The Prosperous Doc

Spaugh Dameron Tenny

The Prosperous Doc Podcast (formerly the White Coat Wellness Podcast) is a show for doctors who are ready to improve their overall wellness in every aspect of life. In each episode we highlight real-life stories from physicians and dentists to inspire you to become a prosperous doc yourself and achieve personal, professional, and financial wellness. If you would like to know more about the Prosperous Doc show, find show notes, and learn more about our host, Shane Tenny, visit bit.ly/ProsperousDoc. SDT Disclosure: https://bit.ly/2Xc2mAU

  1. 08/28/2025

    Beyond the Numbers: How Money Beliefs Shape Your Financial Life

    "It's more than just numbers. There's an emotional component, a psychological component there, that money has meaning to us, that we ascribe to it,” says Ashley Quamme. “And when we make financial decisions, it's not just making financial decisions from a number standpoint, but it's also making it from an emotional place as well.” A therapist and Certified Financial Behavior Specialist®, Ashley is the founder of Beyond the Plan, which connects firms with financial behavior officers (FBO) so they can navigate sensitive client financial decisions. In this conversation with host Shane Tenny, CFP®, Ashley suggests that financial decisions aren't driven solely by logic; they're deeply intertwined with our emotions, beliefs, and past experiences. “Financial psychology,” she explains, is about “understanding how people or how clients, how their emotions, their thoughts, their experiences, their behaviors, their attitudes, beliefs – how all of that impacts their financial decisions.” In working with advisory firms to help advisors and clients, Ashley focuses on how trauma and deeply held beliefs shape money behaviors. Past experiences create patterns – from scarcity and abundance mindsets to financial trauma and comfort spending – that either help or hinder our financial success.  The discussion delves into the fundamental dynamics at play in couple relationships around money, with Ashley describing how anger often masks deeper fears and how financial arguments are rarely about the money itself. She also shares practical strategies for identifying personal money beliefs, including her "money timeline" exercise for self-discovery and her "think, feel, do" framework for understanding financial decision-making patterns. For medical and dental professionals juggling high-stress careers with complex financial decisions, Ashley's insights offer a pathway to better understand the emotional undercurrents that drive financial behavior and ultimately achieve greater financial wellness aligned with personal values. 💡 Featured Guest 💡Name: Ashley Quamme, LMFT, CFBS What she does: Ashley is a Licensed Marriage and Family Therapist and Certified Financial Behavior Specialist who serves as a fractional financial behavior officer for advisory firms. As the founder of Beyond the Plan, she helps financial advisors understand how their clients think, feel, and behave with money. She specializes in uncovering the psychological and emotional factors that drive financial decisions, working with individual clients and couples to navigate complex money-related challenges. Company: Beyond the Plan Words of wisdom: "Although it may not logically make sense, comfort shopping – to the extent that we are depleting resources, no, that doesn't make logical sense – but to our brain, comfort shopping is serving a purpose there, and it's serving us well … Ultimately, those that are engaging in shopping or spending to this extent, there's a pleasure component there that they're receiving. And while that might make sense, we need to, or my job really then, is to understand: ‘Okay, well, we're receiving pleasure from this, but what are we lacking?’” Connect: LinkedIn | Planning & Beyond Podcast | Instagram 💰 On the Money 💰Top takeaways from this episode  Financial decisions are 90% emotional. Research shows that our financial choices are largely driven by emotions rather than logic. Understanding what emotions we're experiencing—fear, joy, worry, or pleasure—and how they inform our actions is crucial for making better financial decisions.Money arguments aren't about money. When couples fight about finances, they're actually fighting about deeper issues like meaning, purpose, identity, connection, and belonging. Money becomes the content issue, but the real conflict stems from underlying emotional needs and attachment patterns.Scarcity and abundance mindsets drive behavior. Those with scarcity mindsets may save excessively and avoid spending on quality-of-life improvements due to fear of not having enough. Conversely, abundance mindsets can lead to overspending with the belief that everything will work out. Both extremes can be financially harmful.Financial trauma shapes current behavior. Life events like divorce, job loss, bankruptcy, or childhood financial instability create lasting patterns in how we think about and handle money. These experiences become the lens through which we view financial security and make decisions, often years later. ⚡ Prosperous Insights ⚡[02:10] Financial psychology defined: Understanding how emotions, thoughts, experiences, behaviors, attitudes, and beliefs impact financial decisions, allowing both advisors and clients to take more ownership in how they make financial choices and feel about their relationship with money. [04:52] Scarcity vs. Abundance: Ashley describes two common financial beliefs: the scarcity mindset, which creates fear of not having enough, leads to excessive saving and avoiding spending on quality-of-life improvements, and the abundance mindset, which can result in overspending with the belief that everything always works out. [08:42] Internal vs. external locus of control: Highly successful professionals often have strong internal control over their careers but may struggle to apply that same mindset to their finances, sometimes placing too much emphasis on external factors like markets or policies. [13:45] Why do you comfort-spend? Shopping and spending behaviors often address underlying needs for stress relief, pleasure, connection, or meaning. Understanding the purpose of the spending is key to addressing problematic financial behaviors. [18:04] Content, not cash: Financial conflicts among couples are rarely about the actual money but about deeper content issues like identity, connection, belonging, and purpose. [23:05] The think-feel-do framework: Ashley's methodology for understanding financial decisions involves examining the thoughts (cognitions), emotions (feelings), and actions (behaviors) that work together when making financial choices. [27:35] Anger masks fear: When people express anger about financial situations, it's often a secondary emotion protecting them from showing vulnerability around deeper fears about financial security or respect. [25:41] Justifying that purchase: Most of us are masters at justifying the things we want. “Being able to understand ‘What am I feeling in this moment?’’ or ‘What feeling am I trying to achieve by making this decision?’ is a great starting place,” Ashley says. [30:05] Avoidance vs. hypervigilance: “For some, there can be an avoidance piece to at least paying attention to finances – avoidance or a hypervigilance to it – and those are maybe two ends of the spectrum.” Stress and burnout can lead to either avoiding financial decisions or obsessively controlling those decisions when other areas of life feel chaotic, Ashley explains.  [41:06] What are your money attitudes? To find out, Ashley suggests creating your own “money timeline” in which you track your earliest money memory all the way to the present, then identify patterns of beliefs and behaviors. “Doing that exercise in and of itself will create, hopefully, a lot of awareness around how you've come to make meaning of money and why you think, feel, do the way that you do.” 💵 Financial Wellness Tip 💵Understanding where your cash flow is going every month is essential to creating an actionable plan for your financial goals. Use our monthly cash flow worksheet to gain clarity on where your money is going and create a budget. Get our Personal Cash Flow Worksheet. Disclaimer: The Prosperous Doc podcast by Spaugh Dameron Tenny highlights real-life stories from doctors and dentists to encourage and inspire listeners through discussions of professional successes and failures in addition to personal stories and financial wellness advice. Spaugh Dameron Tenny is a comprehensive financial planning firm serving executives, business owners, physicians, dentists, and retirees in Charlotte, NC. To find out more about Spaugh Dameron Tenny, visit our website at www.sdtplanning.com. You can also connect with our host, Shane Tenny, CFP, at shane@prosperousdoc.com. Compliance code: CRN202808-9288422

    48 min
  2. Empowering Women in Medicine with Dr. Sylvia Morris and Dr. Angela Walker

    05/17/2024

    Empowering Women in Medicine with Dr. Sylvia Morris and Dr. Angela Walker

    Women in medicine encounter unique challenges and opportunities. Five female physicians who formed a tight-knit bond during medical school have been actively examining these issues.  Over the past few years, they have shared their experiences and developed strategies to support women in various aspects of their medical careers, including applying to medical school, navigating residency and fellowship, understanding compensation, balancing work and family, and planning career trajectories.  On this episode of the Prosperous Doc®, our host, Shane Tenny, CFP®, dives deeper into the insights and initiatives of two of the authors, Dr. Sylvia Morris and Dr. Angela Walker. They discuss the experiences that brought them to write “THE GAME PLAN: A Woman’s Guide to Becoming a Doctor and Living a Life in Medicine.”  After years of mentoring and finding support within their own group of friends, the book was born out of the desire to reach a wider audience of professionals beyond what one-on-one mentoring could accomplish. It was important to both Dr. Morris and Dr. Walker to provide practical insights into navigating the real-life scenarios that they encountered but were not adequately prepared for on their own career journeys.   “If you don't have people around you who have an intimate understanding and knowledge of what we're going through, then you're right, [the profession] can be very lonely,” explains Dr. Morris regarding building a community and having resources available to support medical professionals.  Both authors wrote this book with a clear audience in mind. Dr. Walker wrote for the medical school version of herself, who did not have a clue what life would look like outside of school, and to answer the questions she wished she had known then. Dr. Morris wrote for her parents, as a guide to help parents and loved ones know what to expect.  💡 Featured Guest 💡Name: Dr. Sylvia Morris MD, MPH What she does: Dr. Morris's goal is to utilize the media to improve our nation's public health by combining her training in internal medicine and public health. She has made guest appearances on local and national news outlets to deliver her message. She is currently a hospitalist and Area Physician Market Lead at Kaiser Permanente. Company: Kaiser Permanente Words of wisdom: “It's really important to take care of ourselves. Because if we don't take care of ourselves, we cannot take care of the people in our block.” Connect: Website | Linkedin | Instagram 💡 Featured Guest 💡Name: Dr. Angela Walker, MD What she does: As an OB/GYN caring for women for 25 years, she shares her journey as a wife, mother, daughter, and woman of color along her path of achieving optimal health and wellness. She helps others succeed by providing wisdom and steps to create their own story of wellness. Dr. Walker is also a co-author of the book "THE GAME PLAN: A Woman's Guide to Becoming a Doctor and Living a Life in Medicine.” In this book, she shares her insight and personal stories of what it is like and things to consider as a female in medicine. Company: Humana Words of wisdom: “There are changes that you can make. There are alternatives. There are demands that are put on you, and you can say no. You may have to change the job, but at the end of the day, it may be the best choice for you. It can be scary, but you have to take inventory every now and then.” Connect: Website | Linkedin | Facebook 💰 On the Money 💰Top takeaways from this episode  Many women abandon their aspirations in medicine. The women recognized that unaddressed concerns could lead to more women pivoting away from the field of medicine. The idea for the book was to reach a broader audience beyond individual mentees and from the need to explore more nuanced aspects of life as a physician. Women face unique challenges both personally and as professionals. In this book, Dr. Morris and Dr. Walker wanted to address often overlooked topics like dating and finding a partner amid the demands of a medical career. Physicians are conditioned to prioritize tasks at any cost. Despite initial success in her demanding career as an OBGYN, Dr. Walker recognized the toll it was taking on her personal life and well-being and made pivotal career changes. She emphasizes the importance of empowering young professionals to make choices aligned with their health and fulfillment. You need a supportive community. Dr. Morris finds strength in her community of peers, where she can share experiences, seek advice, and discuss challenges she is facing. These connections provide a safe space to express emotions and determine whether to persevere or to pivot.  ⚡ Prosperous Insights ⚡[03:37] An optimistic outlook on life: The women’s friendship was the inspiration for the book. They wanted to share their experiences as a way to mentor and guide the next generation of women in medicine.  [05:10] It started with scholarships: Originally, the group had a small scholarship for fourth-year medical students at Georgetown. During their annual girls’ trips, they would decide who would get the scholarships. This evolved into wanting to find a way to share their message with more students considering the field of medicine.  [06:52] Answering unasked questions: Dr. Walker provides examples of some of the less obvious questions the book answers for readers, such as about home life and whether you have children or a partner.  [11:42] A game plan for medicine: Both Dr. Morris and Dr. Walker review some of the more personal details that influence a physician's career but are often overlooked when considering a career in medicine.  [15:42] This generation discusses burnout: Dr. Morris shares how her personal self-care journey has evolved over the years and how she made it a priority from residency. Unlike previous generations, the new generation of medical practitioners is much more open about the importance of work-life harmony.  [20:33] Empowered to say no: Dr. Walker learned how good it can feel to say no and to advocate for herself. She’s weathered several career changes and made choices to protect her well-being and her personal life.  [24:49] Self-care for perseverance: Self-care can take many different forms. The actions you take on a regular basis to care for yourself and the community you build are types of self-care. [27:31] Financial preparedness is part of the game plan: Dr. Walker is quick to recommend that medical professionals get a financial planner to help them make good decisions and set themselves up for success. Dr. Morris recommends CFP.net as a resource, and Shane reminds listeners that SDTplanning.com also has resources for those looking to learn more.  [34:36] A different perspective: Writing the book gave Dr. Morris’ godsister a new view of her journey through medical school. Dr. Walker heard from people who applied the advice to other careers, giving the book a broader audience than she initially expected.  💵 Financial Wellness Tip 💵Have you found that your income is near its peak potential, yet you’re still not sure where the money is going or what to do with the surplus? Do you have cash piling up in your checking account because you don’t have the time to figure out where else to direct it? Are finances a source of confusion or even conflict in your marriage? Check out our free budgeting guide for mid-career doctors! Disclaimer: Prosperous Doc podcast by Spaugh Dameron Tenny highlights real-life stories from doctors and dentists to encourage and inspire listeners through...

    38 min
  3. 04/26/2024

    Giving Back and Finding Fulfillment Through Medical Missions With Dr. Brian Scannell

    Healthcare access is not equal across all countries around the world. Pediatric orthopedic surgeon Dr. Brian Scannell is actively working to address this issue. Recently, he resumed his passion for medical missions, embarking on a journey to provide essential care to underserved communities.  In this episode of the Prosperous Doc Podcast, as Dr. Scannell joins host Shane Tenny, CFP®, to share his experiences and insights, offering inspiration for those considering similar humanitarian endeavors.  Project Perfect World started in the late 80s with the refurbishment of a medical clinic in Ecuador. Dr. Scannell began volunteering with the group around 2010. At that time, the project’s focus was shifting toward pediatric orthopedics. Now the group organizes twice-yearly missions to the area, providing medical care each spring and fall. “Anytime you're doing mission work, I think of going in and making sure that local surgeons and physicians are involved, making sure that there's good communication, making sure that there is good follow-up for those patients,” Dr. Scannell says. “So it's never something that you go in and you do these big surgeries, and then you're just gone.”  The trips have been profoundly fulfilling for Dr. Scannell, both in terms of fighting burnout, reigniting his passion for the profession, and building long-term friendships with the other doctors who travel with him.  💡 Featured Guest 💡Name: Dr. Brian Scannell What he does: Dr. Brian Scannell specializes in pediatric orthopedic surgery at OrthoCarolina in Charlotte, NC, and serves as the Orthopedic Surgery Residency Program Director at Carolinas Medical Center Atrium Health. He is currently the Chief of Pediatric Orthopedic Surgery at Levine Children's Hospital Atrium Health.  Company: OrthoCarolina Words of wisdom: “It's one of those things that refills the bucket. There's other things that I do to kind of help refill my bucket. But medicine and healthcare is hard and burnout is real. We all feel that at times. It's a fun, selfless thing that I found that the patients are unbelievably grateful for, and that refills my bucket.” Connect: Website | Project Perfect World  💰 On the Money 💰Top takeaways from this episode  Project Perfect World brings surgeons to Ecuador. The initiative was originally started to honor the memory of Bob Simpson’s son, who was killed by a drunk driver. The original projects included assisting medical clinics and slowly became more specialized over time. Dr. Scannell found the organization through peers in the industry who invited him on his first mission around 2010. Education is an important part of the missions. Dr. Scannell explains how the team typically operates with two American surgeons in each surgery, one serving as the primary surgeon and the other focusing on education. Ensuring ongoing communication and follow-up care for patients is an important part of their trips. The team also conducts educational sessions for nurses and local surgeons, creating a supportive environment for skill development and knowledge sharing.The absence of screening protocols results in more surgical needs. Dr. Scannell sees more cases of congenital hip dysplasia, often in older children, which means they may need surgical intervention. He also performs foot and ankle surgeries for clubfoot, something that is rarely seen in the US. Find fulfillment in the work. Despite the costs, missed income, and long hours, Dr. Scannell finds the mission work incredibly rewarding. In addition to the rewarding patient care, he’s formed friendships with the other medical staff who go on the missions that enrich the experience.  ⚡ Prosperous Insights ⚡[02:21] Ortho and kids: Dr. Scannell shares his early medical journey and what brought him to decide on orthopedics and pediatrics. Mentors early on in his career inspired him to become an orthopedic surgeon.  [05:03] Operating all over the body: Dr. Scannell enjoys getting to do a variety of procedures in his practice. He specializes in scoliosis and spine deformity cases, as well as congenital issues like club feet and hip dysplasia in infants and children.  [06:37] Project Perfect World: Dr. Scannell first got involved in medical missions through existing friendships and long-term connections with fellow physicians.  [08:39] Delivering much-needed care: The project started in the 80s with the refurbishment of a medical center in Ecuador. Today, there is a distinct focus on providing the orthopedic care that the country so desperately needs. [09:52] Adjusting to new work environments: Dr. Scannell reviews what a typical day looks like during the mission. Some things are similar to working at home in the US, though sometimes the process and how he approaches cases differs. [16:25] Lack of screening protocols: Not having screening protocols in place at birth means that Dr. Scannell has found later-term  cases of hip dysplasia, some as late as five years old.  [20:39] Refill the bucket: Dr. Scannell participates in the mission trips because the work is rewarding and it gives him a chance to take a break from the American medical system. [23:45] Fight burnout by giving back: Dr. Scannell  reviews different ways to get involved with medical missions and things to consider when deciding which trip or initiative might be the right fit. [28:50] Good mentors are priceless: Both the crew who attend the missions with Dr. Scannell and the doctors who influenced him early on in his career get a shout-out  for their impact.  💵 Financial Wellness Tip 💵Understanding where your cash flow is going every month is essential to creating an actionable plan for your financial goals. Use our monthly cash flow worksheet to give you clarity about where your money is going and help you create a budget. Get our Personal Cash Flow Worksheet. Disclaimer: Prosperous Doc podcast by Spaugh Dameron Tenny highlights real-life stories from doctors and dentists to encourage and inspire listeners through discussions of professional successes and failures in addition to personal stories and financial wellness advice. Spaugh Dameron Tenny is a comprehensive financial planning firm serving doctors and dentists in Charlotte, NC. To find out more about Spaugh Dameron Tenny, visit our website at www.sdtplanning.com. You can also connect with our host, Shane Tenny, CFP at shane@prosperousdoc.com or on Twitter. Compliance code: CRN202704-6309673

    32 min
  4. 03/29/2024

    Exploring Career Opportunities in the Pharma Industry for Clinical MDs with Dr. Nerissa Kreher

    Every physician has felt it before: You have a bad day or work is stressing you out, and you start imagining what life would be like if you were doing something else. Most of us shake it off after a good night's sleep, but what do you do if that feeling doesn't go away? You don't necessarily want to leave medicine with all the time you have invested in your education and training. And changing careers doesn't feel simple.  Fortunately, the pharmaceutical and biotech industries offer opportunities for you to use your clinical knowledge in a different kind of role. Dr. Nerissa Kreher, MD, MBA, advises physicians on how to make the shift from the grind of seeing patients and doing procedures to working in pharma or biotech. Three different roles comprise the options for physicians looking to land biotech or pharma careers: medical affairs, clinical development, and drug safety or pharmacovigilance. Each role lends itself to different types of practitioners. On this episode of the Prosperous Doc®, our host Shane Tenny, CFP® welcomes Dr. Kreher to discuss how she made the move from the patient room to research. For her, it all started with a pharma rep asking for her resume to pass back to their company. But she thinks there are plenty of other ways to break in. “I’m a big fan of LinkedIn,” she says. “LinkedIn is a great place to not only network — which is critically important to making this transition [to clinical research] — but also to job search.” Compensation for physicians transitioning to the pharma/biotech field starts in the mid-to-upper $200K range, with bonus opportunities and the potential for equity and options. But perhaps the greatest compensation of all for a tired physician? No call.  The number of hours physicians spend working on call or during weekends factors into their hourly rate, Dr. Kreher explains. “That’s something that they should translate as well, as compared to just thinking about that annual salary piece. 💡 Featured Guest 💡Name: Dr. Nerissa Kreher, MD, MBA What she does: Dr. Kreher is the Chief Medical Officer (CMO) of a biotech company and a pediatric endocrinologist. Her move into the pharmaceutical industry occurred early in her career, and she has now accumulated more than 15 years of experience working in biotech and pharma. Company: The Pharma IndustryMDCoach Words of wisdom: “There’s a myth that there’s no stress in the pharma and biotech industry. The stress is still there, but it’s different stress.” Connect: LinkedIn | Website 💰 On the Money 💰Top takeaways from this episode  Physicians have three roles to choose from. Medical affairs involves presenting research findings to the public and with peers at conferences. Clinical development involves designing and executing clinical protocols and determining efficacy metrics. Finally, pharmacovigilance involves interpreting data related to drug safety. The schedule is more flexible. While working in pharma/biotech isn’t always an even 40 hours, there is no call. You might still expect occasional nights and weekends when meeting a deadline, but it’s much more flexible than a typical practicing physician position. Your skills will transfer. Even without a deep background in clinical research, the skills you bring to patient visits are the same ones you need in research. Dr. Kreher highlights leadership, humility, and communicating medical concepts in lay terms as the skills you’ll need to succeed. There’s money to be made in pharm/biotech. Procedural-based physicians may not see as much of a pay bump as non-procedural-based physicians. However, the compensation for pharma careers tends to start in the mid-to-high $200K range. There’s also an impressive bonus structure with opportunities to increase by 20% to 25%.  ⚡ Prosperous Insights ⚡[05:01] Scientific vs clinical research: Dr. Kreher draws the distinction between scientific research, which occurs in the lab, and clinical research, which occurs with actual human patients.  [08:51] Three different flavors: Typically, there are three roles that are common for physicians to move into when they transition from practice to pharma and biotech: medical affairs, clinical development, and drug safety. Dr. Kreher details the differences between the types.  [14:16] Fact vs fiction: Dr. Kreher’s coaching work dispels myths about how to work in the pharmaceutical industry. Physicians do not necessarily need a strong research background to land a position in biotech or pharma.  [15:12] It’s different stress: While a physician working in the pharmaceutical/biotech space might not be dealing with the grind of patient visits and EMR maintenance, they often have to adjust to communicating with professionals of different backgrounds than medical.  [18:53] All specialties have a place: Dr. Kreher believes that any physician specialty can find a home in pharma and biotech. It might seem that family or internal medicine wouldn’t have a place in research, but those clinicians are good fits for drug safety roles.   [21:30] Skills to display: The skills that are helpful in the pharma and biotech industry are the same as what you bring to any clinical position: leadership, humility, and the ability to translate complex concepts into lay terms.  [22:31] Compensation considerations: Non-procedural physicians will experience a greater increase in compensation, with base salaries in the mid-to-upper $200K range. There are also bonuses of 20% to 25%, plus equity options.  [23:22] What is ‘no call’ worth to you?: Physicians working in biotech and pharma careers don’t have to deal with call, and that has an opportunity cost. Even if the compensation is lower than what you might get as a procedural physician, not being on call is a major lifestyle bonus.  [24:55] Not ready to jump? Dabble: If you want a taste of what working in biotech and pharma is like, companies are often looking for clinicians to consult. This is particularly true for those who have established themselves as thought leaders in the field, something you can do with an active LinkedIn account. 💵 Financial Wellness Tip 💵Have you found that your income is near its peak potential, yet you’re still not sure where the money is going or what to do with the surplus? Do you have cash piling up in your checking account because you don’t have the time to figure out where else to direct it? Are finances a source of confusion or even conflict in your marriage? Check out our Free Budgeting Guide for mid-career doctors! Disclaimer: Prosperous Doc podcast by Spaugh Dameron Tenny highlights real-life stories from doctors and dentists to encourage and inspire listeners through discussions of professional successes and failures in addition to personal stories and financial wellness advice. Spaugh Dameron Tenny is a comprehensive financial planning firm serving doctors and dentists in Charlotte, NC. To find out more about Spaugh Dameron Tenny, visit our website at www.sdtplanning.com. You can also connect with our host, Shane Tenny, CFP at shane@prosperousdoc.com or on Twitter. Compliance code: CRN202608-4945833

    28 min
  5. 03/08/2024

    Streamlining Hiring to Maximize Your Practice’s Performance With Dr. Michael Neal

    Having a well-oiled team is a crucial piece of any successful business. Medical practitioners running their own practices are no stranger to the impact of employee turnover. In this episode of the Prosperous Doc®, Shane Tenny, CFP®, speaks with Dr. Michael Neal about the importance of building a strong team and hiring and retaining the right people.  Dr. Neal practices optometry alongside his wife, Dr. Amy Neal. When they first opened their practice, he began to experience the challenges of developing a team alongside a growing business. “We were approaching hiring team members the wrong way. We were approaching it completely upside down. And unfortunately, we got the results that we deserved because of how we were approaching it,” Dr. Neal says about his first hiring challenges. A desire to streamline the hiring process and evaluate candidates more effectively led Dr. Neal to develop assessments that determine a candidate's suitability for a role and their ability to learn quickly. These assessments are delivered via text message and filter out 97% of applicants, removing a significant administrative burden from the hiring process. This was the starting point of his other business venture, Build My Team, which delivers better people faster.  Later in the episode, Shane and Dr. Neal discuss the benefits of bringing in a professional manager to oversee the operations of a medical practice.  “It's the team that's providing the care for the bulk of [the time]. If you want to advance in healthcare, one of the ways to do it is to adopt that mindset and bring on these A players,” he says.  💡 Featured Guest 💡Name: Dr. Michael Neal What he does: As the Chief Executive Officer at Build My Team, Dr. Neal is the face of the company. He founded Build My Team as a result of his own practice’s hiring struggles. Dr. Neal is a practicing optometrist alongside his wife, Dr. Amy Neal, at Lakeside Vision in picturesque Hawley, Pennsylvania. They are celebrating their 20th year of servicing patients in Northeast Pennsylvania.  Company: Build My Team and Lakeside Vision Words of wisdom: “I like to grow businesses. That's one of the things I get most excited about. We serve people, we grow, and do as good a job as possible.” Connect: Website  💰 On the Money 💰Top takeaways from this episode  Resumes don’t do what you need them to do. Traditional interviews often leave candidates feeling intimidated and unable to showcase who they really are. Dr. Neal did not find success when relying on resumes as the primary tool for hiring, as they do not effectively assess a candidate's potential performance. A shift in approach puts the focus on identifying candidates who can excel in their roles based on their abilities.Streamline hiring with targeted assessments. Dr. Neal developed assessments for candidates to quickly determine their suitability for the role and how fast they can learn on the job. Candidates receive the assessment via text message after applying for a position. He shares that they now reject 97% of applicants. Select from a roster of A players. Build My Team streamlines the hiring process by writing and publishing the job description for the physician, screening applicants, and conducting one-way video interviews with promising candidates. This process reduces costs and saves hiring managers time. Hire candidates who are naturally talented for the position. Placing people in roles where they can excel and be happy will give companies a high level of employee satisfaction and retention. Candidates who do not naturally fit a role will be more likely to seek alternative employment opportunities.  ⚡ Prosperous Insights ⚡[03:12] Founding the practice: Dr. Neal works with his wife in their practice, which was founded when she didn’t want to go into private practice and found an opportunity to open her own practice in an underserved rural area.  [05:19] Trial by fire: Dr. Neal joined his wife’s practice after a fire burnt the building to the ground, and they had to start over. Once they teamed up, they started to experience growth within the business and that’s when he began to see challenges with managing the team.  [07:17] The old school approach: Dr. Neal explains how his initial hiring process did not work for his practice. The resumes he was receiving were not an accurate representation of who the candidates were.  [12:10] Finding a better mousetrap: Frustrated by the poorly matched hires, Dr. Neal found that industry leaders like Disney were using assessments over resumes for vetting candidates. He sought out to develop his own assessments delivered to candidates via text message.  [19:43] Adapting to remote work: Dr. Neal shares an example of one team member who is now working remotely. That works for some positions, but optimal outcomes require great team members in-person.  [23:51] Competing in a tight job market: To be more competitive in the job market, Dr. Neal recommends making decisions quickly. Grade A players will have multiple offers, so he gives competitive compensation that is often more than what candidates are asking for.  [27:27] Bring in professional managers: Professional managers have a huge impact on the performance of the practice. Practitioners aren’t always the best managers of a business, and a designated hire can fill those gaps. [30:51] Shoutouts: There are three people who helped Dr. Neal get to where he is today. He credits Dr. Gary Webmore whose practice he had his first job at as a receptionist, Dr. Joe Rita who showed him the possibilities of running a business in healthcare during optometry school, and Frank Tuffy for helping run his practice and Build My Team.  💵 Financial Wellness Tip 💵Understanding where your cash flow is going every month is essential to creating an actionable plan for your financial goals. Use our monthly cash flow worksheet to give you clarity about where your money is going and help you create a budget. Get our Personal Cash Flow Worksheet. Disclaimer: Prosperous Doc podcast by Spaugh Dameron Tenny highlights real-life stories from doctors and dentists to encourage and inspire listeners through discussions of professional successes and failures in addition to personal stories and financial wellness advice. Spaugh Dameron Tenny is a comprehensive financial planning firm serving doctors and dentists in Charlotte, NC. To find out more about Spaugh Dameron Tenny, visit our website at www.sdtplanning.com. You can also connect with our host, Shane Tenny, CFP at shane@prosperousdoc.com or on Twitter. Compliance code: CRN202702-5864946

    33 min
  6. 02/16/2024

    Coaching the Next Generation of Physician Scientists with Dr. Toyosi Onwuemene

    Physicians go to school to become physicians, right? Well, most of the time that’s true. Sometimes physicians go through all their many years of med school, residency, and fellowship to find that they’re actually more interested in research. Dr. Toyosi Onwuemene is one such physician, choosing to become a clinician researcher. And she thinks there’s room for more doctors like her. “It's very obvious that there's a deficit now that I've done a little bit more research. As clinicians, because you're so immersed in patient care, you're reading the literature, you're interpreting the literature, there's a sense that you're aware of what research is needed, ” Dr. Onwuemene says in regards to moving from a clinician to a researcher. “You can interpret the research, but the gap we have is not recognized [is] how much really needs to come together to be able to be successful as a researcher.” In this episode of the Prosperous Doc®, host Shane Tenny, CFP® welcomes Dr. Onwuemene to discuss her path to becoming a clinician scientist. Dr. Onwuemene views research as an exciting growth opportunity that feeds her curiosity to answer questions to help people improve their health.  Recognizing there is a lack of mentors available to help guide clinicians to become clinician scientists, Dr. Onwuemene offers coaching to professionals in the field. She fills the gap for individuals who feel they lack the necessary training or mentoring to succeed in their research. Her ideal coaching client is someone who is early in their career and wants to move research forward but has the opportunity and the ability to lead their own experience.  And if it’s not early in their career, it’s not too late. But sooner is better. “From the beginning, start with what you care about,” she says.  💡 Featured Guest 💡Name: Dr. Toyosi Onwuemene What she does: Toyosi Onwuemene, M.D. M.S. is an Associate Professor of Medicine-Hematology at Duke University School of Medicine and a coach, consultant, and speaker. She helps academic clinicians build research programs so that they can thrive in their careers while making a lasting impact. She also hosts two podcasts — Heme Consults for Women of Color in Hematology and Clinician Researcher. Website: https://www.coagcoach.com/  Words of wisdom: “The work we do matters and being able to care for not just the person in front of us but generations beyond them is so powerful, and it's so impactful.” Connect: LinkedIn | Instagram  💰 On the Money 💰Top takeaways from this episode  Research can take years to yield actionable results. Academic clinicians need to not only conduct research but also navigate manuscript writing, publication processes, and grant applications. Institutions need to provide protected time and resources for clinician training in research methodologies to allow clinicians to build their skills.Pursuing research can provide both excitement and personal growth opportunities. Despite having to navigate institutional support challenges, Dr. Onwuemene sees opportunity for clinical research to deliver growth and development. It’s a chance to answer impactful questions that can help a lot of people. Bring people to earlier diagnosis. Research gives the opportunity to diagnose patients earlier. It starts with identifying barriers and forming hypotheses, leading to the accumulation of knowledge and more inquiries from practitioners.It takes time to figure out what you want, but the earlier the better. Physicians are encouraged to identify their career aspirations early on and align their training accordingly to prevent challenges later. When pursuing faculty positions, you can negotiate including research aligned with your interests and push for protected time, funding, and mentoring.  ⚡ Prosperous Insights ⚡[03:04] Clinician scientists bridge the gap: Dr. Onwuemene discusses how clinician scientists address the unanswered questions in the clinical space. They form research questions to ultimately improve patient outcomes.   [04:48] The gap between clinicians and scientists: According to Dr. Onwuemene, extensive training and qualifications are required to succeed as a research scientist even after completing their clinical training. Notably, more practical experience is needed to move from being a clinician to a PhD researcher.  [07:33] Access to mentors: Having a mentor is a huge benefit for academic clinicians, despite only 20% of clinicians having one. Because of this, on-the-job training becomes very important to building skills and learning how to conduct research.  [11:22] Bringing people to the table: Dr. Onwuemene reviews one of her recent projects that focuses on a rare, hard-to-diagnose blood clotting disorder. Her research has given her the opportunity to find ways to treat more people sooner, which is really impactful.  [15:49] Be strategic with the resources you do have: Through her coaching work, Dr. Onwuemene helps other clinicians find different ways to pursue a transition into research when traditional mentors might not be available.  [17:48] Scientists are communicators: Dr. Onwuemene underscores the importance of scientists having strong communication skills to communicate with the scientific community, with funders, and with the public.  [18:44] Moving research forward: The typical profile of someone who comes to Dr. Onwuemene for coaching is a clinician who is early in their career or has been practicing for a few years and wants to move research forward.  [24:38] Building revenue and value opportunities: Dr. Onwuemene reviews the different ways a clinician can drive revenue to their institution. She also reviews how her coaching practice can help clinicians create value opportunities through their work for their institution, particularly when they are not able to bring in a lot of funding.  [28:65] Mentor shout out: Dr. Onwuemene recognizes Dr. Betty Pace, Physician Scientist at Augusta University for her work in mentoring clinician scientists and the inspiring research programs she has sponsored over the years.  💵 Financial Wellness Tip 💵Have you found that your income is near its peak potential, yet you’re still not sure where the money is going or what to do with the surplus? Do you have cash piling up in your checking account because you don’t have the time to figure out where else to direct it? Are finances a source of confusion or even conflict in your marriage? Check out our free budgeting guide for mid-career doctors! Disclaimer: Prosperous Doc podcast by Spaugh Dameron Tenny highlights real-life stories from doctors and dentists to encourage and inspire listeners through discussions of professional successes and failures in addition to personal stories and financial wellness advice. Spaugh Dameron Tenny is a comprehensive financial planning firm serving doctors and dentists in Charlotte, NC. To find out more about Spaugh Dameron Tenny, visit our website at www.sdtplanning.com. You can also connect with our host, Shane Tenny, CFP at shane@prosperousdoc.com or on Twitter. Compliance code: CRN202702-5845268

    32 min
  7. 01/05/2024

    Bedside Manners: What Matters in Patient Communication with Dr. Scott Abramson

    Studies from the Medical Group Management Association (MGMA) and Healthgrades have confirmed that patients overwhelmingly want their physician providers to not just be smart and technically astute, but to also show compassion, comfort, patience, personality, and bedside manner. “The patient will never care how much you know until they know how much you care.” This quote aptly summarizes today’s episode of the Prosperous Doc®, where host Shane Tenny, CFP® welcomes Dr. Scott Abramson, a retired neurologist who practiced medicine for over 40 years with Kaiser Permanente in Northern California. Dr. Abramson is also the author of a book titled, Bedside Manners for Physicians and Everybody Else: What They Don't Teach in Medical School or Any Other School, which includes stories from his extensive medical experience and from coaching colleagues in the mission of physician communication. Tune in to hear Dr. Abramson talk about “bedside manner”, a central element of patient care. Dr. Abramson also shares his perspective and insights from years of training, including actionable communication tips, and practical takeaways.  💡 Featured Guest 💡Name: Dr. Scott Abramson What he does: Dr. Scott Abramson is a retired neurologist who practiced medicine for over 40 years with Kaiser Permanente in Northern California. He's also the author of the book, Bedside Manners for Physicians and Everybody Else: What They Don't Teach in Medical School or Any Other School.  Dr. Abramson has been passionately involved in physician communication and physician wellness endeavors. While retired from neurology, Dr. Abramson remains actively engaged in these pursuits. He has conducted numerous workshops in these areas and has personally coached many physicians. He has developed programs on time management, physician-patient communication, marriage in medicine, burnout, the threatened physician, difficult conversations, storytelling, and his favorites: “The Secret of Happiness” and “What The Great Wisdom of Country Music Can Teach Physicians.” Dr. Abramson also has a YouTube website channel called Doctor Wisdom, where he shares insights and stories from his extensive experience and years of practice.  Words of wisdom:  “My hope is that number one, you will develop a better connection with your patients because if they like you, they will connect with you. If they connect with you, they'll trust you. If they trust you, they're gonna follow your advice. If they follow your advice, they're gonna have a better outcome. Number one is better patient outcome.  The second thing is better clinician outcome because when you connect with people, when you can do that on a human level and not just, you know, find it, fix it, explain it, go bye-bye, it brings such joy and meaning to your medical practice.” Connect: LinkedIn | Website 💰 On the Money 💰Top takeaways from this episode  Building connection can benefit patients as well as doctors. Feeling good about interactions with your patients can sustain you in your practice, in spite of EMR issues, systemic administration issues, etc. Communication is something you can learn. Some doctors have a natural ability to connect with people, but most of us need to work on it. Even if you’re not a natural communicator, you can learn these skills.  Be willing to apologize. A lot of things can happen, but it’s important to have decency and know when to apologize. This is a simple gesture that goes a long way toward building rapport, connection, and trust with your patient, and ultimately a better doctor-patient relationship.   ⚡ Prosperous Insights ⚡[04:48] Toastmasters: Toastmasters is an organization that teaches people about public speaking and public listening. Dr. Abramson thought that if he could bring those listening skills to patient care, it could make a difference. And he found that it did. [09:01] What matters: When you eliminate the simple three-letter word, “the,” you are asking the patient, “what matters,” instead of “what’s the matter.” This is the crucial thing about communication: what matters.  [11:09] Myth-busters: It’s a myth that a good bedside manner has to take more time. If you can ask the right question, then you don’t need to spend a lot of time with your patients to have a genuine interaction. Asking the right question will also make the patient feel a better connection with you.  [19:20] Empathic statement: One of the things Dr. Abramson teaches about communicating with empathy, is to make it a habit with every patient. All it takes is one empathic statement. [28:28] Bowling anyone?: One of Dr. Abramson’s communications tips is to make a simple social comment. It takes very little time and it makes the patient feel more connected to you. It will also save you time in the long run because the patient will trust you and be willing to take your advice.  [32:25] Shout-outs: Dr. Abramson would like to thank Dr. Terry Stein, who started the communication effort at Kaiser. Dr. Abramson would also like to thank Dr. Mahendra Somasundaran, who was one of his attendings in the 1970s. He was humble, caring, and compassionate to his patients and became a role model to Dr. Abramson. Finally, Dr. Ambramson would like to thank his father, who was a vacuum cleaner salesman all his life and believed in everything he sold.  💵 Financial Wellness Tip 💵Understanding where your cash flow is going every month is essential to creating an actionable plan for your financial goals. Use our monthly cash flow worksheet to give you clarity about where your money is going and help you create a budget. Get our personal cash flow worksheet. Disclaimer: Prosperous Doc podcast by Spaugh Dameron Tenny highlights real-life stories from doctors, dentists, and those whose work can help them to encourage and inspire listeners through discussions of professional successes and failures in addition to personal stories and financial wellness advice. Spaugh Dameron Tenny is a comprehensive financial planning firm serving doctors and dentists throughout the U.S. To find out more about Spaugh Dameron Tenny, visit our website at www.sdtplanning.com. You can also connect with our host, Shane Tenny, CFP®, at shane@prosperousdoc.com. Compliance code: CRN202612-5530999

    35 min
  8. 12/08/2023

    Preserving Independent Medical Practices with Dr. Christine Meyer

    Dr. Christine Meyer’s negative experience working as an employed physician in poorly managed medical practices motivated her to become an independent doctor and launch her entrepreneurial career with her husband. The pair believed that they could provide better patient care through their own venture.  “I think the movement towards value-based care in medicine has been tremendous and so enjoyable. I know a lot of people feel like it’s a grind, and it’s so hard to meet these metrics and earn these incentives. But what it has done for our practice is truly improve the quality of care that our patients receive,” Dr. Meyer says.  In this episode of the Prosperous Doc®, host Shane Tenny, CFP®, welcomes Dr. Meyer to discuss the preservation of independent medical practices and the alarming changes in the medical landscape over the past decade, with many private practices disappearing or being acquired.  In 2022, the American Medical Association found that wholly physician-owned practices had dropped from 60% a decade ago to just above 45%.  Despite the challenges of running an independent practice, Dr. Meyer can attest to how rewarding it can be. In its early days, the practice was just her, two examining rooms, and a couple hundred patients. Today, her practice includes five physicians, 15 advanced practitioners, and a team of 55 with multiple buildings to support the more than 20,000 patients they are responsible for.  “People probably think they need to have some sort of a business degree to run a successful medical practice, and you really don’t,” Dr. Meyer says. “I think it goes back to the patient experience. If you’re a physician and you went into medicine to provide patients with an excellent experience, you can run a successful medical practice.” 💡 Featured Guest 💡Name: Dr. Christine Meyer What she does: Dr. Meyer is the founder and owner of Christine Meyer, MD and Associates. She was born and raised in New Jersey to first-generation Egyptian parents. She received her Bachelor’s Degree from Rutgers University and then went on to earn her Medical Degree from Hahnemann University School of Medicine (now Drexel University). Dr. Meyer then completed her Internal Medicine Residency at Thomas Jefferson University Hospital and is Board Certified in Internal Medicine.  Company: Christine Meyer, MD and Associates  Words of wisdom: “Private practice allows you to build a culture in your organization that you are proud to work in.” Connect: Website  💰 On the Money 💰Top takeaways from this episode  Bad business management equates to bad patient care. When Dr. Meyer experienced frustration with poor management while working as an employed physician, she saw how poor business management trickled down to affect patients. This is why, when the opportunity arose to venture out on her own as an independent practice, she didn’t hesitate to make the switch. It takes time for a new practice to be sustainable. It took Dr. Meyer about three years to start to see steady and stable growth in her practice. In the early days, she focused on providing excellent care to the initial patients. As her finances got stronger, she was able to expand the team that was seeing patients, which is when the revenue really started to come in. You need to trust someone else with your patients. One of the significant inflection points for Dr. Meyer was bringing on more practitioners to allow the practice to scale. While her first nurse practitioner hire worked out well, other hires later on were detrimental to the practice and taught her the importance of building a strong team of clinicians. You don’t need a business degree to run a successful medical practice. The key is focusing on the patient experience rather than just providing care. Understanding the environment that makes patients comfortable and ensuring accessibility, such as offering extended hours, contributes to a successful practice. ⚡ Prosperous Insights ⚡[00:30] The state of independent practices: Shane gives an overview of current trends in the medical space, showing that more doctors are moving away from independent practices and how the issue is particularly dire amongst younger doctors.  [02:49] Venturing out on her own: Dr. Meyer shares the factors that led her to venture out on her own: frustration with poorly managed practices, a belief in her ability to provide better patient care, and office space becoming available at the right time.  [06:30] Lean beginnings: About 100 patients from Dr. Meyer’s previous practice followed her to her independent practice. Her first employee was her mother — who was open to learning medical billing — and it was three years before she felt confident in growing the team.  [09:32] Being a bad boss: It wasn’t until Dr. Meyer started to really value people that she became a better person and a better leader for her practice. She shares how she turned around her management style to build a better business.  [12:55] Scaling beyond individual efforts: Dr. Meyer shares key inflection points on her entrepreneurial journey, including hiring the first nurse practitioner, transitioning to electronic medical records, investing in a new building, and building a reliable team.  [18:40] Clear metrics to follow: Dr. Meyer shares quantifiable examples of how patient care at her practice has improved over time because she is able to prioritize value-based care.  [24:55] You don’t need a business degree: Dr. Meyer reiterates that it all comes down to patient experience. You don’t need a business degree to run a medical practice — as long as you’re putting your patient first, you can figure out the rest as you go.  [28:30] The fee-for-service model doesn’t work: Dr. Meyer advocates for alternative payment models like the Shared Savings Program to encourage high-quality care for patients.  [30:06] On a mission: If there’s one thing that’s top of mind for Dr. Meyer, it’s her personal mission to get people to consider primary care because of the impact they can have on their patients.  💵 Financial Wellness Tip 💵Have you found that your income is near its peak potential, yet you’re still unsure where the money is going or what to do with the surplus? Do you have cash piling up in your checking account because you don’t have the time to figure out where else to direct it? Are finances a source of confusion or even conflict in your marriage? Check out our free budgeting guide for mid-career doctors! Disclaimer: Prosperous Doc podcast by Spaugh Dameron Tenny highlights real-life stories from doctors and dentists to encourage and inspire listeners through discussions of professional successes and failures in addition to personal stories and financial wellness advice. Spaugh Dameron Tenny is a comprehensive financial planning firm serving doctors and dentists in Charlotte, NC. To find out more about Spaugh Dameron Tenny, visit our website at www.sdtplanning.com. You can also connect with our host, Shane Tenny, CFP at shane@prosperousdoc.com or on Twitter. Compliance code: CRN202611-5421737

    35 min

Ratings & Reviews

5
out of 5
17 Ratings

About

The Prosperous Doc Podcast (formerly the White Coat Wellness Podcast) is a show for doctors who are ready to improve their overall wellness in every aspect of life. In each episode we highlight real-life stories from physicians and dentists to inspire you to become a prosperous doc yourself and achieve personal, professional, and financial wellness. If you would like to know more about the Prosperous Doc show, find show notes, and learn more about our host, Shane Tenny, visit bit.ly/ProsperousDoc. SDT Disclosure: https://bit.ly/2Xc2mAU