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17
The Private Practice
Autumn 2013
WELLBEING
office when she's vacationing, staying on
call to back them up, with a registered
covering physician as a last resort.
Dr Travis Dierenfeldt is a GI doctor
who lives in a small community in
Kansas where he has solo-practiced
for 12 years. He was able to vacation
in his first year ­ but found himself
fielding phone calls in airports.
His patients know when he goes on
vacation ­ the office sends out a letter
informing them ahead of time ­ and
he has developed a kind of "informal
cross-coverage" with the other GI
specialist in town. (He concedes that
this approach might not work as well
in a larger community, however.)
He also has a physician's assistant,
and the State of Kansas requires a
registered covering doctor to be on
record for his patients when he leaves.
Dr Joshua Charles, a solo-practice
chiropractor based in Toronto, is
three years out of school and into
his practice, and has only taken one
vacation during that time. He hopes
to hire a physician's assistant as his
practice grows, but in the meantime
has two full-time receptionists in
his office to field calls and schedule
appointments while he's away.
Choose the option that works
best for your particular practice, your
patients, and your personality.
3. Establish Boundaries
with Patients
You're either going to have to
work to set boundaries with your
patients or end up never being able
to feel like you're fully away from
work. Implementing this rule will
vary, depending on what branch
of medicine you're in and on your
personality.
Dr Jaliman admits that she has
probably made herself too available
to her patients:
"A lot of people have my cell phone
number and they text me, they email
me; people have access to me. I never
really have a full vacation where I
can say, `I'm totally away from it all.'
Even when I was having my daughter,
people were calling me in labor. From
the time I became a dermatologist, I've
always had some interaction with my
office or my practice or my patients."
Dr Dierenfeldt, in addition to
informing his patients ahead of time
about his vacations, chooses vacations
that tend to render him unavailable
­ such as on cruise ships, which don't
get great wireless reception.
However as technology advances,
there's soon to be no place that you're
completely out of contact with the
world. So with medicine as your
calling you've got to decide: are you
willing to be unavailable for someone's
inevitable emergency?
4. Plan for the
Financial Impact
Dr Charles took his first vacation this
year: a 20-day trip to South America.
But it did sting a little. As he explains:
"Because I'm in private practice I
only get paid when I treat a patient, so
I found that not only did I lose 20 days
of potential earning income where I
literally made $0, but I found that it
was also slow one week before I left,
and when I came back things were
slow for about 5-10 days. So, really,
my income was essentially decreased
for about 30 days.
When planning to take a trip,
you need to factor in the cost of the
trip, the loss in income while you're
away, the cost of paying your staff
and ongoing practice expenses in your
absence, and the chance of things
being slow to pick up again once
you return.
Until he hires assistants, Dr
Charles has a new strategy for future
trips: long weekends. He plans to "take
three days off, maybe add another two
days and go somewhere not too far,
versus taking 20 days off ­ that was
really tough."
5. Unplug Yourself
If you really want to get away from it
all and relax, you're going to have to
be at least partially disconnected from
technology when on vacation.
Dr Dierenfeldt relates the story of a
colleague who was "on his honeymoon
on the beach in Australia answering
his cell phone." With his physician
assistant and covering physician,
Dr Dierenfeldt feels more comfortable
leaving for vacation with the family
now than when he first started.
"I think it depends on your
personality, on how much you're able
to let go. But for me, now that I've got a
little bit of a backup when I'm gone, it's
made it easier," Dr Dierenfeldt says.
Create policies for yourself on how
often and under what circumstances
you'll stay connected. For instance,
you might commit to checking email
and voicemail only in the mornings.
Tell your staff or patients to text you
only in the case of an emergency that
you'll be capable of addressing long-
distance. Then turn off your phone,
or leave it in the room.
And go have a drink on the beach.
This article was originally published on The Profitable Practice at 5 Rules for Taking a Vacation as a Solo-Practice
Doctor
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