in this episode, he will dive into what you need to do to help make your practice more saleable.

Three Ways Practice Owners Can Build Up Their Balance Sheet

Are you a practice owner looking to extract maximum value from your clinical practice? In this episode, we'll discuss the crucial steps to ensuring your business assets translate into personal wealth. Building on our previous episode about understanding your balance sheet, I’ll explain the risks of having your net worth tied up in your practice. You'll learn strategies to shift value from your business to your personal finances, reducing dependency on a single asset and securing your financial future.

Building A Personal Brand Using Industry And Research Relationships w. Dr. Patrick Buchanan

What does it take to build a personal brand in the medical field? In this episode, Dr. Patrick Buchanan, Interventional Pain Management Physician and Co-Host of the Pain Unfiltered Podcast, shares his insights with us live from the ASPN conference. Dr. Buchanan will explain the importance of personal branding and how it has shaped his career decisions.

Move Cash Out Of Your Medical Practice To Create Options Down The Road

I've been discussing balance sheet liquidity with several people and have noticed that many seem to have relatively thin liquidity. In this episode, you’ll learn all about liquidity and how to guard against adverse financial events by ensuring you’re at a healthy level of liquidity. I’ll specifically discuss your practice and how it comes into play when creating more liquidity in your life and finances.

ASPN Kickoff, Buying Into Private Practice, & Other Pearls w. Dr. Krishnan Chakravarthy

What are the biggest challenges facing pain specialists today? In this episode, Dr. Krishnan Chakravarthy, Physician Scientist, Engineer, and President and Co-Founder of Solaris Research Institute, joins us to discuss the pressing issues that have captured the attention of the American Society of Pain and Neuroscience (ASPN). Dr. Chakravarthy explores the future of pain specialist education, effective training methods for clinicians, and the importance of adopting specific therapy guidelines backed by robust evidence.

Estimated Tax Payments For Self Employment Income w. Evgeni Ivanov

Today we're diving into estimated payments with tax expert Evgeni Ivanov. Taxes can be daunting, especially for those new to navigating estimated payments outside of W2 employment. This episode serves as a practical guide to understanding who needs to make estimated payments, the quarterly schedule, and implications for various income types like locum work and investment income.

Escalation Clauses, Costco Appliances, And Five Other Things I Learned From Buying A House

Are you navigating the complexities of buying a house? In this episode, we'll dive into the valuable lessons learned from my recent experience purchasing a home after a decade. From revisiting old insights to discovering new strategies, I'll share key takeaways that will help you make informed decisions in your home-buying journey.

Launching A Pain Practice Straight Out Of Fellowship w. Dr. Shachi Patel

Are you curious about the journey of owning a pain practice? In this first episode of our two-part series about pain practice ownership, we're revisiting my conversation with Dr. Shachi Patel, founder of Delmarva Pain and Spine Center. Dr. Patel shares her experiences as a solo practice owner, as well as how she started her practice from scratch right out of fellowship, highlighting the importance of having a strong team and the value of a healthcare consultant.

FTC Pushes To Make Noncompetes Illegal – Here’s What It Could Mean w. Scott Weavil

How will the FTC's ban on noncompete agreements impact the U.S. workforce and—specifically—physicians? In this episode, Scott Weavil, founder and Principal Attorney of Weavil Law PC, joins us to discuss the recent FTC ruling that bans most noncompete agreements and its significant implications. He addresses the history of noncompete agreements and the timeline for when this new rule will take effect. Listen in to hear who this rule will impact, as well as what it means for employees and employers alike. Learn more: https://apmsuccess.com/238 Watch the video: https://apmsuccess.com/238v

Four Quick Tax Items To Check On Your 1040 w. Evgeni Ivanov

management physicians. As we dive into the complexities of Form 1040 and its schedules, Evgeni provides invaluable insights into optimizing your tax returns, ensuring you don’t pay more than necessary.

Six Easy Wins For Transitioning To Attendinghood

Transitioning from training to attendinghood can be both exciting and daunting, especially as you approach the culmination of your residency or fellowship. In this episode, we'll uncover six actionable strategies to ease this transition and set yourself up for success in your new role. From negotiating a signing bonus to understanding the nuances of your employment contract, each tip aims to equip you with the knowledge needed to navigate the complexities of entering the attending workforce confidently.

Sophisticated Giving Strategies With Donor Advised Funds w. Jim Giese

A Donor Advised Fund (DAF) is a giving account established at a public charity that allows donors to make charitable contributions and receive tax deductions. DAFs are popular because of their versatility, which allows donors to give whenever and however much is most favorable to them. In this episode replay, Jim Giese, CPA, JD, and part of the healthcare tax team at Wipfli, shares his knowledge on donor advised funds and why you might want to consider doing this as a part of your financial plan.

Understanding Patient Decision Psychology To Increase Practice Profit w. Zed Williamson

Today we welcome back Zed Williamson, a seasoned entrepreneur and expert in healthcare practice optimization. Zed shares the transformative approach his team employs to address the challenges practices face in capitalizing on increased patient volume. Instead of blaming external factors, Zed advocates for a deeper understanding of human behavior and the dynamics within healthcare settings. Discover why attracting more patients isn't always the solution, and learn how to identify and engage with the right patients for your practice.

Financial Benefits of Homeownership

What are the financial benefits of homeownership? Is homeownership the best financial move you can make to solidify your long-term wealth goals? Today I’ll answer these questions and more as I continue the homeownership vs. renting theme I began last week. If you’re considering buying a home and want to get insight into the financial benefits you can take advantage of, this episode is for you.

Is Renting A House Really Throwing Away Money?

When is the right time to purchase a home? Today I am explaining some of the crucial factors influencing the decision to buy a house or simply rent. From career transitions to personal circumstances, I share the specifics of when and why purchasing a home might be the right move for you.

Tales From The Contract Review Trenches w. Dr. Jimmy Turner of Money Meets Medicine

You may have heard that I have been co-hosting some of the Money Meets Medicine shows with Dr. Jimmy Turner. This week on APM Success, you’ll get to hear a recent discussion I had with Dr. Turner, where we revisit important themes regarding contracts, salaries, raises, bonuses, and more. Listen in to gain a better understanding of what goes into salary calculation and what path to take when negotiating a fair contract.

Running operations in the current healthcare landscape is challenging – so how can independent practices run effectively and efficiently amidst all the changes? Jack Dillon, CEO of Anesthesia Practice Consultants in Michigan and the Executive Director of the Association for Independent Medicine, joins the show today to share his thoughts on this and more.

Tax Considerations For 2024 w. Evgeni Ivanov

The 2024 tax season is upon us, and so is the annual episode that will equip you with the knowledge you need to deal with your taxes in simpler and more efficient ways. Today, Evgeni Ivanov joins me to share the important things for you to pay attention to and consider as you work on handling taxes this year. Join us for our rundown of all the tax code adjustments coming, key tax savings to look for, important upcoming dates, and more.

Defining Practice Values To Build A Thriving Staff Culture w. Zed Williamson

Do you ever wonder how to make your business more efficient so you can avoid being the bottleneck? I’m excited to have Zed Williamson back on the show to talk about what he’s currently working on with independent physician practices. Listen in as he outlines specific ways he helps physicians gain a clear vision and build an executable system that allows their practice to thrive.

Evaluating Healthcare Trends Shaping Anesthesiology In 2024 w. Dr. Brian Schmutzler

Dr. Brian Schmutzler is a seasoned anesthesiologist well-versed in academia, private practice, and locum work. His unique combination of medical expertise and business savvy provides a fresh perspective on the multifaceted world of anesthesia. We welcome Dr. Schmutzler back to the show to offer his valuable insights into the evolving landscape of anesthesia in 2024.

Evaluating Training Pathways For Anesthesia Providers (MD, CRNA, AA) w. Dr. Brian Schmutzler

Dr. Brian Schmutzler is a seasoned anesthesiologist well-versed in academia, private practice, and locum work. His unique combination of medical expertise and business savvy provides a fresh perspective on the multifaceted world of anesthesia. Today Dr. Schmutzler joins the show to discuss the intricate landscape of anesthesia providers, exploring the various educational paths and scopes of practice for anesthesiologists, CRNAs, and AAs.

Anesthesia Job Market Update For 2024 w. Dr. Josh Lumbley

Dr. Josh Lumbley, Chief Quality Officer at NorthStar Anesthesia, joins the show today to share his career journey and where he sees the future of anesthesia going. In this episode, he opens up about the challenges he faces in ensuring consistent anesthetic outcomes, navigating the complexities of negotiations in the healthcare sector, and setting future goals for quality assurance.

New Year’s Updates

Even if you're not a future client, my goal is to arm you with knowledge for financial success and progress. In this episode, I will be sharing updates on APM Wealth and what you can expect for the coming year in terms of the podcast. Tune in for valuable insights to kickstart your financial journey in 2024!

Dodging Dunning Kruger To Make Many Millions

Why do doctors have a bad rap when it comes to investing? In this episode, I’ll address the relatively common thought that doctors tend to be poor investors and invest more often in “hair-brained schemes” than most people. We’ll be unpacking the reasoning (good and bad) behind this stigma, where doctors tend to get caught up, and practical ways to avoid poor investments.

Choose Your Battles Wisely To Focus On What Really Matters

This week, we're revisiting a previous episode that serves as a valuable tool for investors looking to optimize their behavioral, mental, and intellectual approach to position themselves for success. Successful investing and wealth-building often involve not winning every battle, but choosing which battles to fight at all. This episode serves as a deep dive into this subject, emphasizing the importance of being proactive in your decision-making process.

One More Reason Why The Savings Rate Is My Favorite Financial Ratio

As we move into the holidays, it’s a good time to reflect, recap, and take stock of how things are going. When trying to figure out what things are working (or not), what you need to change, and where the opportunities are, it is really helpful to take a closer look at your savings rate. In this episode, I’ll be taking a look at savings rate (the mother of all financial variables) from a new angle that can add a lot of value to your finances.

Basic Valuation Comparisons You Should Understand Before Buying Into A Practice

Does a partnership truly serve as a beacon of career advancement for associate physicians, or is it a mirage that ultimately depends on specific circumstances? Today I dissect the concept of physician partnerships, shedding light on their benefits and potential drawbacks. If you're pondering whether to own a share in a medical business or stick with your role as an employee, I'll break down some key factors to consider.

From The Archives – Using An HSA To Accelerate Financial Independence

You may be aware that health savings accounts (HSAs) are a great way to cover healthcare costs with pre-tax money. However, this tax-efficient savings account can also be used as a very important tool for financial independence. So, how can HSAs help you as you save for retirement? In this episode, I will be breaking down how HSAs work, what the best utilization of an HSA is, and who should be considering taking advantage of this little-known tool.

Looking At A Mindset Shift To Dive Into Locums w. Dr. Tony Vullo

Today Dr. Tony Vullo, an experienced anesthesiologist, joins the show to discuss his career, sharing the motivations that led him into the world of medicine and—more specifically—anesthesiology. Steered by a desire to challenge himself intellectually and realize his dreams, Dr. Vullo shares his experiences in choosing a different career path, as well as the advantages that come with it and how it can significantly enhance your lifestyle.

Discussing Pain Management Career Decisions On The ASPN Podcast

Are you a physician looking to excel not just in clinical practice, but also in managing your career and building wealth? In this episode, we delve into the critical aspects of physician practice management and wealth-building with insights shared from a recent guest appearance on The Pain Unfiltered Podcast. Hosted by Dawood Sayed, MD, and Patrick Buchanan, MD, this conversation covers essential topics like choosing the right practice, deciphering employment contracts, and strategies for building wealth as a physician.

Asking Advisors The Right Questions In Investment Performance

Are your investments truly performing to their full potential? In this episode, we delve into the critical aspects of investment and portfolio performance that every physician should consider. We'll address key questions to ask when evaluating your portfolio's success or assessing a potential advisor for your stock market investments and more.

Evaluating The Shifting Landscape For Physician Disability Insurance w. Larry Keller

Today we're joined by Larry Keller, a renowned expert in physician disability insurance, as he sheds light on the evolving landscape of disability insurance. Larry delves into the current hot topics within the industry, providing valuable insights into recent changes and emerging trends. You'll gain a deeper understanding of what to look for in disability insurance and crucial steps to avoid potential missteps that could jeopardize your coverage.

Important Student Loan Policy Updates w. Meagan McGuire

Today we dive into the world of student loans with Meagan McGuire, a Certified Student Loan Professional with extensive expertise in student loan policy and planning. Meagan, who has advised on over $380 million of student debt, sheds light on the implications of student loans resuming after a hiatus and offers crucial insights for borrowers. You'll gain valuable knowledge about choosing the right repayment plan, especially if you're a medical professional looking to minimize payments. Meagan also discusses strategies to keep your payments manageable while pursuing Public Service Loan Forgiveness (PSLF), including the option to exclude spousal income by filing separately.

Digital Health In Interventional Pain w. Dr. Bryan Marascalchi

Dr. Bryan Marascalchi, a seasoned Anesthesiologist and Pain Medicine Physician at Vanderbilt University Medical Center, joins the show today to dive into the tangible impacts of digital health on pain management. In this episode, Dr. Marascalchi shares the practical facets of his digital health company, shedding light on how it effectively removes uncertainties from pain management by employing data-driven strategies.

A Common Misconception About Spousal Life Insurance

Today we are talking about a crucial financial aspect: spousal life insurance. As a financial advisor, I've encountered tragic stories that highlight the significance of proper life insurance coverage. At the heart of the discussion are two often overlooked mistakes in financial planning regarding life insurance for homemaking spouses: the economic value replacement mistake and the opportunity cost overlook mistake.

Tax Brief – Asset Sale Vs. Stock Sale In Selling Your Practice Or ASC w. Evgeni Ivanov

This is the first of a two-part series tailored for practice owners contemplating the sale and transition of their practices. In this episode, we’re joined by tax expert Evgeni Ivanov, Senior Manager at Wipfli LLP, to explore a crucial aspect of deal structuring: installment sales. We break down the concept of installment sales, a strategy where the purchaser begins by making a deposit and gradually pays off the purchase price through installment payments. This continues until the purchaser reaches a point where they decide to either refinance or sell the property. Listen in as we delve into how this approach works and why it matters. You’ll learn the benefits and potential risks associated with this method and the importance of due diligence before making a decision.

Tax Brief – Exploring Installment Sales w. Evgeni Ivanov

This is the first of a two-part series tailored for practice owners contemplating the sale and transition of their practices. In this episode, we’re joined by tax expert Evgeni Ivanov, Senior Manager at Wipfli LLP, to explore a crucial aspect of deal structuring: installment sales. We break down the concept of installment sales, a strategy where the purchaser begins by making a deposit and gradually pays off the purchase price through installment payments. This continues until the purchaser reaches a point where they decide to either refinance or sell the property. Listen in as we delve into how this approach works and why it matters. You’ll learn the benefits and potential risks associated with this method and the importance of due diligence before making a decision.

High-Volume Fellowship As A Foundation For Practice Launch w. Dr. Jay Kumar

Dr. Jay Kumar is an interventional pain physician based in North Carolina, and he joins the show today to share his journey through training, academics, and private practice. He offers a glimpse into the process that led him to working in—and growing more passionate about—interventional pain, as well as what it really takes to gain the confidence and skills needed to launch a private practice successfully. Listen in to hear about the fellowships he participated in and the valuable hands-on experience that gave him more confidence and exposure. You’ll learn why choosing the right programs is crucial, how to gain the right experience, and the key to asking questions and getting the answers you need to grow.

Use These Two Key Variables To Assess Pain Practice Viability & Profitability

Today we will explore the crucial aspects of launching a successful pain practice, focusing on two specific operational variables: patient volume and contracts with reimbursement rates. Patient volume serves as a fundamental key performance indicator (KPI) for any viable practice, and understanding the optimal number of patients needed for success is essential. Identifying key drivers to attract patients, determining baseline average revenue for new patients, and strategically allocating marketing budgets are critical components in ensuring a steady and sustainable patient flow. We will delve into targeted marketing strategies to address niche patient needs and how marketing spend plays a pivotal role in achieving patient volume goals, thereby laying a solid foundation for your practice. The second pivotal variable we will explore is contracts and reimbursement rates, particularly with Medicare and commercial payers. Credentialing with payers can be a complex and time-consuming process, and it is crucial for independent practitioners to grasp the nuances of reimbursement. Analyzing likely performance based on available reimbursement rates, understanding facility fees, and navigating the intricacies of Medicare percentages are vital aspects of ensuring the financial viability of your practice. By addressing these two key areas in your business plan when commencing your practice launch process, you can embark on your venture with confidence, knowing you are building a strong foundation for a successful pain practice.

Remote Patient Monitoring, Patient-Centered Medical Conferences, & Smart Career Moves w. Dr. Krishnan Chakravarthy

Dr. Krishnan Chakravarthy is an expert anesthesiologist with a unique specialization in multi-modal pain management. In this episode, he delves into the fascinating world of pain management start-ups and med-tech. Dr. Chakravarthy emphasizes the significance of understanding the key problems in the industry when developing core technologies for the market. He sheds light on his team’s mission to make cutting-edge technology more accessible and affordable, aiming to reach a broader population in need of specialized care. Listen in as Dr. Chakravarthy explores the power of digital connectivity between patients and doctors. He shares insights on how digital interventions have revolutionized patient care, providing more efficient and immediate solutions. Debunking concerns about technology being challenging for the elderly, he highlights how adaptability is a shared trait among both technology and people. You will learn the importance of patient education and empowering individuals to advocate for their health.

Another Tax Idea For Practice Owners – Introducing, The Augusta Rule!

Today we dive into a tax topic specifically tailored for private practitioners and business owners operating under S-Corps, C-Corps, or LLCs taxed as such. We explore the intriguing Augusta Rule, which derives its name from Augusta, Georgia. Historically, homeowners near Augusta National would rent out their houses during an annual tournament, generating rental income that the IRS sought to tax. The Augusta Rule is a unique provision in the tax code that allows for the tax-free rental of a personal dwelling for up to 14 days. Listen in to learn how to make the most of this rule and what to put in place if you have a business and wish to host events like dinners or board of directors meetings at your house. You’ll hear why it’s crucial to charge a market rate for rent, how to ensure your bookkeeper is aware of these arrangements and why you must strictly adhere to the 14-day limit.

A Couple Quick Announcements For The APM Community

Today, I have a couple of important announcements to make before we resume our regular programming next week. Firstly, I’m excited to inform you that I will be attending the ASPN Conference in Miami this upcoming weekend, from July 13th to 16th. For the APM Success community, I will be hosting a delightful happy hour during that time. If you’re interested in joining us, please reach out to me via email at justin@apmsuccess.com. Secondly, I am currently scheduling lectures for the fall season. If you’re a program director concerned about ensuring your fellows successfully transition from fellowship to the real world, or if you’re a fellow seeking an opportunity for me to address you and your peers, kindly contact me at justin@apm-wealth.com. I would be more than happy to tailor a talk specifically to your needs. Lastly, I’m pleased to announce that we are now accepting new clients. If you’re interested in working with experienced professionals who can assist you in building wealth, providing investment guidance, and growing your practice intelligently, you can schedule an introductory call with us.

Shocked By Your Homeowners And Auto Premium Renewal Rates? Shop Around!

Today we dive into the world of property and casualty coverage in the first of a two-part series. In this episode, I explain the importance of coordinating different types of coverage, such as home, renters, and auto insurance. While it may be tempting to opt for the cheapest or lowest premium, I advise that value goes beyond just the price tag. Having experts review and ensure that policies interact harmoniously becomes invaluable. The presence of a broker who understands your needs and can navigate the claims process almost always proves to be a crucial asset when the unexpected occurs. Listen in as I describe the two types of physicians’ perspectives on insurance: those transitioning from training to attending-hood and mid-career physicians. For the former, robust coverage and higher premiums are essential for protection. In contrast, mid-career physicians are encouraged to view insurance brokers as valuable partners who pay for themselves by helping secure appropriately-priced coverage. While shopping around is encouraged, consulting an independent broker to explore various options, along with one or two captive agents, can lead to securing the best possible deal.

Assessing The Value Of Partnership In An Anesthesia Company

Today we delve into the topic of partnership in an anesthesia practice and how it has evolved over the years. As the employment landscape has undergone changes, the concept of partnership has also transformed. Partnership, in this context, refers to being a part owner of the practice. To assess what partnership truly means in a specific opportunity, I will explain three key facets of consideration. You will learn the importance of understanding how decisions are made in the business, how compensation differs between partners and non-partners, and the business risks inherent in any group. Listen in as I emphasize the need to grasp the value of one’s business and consider its saleability before entering a partnership deal.

How A Business Owner Can Reduce Taxes And Make Their Kid A Millionaire (Eventually)

Are you a physician who owns a practice and has children? This episode is for you. We are delving into the benefits of employing your children in your business and the opportunities provided by the IRS, such as decreased household taxes due to the lower tax rates applicable to children. Whether it’s managing social media or handling tech-related tasks, you will learn the importance of conducting all transactions by the book. If you haven’t considered paying your kids in your practice and they are of age, it is highly recommended to consult with your CPA to fully understand and leverage the powerful tool of compensating your children, while simultaneously gaining tax advantages.

Remote Therapeutic Monitoring As An Opportunity For Pain Practices w. Rachel Trobman

Rachel Trobman, CEO and Co-Founder of Upside Health, Inc., joins the show to share the challenges faced by physicians as they strive to provide optimal care for highly complex patients with limited resources and how her team is helping fix this problem. Rachel discusses the crucial role that technology plays in augmenting healthcare and emphasizes the importance of identifying areas that can be automated or digitized to empower physicians and improve care management. With a focus on integrating technology seamlessly into existing workflows, Rachel highlights how Upside Health supports physicians in simplifying their processes while maintaining open lines of communication for necessary modifications. Rachel explores the significant impact of Upside Health’s patient success initiatives, including their comprehensive onboarding process led by dedicated nurses who collaborate with clients to develop effective practices and guidelines. Lastly, Rachel shares insights on the continuous optimization efforts undertaken by her team to enhance program efficiencies and drive success and provides valuable guidance on who can benefit the most from these services and how to get started.

Reflecting On Five Years Of Driving Society Innovation At ASPN w. Dr. Tim Deer

Dr. Tim Deer, Chairman of the American Society of Pain and Neuroscience and CEO of The Spine and Nerve Centers of the Virginias, joins us on the show to discuss the inception of the American Society of Pain and Neuroscience (ASPN). Dr. Deer shares his unwavering passion for improving education, fostering scientific curiosity, establishing best practices, and elevating the field of pain and neuroscience through collaboration. He emphasizes the significance of working with individuals from diverse backgrounds to gain a deeper understanding and enhance education in the field. Listen in as Dr. Deer highlights the importance of embracing relationships and recognizing the interconnectedness of various stakeholders in the healthcare industry. From physicians and nurse practitioners to researchers and finance professionals, every member plays a vital role in patient care. By placing the patient at the center of focus and promoting transparency and progressiveness, Dr. Deer envisions a future where specialties unite to provide superior care. Throughout his journey in building ASPN, Dr. Deer acknowledges the presence of negativity and detractors, but advises listeners to stay focused on their work, ignore the haters, and prioritize the well-being of patients and the advancement of the field over politics and personal obstacles.

Considering Adjustable Rate Mortgages With Rates Coming Up

Have you noticed how interest rates have been changing over the past 12-18 months, leading to a shift in conventional thinking around home purchases and mortgage options? In this episode, we delve into this evolving landscape and explore the new considerations that arise when it comes to choosing the right mortgage product. Once upon a time, a 30-year fixed mortgage seemed like the go-to choice for almost every situation, while adjustable-rate mortgages held little appeal. But with rates significantly higher than a few years ago, there are now alternative mortgage instruments that are worth considering, even for physicians who were previously advised against them. So, who should consider an adjustable-rate mortgage, and what do you need to know about options like the 5/1 ARM or the 7/1 ARM? When might renting be a better option than buying, and how can you reduce the amount of interest you pay while still building equity? Listen in as we explore these pressing questions and offer valuable insights to help you make informed decisions in this changing landscape of mortgage financing.

Exploring 457 Plans For Academic & Government Employees

Today we delve into the topic of 457 plans as a component of employee benefits, an area we have not explored previously. I want to take the opportunity to provide a comprehensive understanding of these plans, highlighting their distinctions from the widely known 401(k). My aim is to equip you with the necessary knowledge to make informed assessments of the suitability of a 457 plan as part of your financial strategy. Listen in as I clarify the fundamental characteristics of a 457 plan, emphasizing its unique attributes and dispelling any misconceptions surrounding its divergence from the 401(k). I caution you to ascertain the classification of your 457 plan as either governmental or tax-exempt, as this distinction affects distribution options. You will learn the potential limitations, particularly within tax-exempt 457 plans, and the target audience that can derive the greatest benefits from leveraging a 457 plan. What You’ll Learn In Today’s Episode: Why you should not think about 457 plans the same way you think about 401(k)s. What a 457 plan is and how it is different from a 401(k). The main benefit of a 457 plan. What you need to know about your 457. The limited distribution options in tax-exempt 457s. Who should definitely be using a 457 plan.

Academic Year-End Roundup – Financial Tips For Graduating Residents & Fellows

As the academic year draws to a close, it's a time of excitement and anticipation for many residents and fellows. You've worked hard to hone your skills and gain valuable experience, and now you're preparing to take the next step in your career. But as you make the transition from trainee to attending physician, it's important to consider the financial implications of this change.

Why You Should Never Change Jobs Without Getting Multiple Offers

Imagine having multiple job offers in your inbox, each representing an exciting opportunity for your career. It's a thrilling and empowering feeling, knowing that you're a sought-after candidate in a competitive job market. But it's not just about the thrill of being wanted; having multiple job offers can provide practical benefits that can impact your career growth for years to come. In this episode, we will delve into the advantages of securing multiple job offers and how it can positively impact your career trajectory.

Flashback – Here’s What Happens To Anesthesia Contracts When Private Practices Get Bought Out w. Dr. Ambar La Forgia

In today's competitive job market, securing a job offer is just the first step. The real key to building a successful career is to negotiate a signing bonus that maximizes your earning potential. In the first part of this two-part series, we dive into the world of signing bonuses and explore the critical role they play in building a proactive career.

Flashback – Here’s What Happens To Anesthesia Contracts When Private Practices Get Bought Out w. Dr. Ambar La Forgia

*This episode is a re-release of episode 154.* Our guest today is Dr. Ambar La Forgia, who studies the relationship between organizational and managerial strategies and performance outcomes in the healthcare sector. Specifically, she uses quantitative methods to examine how the decisions of corporations to join with other organizations can change processes that impact financial and clinical performance. In this episode, Dr. Ambar discusses her research findings and sheds light on how management intervention can impact healthcare outcomes.

Flashback – Creating A System Of Support For Docs Going Through A Medmal Claim w. Dr. Stacia Dearmin

*This episode is a re-release of episode 137.* Last week, Dr. Stacia Dearmin joined us to share her first-hand experience with navigating a malpractice lawsuit, including the way that experience has broadened the scope of her life’s work. She shared the human experience behind this and how others within the industry take control of these situations. Today Dr. Dearmin joins the show again to discuss the nuts and bolts of how a malpractice proceeding unfolds and what to expect as a physician going through that.

Flashback – What A Malpractice Proceeding Looks Like w. Dr. Stacia Dearmin

This episode is a rerun of episode 136. Today’s episode requires a content trigger warning, as I will be speaking with our guest about her personal experience walking through a malpractice claim and lawsuit after an adverse patient outcome. Dr. Stacia Dearmin is a physician, nationally recognized speaker, and certified professional coach. She is the founder and CEO of Thrive, where she aims to ensure that no physician has to travel the hard road of an unfortunate patient outcome or malpractice litigation alone. This is going to be a somber discussion—but a very important one.

What Independent Anesthesia Groups Are Doing To Combat Staffing Challenges w. Dr. Brian Schmutzler

As the demand for anesthesiologists continues to rise, hospitals and practices are finding it increasingly challenging to attract and retain these highly specialized medical professionals. The situation has been further complicated by the pandemic, which has impacted the mindset of many anesthesiologists, who are now considering factors such as job security, work-life balance, and mental well-being when making career decisions. In this episode, Dr. Brian Schmutzler, Chief Anesthesiologist at Unity Physicians Hospital, shares his insights on how the industry is changing and how practices are navigating the evolving landscape.

Helping Physicians Find The Right Types Of New Patients For Their Practice w. Zed Williamson

Zed Williamson, CEO of TrackableMed, joins us in this episode to discuss his experience helping physicians increase patient volume in their practices. As the founder of a medical marketing company and a strategic partner for independent private practitioners, Zed is well-versed in the challenges physicians face when running their businesses. He emphasizes the importance of marketing for private practices and provides insights on how to effectively market your business.

Save Thousands Of Dollars & Dozens Of Hours When Buying A Car By Using A Concierge Service w. Andrew Guthmiller

Today we're stepping away from our usual content to explore a topic that's very much in line with our mission of bringing value to our listeners. We're joined by Andrew Guthmiller, the owner of Car Concierge, to dive into the world of car concierge services. Throughout the episode, Andrew takes us through the ins and outs of working with a car concierge, sharing valuable insights on topics such as the best time to buy a car and the intricacies of car pricing.

The Anesthesia Job Market Has Never Been Better – Shop Around & Get Empowered!

As an anesthesiologist, you are in a unique position to capitalize on the current trends in the job market. With the shortage of anesthesia providers, your skills and expertise are more valuable than ever before. Aging anesthesiologists and a lack of capacity in residency programs are contributing to the scarcity of anesthesia providers. This means that job opportunities are plentiful, and the pay is higher than it has been in recent years. As you consider your next career move, it is important to recognize that this is a pivotal moment in the field of anesthesia. Listen to this episode to find out how to take advantage of the current job market today.

Cash Pay Therapies In Pain Management w. Joe Kenrick

In the competitive world of medical practice, it can be challenging to differentiate yourself and generate adequate revenue. In this episode, Joe Kenrick, Senior Consultant at Cutting Edge Lasers, joins the show to emphasize the importance of getting off the reservation and looking beyond insurance reimbursement to explore other revenue streams, such as ancillary income and cash pay patients. He encourages physicians to expand their minds and consider opportunities they may not be aware of, especially in the area of pain management, where alternative treatments can differentiate them from their competitors and attract new patients.

Don’t Buy Into An ASC Until You Listen To This Episode w. Tina Rivenbark

Have you ever considered buying into a surgery center as a physician, but felt overwhelmed by the complex financial considerations involved? In this episode, we dive into this crucial topic with Tina Rivenbark, Principal and Lead Consultant at Advanced Practice Solutions, LLC. With years of experience in the medical field, Tina is an expert in all things related to running a successful and efficient medical practice.

Using YouTube As An Anesthesiology Resident To Create Career Opportunity w. Dr. Max Feinstein

Today we are joined by Dr. Max Feinstein, an Anesthesiology Resident at The Mount Sinai Hospital who has gained a significant following through YouTube videos. Max shares his journey with us, including how he discovered anesthesiology and the steps he took to pursue this specialty. He also talks about how he was able to create a niche for himself in the digital space and the benefits of having his own platform to support his work.

Good Risk Management Is More Than A Medmal Policy w. Jennifer Wiggins

Risk management is not just a policy, but a way of life. In this episode replay, Jennifer Wiggins, CEO of Aegis Malpractice Solutions, helps us understand the available data on malpractice cases and what we need to be protected against or aware of as anesthesiologists. She also highlights the time frame for resolving a case and how to positively impact relationships with clients.

Don’t Get Sued, But If You Do, Have Good Medmal Insurance w. Jennifer Wiggins

Jennifer Wiggins is the CEO of Aegis Malpractice Solutions and an expert in the field of medical malpractice lawsuits. She provides guidance to physicians in navigating the risks associated with these lawsuits and securing the right coverage. In this episode, Jennifer discusses the current state of malpractice for physicians and the necessary steps to protect themselves.

Live From NANS: An Update On Doc Nation, The Physician Agency w. Dr. Anthony Giuffrida

As a physician, you have a unique set of skills that are in high demand, and it’s essential to remember that your time and expertise are valuable. It is also important to know that you should be compensated accordingly and it is okay to ask for a better contract if you’re not happy with what you’re being offered. Dr. Anthony Giuffrida is the Director of Interventional Spine & Pain Management at Cantor Spine Center, and in this episode, he will be explaining the importance of knowing how to advocate for yourself, your skills, and your worth. Listen in as we talk about working with people who want to see you succeed. Surrounding yourself with people who support and encourage you can make a big difference in your career. You will learn the importance of being confident in your knowledge, why you should be able to admit when you’re wrong sometimes, and more.

Live From NANS: Using Brand & Video To Connect With New Patients w. Dr. Ty Ptacek

Branding is an important part of any business—and this holds true for physicians, as well. It helps to establish trust and create an identity so clients can get an idea of who you are before they decide to become your patient. Through the use of brand and video, Dr. Ty Ptacek has discovered the answer to the common question: “How do you get patients when you don’t have any?” In this episode, Dr. Ptacek shares some of the wisdom he has picked up along the way, from starting in family medicine to ultimately becoming an interventional pain doctor and building a successful practice. Listen in as he explains why no amount of residency or fellowship can prepare you for what actually happens as an attending and why hands-on experience is the best experience to have. You will learn why networking is key in this industry, how to build trust with other physicians in your field, and the importance of truly listening to your patients.

Important Career Lessons From an Orthopreneur w. Dr. Scott Sigman

As physicians, it seems like you’re asked to do more every day while being compensated less. A solid personal brand can help you to break this cycle and make an impact, as well as accelerate your career, become a mentor, and even generate income doing something you’re passionate about. So, where do you begin? In this episode, Scott Sigman, MD, joins the show to share his experience with building a personal brand and the steps you can take today to have more freedom when it comes to your location, time, and finances. Listen in as Dr. Sigman describes the hardships you may face when becoming an entrepreneur and why he believes it is a fulfilling career move regardless. You will learn how he is helping physicians get out of the rat race, the importance of having a great team around you, and the benefit of building a strong network.

Sophisticated Giving Strategies With Donor Advised Funds w. Jim Giese

A Donor Advised Fund (DAF) is a giving account established at a public charity that allows donors to make charitable contributions and receive tax deductions. DAFs are popular because of their versatility, which allows donors to give whenever and however much is most favorable to them. As we begin the new year, now is a perfect time to consider building a charitable legacy, and a donor advised fund can be a tax-efficient way to do just that. In this episode, Jim Giese, CPA, JD, and part of the healthcare tax team at Wipfli, will be joining the show to share his knowledge on donor advised funds and why you might want to consider doing this as a part of your financial plan. Listen in as Jim explains what you can use to donate to your donor advised fund (including stock, cash, etc.), as well as several planning ideas for you to discuss with your financial advisor. You will learn what donor advised funds will do if they don’t receive the number of donations they require, why you should only contribute long-term capital gains, and how to create a culture of generosity in your family.

The 2022 Year In Review: Podcast Impact, CME Offering, And New Year’s Wishes

Happy New Year, everyone! As we’re moving into 2023, I want to express my gratitude for the listeners over the past year. This year has been filled with plenty of changes for many people, and I can’t thank you enough for tuning in every week. So, in this episode, I will be sharing some of what has happened during 2022, what you can expect in 2023, and several things about APM Success that you might not be aware of.

Vehicle Tax Deductions For Practice Owners & Locums Docs w. Evgeni Ivanov

Most people know that they can deduct costs related to their work or business when calculating their taxable income. However, specific technical rules govern the deduction for certain expenses. In order to stay within accordance with the IRS, it is essential that you are familiar with these rules so that you can take full advantage without fearing an investigation. In this episode, Evgeni Ivanov will be joining the show to talk specifically about Section 162 of the Internal Revenue Code regarding vehicles, auto deductions, and in what circumstances it is acceptable to expense your vehicle as a business owner or an employee.

The 101 On Expert Witnessing For Physicians w. Dr. Gretchen Green

Having served as an expert witness in diagnostic radiology for over 150 cases for both plaintiff and defense attorneys, Gretchen Green, MD, knows the benefits of getting into expert witness work. And having been sued herself earlier in her career, she knows what it’s like to help patients in a high-stress field and to be a clinical leader in making medicine better for patients and physicians. Today, Gretchen will be joining the show to share her advice for those considering expert witness work, including fees, schedules, and contracts or agreements.

Anesthesiology As An Air Force Reservist w. Dr. Joseph Galura

The Air Force Reserve offers the opportunity for anesthesiologist specialists to be part of highly specialized hospital surgical teams and also to be able to take part in disaster relief and humanitarian missions. So, what might this position entail, and how does one become involved? Dr. Joseph Galura is an anesthesiology specialist in Loma Linda, California with over 18 years of experience in the medical field. Dr. Galura is also an Air Force reservist, and in this episode, he will be explaining the different career paths and trajectories for physicians in the armed services.

Embracing Locums Opportunity In Anesthesia During COVID w. Dr. Yury Rapoport

Locum work gives you the freedom and flexibility to work when and where you want. You have the ability to create your own schedule, choose which placements you accept, and how long you want to stay. For many people, the stability of a full-time position is desirable; for others, locum work gives them the freedom they crave. Dr. Yury Rapoport is the Director of the Post Anesthesia Care Unit (PACU) at Lahey Hospital & Medical Center, as well as a Clinical Assistant Professor at Tufts University. Today he joins the show to share his experience with locum jobs throughout the pandemic and his advice for those considering going this route. Listen in as Dr. Rapoport describes moving from Russia to the USA to start his career as an anesthesiologist and how working in the States as a doctor is different from the medical industry in Moscow. You will learn the importance of educating yourself on finances as a doctor, the common issues that come up with locum work, and why it is essential that you know what your priorities are when it comes to considering locum work.

Private Practice Success On The Second Try, And Accidental Billing Company Ownership w. Dr. Tarek Shahbandar

Running a private practice takes a lot of dedication and hard work. Without your unwavering attention, it’s easy to let things slide and this is when mistakes happen that can leave a lasting impact on the success of your business. No one knows this better than Dr. Tarek Shahbandar, Founder of the Pain Physicians of Indiana, P.C. as well as the Founder and CEO of Expert Medical Billing, LLC. Today, Dr. Shahbandar will be joining the show to share his experience with practice management, including the hurdles he has faced on the way to running a successful practice and his advice for those just starting to think about opening an office.

Exploring The Behavioral Achilles’ Heels Of High Earners w. Daniel Crosby

When it comes to investing, the things that have served us well previously are no longer serving us in the same way. It is during these uncertain times in the market that people begin to panic and make uneducated or misguided decisions regarding their investments. So, how do we know what we should be doing—and how can we ensure we’re being good investors? In this episode, Dr. Daniel Crosby, Chief Behavioral Officer at Orion Advisor Solutions, describes some of the common behavioral mistakes that investors make and how our biological hardwiring may actually hinder our finances at times.

Using Your HSA To Accelerate Financial Independence

You may be aware that health savings accounts (HSAs) are a great way to cover healthcare costs with pre-tax money. However, this tax-efficient savings account can also be used as a very important tool for financial independence. So, how can HSAs help you as you save for retirement? In this episode, I will be breaking down how HSAs work, what the best utilization of an HSA is and who should be considering taking advantage of this little-known tool.

Financial Opportunities That Come With Inflation

Inflation is a multi-factorial reality that has both upsides and downsides. The increasing costs of goods, such as groceries and petrol for consumers are, of course, not ideal for most people. However, there are some opportunities that come with the current rate of inflation. So, in this episode, I will be sharing the financial opportunities for investors during this current rate of inflation.

Meet The Doc That Launched A Direct Specialty Care Concierge Practice w. Dr. Daniel Paull

The current medical system makes it difficult for doctors to spend enough time with their patients. Often, patients feel as though they aren’t being heard and doctors don’t have enough time to spare to give their patients the care they need—a recipe for disaster for both the patient and the physician involved. Dr. Daniel Paull, founder and CEO of Easy Orthopedics, will be joining the show today to share his experience with this, including why he decided to disrupt the medical industry standards by creating a new way of bringing medical help to patients in need.

Understanding Cost Of Living Impact On Wealth Building When Looking For Anesthesia Jobs

How much does it cost to live in your area? The cost of living has an enormous impact on your personal finances and your ability to build wealth. Since the cost of living varies so much, it is important to understand how it may impact your financial situation when searching for a new job. So, in this episode, I am going to be sharing what you should keep in mind as you are reviewing these costs, what contributes to the difference in specific areas and how to think about this as a physician. Listen in as I explain what to be aware of as an anesthesiologist looking at high-cost-of-living areas versus low-cost-of-living areas while searching for work. You will learn the different state and local taxes to consider, why you may want to consider doing your studies in a lower-cost-of-living area and the impact of real estate on your wealth-building journey.

Revisited: Starting an HOPD Pain Practice From Scratch w. Dr. Nirmala Abraham

The journey to becoming a physician is challenging, but it is also rewarding. Throughout the years of study, you learn a lot, and by the end of your studies, you may feel prepared to start a new position in a hospital or a private practice. However, there is a big difference between what you learn in school and what you are actually faced with when you work. So, in this episode, we’re revisiting a conversation I had with Dr. Nirmala Abraham that illustrates the importance of having a basic understanding of business and getting real-world experience as you begin your career as a physician. Listen in as Dr. Abraham explains the difference between an office-based practice and/or surgery center, as well as how to start a hospital-based outpatient department (HOPD). You will learn the benefit of thinking outside the box when starting a practice, why knowing the community you will be working in is key, and Dr. Abraham’s advice for those facing challenges as they build their practice.

Disaster Contingency Planning For Private Practice w. Tina Rivenbark

With hurricanes hitting the East Coast and natural disasters happening globally, it is an important time to consider your practice’s contingency planning efforts. Making a contingency plan involves making decisions as a business to ensure you are ready to respond effectively in the event of an emergency. These decisions include how to manage financial resources, how to coordinate internally and with patients, and what communication procedures to have in place. Here to help you put the proper procedures in place for your practice is Tina Rivenbark, President and CEO of Advanced Practice Solutions. Listen in as Tina explains the importance of having access to your dashboard and other key documents outside of your office so that everything isn’t lost in the event of an emergency. You will learn what business functions you should have access to remotely, how to prepare your space for a natural disaster, and why it’s a good idea to have a staff member with you, regardless of how easy a procedure may seem.

Revisited: Understanding Practice Models To Strengthen Your Contract Negotiations w. Dr. Jay Grider

Pain management is a booming industry with stress being laid on high quality, accountability, and transparency. In order to ensure students are entering the industry with the knowledge they need to not only provide this kind of care, but also negotiate a fair working environment, it is essential that they receive proper training. Jay Grider, CEO of Kentucky Medical Services Foundation, joins the show to share his perspectives on practice management and contract negotiations for physicians—specifically contracts for early career pain doctors. Listen in as we discuss everything from different types of pain practices to contract negotiating considerations for new-in-practice attendings. You will learn how to get maximum value-add with patients in the right amount of time, advice on how to land your first job after a fellowship, and how to navigate tricky patients more effectively, efficiently, and empathetically.

Meet The First Chief Learning Officer Of Anesthesiology w. Dr. Ruth Gotian, Ed.D.

What makes someone successful in their field? Is it networking? Avoiding burnout? Or possibly something entirely different? According to Dr. Ruth Gotian, Chief Learning Officer and Assistant Professor of Education in Anesthesiology at Weill Cornell Medicine, it is a combination of many things. In this episode, Dr. Gotian joins the show to share what she sees physicians struggle with the most during their career and what you can do to enhance your CV, overcome limiting beliefs and accelerate your success.

Help! My Spouse Is Spending All Our Money! Four Tools for Constructive Conversations on Tough Money Topics

Talking with your spouse about money can be very difficult when you have differing views. However, it is important to be able to speak about such an important topic because a lack of communication can lead to arguments, blown-out budgets and less than ideal savings accounts. So, how do you approach this conversation without starting a fight? In this episode, I will be sharing four tools to use to discuss tough money topics with your partner. Listen in as I explain how everyone’s views on money stem from their childhood and why it is essential for you to remember that before getting upset in a money conversation. You will learn the benefit of looking at the data, when you may want to think about involving someone else in the conversation and why you should think about the words that you use in this conversation.

Anesthesia As The Innovative Specialty w. Dr. Carlos Archilla-Cady

Dr. Carlos Archilla-Cady is a Pediatric Anesthesiologist working at Nemours Children’s Hospital with an incredibly interesting story. During his life, he went through a period of being totally blind due to glaucoma, he was in the Navy, and has been an advocate and supporter of multiple medical missions. In this episode, he will share his experience with being a transplant receiver, learning how to be a better leader, and choosing a specialty. Listen in as Dr. Archilla-Cady explains how he is helping people with disabilities become more included in space discovery, the importance of diversity and equity, and how to ensure you’re making a positive impact on your community. You will learn the benefit of being open to learning from others, advocating for those who can’t advocate for themselves, and so much more.

The Shocking Math: The COST Of Doing A Fellowship

If you’re spending your time doing one thing, then you can't spend that time doing something else—and, in many cases, there will be a cost to that kind of circumstance. But what exactly is that cost, and how may it impact your life? In this episode, I am going to be diving into the cost of doing a fellowship or retraining in a new specialty if you’re already working as an anesthesiologist.

IRS Boosting Audits With New Tax Bill w. Evgeni Ivanov

It’s always important to be prepared for potential changes that could affect your tax liability. With President Biden recently signing the Inflation Reduction Act into law, many people are left wondering what this actually means for their future tax liability. Will there be more audits with the increased budget for the IRS? What does this mean for SALT-caps? In this episode, Evgeni Ivanov, Senior Manager for Wipfli LLP, joins the show to share everything we need to know about the new tax bill and how these changes will impact you.

Is It Possible To Build Real Wealth In Academic Anesthesia?

As humans, we have experiences (both good and bad) that form who we are and the perspectives that we will carry through the rest of our lives. These experiences can be relationships, tragic events, people that we meet, etc. Once our opinions are formed, it can be hard to change them, even when we are given new evidence. However, there are times when this can hinder our lives. So, in this episode, I am going to explain how to avoid letting financial dogmas lead to your downfall.

Don’t Let Financial Dogmas Lead To Your Downfall

As humans, we have experiences (both good and bad) that form who we are and the perspectives that we will carry through the rest of our lives. These experiences can be relationships, tragic events, people that we meet, etc. Once our opinions are formed, it can be hard to change them, even when we are given new evidence. However, there are times when this can hinder our lives. So, in this episode, I am going to explain how to avoid letting financial dogmas lead to your downfall.

Flashback: The Anesthesiologist And The Healthcare Ecosystem w. Dr. Ed Mariano

As a physician, it’s easy to become consumed with your work. You want to ensure your patients and team members are receiving the best care and support available, and you want to be certain that you are performing to the best of your ability. However, if you’re putting so much effort into your work, patients, and staff, when are you supposed to fit in time for yourself? Our guest today believes it is simply about how you view your work and the mindset you carry that can make all the difference. Dr. Ed Mariano is the President of the California Society of Anesthesiologists, and in this episode, we discuss the current role that he plays as an anesthesiologist in the healthcare space and how he manages to balance everything in his busy schedule.

Multiplying Impact By Leading With Authenticity w. Dr. Stephanie Vanterpool

Dr. Stephanie Vanterpool, Director of Comprehensive Pain Services, is an anesthesia-trained interventional pain physician who has a unique, wide-ranging perspective on pain management and education as it relates to pain. Dr. Vanterpool uses her platform and position to educate other healthcare providers, promoting the importance of targeted treatment of pain as a means to improve patient outcomes and function. In this episode, she joins the show to discuss the current projects she is working on, how she got to where she currently is, and her advice for anyone starting out on their medical degree.

How Do Anesthesia Practices Get Paid? Explained By An Expert! w. Devona Slater

It’s no secret that healthcare billing is incredibly complicated. Anesthesia has its own system for tracking units of care provided and assigning costs for care. So, how does the flow of money through the healthcare system work? And how can we unravel the tangled web of payment for anesthesia services? In this episode, we have a republished conversation I had with Devona Slater, an expert in anesthesia billing and coding, where she shares her unparalleled advice to equip you for future practice management success.

Here’s What Happens To Anesthesia Contracts When Private Practices Get Bought Out w. Dr. Ambar La Forgia

Our guest today is Dr. Ambar La Forgia, who studies the relationship between organizational and managerial strategies and performance outcomes in the healthcare sector. Specifically, she uses quantitative methods to examine how the decisions of corporations to join with other organizations can change processes that impact financial and clinical performance. In this episode, Dr. Ambar discusses her research findings and sheds light on how management intervention can impact healthcare outcomes.

From The Archives: How To Get The Best Value When You Sell Your Pain Practice w. Larry Elisco

When planning to sell your practice, how do you know who is going to be a good fit to be your buyer? Should you sell to private equity, a hospital or an internal partner? This week, I talk to Larry Elisco, a CPA specializing in healthcare with a lot of experience in healthcare valuation and succession planning for physicians who want to sell their practices, about the ins and outs of selling a medical practice.

Pain Fellow Special – Kicking The Tires On Different Practice Types w. Tina Rivenbark

After years of study, internship and residency, you are finally ready to begin your career as a qualified medical consultant in whatever field you’ve chosen. However, you have the option to take your skills further by undertaking something called a medical fellowship. Planning for a medical fellowship and figuring out where to undertake this is a big decision. To help you calibrate expectations and give you several factors to consider before jumping in, is Tina Rivenbark, President and CEO of Advanced Practice Solutions.

From The Archives: Everything You Need To Know About Disability Insurance w. Larry Keller

Disability insurance is of critical importance to physicians. However, despite disability insurance being quite possibly the most important insurance a physician can have, people don’t seem to be educated on how it can help or what exactly this insurance covers. So, in this episode, Larry Keller, an experienced insurance agent, will be joining the show to discuss special considerations you should keep in mind as you’re contemplating putting coverage in place, as well as what you should be aware of when thinking about disability insurance in terms of your financial plan.

I Have Side Income Or Consulting Work – Do I Need An LLC Or S-Corp? w. Evgeni Ivanov

In the beginning stages of starting up a side business or becoming a consultant, people generally don’t give too much thought to the structure of their business. However, as time goes on, it usually becomes apparent that there may be benefits to choosing a legal entity to increase your profits and decrease your risks. Evgeni Ivanov, Senior Manager for Wipfli LLP, joins the show today to share the different situations his clients have come to him with in regards to LLCs and S-Corps and how to decide what is the best direction for you.

ASC & Partnership Buy In Checklist From A Tax Expert w. Jim Giese

If you’re going to buy into a business, there are a handful of key considerations you want to ensure you’re dialed in on. How do you make sure something is a good deal? How do you identify any potential risks to avoid? To help us discuss this topic is Jim Giese. Jim is a CPA, a JD, and a Partner at Wipfli, where he shares nearly 40 years of public accounting and tax experience, and in this episode, he will be giving you a checklist to run through if you’re currently going through a partnership buy in.

Reduce Your Taxes: Use Tax Loss Harvesting To Create A “Reverse Piggy Bank”

The stock market can be a volatile place at the best of times, but we are currently going through what is one of the worst downturns we have experienced in decades. Whenever the stock market is doing poorly, tax loss harvesting becomes a very relevant topic. So, what exactly does that mean and what can you do to protect yourself when the stock market is selling off? These are the questions I will be answering in this episode.

Updated Analysis Of Pressures On Private Practice w. Dr. Brian Schmutzler

Throughout the last several years, private practices have become less common and more physicians are becoming employed by large national groups or hospital systems. So, what does this mean for the future of private practices, at least in the way that we know them now? Dr. Brian Schmutzler, Owner of Anesthesia Consulting and Clinical Specialists, LLC, joins the show to share his wealth of knowledge on this subject, explaining what we can expect to see in the coming years in terms of private practices.

What Hospitals Executives REALLY Think When Negotiating Physician Contracts w. Ethan Nkana, JD, MBA

Physicians are at a significant disadvantage when it comes to negotiating their salaries and/or contracts because hospitals have access to all of the salary data, market insights, and negotiating expertise. Is it possible to level the playing field so that physicians have a fair chance? Ethan Nkana, JD, MBA, uses his in-depth experience to advocate for physicians to get the salary and contract value they have earned through his business Rocky Mountain Physician Agency, and in this episode, he will be sharing his advice with you.

A Common Negotiating Tactic Employers Use, And How To Dodge It Like A Pro

Negotiating an employment agreement that is favorable to the physician can seem like a daunting task. However, if you are well prepared and understand what to expect, it doesn’t have to be that way. So, in this episode, I will be sharing common negotiating tactics used by employers to get the upper hand during the negotiation period and what you can do about it.

A Common Negotiating Tactic Employers Use, And How To Dodge It Like A Pro

Negotiating an employment agreement that is favorable to the physician can seem like a daunting task. However, if you are well prepared and understand what to expect, it doesn’t have to be that way. So, in this episode, I will be sharing common negotiating tactics used by employers to get the upper hand during the negotiation period and what you can do about it.

This Sophisticated Phone Scam Is Costing US Physicians Thousands Right Now

This is a public service announcement to physicians as there is a very sophisticated phone scam happening right now that is costing doctors thousands of dollars. Using a combination of publicly available information and other data available online, scammers are sounding incredibly trustworthy, making this scam very effective. So, in this episode, I will explain what exactly this scam entails and how you can avoid making the mistake of falling for this scam moving forward.

Peds Dental Anesthesia Entrepreneurship w. Dr. Navin Goyal

An anesthesiologist by training, Dr. Navin Goyal is the co-founder of OFFOR Health (previously known as SmileMD), which is a mobile anesthesia company that services pediatric dentists and their offices. He is also the co-founder and CEO of LOUD Capital. Today Dr. Goyal joins the show to discuss how his company is helping pediatric dentists provide care to their clients in underserved communities.

Putting The Right People In The Right Seats In Your Practice w. Tina Rivenbark

Tina Rivenbark is an expert in all things related to running a successful and efficient medical practice. As the President and CEO of Advanced Practice Solutions, she uses her experience to help her clients implement and evaluate their path to prosperity in today’s volatile business climate. Today Tina joins the show to discuss all things staffing, including how to hire and retain staff and build a winning team in private practice.

Exploring A Misconception: Are Index Funds SAFE?

Index funds are popular investments, but that doesn’t mean they’re fail-safe. In fact, there is some confusion about the level of risk you take when using these investments, as they’re not particularly less volatile than actively managed funds. So, in this episode, I will be explaining exactly what an index fund is and how this works so that you can make an educated decision about where your money is allocated.

Anesthesia Job Market Update & Locums Overview w. Kyle Hadley

Kyle Hadley is the Vice President of Anesthesia at LocumTenens.com where he oversees the day-to-day operations and strategy that is put in place. His team works specifically with clinicians and clients of healthcare facilities all throughout the USA, placing anesthesiologists in positions both permanently and at Locums. Today he joins the show to discuss the current job market for anesthesiologists and what you can expect as someone looking to get started in this industry.

Financial Literacy As The Foundation To Private Practice Success w. Dr. Sandra Weitz

Dr. Sandra Weitz is a fellowship-trained, board-certified pain management specialist who teaches physicians how to start, run and grow a successful medical practice and leverage it into multiple revenue streams. Today Dr. Weitz joins the show to share her knowledge and encouragement to the pain management community, explaining that there is, in fact, money to be made in medicine—as long as you understand how to run a practice.

A Cannabis Treatment Expert Leads An NFL-Commissioned Study w. Dr. Mark Wallace

Should medical cannabis be an option for pain management? Dr. Mark Wallace joins the show today to tackle that question and discuss the NFL-commissioned study surrounding the benefits of using cannabis in this way. The go-to for the pain management community, Dr. Wallace serves as the Professor of Anesthesiology at the University of California at San Diego (UCSD) and Program Director at UCSD Center for Pain Medicine.

What A Malpractice Proceeding Looks Like, Step By Step w. Dr. Stacia Dearmin

Last week, Dr. Stacia Dearmin joined us to share her first-hand experience with navigating a malpractice lawsuit, including the way that experience has broadened the scope of her life’s work. She shared the human experience behind this and how others within the industry take control of these situations. Today Dr. Dearmin joins the show again to discuss the nuts and bolts of how a malpractice proceeding unfolds and what to expect as a physician going through that.

Creating A System Of Support For Docs Going Through A Malpractice Claim w. Dr. Stacia Dearmin

Today’s episode requires a content trigger warning, as I will be speaking with our guest about her personal experience walking through a malpractice claim and lawsuit after an adverse patient outcome. Dr. Stacia Dearmin is a physician, nationally recognized speaker, and certified professional coach. She is the founder and CEO of Thrive, where she aims to ensure that no physician has to travel the hard road of an unfortunate patient outcome or malpractice litigation alone. This is going to be a somber discussion—but a very important one.

One Important Thing That A Classic “Estate Plan” Doesn’t Cover – And What To Do About It

If you ask any financial advisor, they will quickly tell you the hardest thing to get a client to do (aside from purchasing life insurance) is to put an estate plan in place. It really isn’t any wonder as to why, as this has to do with one’s ultimate demise – and that’s not something anyone wants to spend time thinking about. However, it is your loved ones that will have to deal with the problem if you choose not to have an estate plan. So, in this episode, I will be sharing what you should have in place for your loved ones in the event of your premature death.

Investing For Profits AND Impact w. Prof. Alex Edmans

Alex Edmans is Professor of Finance at London Business School and Academic Director of the Centre for Corporate Governance. He has done an immense amount of research and is an expert in helping businesses grow their profits whilst also acting ethically and making society a better place. In this episode, Alex joins the show to discuss how to invest in both an ethical and responsible way while still aligning with your values.

A Niche Tax Idea For Practice Owning Physicians w. Evgeni Ivanov, CPA

Our guest today is Evgeni Ivanov, the Senior Manager for Wipfli LLP, where he specializes in physicians’ practices and anything these physicians may need, including accounting, bookkeeping, and tax returns. In this episode, we discuss the State and Local Tax (SALT) Cap, specifically the limitations on deductions for SALT payments and how this applies to high-earning physicians.

Understanding MSO Arrangements, And Important Considerations For Practice Buy Sell

Scott Weavil is Weavil Law PC’s founder and Principal Attorney. He began his career as a Mergers and Acquisitions attorney at Skadden in New York City and consistently ranked among the top law firms in the country. Today Scott joins the show to discuss MSOs, specifically the way that MSOs interact with independent practices and several of the changes that are happening in this area.

An Update From The Wild Wacky Twilight-Zone-World Of Student Loans

Medical student debt has continued to rise, reaching numbers higher than ever before. Even the student debt numbers that are being offered online as a reference point seem to be lower than what the true average is. As a result, student debt loans are a very hot topic and understanding what Public Service Loan Forgiveness is has become even more important. So, in this episode, I will be sharing what you need to know about the recent updates to student loan forgiveness.

Choosing Reasonable Over Optimal To Be A Successful Financial Pragmatist

Financial decision-making in the real world doesn’t always make mathematical sense, but if you’re making the right decisions, it should result in your life being easier and more financially stable. Unfortunately, many people make big financial decisions from a state of heightened emotion, generally leading to irrational choices. So, in this episode, I will be sharing how to create a reasonable approach to financial decision-making so you can create a lifestyle you can stick to.

Inflation is frequently happening in isolated parts of the economy at any given time, but what we are seeing right now is widespread inflation across many different sectors. This has implications for your job, your income, and the affordability of the things you need to purchase. So, in this episode, I will be unpacking some of these implications and sharing how to think about this situation moving forward.

A Partnership’s A Sinkin’ Ship”: How To Avoid Common Partnership Pitfalls

What does growth look like in an ideal world? In a medical practice, how many patients do you hope to serve? What does success look like, and who are we relying on to drive that success? Forming a partnership in a medical practice—or in any other business—is a critically important decision, and these questions must be asked from the onset. So, in this episode, I will be talking about four areas of important consideration if you’re thinking about starting a company with another person or joining a medical practice with a partner.

Taxable Investment Accounts Are A Wealth-Builder’s Best Friend

Financial independence refers to having enough money saved or wealth accumulated in order to maintain your current lifestyle—without worrying about additional income. But what are the options available for those who are saving a significant amount of money? In this episode, I will be sharing one specific option for those searching to build their wealth and how you can utilize this tool moving forward.

What The Surprise Billing Legislation Means For Anesthesiologists In 2022 w. Dr. Mo Azam

What are the implications of the No Surprises Act as it relates to anesthesiologists? In this episode, I'll be discussing how your anesthesia practice may be affected with Dr. Moeed Azam. A member of the USAP Clinical Quality Committee, Dr. Azam helps physicians of his specialty be forward-thinking and anticipate changes that may be coming down the pipeline.

Changing CME into Convenient Medical Education w. Dr. Brian Cohen

Dr. Brian Cohen is a practicing anesthesiologist, founding partner of Miami Anesthesia Services (MAS), and the Chief Medical Officer and co-founder of Adaptrack, an AI-driven, practice-savvy nudge platform for physician teams to tackle risk blind spots and unlock efficiency opportunities. Through his time spent within both sides of the industry, Brian has been able to create CMEfy, a company that gives doctors the opportunity to very easily create broadly accessible CME opportunities in places that they haven't been found historically. In this episode, we will be getting into the nuts and bolts of how this works, specifically how this will be making your job as a doctor easier moving forward.

Can You Make One Decision To Eliminate One Thousand Others? Do It!

Making proactive decisions about how you make decisions is immensely valuable. Preserving the finite and precious store of energy that you have and doing your best to make the most progress you can with the least amount of effort will help you long-term. So, in this episode, I will be talking about turbocharging your financial progress by looking at your neurological reality around decision-making.

Optimizing Your ASC To Maximize Your Investment Value w. Jeff Gorke

Jeff Gorke is an experienced healthcare executive, consultant, and leader with decades of experience spanning many healthcare services. He has immense knowledge on multiple topics within the healthcare industry, and he joins the show to discuss the art of the organizational turnaround, including the ins and outs of buying or selling shares of a practice.

An Option That Could Be Better Than Launching A Practice, And Setting Up A Physician Agency w. Dr. Anthony Giuffrida

Dr. Anthony Giuffrida is the Director of Interventional Spine & Pain Management at Cantor Spine Center, where he brings a high level of expertise in non-surgical treatments designed to help alleviate pain. A board-certified physiatrist and fellowship-trained in interventional spine and sports medicine, Anthony joins the show to discuss his career thus far, including his studying tips for anyone currently going through school and his advice for finding a position that suits your needs.

Good Risk Management Is More Than A Medmal Policy w. Jennifer Wiggins

Risk management is not a policy—it’s really a way of life. There is a lot of data out there when it comes to malpractice cases, which allows us to decipher what we truly need to be protected against or aware of as anesthesiologists. To help us understand the information that is available to us, specifically how to ensure you have good risk management practices in place, is Jennifer Wiggins, CEO of Aegis Malpractice Solutions.

Don’t Get Sued, But If You Do, Have Good Medmal Insurance w. Jennifer Wiggins

Jennifer Wiggins is the CEO of Aegis Malpractice Solutions, where she is an expert in helping physicians understand the risks that come with medical malpractice lawsuits and getting them the right coverage. In this episode, she discusses the current landscape of malpractice for physicians, as well as the steps you can take to protect yourself.

Follow-Up With Bellingham Anesthesia Assoc. Re: Noncompetes In Anesthesia w. Dr. Scott Vanderleest

I recently released an episode talking about labor markets in anesthesia and the regional sensitivity around this issue, reviewing a specific case study recorded not far from Washington. Today I have the pleasure of talking to Scott Vanderleest, President at Bellingham Anesthesia Association. In this episode, Scott will be giving us some context regarding this circumstance and how his practice had to navigate it recently as it relates to employment agreements for their physicians. He also provides some helpful information to allow us to understand the way forward for private groups of his profile.

Evaluating The Impact Of The No Surprises Act On Anesthesiology Income & Contracts w. Loren Adler

After years of discussion, Congress agreed to end most surprise out-of-network billing, including the No Surprises Act, in the year-end omnibus spending bill. But what exactly does this mean for anesthesiology and our patients? In this episode, Loren Adler, the Associate Director of the USC-Brookings Schaeffer Initiative for Health Policy, will be joining the show to discuss the specific implications of the No Surprises Act and how this may affect you moving forward.

If You’ve Never Worked With A Financial Advisor, Check This Out Before Hiring One

There are a lot of great financial advisors out there, but unfortunately, the industry has a bad reputation. However, there is something really valuable in good, wise financial counsel, and I think many doctors could benefit from it. So, for this week's episode, I am sharing a presentation that I recently gave explaining the financial landscape and describing different advisory compensation mechanisms. My goal is to equip you to pick the right financial advisor for your personal needs, helping you to understand what type of financial advice model is the right fit.

Considerations For Selling Your Practice, From A Pain Group CEO w. Dr. Doug Wisor

Dr. Douglas Wisor is the Chief Executive Officer of National Spine & Pain Centers. A pain practitioner for nearly 20 years, he is board certified in both Physical Medicine & Rehabilitation and Pain Management. Today Dr. Wisor joins the show to discuss leadership and the expectations a practitioner should have if they are looking to sell their practice to a group like National Spine & Pain.

How Can Orthobiologics Fit Into Your Pain Practice? w. Dr. Nikhil Verma

This episode is dedicated to helping pain physicians effectively integrate orthobiologics treatments, also known as regenerative medicine, into their practices. There are a lot of economic considerations as it relates to the patient experience, payer approval, and FDA approval, and here to help us understand this topic is Dr. Nikhil Verma. A board-certified physiatrist and regenerative medicine specialist, Dr. Nikhil joins the show today to discuss the common misconceptions around orthobiologics and what you must be aware of before diving into this form of medicine.

A Washington State Case Study On The Future Of Anesthesia Employment And Noncompetes

This week, I am talking about labor markets in anesthesia, the regional sensitivity around this issue, and what it means for anesthesiologists. I also review a specific case study in the state of washington.

An Important Program We’re Working On To Cultivate Physician Autonomy w. Dr. Jessica Jameson

I've been working on a standalone educational program for a number of months with a couple partners. It's called the Practice Accelerator, which is a curriculum and online course designed to help equip pain physicians who want to start a practice or to substantively revamp an existing practice in a setting where they have decision making capacity. Today, I am interviewing Dr. Jessica Jameson.

A Strategy To Do What You Want, Sooner, On Your Way To Financial Independence

This week, I want to discuss a new optional path that could be taken for future financial freedom. This is an option that I recently learned about called coast fire retirement.

If You Want To Stop Trading Time For Money, You Need These Tools

This week, I want to discuss some of the newest lessons that I have been recently reflecting on which due with building wealth. My family and I have recently been making some big changes which have helped me to re-examine the best approach to building wealth.

Revisiting: Making A Successful Financial Transition To Attendinghood w. Dr. Jimmy Turner

Still settling in after my move across the country, I wanted to throw it back one more time. In this episode, I am talking to Dr. Jimmy Turner. Jimmy is a practicing anesthesiologist at Wake Forest and a financial genius. He has helped many med students, residents, and fellows to manage their finances as a physician. In this episode, Jimmy is here to bring his knowledge to you all about what physicians need to pay close attention to financially during the COVID crisis.

Revisited: Understanding RVU Comp In Pain Management, Part 2

As I am on the road moving from the east coast to the west, I wanted to review an old topic that we've discussed here before. This week's episode is part 2 in our series about RVUs and income benchmarking to help pain physicians understand the link between RVUs and compensation. This is a very broad topic which we will continue to discuss in the coming weeks and the purpose of this series is to provide some context to the topic.

Revisiting: Understanding RVU Comp In Pain Management, Part One

As I am on the road moving from the east coast to the west, I wanted to review an old topic that we've discussed here before. In today's podcast we cover the topic of RVUs in the context of an interventional pain practice. We talk about the history of RVUs, how they work with reimbursement between medicare and commercial payors, the different components that make up an RVU calculation, and what pain doctors should consider when they think about their own clinical productivity.

Understanding The Story That Your Billing And Reimbursement Tells You w. Dr. Fisayo Ositelu

This week's conversation is with CEO and co-founder of Gentem, Dr. Fisayo Ositelu. Gentem is a company that takes a tech forward approach to giving private practice physicians visibility, to reimbursement and billing challenges that they may have.

Bringing An Anesthesia Invention From Drawing Board To Market w. Dr. Trevor Gibbs

This week, I am speaking to entrepreneur, anesthesiologist, and inventor, Dr. Trevor Gibbs. Dr. Gibbs created Anestand, the very first Anesthesia stand. Today we discuss his journey creating Anestand and the company behind it.

Private Equity vs. Hospital vs. Internal Acquisition For Pain Management Practices w. Larry Elisco, CPA

This week, I talked to Larry Elisco, CPA liquidity events around the sale of a medical practice, specifically selling to private equity vs. a hospital vs. an internal succession plan to your partners as a pain practice owner. Nothing that you hear in this episode should be construed as legal or tax advice.

Using Your Estate Plan To Unify (Not Devastate) Your Family w. Nathan Kavlie & Notesong Srisopark Thompson

This is the final episode in our estate planning series, where we address advanced planning topics like how to divide up illiquid assets (like your house, business, medical practice) amongst your kids, when you need to redo your estate plan, and other considerations that will allow your estate plan to help and not hinder your family after you're gone. Learn more: apmsuccess.com/105

Keep Your Trusts Close And Your Probates Closer – Estate Planning Pt 2 of 3 w. Nathan Kavlie

Today I am talking to Nathan Kathleen, who’s an attorney, a legal educator and an entrepreneur who has started a virtual estate planning practice with his partner Notesong whom we heard from last week. We’re going to talk about probate and trust utilization and how those ideas interact.

Key Components Of A Comprehensive Estate Plan w. Notesong Srisopark Thompson

This is episode one of three pertaining to estate planning ideas for physicians. Today’s episode covers the specific documents needed for a comprehensive estate plan.

Do I Need To Set Up An Entity Before Buying Into An ASC? And Other Legal Stuff w. Scott Weavil J.D.

Today I’m speaking with healthcare and business attorney, Scott Weavil about considerations for either a new build, or buying into an established surgery center and things to think about for a physician who’s going to be an equity owner for the first time.

Tax Ideas For ASC Owners From A Healthcare Tax Expert w. Jim Giese, JD, CPA

I'm really pleased to be joined today by Jim Giese. Jim is a CPA, a JD, and a healthcare tax expert with Wipfli. I've been having some really interesting conversations with Jim and his team, and it's awesome to have a group with deep tax expertise in healthcare. Today's content discusses specific tax ideas. This content is for entertainment purposes only and should not be construed as tax advice. Always consult your tax advisor before making any decisions.

This is why anesthesiologists are the best – a short reflection after 100 shows

I’m coming to you today just to say thank you to the anesthesia and pain management community. When this podcast was started at the beginning of 2019, I could not have envisioned how much fun it was going to be and How much work it was going to be. And also I couldn’t have envisioned the incredibly high caliber of the people that I was going to have the privilege of interacting with. And as I’ve reflected back on the work that this last year and a half has represented, I feel incredibly lucky to be working with this group of physicians.

What Physicians Can Learn From The Russian Beard Tax Of 1698

Today we’re going to look a little bit at how physicians need to plan ahead in order to properly account for An upcoming tax bill using an example dating back to 1698.

Should A 30-something Physician Have Bonds In Their Investment Portfolio?

Last week, we talked about the importance of comprehending a couple key principles of investing to enable you to see it through if, and when, the stock market storm does hit. Today is going to be another investment focused episode. This is going to be an elementary asset allocation discussion surrounding bonds.

Two Key Principles To Help You Weather A Crazy Stock Market Storm

This week I share two key ideas that will give you critical context for the stock market, and for ultimately achieving a positive outcome for your financial future. If you don't know why you're doing what you're doing, you won't be able to "stick to the plan" when things get tough.

Autonomy via Locums & Independent Pain Practice In Hawaii w. Dr. Dawn Sparks

This week, I’m talking with Dr. Dawn sparks. Dr. Sparks runs a pain practice on the Island of Hawaii, where she’s one of only two pain physicians on the whole Island. She shares her career journey, which encompasses a brief stint in academics doing some locums work and other medical entrepreneurship before finally launching her own practice a few years ago, she also shares a story of a really bad car accident she had when she was a teenager and how that experience that she had as a patient undergoing and recovering from that treatment continues to this day to shape her deeply held conviction around empathetic care.

Why We’re Programmed To Misunderstand Our Own Death/Disability, And How To Best Insure Yourself

The work of Nassim Taleb expresses part of the reason that we are bad at understanding how probabilities relate to real life, especially when it relates to some adverse event in our own lives. This episode explores how probabilities are "hiding in plain sight" and how robust insurance is a luxury in which physicians should partake in order to neutralize the impact of a low-probability, high-magnitude negative event.

Is it better to have a high salary or equity opportunity in a job offer?

There’s two ways to build wealth over time. One way is to earn a high income and save a significant percent of that income. The second way, which is not mutually exclusive of the first, is to own an asset, an appreciating asset to have equity in a business that becomes more valuable over time. Physicians are uniquely positioned to at times take advantage of these two prongs at the same time, but they frequently don’t realize it.

The Tax Reduction Tool That Many CPAs Don’t Properly Utilize

My favorite account type is the solo 401k. Congress enacted special rules at the end of 2020 to allow anyone with self-employment income in 2020 to consider opening one up to the tax deadline in May of 2021. Don't needlessly pay more in taxes - see if a solo 401k could help!

Bad Real Estate Deals, Shady CPAs, and Other Physician Financial Drama w. Daniel Wrenne

This week I am joined again by my friend Daniel Wrenne. We talk about some of the crazy, ridiculous anecdotes that we've experienced in working with many physicians while helping them quarterback financial decisions, or watching them perhaps not take our advice, as well as other crazy stories.

Things Every Pain Doc Needs To Know About Billing w. Devona Slater

I'm excited to have Devona Slater back to address the pain management side of the billing and coding complexities and landscape. Devona joined us in episode 88 breaking down the fundamentals of anesthesia billing, how the money flows from the procedure to when the practice gets paid and everything in between. She is the president and senior compliance auditor for ACE, which is auditing for compliance and education, which is a consulting company that specializes in anesthesia and pain management, billing and compliance.

Using Malpractice Claims Data To Generate A Premiums-Reducing CME Engine w. Dr. Brian Cohen

This week I talked to Dr. Brian Cohen about his experience in different anesthesia practice settings, the practice landscape for anesthesiology in the state of Florida, how he launched his own anesthesia practice and kept it afloat amidst their hospital going out of business, and how he developed a platform called Adaptrack to provide CME to physicians and reduce likelihood of medmal claims. Lots of great stuff in this week’s episode!

How COVID Is Accelerating Healthcare Innovations. Impact On Pain Management

I talk with Dr. Krishnan Chakravarthy about parts of the healthcare ecosystem, and pain treatments in particular, where technology and methods for patient care have evolved rapidly in light of the COVID pandemic (including COVID test patches and vending machines!). We also discuss what specific data he tracks to understand public health impact of the virus and how ASPN is issuing COVID-related guidance to help its clinician members stay ahead of the curve in patient care.

Should Noncompetes In Anesthesia Be Outlawed? w. Dr. Brian Schmutzler & Barb Molargik-Fitch, JD

This week, I sat down with Dr. Brian Schmutzler and Barb Molargik-Fitch to discuss non-compete agreements. I’ve seen times when anesthesiologists have been treated in some cases the same as other specialties when it comes to non-competes when sometimes that is the most reasonable and logical path forward. We talk about how non-competes are manifest in the lives of anesthesiologists, how it varies by state and what it might mean for you.

The Formula To Crafting An Essential Message To Help Patients (Or Customers!) w. Dr. Dena George

Today I had an amazing conversation with Dr. Dena George. We talked about some of the challenges that physicians face whenever they are trying to transition from just being a “regular physician” into something more entrepreneurial. Dr. George is a physician life and business coach, and she helps doctors work through these challenges and to develop the best version of themselves to feel comfortable stepping out of their field.

Similarities In Compensation, Incentive, And Moral Hazard For Doctors And Financial Advisors

Today I am coming to you solo. I want to discuss how you can stress test incentives and compensation so that you can project the path of the business based on the models in place. By the end of this episode, you should be able to see areas where you need to focus more time, and areas where you can potentially pull back.

Another Perspective On Private Equity In Anesthesia w. Brian Schmutzler

This week, I am joined once again by Dr. Brian Schmutzler. Dr. Schmutzler has a very unique thought process on private equity in anesthesia which I believe is very educational and beneficial to consider. In the episode we also discuss more about how COVID has effected his practice, and some of the differences that he sees in the field now that were not seen before the pandemic.

Bridging Subspecialties To Tackle Maternal Mortality w. Dr. Cesar Padilla

This week, I am joined by Dr. Cesar Padilla about his work bridging subspecialties between critical care and obstetrics, to be able to tackle the problem of maternal mortality in the United States. There are a lot of new and exciting ways to Dr. Padilla is tackling this with some of his colleagues. We also discuss some other key principles that have guided his formation as a professional.

Using Anesthesia Skills To Become An Advisor To Venture Capital w. Dr. Simon Lee

This week, I am joined by Dr. Simon Lee. Dr. Lee and I talk about many things such as his career experience, his perspectives on money and on savings, and on lifestyle for physicians. He also talks about his experience in being a medical advisor for venture capital firms. Dr. Lee also opens speaking about a very unique talent of his.

Expanding Pediatric Dentistry Access Via Anesthesia Entrepreneurship w. Dr. Navin Goyal

This week, I talked with Dr. Navin Goyal about his practice in anesthesia for dental practitioners. As many people may forget, dental work can sometimes require anesthesia as well. Dr. Goyal, along with his company SmileMD, are making it easier for dentists to get professional anesthesiologists into their clinics quickly, so that they don’t have to send their patients to hospitals.

Humor, Perseverance, And Reinvention As An Anesthesiologist Woman Of Color w. Dr. Lynette Charity

This week, I am talking to Dr. Lynette Charity. Dr. Charity has a unique story as a woman of color growing up wanting to be a doctor. Her story is full of hardship, but also endurance and humor.

Enjoy Financial Conquest With A Straightforward System

Welcome to the first episode of 2021. In this episode, I discuss the outcome of the goals that I set from 2020. I also walk you through a proper system for setting up an outcome/income goal to help grow your network/revenue.

Year-end Giving Strategies w. Daniel Wrenne

This is the final episode of 2020, I want to thank you all for your continued support throughout this year. This week, I’m going to be wrapping up the year by cross posting an episode, which I recently did with my friend, Daniel Wrenne. Daniel is a financial advisor and works with many physicians. He recently launched a podcast called Finance For Physicians.

Private Equity In Pain Management Practices w. Stuart Neiberg & Daniel Kvarnberg

This week, I am again speaking with Stuart Neiberg and Daniel Kvarnberg about private equity consolidation in the context of pain management practices. As private equity has a more and more pronounced presence in healthcare, we want physicians to be empowered and equipped to understand these dynamics and what it means for practice.

Assessing The Future Of Anesthesiology Careers w. Dr. Karen Sibert

This week, I am talking to Dr. Karen Sibert about a recent article she wrote for Anesthesiology News. She discusses her perspectives on the future of the profession and some important things to consider for physicians who hope to have a long and fruitful career.

Private Equity, Industry Consolidation, and Practice Value In Anesthesia w. Stuart Neiberg

This week, I’m talking to Stuart Neiberg and Daniel Kvarnberg of Physician Advisory Solutions. Stuart and Daniel are experts in physician practice transactions, economics, and the forces that drive value. Today, we’re talking about anesthesia and anesthesia practices. We cover current trends, private equity, and consolidation factors impacting practice value and more.

Is It Ok To “Go With Your Gut” When Choosing A Financial Advisor?

This week, I’m solo, talking about how to choose a financial advisor. There are many annoyances that come with choosing a financial advisor but there are simple steps that you can take to make that process easier and less frustrating.

All You Need To Know About Disability Insurance w. Larry Keller

This week, I’m talking to my friend, Larry Keller, about the critical importance of physician disability insurance. We talk about how a physician should be thinking about disability insurance in the context of their own financial plan. Additionally, we discuss some special considerations that you should keep in mind as you’re considering putting coverage in place as an anesthesiologist or pain management doctor.

Here’s A System For Tax Optimized Wealth Building

This week, I am talking about building wealth and intelligent ways to save. I talk about some technical and financial topics while giving you some ideas to think about when creating a plan. Reminder: everything discussed is only financial advice and you should work with a personal financial advisor, tax expert, or CPA to answer specific questions.

How To Handle Student Loans Between Now And 2021

This week, I am going to talk about a topic that I haven’t yet talked about, but is very popular today. I am going to be discussing student loans, and the important things that people need to consider as we enter a new presidential term. At the time of recording, the president has not yet been chosen, so this conversation is relatable no matter who wins.

If You Want Happiness In Your Career You Must Intentionally Do This w. Dr. Jimmy Turner

This week I am talking to my friend Dr. Jimmy Turner. about one of my very favorite topics. We talk about how mindset and beliefs are the foundation for an experienced life and how positive/negative experience in life is determined first at the thought level. We talk about how life coaching and professional coaching can play a role in intentionally shaping the outcome of these experiences.

Why It’s Critical To Follow The Money In Anesthesia Group Contracts w. Dr. Aalap Shah

This week, I’m joined by my friend Dr. Aalap Shah. Dr. Shah has served as an anesthesiologist in many different practice models. We talk about his experience in running an anesthesia company in Southern California. He talks about many of the complexities of operating a practice. Additionally, we discuss some of the challenging parts of navigating the political landscape within a hospital administration.

Homebuying Wisdom For Docs In Transition

This week, I am coming at you solo to discuss important home buying tips for physicians who are transitioning from training into a practice, fellowship or any other important career transitions. This is something that I have seen many of my clients be impacted by in the previous months, and something that is very important and needs to be thought through correctly.

Learning From The H1N1 Pandemic Of 1918 To Combat COVID w. Dr. Krishnan Chakravarthy

This week, I’m joined again by Dr. Krishnan Chakravarthy. Dr. Chakravarthy has has extensive experience working with the CDC, making him a great guest to discuss the similarities of COVID to the H1N1 pandemic of 1918, and what it might mean for the future of interventional pain practice.

Equipping Physicians As Advocates In The Business Of Medicine w. Dr. Anita Gupta

This week’s episode is a cross-promotion with the Health Logic Podcast hosted by Dr. Anita Gupta. Dr. Gupta and I discuss some of my own passion behind why I do financial education and financial planning. I also talk about some specific ideas and observations about why doctors don’t negotiate, and frequently don’t see themselves as real participants in the business of medicine.

Plotting The Path To Pain Practice Partnership w. Dr. Joshua Suderman

This week I am talking with a favorite past guest, Dr. Joshua Suderman. We discuss his journey from fellowship to building his own private practice. Dr. Suderman talks about many of the challenges that a physician has to consider but aren’t often talked about. He also discusses marketing strategies and the ways he has learned to build a strong and happy team.

Eliminate This Common Ball And Chain To Be A Wealth Building Physician

Coming to you solo this week to encourage, and strengthen physicians who are unsure or unaware of strong financial strategies. Many physicians are their own hardest critics, and can be weighed down by the thought of be unequipped to handle a situation such as finances. In this episode, I want to help give guidance to anyone who is feeling inadequate.

Should I Be Worried About The Stock Market Before The Election? And Other Poorly-Framed Questions

This week I am solo, talking about a question that I was asked this week by a physician client. The headline of his email said, “Should I be concerned?” No one ever likes getting an email with a subject line like that. In this episode, I will discuss a few different things that you should be aware on the investing side as we quickly approach the end of this election year.

Unpacking COVID’s Impact On The Anesthesia Job Market w/ Kyle Hadley

This week I’m talking to Kyle Hadley at LocumTenens.com. Kyle is connected to many health systems, hospitals, and private practices with regards to their employment needs. Today we’re doing a deep dive on some of the things impacting jobs for anesthesiologists. Covid has been a huge factor and I’ve heard of a few docs that have had job offers rescinded, many who have been furloughed, and others who haven’t been able to find jobs. I think in the long run, you should be optimistic about your employability, though we’re certainly in some short term weirdness. It’s also not a bad idea to think about doing locums for a little bit while you’re waiting, if you’re willing to work some tough shifts you can make a whole year’s worth of salary in just a few months.

The Big Risks For Data Security In Healthcare w. Jason Culotta

This week, I am joined by information technology expert, Jason Culotta. Jason and I discuss the importance of cybersecurity in today’s business world. Jason will use real examples from clients to explain the dangers that you can be faced with when your information is hacked. We also discuss some easy tips to keep your information secure as well as how Jason and his team at Encompass defend their clients.

Building The Future Of Pain Management With Real-Time Patient Feedback w. Dr. Michael Fishman

This week I’m joined by Dr. Michael Fishman. Dr. Fishman has worked hard to become a key opinion leader in the interventional pain and neuromodulation space. He is also an entrepreneur building a platform in conjunction with some colleagues who were also running into the same problem of real-time feedback from patients.

Turning Tough Career Experiences Into Empathetic Patient Care w. Dr. Jessica Jameson

This week, I am joined by Dr. Jessica Jameson to discuss her journey from hospital work to opening her own practice. Dr. Jameson discusses how she is trying to create the best environment for both her employees and her patients as well as how her work as a flight surgeon helped prepare her for opening her own practice.

Entrepreneurship And Innovation At The Crossroads Of Academics & Industry w. Dr. Chakravarthy

This week, I’m talking to Dr. Krishnan Chakravarthy. Dr. Chakravarthy is brilliant at not only understanding and developing hyper-specialized technologies but doing so in a way that understands the business, finance, and team-building required to take his ideas from the drawing board to changing patient’s lives.

Four Money Mindsets To Make You A Top Quintile Wealth Accumulator

As many of you know, I am a financial planner and investment advisor. I have been in the industry for over a decade now and recently I have been reflecting back on many of the clients I’ve worked with over the years. In this episode, I talk about four money principles for physicians to help them become top quintile wealth builders. These are four principles that I’ve seen play out over time.

COVID In NYC, Industry Collab, & Finding True Success w. Dr. David Rosenblum

This week I’m speaking with Dr. David Rosenblum about important topics in pain management. With a diverse career in pain management, Dr. Rosenblum is involved in a private practice in New York with an academic affiliation and has started several businesses that provide rich educational opportunities in the pain and anesthesia communities.

Starting A Pain Practice In A Competitive Metro Area w. Dr. George Hanna

Today’s episode is the second in a two part series about starting your own pain practice. I’m very pleased to have with us, Dr. George Hanna. Dr. Hanna is a Harvard trained interventional pain physician anesthesiologist. He has experience as an academic faculty member working with a bigger private group, being an entrepreneur, and launching a practice in Manhattan.

Finding Success In Solo Pain Practice Straight Out Of Fellowship w. Dr. Shachi Patel

This week, I sit down with my friend, Dr. Shachi Patel to discuss how she started her own practice. Dr. Patel walks me through everything from getting a bank loan, finding real estate, gathering the right team, and creating a business plan. She also discusses the hardships of starting her own practice, the joys that make this her passion, and what keeps her going.

Keys To A Career Transition For Clinical & Relational Success w. Dr. Stephen Freiberg

This week I am very excited to be joined by my friend, Dr. Stephen Freiberg. Dr. Freiberg trained at Duke and Johns Hopkins and is now a cardio thoracic anesthesiologist in the Orlando area. Dr. Freiberg is here to discuss 10 key points to optimize and make good decisions while you’re transitioning clinically from residency to attendinghood. The 10 key points that Stephen and I discuss are… 1. Establish Clinical Excellence: The first step actually starts well before starting your first job. It starts by maximizing your training Trust Your Training Be Flexible Be Polite Be Punctual Be collaborative and empowering Be A “Yes” Physician Look to add value outside of clinical anesthesia Know Your Limits and the limits of the system Bring Solutions

Why We Need More Anesthesiologists Involved In Policy And Leadership w. Dr. Vanila Singh

This week, I talk to Dr. Vanila Singh about her experience in organizational and policy leadership. We talk about what it takes to stay strong when you get involved in politics and the ways that Dr. Singh’s career in anesthesia has uniquely shaped her to become an incredible leader. We also discuss why we need more physicians involved in all sorts of institutional decision-making in both government and healthcare organizations.

A Survey Of Retirement Plan Options For Private Practices w. Rickie Taylor

In today’s episode, I am joined by my friend and retirement plan consultant, Rickie Taylor. Rickie is an expert in the area of retirement plans and benefits for small to mid-sized businesses of all types. In today’s episode, we will be focusing on physician practices. Rickie is here to discuss how retirement plans can be used to significantly reduce the tax burden of physicians and employees.

Building A Personal Brand To Practice Medicine With Purpose w. Dr. Anita Gupta

In this episode, I talk with Dr. Anita Gupta about how a physician can build a professional brand in a way that augments professional credibility, allowing their voice and content to “cut through the noise.” Doing so allows a physician to influence public policy and one’s own specialty in today’s content-saturated world.

Understanding RVUs In Interventional Pain, Part 2 of 2

This week’s episode is part 2 in our series about RVUs and income benchmarking to help pain physicians understand the link between RVUs and compensation. This is a very broad topic which we will continue to discuss in the coming weeks and the purpose of this series is to provide some context to the topic.

Understanding RVUs In Interventional Pain, Part 1 of 2

In today’s podcast we cover the topic of RVUs in the context of an interventional pain practice. We talk about the history of RVUs, how they work with reimbursement between medicare and commercial payors, the different components that make up an RVU calculation, and what pain doctors should consider when they think about their own clinical productivity. Tune in next week for part two of this discussion!

Building An HOPD Pain Practice From Scratch w. Dr. Nirmala Abraham

I am excited to be joined by Dr. Nirmala Abraham to discuss the pros and cons of small pain practices. In this episode, she talks about her experience starting up and operating a pain practice as well as how a physician should go about building a financial model to understand the viability of a prospective plan.

Addressing Overly-Simplistic Reporting On Healthcare Economics W. Dr. Karen Sibert

In this episode, Dr. Karen Sibert joins me to discuss some of the anti-physician journalism that we are currently seeing. Karen is an anesthesiologist in the UCLA Department of Anesthesiology and Perioperative Medicine. She is the past President of the California Society of Anesthesiologists and an accomplished writer. She has a critical voice, not only among anesthesiologists, but among physicians in the healthcare ecosystem.

Making A Successful Financial Transition To Attendinghood W. Dr. Jimmy Turner

In this episode, I am talking to Dr. Jimmy Turner. Jimmy is a practicing anesthesiologist at Wake Forest and a financial genius. He has helped many med students, residents, and fellows to manage their finances as a physician. In this episode, Jimmy is here to bring his knowledge to you all about what physicians need to pay close attention to financially during the COVID crisis.

Increased Flexibility During COVID For Practices & Physicians W. Anu Murthy Esq.

In today’s episode, I’m talking with attorney, Anu Murthy, about some of the challenges, as well as the opportunities, afforded by new CMS regulations related to the coronavirus outbreak. We’re talking about new rules that impact both practice owners and physician employees. While we’re discussing things in the context of anesthesiology and pain management, these concepts will have broad applicability since we’re discussing legal concepts.

Working With Local Champions To Make The World Safer For Babies And Mothers W. Dr. Medge Owen

In this episode, I sit down with Dr. Medge Owen. Medge is a professor of obstetric anesthesia and the Director of Maternal and Newborn Global Health programs at the Wake Forest School of Medicine in Winston Salem. She’s also the founder of Kybele, an organization committed to creating global access to safe childbirth care for women all over the world.

Paying It Forward By Prioritizing Mentorship In Interventional Pain Practice W. Dr. Gary Schwartz

This week my guest is Dr. Gary Schwartz. Gary is an interventional pain physician and Director of Acute Pain Management at Maimonides Medical Center in Brooklyn, NY. He is board certified in both Pain Management and Anesthesiology. We discuss the importance of practice management for pain management and how the Practice Management Committee helps to educate ASRA.

SPECIAL EPISODE: Turning An Endo Suite Into An ICU To Combat COVID In Your Hometown Hospital W. Dr. Matt Salter

On today’s episode, I am joined by Dr. Matt Salter and friend of the show Aaron Lewis, to talk about how they are combating the coronavirus from their private practice in Detroit. Matt and Aaron dive into how COVID is changing the community there, and the ways that their practice has been specifically effected.

Talking To An Asset Protection Attorney About Wealth Preservation W. Ike Devji

This week my guest is Ike Devji. Ike is a doctor of jurisprudence and is here to discuss asset protection. Ike has been doing wealth preservation strategies for the last 17 years and has protected over $5 billion in personal assets for thousands of position clients all over America. In this episode, Ike shares tips for how to protect yourself as young investing physicians. He will share details that many miss when it comes to topics like medical malpractice.

SPECIAL EPISODE Private Pain Practice Response To COVID – 19 W. Dr. Timothy Deer

This week I’m joined again by Dr. Timothy Deer to discuss his practice’s response to the COVID-19 pandemic. We discuss how they quickly migrated to telemedicine with the help of his staff, how the clinical approach has changed, and the different responses other practices across the country have taken to try to cope with the current situation.

The Critical Financial Variable For Building Wealth With Dr. Aaron Lewis

In this episode of Anesthesia Success, I am joined by finance oriented anesthesiologist, Dr. Aaron Lewis. We discuss “The Critical Financial Variable” of wealth accumulation which they describe as “the amount of money that you can save”, also known as saving rate. Dr. Lewis will bring some tips that you can implement in order to have a better grasp on your personal journey in wealth accumulation. Want to win free a copy of Inevitable Wealth by Nick Murray or The One Page Financial Plan by Carl Richards? Leave a review on iTunes, screenshot it, and send it to justin@anesthesiasuccess.com for your chance to win!

Collaborating Across Borders To Tackle The Global Anesthesia Access Crisis W. Dr. Berend Mets

In this episode, I am joined by Dr. Berend Mets, a professor and chair of Anesthesiology and Perioperative Medicine at Penn State University College of Medicine. Dr. Mets has a passion for globalizing quality anesthesia care and in particular to increase the quality of surgery and anesthesia in under resourced environments. We discuss specific steps taken to increase access to quality anesthesia and some of the amazing physicians and others with whom he has partnered.

SPECIAL EPISODE Leadership And Contingency Planning For COVID At UPenn W. Dr. Meghan Lane – Fall

In this episode of Anesthesia Success I am joined by Dr. Meghan Lane-Fall, an associate professor of anesthesiology and critical care at the University of Pennsylvania. She is currently taking on a leading role in Penn Anesthesia’s departmental efforts to combat COVID-19 in Philadelphia. In what Dr. Lane-Fall calls “a generation defining time” for physicians, we discuss the need for advancements and creativity in medical care to combat the current pandemic.

SPECIAL EPISODE: Addressing COVID At An American Military Hospital In Germany w. Dr. Shelly Farrell

With the current COVID outbreak in full effect, I wanted to create a series of episodes highlighting some of the servicemen and women who are currently working around the clock to manage, control, and help people who are being effected by the coronavirus. In today’s episode, I talked to DR. Shelly Farrell about the current situation in Germany, which is where he is currently located. Dr. Farrell is currently working in a military hospital helping to control the spread of the coronavirus.

Building An Anesthesia Practice That Hospitals And Employees Love W. Tom Ellis

In this episode, I sit down with Tom Ellis. Tom is the founder and a healthcare consultant with Ellis & Associates based in Texas. He is also the founder of FirstMEDpractice.com which is a website designed to help residents understand the business dynamics of medical practice before they end up taking jobs. Make sure to listen to the end of this episode for a chance to win a free E-book from Tom!

Private Practice Pitfalls And Starting An Anesthesia Company W Dr. Brian Schmutzler

In this episode, I sit down with Dr. Brian Schmutzler. Brian has a fascinating story about moving from pandemics as an MD-PhD, to private practice and eventually running his own anesthesia company and doing device consulting. In this episode, you will hear Brian talk about what made him make that decision, and some of the daily challenges of being self-employed.

Financial Inoculation Against Corona Virus Market Panic

In this episode, I want to answer the question “Should reports about pandemics in the media change how we invest financially?” The short answer, no! We should be focusing our attention on resources that will positively impact our financial future. You will hear some of my favorite people to learn from, as well as my 3 top tips for the most reliable way to create wealth as a physician.

Privademic Residency OR Diplomacy And Entrepreneurship In Financial Coaching W. Dr. Aaron Lewis

In today’s episode, I talk with my friend Dr. Aaron Lewis. Aaron is an attending anesthesiologist in the Detroit area. He’s in private practice there after many interesting experiences in his career. He is also a CFPⓇ Candidate and is helping others get on track with their financial planning.

Reforming Prior Authorization Requirements In Pain Medicine w. Dr. Josh Suderman

In this episode, Justin sits down with Dr. Josh Suderman. Josh is an anesthesiology & pain boarded physician at the Javery Pain Institute in grand rapids Michigan. In this episode, you will hear about his experience in treating pain in the context of a small pain group. They also tackle the topic of prior authorizations, what they are, why they happen, and his work to make prior authorizations less of a problem for both patients and doctors.

Entrepreneurship As A Path To Physician Autonomy W. Dr. Bonnie Koo

In this week's episode, Justin talks to his friend Dr. Bonnie Koo, to explore the topic of building autonomy into the life of a physician through business and entrepreneurship. The more we are able to build in mechanisms to have multiple external sources of income, the better off we are going to be.

Begin With The End In Mind For Career Success In Anesthesiology w. Dr. Jesse Lopez

In this episode, Justin sits down with Dr. Jesse Lopez to talk about how to prepare yourself to avoid many of the strains and stresses that come in the latter years of a physician's career. They also discuss how to make money work for YOU as a physician. Learn more: anesthesiasuccess.com/34 Article mentioned "Why Doctors Need a Retirement Plan...": docofalltradez.com/doctor-retirement/

How Dr. Zwade Marshall Uses Referrals To Grow His Business In Pain Practice

In this episode, Justin talks to Dr. Zwade Marshall about the importance of referrals, and the easy steps that you can take to strengthen your relationships with business owners, peers, and clients. Learn more: anesthesiasuccess.com/33

One Physician’s FDA-Award-Winning Answer To The Opioid Crisis w. Dr. John Hsu

In this episode, Justin sits down with Dr. John Hsu to talk about the opioid crisis in America, and the contributing factors that have grown it to the size that it is today. They also discuss how the crisis has affected Dr. Hsu's life personally. After 28 years of clinical practice in pain and anesthesia, John has been working a product to help fight against one of the root causes of the opioid problems, the diversion of prescribed drugs. Learn more: anesthesiasuccess.com/32

Thriving In Academic Anesthesiology By Investing In Family Relationships W. Dr. Angela Edwards

In this episode, I sit down with Dr. Angela Edwards about her career in academic medicine. We discuss her leadership in local and national societies, as well as some of the surprising career twists and turns that she has taken. We also talk about how she has intentionally invested in her marriage and her family when her work has been crazy. We also talk about some of the financial decisions that she has made to which she attributes her family's financial success. www.anesthesiasuccess.com/31

The Critical Importance Of The Anesthesiologist In The Healthcare Ecosystem W/ Dr. Ed Mariano

In this episode, Dr. Ed Mariano and Justin discuss the process of pursuing ACGME accreditation for regional pain fellowships, the critical role for anesthesiologists in perioperative care, as well as Ed's thoughts on the future of the profession, and the changing healthcare and insurance landscape in which we currently find ourselves. Learn more about Dr. Mariano and his practice: www.edmariano.com/bio

Networking for Private Practice Jobs Surgery Center Ownership and More – Recap of #FallASRA2019

My 15min synopsis on my experience at Fall ASRA 2019, and why the practice management content track should be required attendance for every physician.

Insider Tips For Getting A Proposal Accepted For The ASA Conference W. Dr. Angela Edwards

This week I talk to Dr. Angela Edwards about her experiences at the national ASA conference, and how to get work submitted to get you on the big stage! The first deadline for getting a proposal in is November 15th so check out the details in the show notes at www.anesthesiasuccess.com/29b Also, Angie was kind enough to give us a full writeup of all the details relating to deadlines, content tracks, and everything else you would need to know before sending in your proposal — you can download that document here: anesthesiasuccess.com/wp-content/upl…la-Edwards.pdf

New Challenges And Exciting Opportunities For Today’s Pain Physician w. Dr. Timothy Deer

This week I talk to Dr. Timothy Deer about his perspectives as one of the foremost leaders in the interventional pain community. We discuss the evolution of the field over the last 25 years, unique challenges for today's pain practitioners, and his vision for the new organization he co-founded, the American Society of Pain & Neuroscience.

An Anesthesiologist’s Guide To Financial Independence w. Dr. Dawn Baker

Taking Mini Sabbaticals, And Living Intentionally In this weeks' episode I talk to Dr. Dawn Baker. We discuss her nontraditional journey into medicine, her surprise medical diagnosis that extended her residency by six months, how she got the courage to ask for a 9 month sabbatical, and more. Lots of great lifestyle and balance discussion in this episode.

The Paradox of Anesthesiologist Employment Demand – Understanding If Your PP Job is Safe

In this episode I discuss the strange phenomenon of anesthesiologists' jobs being at risk, in spite of the massive demand for anesthesiologists nationally. We look at the reasons why your job is secure, and other "micro factors" that can be indicators of a less stable employment situation. This should help you evaluate the stability of a current or prospective job situation. Show notes available at www.anesthesiasuccess.com/27

All My Friends Have Whole Life Insurance – Do I Need It Too w. Chad Chubb

In this episode I've enlisted the help of a close friend to discuss ***spoiler alert!!*** one of the most common planning mistakes we see with early career physicians. We tackle why whole life insurance and other more complex insurance products are common but not always advisable. Show notes available at www.anesthesiasuccess.com/26

How Making Friends With The Right People Can Make You Rich And Happy w. Dr. Jimmy Turner

In this Philosophy & Finance discussion, I talk with Dr. Jimmy Turner about the power of friends (good and bad!) and why intentionally cultivating friendships with people that you want to be like can be a powerful force in the journey toward financial independence. Also, hear about the tesla-driving resident (it's a real thing). Show notes at www.anesthesiasuccess.com/25

Taking Advantage Of A Job Switch To Accelerate Your Journey To Financial Independence

I discuss some of my thoughts on how to take advantage of employment transitions to make significant progress toward financial independence. We cover home purchases, contract negotiations, student loans, celebrating sustainably, and geographic arbitrage. Check out the full show notes at www.anesthesiasuccess.com/24

Key Elements of a Profitable And Efficient Anesthesia Practice

This week I'm talking to Michael Zervas about the business of anesthesia. We look at things through the eyes of a practice consulting company and identify important metrics to evaluate the health, profitability, and efficiency of anesthesia in different practice models. We also talk about some common pain points for medical directors overseeing practices, and how getting good data is critical to making organizational improvements. Also you won't want to miss Michael's thoughts at the end about things to look for if you're thinking about joining a practice, to make sure that it's a healthy business.

Helping Attending Physicians Solve Rich Doctor Problems W. Dr. Jimmy Turner

This week I talk to Dr. Jimmy Turner about his experience in building wealth quickly during his first three years out of residency. We talk about mistakes he's made, how he deals with societal pressures to buy things before he has the money, and his "gold standard" for financial planners, and how to hire the right one.

When Will Robots Replace Anesthesiologists? w. Dr. Jack Neil

In This week’s episode I interview Dr. Jack Neil. Jack has taken an unconventional path into medicine, doing undergraduate work in computer sciences. He has a unique perspective on the role of tech and artificial intelligence in the OR, and he himself is working on cutting edge technologies that may revolutionize some of the most annoying parts of being a physician. So if you’re wondering how AI may impact the world of anesthesia, and if you’re in any danger of losing your job to a robot, you won’t want to miss this episode.

Halfway Through 2019! Anesthesia Success Community Updates

In this episode I'm flying solo to recap the podcast progress through the first six months of the year, and unveil the new Anesthesia Success Resources page! www.anesthesiasuccess.com/resources

Don’t Sign An Anesthesia Or Pain Employment Agreement Before You Listen To This Podcast!

This week I talk with healthcare attorney Jeff Sansweet about all sorts of legal issues and questions faced by physicians. If you've ever wondered about whether or not you should engage an attorney, the most important parts of an employment agreement, or considerations for selecting an entity type for your practice, you won't want to miss this episode.

ASC’s For Pain Doctors From A Clinical And Investment Perspective w. Ronnie Pennell

This week I talk to Ronnie Pennell, Chief Operating Officer at Phybus, LLC. Ronnie and I discuss why ASC's exist, when buying into an ASC as a pain physician might be a good idea, and other important questions to ask as a part of that process. If you're curious about if ASC ownership might be a good idea for you, or you want to know how ASCs function in the context of other clinical models, you won't want to miss this episode.

Accelerate Your Path To Earnings And Autonomy As A Locums Anesthesiologist with Kyle Hadley

This week I'm joined by Kyle Hadley, an associate vice president at locumtenens.com. Kyle has worked for locumtenens.com for almost a decade and helps connect anesthesiologists interested in locums work, with healthcare facilities that need to fill short and intermediate term vacancies. So if you've ever considered doing locums work as an anesthesiologist, you're wondering what kind of opportunities are out there, or if you like the idea of a flexible schedule and doing anesthesia on your own terms, then you won't want to miss this episode.

Chasing The Dream From Beirut to Detroit, How Perseverance Pays Off w. Dr. Wael Saasouh

This week I speak with Dr. Wael Saasouh, an anesthesiologist from Lebanon. He shares his perspectives about working as an attending in Lebanon, then transitioning to the US to do another residency in anesthesiology. He discusses many of the challenges that he and his wife faced working in rural Lebanon, in moving to the US, and in integrating into the US culture and medical system. Apart from the logistical challenges, I was really humbled by Wael's spirit of perseverance, determination and optimism that allowed him to accomplish great things and encourage others on to achievements of their own.

PainCast Network Combating Burnout And Advocating For Global Access to Healthcare w. Dr. Ana Maria Crawford

This week's guest is Dr. Ana Maria Crawford. She brings some amazing perspective as a physician who trained and teaches in a top academic center, while she also has a strong global health focus and has built a lot of infrastructure to equip younger physicians to pursue practice in under-resourced areas. She also has made a conscious decision to combat burnout in her own life, taking a six month locums assignment in New Zealand and a six month sabbatical in the midst of her busy schedule to provide for her mental health and personal thriving.

Crushing Student Debt During Residency In NYC with Dr. Yu Chiu

This week I talk to Dr. Yu Chiu live at ASIPP 2019 about how he managed to knock out his student loans before finishing residency. We discuss his parents' influence on his financial perspectives, how to live affordably in NYC, and what resources he recommends for physicians wanting to move toward financial freedom.

Promoting the Environmentally Conscious Practice of Anesthesia w. Dr. Timur Ozelsel

This week I talk to Dr. Timur Ozelsel about his mission to raise awareness among clinicians about the practice of anesthesia in a way that minimizes damage to the environment. He shares about how living in Germany exposed him to an environmentally-conscious lifestyle, how he has started the Green Anesthesia special interest group within ASRA to address these questions, and about his hopes for the future practice of anesthesia worldwide.

How An Anesthesiologist Carved His Own Career Path From The Beginning W. Dr. Aalap Shah

I talk with Dr. Aalap Shah about how he dives right into entrepreneurship in anesthesia, some of the specialized training he pursued in order to help him add value in practice consulting, how he has managed to build his own schedule with his clinical practice, and his advice for other anesthesiologists interested in following in his footsteps.

Exploring Advocacy And Clinical Practice In Today’s Opioid Environment w. Dr. Michael Ashburn

This week I talk to Dr. Michael Ashburn about how the opioid crisis impacts the clinical practice of pain physicians, the importance of collaboration between the academic, legislative and enforcement communities, about how policy changes over time have contributed to the current opioid situation in our country. If you’ve ever wondered how you as a practitioner can get involved beyond your clinical work to help combat the opioid epidemic, you won’t want to miss this episode.

Questioning The Assumptions To Advance Medical Education In Anesthesia w. Dr. Jed Wolpaw

In this episode Dr. Wolpaw discusses ways in which the residency format for today's doctors doesn't fully reflect current best-thinking in adult education. We talk about his perspectives as a career-changer (he started off as a high school history teacher), his popular ACCRAC podcast, and the ways that he thinks residency programs need to continue to evolve to allow for optimal patient care while still giving residents a great learning experience and allowing them time to maintain sanity.

Using Psychology To Help Smart People Improve Financial Outcomes w. Dr. Daniel Crosby

In this episode Dr. Daniel Crosby describes some of the common behavioral mistakes that investors make, and how our biological hard-wiring actually may conspire against our wallets at times. We also discuss the best predictor of investment returns and how to automate financial habits to maximize your likelihood for a favorable financial outcome. See full show notes at: www.anesthesiasuccess.com/9

The Anesthesiologist Who Attained Financial Freedom By Age 40

Dr. Leif Dahleen talks about how he reached financial independence in a decade and the factors that contributed to his success. We discuss his time doing locums work for two years, financial mistakes, and the family roots and values that laid the groundwork for personal and financial wellbeing. We also discuss the way he thinks about spending, saving and investing for his own family. See full show notes at www.anesthesiasuccess.com/8

The Value Of A Physician MBA In Healthcare Leadership w. Dr. Kate Atchley

In this episode I talk to Dr. Kate Atchley about the Physician Executive MBA Program she oversees at University of Tennessee. We discuss the benefit of an MBA for a physician leader, the format of the curriculum to accommodate busy doctors, how distance vs. local learning works, and how they have striven to built a program with direct real-world application for doctors in (or aspiring to) organizational leadership. See full show notes at www.anesthesiasuccess.com/7

The In’s and Out’s of Industry Collaboration w. Dr. Steven Falowski

In this episode I talk to Dr. Steven Falowski about his career as a functional neurosurgeon, his involvement in NANS (North American Neuromodulation Society), his experience in serving on advisory boards with different device companies, and his response to recent negative press from the AP levied against the medical device industry as a whole. See full show notes at www.anesthesiasuccess.com/6

Asking The Right Questions In Anesthesia Contract Reviews w. Jon Appino

In this episode we speak with Jon Appino, founder of Contract Diagnostics, about things to watch out for in prospective employment agreements for anesthesiologists. Jon's firm has reviewed thousands of contracts for all specialties and he gives some important tips for any anesthesiologist looking at a new job offer. See full show notes at www.anesthesiasuccess.com/5

Using Financial Planning To Prevent Physician Burnout w. The Physician Philosopher

In this episode I interview pseudonymous attending anesthesiologist The Physician Philosopher. His blog covers (thephysicianphilosopher.com) lots of topics pertaining to holistic physician wellness, including personal, financial, mental, relational, etc. We dig into some of his perspectives on life and money, formative events in his professional career, how an early-career anesthesiologist can find a good financial planner, and more. Read full show notes at www.anesthesiasuccess.com/4

Anesthesia Careers In A Multispecialty Medical Group w. Dr. Adam Blomberg

In this episode I speak with Dr. Adam Blomberg about Envision Physician Services, and how Envision partners with anesthesiologists and other advanced care professionals to provide anesthesia in a variety of different care settings. Read the full show notes at www.anesthesiasuccess.com/3

Getting Paid What You’re Worth In Pain Practice w. Dr. Jay Grider

Dr. Jay Grider, DO, PhD, MBA of UKY Healthcare discusses key concepts for transitioning successfully between pain practices to ensure fair compensation and clinical fit for the physician. Learn about different practice models and things to look out for when accepting a first role as a pain attending. Read the full show notes at www.anesthesiasuccess.com/2

Introducing Anesthesia Success

The inaugural episode for Anesthesia Success with your host Justin Harvey.