Monthly Archives: November 2015

I’m Back

I’ve spent most of the last three months studying for the test to be a Certified Financial Planner candidate.  I passed, and I am glad to have it done.  I signed up to take the CFP qualifying course about a year and a half ago because I was thinking about getting out of medicine and I didn’t want to retire.  I don’t know if I ever want to retire, at least not completely, but I don’t want to keep practicing medicine when I reach the point where people are taking about how good I used to be.  So I need an encore career.   I think I would be a good financial planner, because I see it as a job that could be similar to what I’ve been doing: I talk to people about stuff that is scary and confusing, and I work with them to come up with a plan for dealing with it.  Also, it is another field where people are spending a lot more than they should for advice that is meant to baffle the advisee and benefit the advisor.  The parallels with my present field are uncanny.  At some point, I will go into a fee-only financial advising practice, where my only product is candid, caring advice about money.

But not now.  There’s still too much to be done for the Medical Revolution.  I continue to work down at Knox, Indiana one day a week with my friend Rafal and that crew.  I’m still inventing the job of pediatric hospitalist at Porter Hospital, which I like quite a lot.  The medical teaching job at Indiana University School of Medicine Northwest Campus (I was taught to use the long version of the name) is ramping up, now that I have figured out the system a bit.  I am also picking up some additional hours of work at Marram CHC, a new FQHC near the university.  It is run by my friends at Porter Starke Services, and I try to always help my friends.

The disorder of multiple gigs is part of the revolution: I work where I’m needed, but I still feel independent, if a little scattered sometimes.  The direct primary care practice continues, but it is small.  When I talk to people about it, they all agree that it makes sense, but the concept is so foreign that few have made the commitment to join the practice.  I’m having the same problem with doctors: they seem to assume that the misery they are having in fee-for-service, insurance-driven practices is mandatory.  I feel like Henry Ford showing them the Model T and having them ask me where the horse poop comes out.  Guys, put down your shovels, there is no horse poop.

I am not discouraged, I am discovering, I am inventing.  I have some ideas about how to work for the liberation of patients and doctors from the tyranny of the present system.  More later.