May 2010

Doctors who are broke – 3 helpful concepts

Doctors who are poor or broke? It just doesn’t seem possible!

But I heard the same story again just recently. I presented my signature program called Reclaim the Joy of Practice as a speaker at a PM&A chiropractor‘s  conference in Brookfield, Wisconsin. The presentation was well received with doctors telling me how much they enjoyed my information, stories, and real life examples of how a doctor can become a better doctor.

Dr Tom Potisk speaking at doctor's conference

Then one doc approached me afterward and asked “Can you please meet with my friend? He has been practicing for 34 years and wants to cut back and retire but is broke.” Yikes!!!! After 34 years? How can this happen? And I know this broke doctor; he’s had a successful practice all the way through! Doctors need to learn how to manage money.

Here is a related article from on January 11, 2012:

Physicians going broke because the health care system doesn’t work

“Physicians whose private practices are barely staying afloat in the current economy look forward with dread to the changes in the federal budget which could cut Medicare physicians pay by 27.4%. Even top-rated doctors, some of whom have sacrificed a personal salary in order to pay their staff members and keep their practices open, are contemplating personal bankruptcy and/or leaving medicine.

Observing that a wave of physician bankruptcies could leave many communities “without a vital health resource,” the CNN article also briefly touches on at least one of the factors which have contributed to this state of affairs. “In oncology, doctors were allowed to profit from drug sales. So doctors would buy expensive cancer drugs at bulk prices from drug makers and then sell them at much higher prices to their patients.” One physician quoted in the article stated: “I grew up in that system. I was spending $1.5 million a month on buying treatment drugs.” Revised Medicare guidelines mean that physicians are now reimbursed for less than half the cost of those cancer drugs.”

#1) Listen, having a good income does not translate into automatic financial security, they are two completely different things. You’ve heard the expression “It’s not the size of it, it’s what you do with it that really matters.” LOL.

#2) It’s so easy to fall into the trap of overspending, living beyond your means, and not realizing that most investments, especially those that are commonly promoted, are nothing short of gambling. Most gamblers end up losers!

So what’s a person to do? Where can one place their money for a decent return and safety?

The truth is that there is no completely fail safe place. No not even under or in your mattress. LOL

But the experts say that “The stock market has consistently returned higher yields than any other investment.” Bull !!!!!!

This particular broke doctor was invested in the stock market, followed all the usual advice about asset allocation and having a diversified portfolio. For the most part, all the usual advice is all bull.

One enlightened investor I heard said that most professional investment managers are nothing short of thieves, that most will recommend only what pays them the highest commission.

#3) What solution do I offer? Invest like a kindergartner. LOL. I’m not kidding! Here is an excerpt from my book Reclaim the Joy of Practice – An Advanced Guide For Advancing Doctors:

Invest Like a Kindergartner

Financial gain is of course not the main goal and purpose of being a doctor. But, your years of good doctoring will likely reward you financially. Surprisingly, a significant number of successful doctors end up with little or no financial reward at the end of their careers. The most common reason for this is risky investing.

Understand that there is a significant difference between “investment returns” and “investor returns”. An investment return is the theoretical expectation of gain. Investor return is the actual gain, and it’s not mentioned much because it’s dismal. Most investors make their decisions based on emotion and make irrational choices as a result, dramatically lowering their return. The only emotions that should play any part in your investing is stability, security, and peace of mind. Be very careful of over exuberant investment counselors, brokers and advisers that don’t share this understanding, they can lead you astray.

I see and hear all the same financial management information in the media you do, and I stay away from most if not all of it. Claims like “the stock markets have consistently out performed all other investments” and “real estate has always gone up and always will” are traps. The one financial principle that I’ve always followed is the same one we all learned in kindergarten – Aesops fable aka The Tortoise and the Hair. The lesson of that story is this –  slow and steady wins the race. I take it a step further to – slow, steady and insured wins the race. With that principle in mind, there is no need to risk or gamble your money in any way. Sure, own a nice home, car, and even some toys, but live below your means, pay off the debts for these ASAP, and then invest the remainder of your money in a secure, insured way like US Treasury bonds or tax free municipal bonds. These are the most secure place to invest your money. Don’t be discouraged that they pay less interest than the other hyped investments you’ll hear about, it’s the security, tax free, and consistent return that makes all the difference.

You won’t hear municipal bonds recommended much because they don’t pay the brokers near as much commission as other investments. Start buying a few tax free municipal bonds each year throughout your career and you’ll enjoy a wonderful secure tax free income for your retirement. If you’re going to gamble on anything, gamble on this sure bet – taxes are going to go up, so invest tax free. Near the end of Albert Einstein’s life he was asked what was the most amazing thing he has observed in his life? “Compound interest”, he answered. Having secure, tax free, compounding interest will give you peace of mind to further focus on being a partner in your patient’s health, rendering better service, and then having more joy as a doctor.

Here’s one more secret about investing, probably even more important than what I’ve just shared with you: the best investment you can make is in yourself. This means that money spent on improving ones self, whether it be paying for a communication course, buying motivational/educational books and tapes, getting chiropractic treatment, having a custom designed nutrition program, and even hiring the best practice management coach is money well spent. The return on investment for making you and what you do better is enormous and near guaranteed. In endeavors of personal betterment, you almost can’t go wrong.

Ok docs? Got it now? Can you do that? It’s never too late to start.

Practice On,

Dr Tom Potisk

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Categories: burnout/stress, investing, money


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Doctors and Money

Doctors and money; the two words have become almost synonymous. And that is sad.

Dr Potisk with a patient in Belize

Doctoring is not about money, never was, never will be, and never should be.

This doctor-money issue is a struggle for several reasons. Our society tends to judge success by the amount of money the success produces. And because it costs a lot of money to become a doctor and set up a practice, the assumption is that doctors deserve a lot of money. If a doctor fails to make a lot of money, he/she feels inadequate. If a doctor does make a lot of money, society notices and then the cost of becoming a doctor goes up. It’s a cycle doomed to failure. Some say that day of doom is here. Money has gotten control.

On more than one occasion when my staff and I began to get too focused on making money, my long time business consultant Dave Michel from PM&A Practice management would pipe up sarcastically “Why don’t you just sell illegal drugs? You can make a lot of money that way!” We’d then scratch our heads and kick the ground, quickly coming to our senses. Thanks Dave!

At my office desk, I have posted several of my favorite quotes. One of them reads “Count the opportunity to use your special talents and abilities as the largest part of your reward.” I need to be reminded of that. How about you?

A few days ago I noticed an article in my local paper, The Milwaukee Journal Sentinel, that was titled Chicago Area Commuter Rail Boss Steps in Front of Train. The article told about a guy who was the executive director of the large Metra train system in Chicago for 20 years and committed suicide by stepping in front of one his own trains. A real tragedy. May God bless and comfort his family (he had a wife and a daughter). The additional stunning part of the article was that his salary was $269,000.00/year. All that money, success, prosperity, fame, and fortune, yet he took his own life.  No he was not a doctor, but there is a lesson here that every doctor can learn from: money does not buy happiness.

Having both had lots of money and no money, I can verify from personal experience that yes, money will not make you happy.

I’ve traveled the world visiting over 20 countries and the happiest people I saw were the ones with little or nothing. Those destitute people were generous too, offering me what they could when I was on voluntary medical mission trips with the Christian Chiropractors Association.

A typical house in Belize

Now I’m not recommending you give up all that you have, or that making money is bad, but I am demanding a perception change. Money itself  is not the problem. The Bible says “For the love of money is a root of all kinds of evil” – 1st Timothy 6:10. It’s the love of money, that’s the problem.

So doc, where is your focus? What rewards are you expecting for the work you do?

I’ve heard several successful people say “The less I try to make money, the more money I make.” What they mean is that they focus on service. Zig Ziglar the great motivational speaker frequently says “You can get whatever you want, if you help enough other people get what they want.” Profound don’t you think? People want good service.

PM&A Practice Management has a wonderful workshop called 3 Goals. The 3rd goal involves focusing and spending more time on pursuit and fulfillment of one’s higher purpose. I teach my signature program called Reclaim the Joy of Practice, at those workshops. The next one is held in Milwaukee 0n June 20, 2010. Come on down! My book of the same title is available for purchase on this website if you care to take yourself further on the path to having a deeper satisfaction for doctoring.

Even Jesus, undoubtedly the world’s greatest healer ever known, said “You cannot serve both God and money.” – Luke 16:13.

Hey doc, who are you serving?

By the way, have you seen my other popular blog sites? and

Categories: doctor personal growth, money, Uncategorized


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Doctors need to be creative

Doctors should and can be creative.

Dr Potisk designed a giant spine parade costume

All the technologies and advancements are great and a Godsend but doctors need to remember that patients are human beings, yes live flesh, and they need a warm, creative, gentle craftsman type doctor when it comes to fostering real health. Remember Marcus Welby MD? LOL.

I sometimes wonder if doctoring all went to pot when Doogie Houser MD, the braniac, came on the scene. LOL.

Strict procedures, high tech, discipline, and extreme seriousness have their place especially in life threatening or emergency situations. But otherwise, loosen up docs!

I write more extensively about these issues, why they’re important, and how to be a better doctor with them in both my books: Whole Health Healing – The Budget Friendly Natural Wellness Bible For All Ages, and Reclaim The Joy of Practice – An Advanced Guide For Advancing Doctors.

But now lets focus on being creative. Not only is being creative a warmer way to go about doctoring, but in case you haven’t noticed, the usual established procedures don’t always work for every patient – so a doctor has a responsibility to be creative with treatment (just when you thought you have enough responsibilities LOL).

The other consideration about creativity, is that it’s essential in marketing any business including that of a doctor. Yes, creativity is essential because whether you like it or not, the market is always changing, and if you and your practice don’t change, you’ll end up just like Doogie Houser MD – meaning you may grow but you’ll liklely grow out of a job. LOL.

This essential creativity in marketing involves thinking of new ways to better attract and serve your customers. People by nature like changes, they want the new and improved. Now keep in mind I do not mean you should change your core product or identity.

An example is McDonald’s. They added cappuccino, lattes, and espresso to their menu and have prospered handsomely as a result. But they kept their core identity of providing fast, cheap, tasty food.

Doctors need to at least change their decor, remodel, update their bulletin boards, and throw out the old root-bound and/or dusty leafed plants. But better yet, improve and upgrade by adding a new adjunct service that compliments their identity. How about a fresh new modern color for the patient gowns? How about a newly designed office logo? How about a new office theme every month?

A dentist friend wanted to liven things up in his office so he now plays Christmas music on the 25th of every month even in the summer. He said it really got patients talking and even resulted in some referrals.

I went so far as to design and build a giant parade spine, 100 feet long, and haven’t had so much fun with a promotion in years. We were the hit of the parade. This is marketing/PR at it’s finest. I never had so many people pointing at me and smiling since I ripped my pants in grade school. LOL.

Be the hit of your town’s parade

I’ve made that giant spine parade costume, it’s design and procedure, including the measurements, available for anyone interested as free report on this website. Check it out in the opt-in box in the side column – you can receive it as a free download.

So listen docs, you want more joy in your practice? Let ‘er rip when it comes to creativity. You’ll likely prosper as a result.

How can you be more creative?

Don’t forget the tailbone!

By the way, have you seen my other popular blog sites? and

Categories: creativity, identity, new patients, practicegrowth




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