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Is this happening in your practice? -- Thoughts of a Senior Physician

By Joe Laden posted 03-08-2011 21:38

  
"I had planned to retire in a few years, but my retirement nest egg was just cut in half and I don’t see how the remaining funds can generate the 10% annual  returns I had planned on for the next 20 years."  

"I guess I’ll need to work another 10 or more years."

"I have many more aches and pains that I did in the past and my replacement hip isn’t functioning as well as I expected.    These long days and late nights are more than I can bear.   It’s time to tell my group that I will be slowing down soon and staying on past 70."

"As a long-standing senior physician, I will be an asset to the group even though I will no longer work late, on weekends or take call.   No more beeper.  No more calls from the answering service.   I will be more than happy to help the practice by seeing  patients weekdays until 4:00 p.m."

"I could probably sustain a pay cut of 10% as long as I retain all my benefits.   Twenty percent may be OK if I could have an additional 4 weeks vacation or work just 4 days per week.   I might even take on some administrative duties if I am paid extra."  

"The group can pay my accounts receivable now so I am not at risk if healthcare reimbursement takes a turn for the worse in the future.   I am certain that my younger partners will want me to retain full ownership and voting rights.  My vast experience will help guide them over the next 30 years of their practice."

"I better make my reduced work proposal at the next board meeting.    With five others near my age, I need to get this approved right away.   I’d better check with the practice administrator and make sure he is on board with this and explain it in a manner that he can understand.   Since he hit 50, he’s started to go a little soft in the head. "   

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Comments

03-05-2009 10:28

Joe, excellent compilation of what many of us "soft-headed" administrators are dealing with or may be soon dealing with due to the current economic changes. Since our retirement nest eggs have also dwindled, maybe we can cut back to 4 days a week, no early morning or night meetings, an additional 2 weeks vacation and no reduction in salary and benefits in order to be able to stay in our positions in perpetuity!

03-05-2009 09:46

Joe,
Great depiction of the realities our groups are facing. We currently have several who fit this category. One has accepted are part-time, non-call position at the reduced rate without any problem. Another physician has been elected to the Board so that, many think, he can change the organizational structure to allow for reduced work without sacrifice of earnings. In other words, we all suffer from the disconnect with reality. The Feds will make sure we don't have additional revenues with which to "carry" these senior staff members. Whatever happened to putting people out on ice flows? Thanks for the great stimulation....now for some answers. Steve C.

03-05-2009 08:58

Joe...this is oh so true and a problem that many of us will face in our groups over the next ten years. I can especially relate to the over 50 administrator who is going soft in the head but can't afford to retire either :-) Good thing we have new tricks to learn to keep us nimble....

03-05-2009 06:01

Very clever, Joe!