Late Winter Tetons Storm - May, 2010

Grand Teton National Park, WY

Change and Transition: How They Can Affect You

Change and transition are words that are often used interchangeably. However, they differ in meaning and how their occurrence can affect you.

My personal experience with change and transition illustrates this point.

My Journey’s Lessons

Years ago, I was diagnosed with colon cancer and then developed other medical problems. Together they created a change that ended my Plastic Surgery career and triggered my end of career transition. Thankfully, years later I’m cured, renewed and fulfilled in my new career. 

My successful transition did not occur spontaneously. It was the result of sustained, focused and deliberate effort over a period of time.  That effort was directed at a particular envisioned outcome: to experience renewal and fulfillment. The means for achieving that outcome was the the transition process itself.

This illustrates the very purpose of a transition:...

Mt. Morrison and Convict Lake - 2019

Sierra Nevada, CA

Steps and Phases

The End of Career transition is a process that’s usually lengthy. It’s comprised of several phases that focus on tasks that should be accomplished in a particular sequence, so that each builds upon the previous one.

The most challenging of these phases, primarily for personal reasons, is usually the first. This is when you come to terms with the fact that your career will come to an end. For a variety of reasons, physicians’s reactions will vary widely from joy of anticipation to apprehension and stress.

Regardless of how you perceive this phase of your life, there’s an element of loss that you will probably feel and benefit by coming to terms with it. A very positive perspective is to think of this as what it really is: a transition, rather than a “retirement.” (See previous article on this topic.) The term transition emphasizes its purpose: to experience renewal and fulfillment.

Retirement closes doors; tra...

Aspiring Buds - 2023

Sierra Nevada, NV

 Equilibrium and Fulfillment

It’s a common life experience that sometimes you may have to forgo satisfying a desire in order to commit time, effort and perhaps financial resources to fulfill a necessity.

This is more frequent during your earlier years when life’s responsibilities required such choices. It often meant that wants or desires that you considered non-essential were put off. Perhaps they were never fulfilled, but hopefully, simply deferred and remembered in the well of your memory.

The desire to fulfill a myriad of responsibilities whether at home, work or community, springs forth from the nature of your character. Your cumulative experience and satisfaction derived from meeting your responsibilities further strengthens and develops it. Your focus on various achievements becomes a way of life.

Visions of Change

As you begin to envision life after the end of your career, your perspective about life will evolve. You may find yourse...

Red Fox Ready for the Opportune - 2013

Grand Teton National Park, WY

The Path Begins With Proactive Planning

When you first start thinking about your End of Career, the initial focus may be naturally on the projected end date. You will then probably contemplate what your life thereafter will be like. Questions will emerge, such as: What will I do? Where will I live?, etc.

Physicians, as well as people from many walks of life, will ponder these questions for a while and find that the answers do not come easily.

The Elusive When

Of the many questions, this the hardest one to develop a clear answer.

Why is that?

Initially, it may seem that, in terms of general planning, it should be pretty straightforward to think of a projected date. However, once you begin to look into what's involved, you’ll discover that your End of Career is a process, not an event…and you will realize that it takes much longer than you thought.

It’s an undertaking that’s unfamiliar with many twists and turn...

Magical Reality - 2021

Sierra Nevada, NV

Language Influences Your Perspective

The end of your career is one of the most significant events of your life. It’s a time when you may feel joy, pride, excitement, grief, regret, uncertainty, and other feelings that are unique to you.

You may be looking forward to this new phase of your life with stressful uncertainty or joyful  anticipation…or perhaps both.  For many, it’s also a time when you may experience a sense of loss of what you are leaving behind. 

An optimistic view is that this is a moment of your life that presents you with the opportunity for ongoing personal achievement that’s manifested as renewal and fulfillment.

Life Lessons

I have experienced some of those feelings and more. 

My life experience includes three lessons and observations.

One, is my own End of Career transition. It was difficult and painful. But it provided me the challenge to grow, evolve and succeed again on my terms in the service of others.

The sour...

A Path Amidst Obstacles - 2016

Sierra Nevada, NV 

 When to Create Your Strategy and How to Execute the Tactics

Your future End of Career is an event about which it is natural to experience feelings of excitement as well as some concerns.

As the time nears, your concerns may become more prevalent. A major reason is the recognition that this is an unfamiliar process.

But how do you know when is the right time to start planning, let alone what the end date will be?

As you try to answer that question, it becomes apparent that it is very difficult to determine when to begin to prepare when the necessary scope and duration of preparation is unknown.

The reality is that because this is a such a personal and professional matter, with so many different facets, it is impossible to predict how much work and time it will take. You can only anticipate so much…and there will probably be more to do than you thought necessary. 

The best way to know is to engage the challenge by beginning to pl...

What Would Happen if You Couldn’t Practice Anymore?

My Story

I was 59 years old and thought I had many more years of Plastic Surgery practice ahead of me. I purchased the standalone office building of my dreams and undertook a major renovation, including a surgical facility. 

I knew I needed to plan for my succession soon, including recruiting. This was the plan, although my own end of career seemed distant…or so I thought.

I resolved to do so soon, but never got the chance. Some months after the grand opening of my office and I was settled in, I was diagnosed with colon cancer. It was a big surprise as I had been diligent about physical exams, screenings and my health in general. That and other medical problems ended my plastic surgery career.

I am well, thankful and happy that for a number of years I have been cured of colon cancer. My days of practicing medicine are over, but I dedicated my life to making sure that physicians, who spend their lives taking care of others, are pr...

Standing Firm Amidst Change - 2010

Bridger-Teton National Forest, WY

The New Year: A Fine Time for Introspection and Renewal

In the course of 365 days of the year, we live our roles at home and work that we have set for ourselves. We perform our various tasks, whether planned or improvised, usually without reflecting on our character and purpose. Most of us are pretty clear on that and our understanding seems to lie within rather dormant…until life's major events get our serious attention.

My Exclamation Point

I refer to these as life’s exclamation points. These are events such triumph, tragedy and end of career transition.

For most of my life I lived splendidly. So it was, until I experienced one of my life’s exclamation points that suddenly and unexpectedly ended my career as a Plastic Surgeon. Cancer has a very emphatic way of doing that. Treatment was immediate, the cure took longer. Thankfully, cancer is a thing of the past… for real. I am thankful to be cured and well!

As ...

Aspen Elegance - 2019

Sierra Nevada, NV

The Benefits of Proactive Preparation

When the time to transition from your practice draws closer, you will likely start thinking about when and how to prepare. Questions will arise about personal, professional and practice matters.

Whether you're in group practice, a solo practitioner or otherwise employed, there are important professional matters that are necessary for you to address.

When to Begin?

It’s very difficult to know exactly when is the right time to begin to plan, primarily because this is an unfamiliar experience. It’s surprising to physicians how involved and time consuming the process can be. Consequently, they often wait too long to begin to develop their plans, let alone implement them. So, when is the right time to start planning and preparing?

Here’s a tip for timeliness: At the core, the process of transition is a very personal endeavor. It really begins when you begin thinking about it more often than you’re used to. ...

The Alaska Range - 2015

Alaska

Resilience

When the topic of human resilience comes up in writing or conversation, it’s natural to think about strength, toughness, adaptability, flexibility, etc. These attributes are commonly associated with an individual’s character, personality and is reflected in his responses to significant challenges.

In the course of your life, you may encounter major trials, trauma and perhaps tragedies. I refer to these as “life’s exclamation points.” They have in common that they often elicit resilience born of urgency and at times, the desire to survive.

Endurance

There’s another human quality that is the companion of resilience. The kind that is not readily evident in a person’s response to occasional crises. That attribute is endurance.

While resilience is a manifestation of flexibility, the ability to “bounce back,” endurance is the will to persist toward a grand goal, deliberately and purposely…sometimes over a long period of time. 

Endurance is a ...