Forty-two percent of doctors are burnt out, according to a recent article on the American Medical Association website,1 but you don't have to be. Take this quick test to see if you need a real vacation:
If you answered "yes" to any of the above questions, read this article and discover an "escape plan" Find out how to take consistent, short breaks over the course of a long, fruitful career.
Are You Fried?
You should feel grateful for your opportunity to serve and not at all resentful. Resentment is the measure of burnout. If you're at all resentful about insurance reimbursement, greedy lawyers, your staff, or God forbid, your patients, you've waited too long to take a real break.
You're Not Fooling Anyone
Patients may not understand much of what you say and do, but they have an incredible knack for reading your soul. They can look into your eyes, see how you feel, and determine whether they should trust you with their health.
Your patients deserve a doctor who is fresh, focused and ready to give their professional best. They know if you're at all off or resentful. Patients will never tell you this; they'll just silently leave your practice and never come back. Wouldn't you do the same?
Seminars Aren't Vacations
By the way, a seminar isn't a vacation, it's work. When you go to a seminar, you may recommit yourself to your life's work, and feel a transient boost in your level of energy and self-esteem, but this is not a break. You must reward yourself and feel a little pampered if you're going to have a long, successful career.
B.J. Palmer, the developer of chiropractic, knew this. While he was running a school, radio and TV station, and his own clinics, as well as writing books, he took time out to travel the world. He also rested regularly in his winter home in Sarasota, Fla.
Plan breaks during holidays when patients may be distracted and fail to keep their appointments. Leave when the weather in your town is lousy and no one wants to go out, because the media is telling them it's too cold or dangerous to drive.
Don't Close the Office
What kind of message are you giving patients if you close your office? Didn't you tell them to keep their appointments and stay on track? Worse yet, what message are you giving when you imply it's OK to visit a colleague down the street while you're gone?
If you close, imagine how difficult it will be to recover the momentum your business will lose while you were off playing. How will you get it going again? Why should you have to get it going again?
With new patients worth an average of $1,000 or more, you can't afford to close. A well-run, established clinic is still profitable with a fill-in doctor. Just hire a doctor to work your usual hours and come back refreshed to a busy clinic.
How to Find and Use a Fill-in Doctor
Your state association may have a list of licensed doctors who do fill-in work. If it doesn't, post an announcement on Facebook's many chiropractic sites saying, "Wanted: Fill-In Doctor, Licensed In (state) for (dates)." Call the doctors who respond and ask:
Do your due diligence. Make sure they're licensed and have a good reputation. Get them to sign a waiver from your malpractice company at no additional charge. (NCMIC does this.) Train them thoroughly. If you do a technique that's unique, have the fill-in doctor study educational videos or other training resources, so they can do it well enough to help your patients.
Have then sign an agreement that states what they are being hired to do, when, and how they'll be compensated. Of course, you'll want your attorney to look at it.
Have them adjust you, so you can tell your patients, "Dr. (Fill-in) will be working for me. You're going to love him/her. He/she does the same technique I do. He's/She's my doctor and I only go to the best."
Tell your staff, "Dr. (Fill-in) will be here to do everything I do; accept new patients and care for regular ones." Tell them the doctor is very qualified, but is new to your office and needs their help to make the office run smoothly and on time.
As a solo practitioner, I've used this system for decades and take from a week to 12 days of vacation every 3-4 months. When I find a doctor I really like, I ask them to commit to a year in advance of fill-in work and give them approximate dates. After your break, ask your patients, staff and the fill-in doctor how things went. Look for ways to improve the process.
For the Arrow to Move Forward, First We Must Draw It Back
It's time to start living. Bringing in more patients or more money is not going to make you happy or fulfilled. Being well-rested and rewarded are feelings you can give yourself any time. Patients will find your rejuvenation extremely attractive. Plan to leave town, see the national parks, or even leave the country. Enjoy regular, well-deserved vacations and watch your practice flourish.
Reference
Many relevant diagnostic signs are not performed deliberately by the examiner or by the patient at the examiner’s direction. They are observed as the patient reacts to their condition. Fortin’s finger sign, Minor’s sign, and Vanzetti’s sign are three examples of this principle.
Spearheaded by burgeoning scientific and clinical research literature, psychedelics have reached a level of media coverage and popular interest that has not been seen for over half a century. By “psychedelics,” we are referring to the unique class of substances that includes psilocybin (the active compound found in so-called “magic mushrooms”), LSD, dimethyltryptamine (DMT), ayahuasca, 5-MeO-DMT, and mescaline – each of which occurs in the natural world (except for LSD, which is a semi-synthetic compound).
While working at the Lovelace Medical Center in Albuquerque, N.M., one of the primary care physicians stated that imaging every patient prior to receiving chiropractic was not medically necessary. It was at that point I reconsidered the need for the imaging of every patient to avoid malpractice.
