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...

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...

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...

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...

Factors That Can Affect Your Perspective

It's common for physicians to look forward to their End of Career Transition. Yet, some don’t look forward to it for a variety of reasons. They share a degree of apprehension born of many concerns that coexist with their positive aspirations.

I know physicians that have one or the other perspective. However, more commonly, they experience a blend of both. As I reflect on my personal experience, understanding of human nature as well as that of the transition process, it's not surprising.

However positive the outlook, besides financial and other questions, there are usually other preoccupations that need to be resolved. These questions and answers reside within you and it's up to you to identify and answer them. You will benefit, as doing so will help you achieve your renewal and fulfillment that is the essential purpose of a successful transition.

The Personal Experience

The End of Career Transition is not an event. It's a process that...

Transition to Triumph - 2013

Grand Teton National Park, WY

The Time to Think 

It's commonly familiar that it's in those quiet moments when our mind is free to wander, that we are the most creative.

For me, it's commonly during morning coffee or perhaps fly fishing on a beautiful river for trout or salmon.

I usually make no effort to think about anything in particular. And yet, the more my mind wanders, the more meaningful are the insights, ideas and innovations that emerge.

I believe that this simple discipline can be beneficial as you plan your desired lifestyle after the End of Career. Now is the time for you to create plenty of time and space to comfortably design your roadmap. The map that will take you in the direction that you want your life to go…with confidence.

The best time to study a map is before you begin your journey.

The Illusion of Abundant Time

When the moment arrives, you may find that the time you have at your disposal seems unlimited compared to your...

Splendor Amidst Transition - 2013

Carson Canyon, CA 

 On Planning and Prospering 

When you start thinking about preparing for your end of career, personal and professional matters will likely come to mind.

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.

I have discussions with colleagues who find themselves in the initial phase of their planning. It’s often the case that they have waited much too long to begin to develop their plans, let alone implement them.

This is a tip for timeliness: The process of transition really begins personally when you begin thinking about it considerably more often than you’re used to. When you find yourself in that situation, your transition has already begun....

A Solid Path Amidst Evanescent Obstacles - 2019

Sierra Nevada, CA

Timing: First Things First

Your End of Career Transition involves a multitude of matters that require thoughtful, timely planning in order to experience a smooth and successful outcome. They include personal, professional and practice preparations…in that order. This article addresses the solo practitioner practice model. Knowledge of preparation for this type of scenario has the broadest usefulness to other practice types.

As you read this, please review references to previous articles that discuss these topics in greater detail.

Unfamiliar Realities

There are two major realities that you should be aware of and consider as you plan and prepare.

The first is to acknowledge that your End of Career Transition is a process, not an event. It begins as a very personal experience when you find yourself thinking about it more often than usual. As time wears on, a myriad of questions will probably preoccupy you. Among...

Exuberant Expressions - 2009 

Midway Geyser Basin and Firehole River

Yellowstone National Park

Summary:

Fulfill Your Needs and Desires

It is commonly familiar that it is in those quiet moments when our mind is free to wander, that we are the most creative. This simple discipline can be beneficial as you plan your end of career. 

That is when you can create a window of opportunity for creating your roadmap prior to embarking on the next great phase of your life. This is the guide that will take you in the direction that you want your life to go…with confidence.

When the time comes, you will initially find that the time you have at your disposal is seemingly unlimited compared to your previous lifestyle. That can be a fallacy. Like other vacuums, there's a natural tendency for it to be filled. 

Will you create the a la cart menu of your life? Or will you simply react to what life presents you?

To help answer that for yourself, it is useful engage in...

Flowering in Tranquility - 2022

Summary:

Essential Elements of Well-Being

One of the great challenges of life as we know it in the “modern” world, is to live with a feeling of tranquility that favors creativity, well-being and productivity. This, while serving the needs of others.

Beyond that is equanimity. It is a quality, a personal trait that is based on a state of tranquility.

It requires your deliberate, purposeful effort to achieve and nurture it.

How to do so? 

To begin, you must be convicted of its importance and be committed to achieve it.

In this audio, I have some suggestions you may find helpful.

Updated: September 3, 2022

PS: By the way, do you want to learn more from me about how to get the most out of your life now and begin to prepare for your End of Career Transition as well as the next great phase of your life? I would like to help you. I provide consulting and coaching services that are tailored to your specific needs. Click here...