This month’s Advisor is brought to you by…

Disability insurance is one of the most important financial products you can own. It protects your

most important asset, your continued ability to earn an income. Guardian through its wholly-

owned stock subsidiary, Berkshire Life is the leading provider of non-cancellable disability

insurance in the United States1, and our agency has been focused on the sale of personal disability

insurance to white-collar professionals across the country since 2001.

As one of the leading providers of individual disability insurance nationwide to physicians,

Provider Plus available through Guardian, offers some of the most attractive features to members

of the medical profession, including true own occupation coverage with medical specialty

language and residual benefits* that do not require a loss of time and/or duties and includes

recovery benefits payable for up to the entire benefit period.

If you want to learn more about why you should choose a Guardian DI policy, please visit our

comprehensive website.

MD Preferred Services is the only comprehensive online resource center for doctors. Each year

MD Preferred identifies and promotes uniquely qualified, "doctor friendly", community based

preferred professionals from a wide range of disciplines including: Attorneys, Realtors®,

Mortgage Lenders, Insurance Agents, Accountants, Commercial Bankers, Financial Planners &

Practice Management Services, who are committed to serving the healthcare demographic and

offering a superior service experience.

Accountants

Attorneys

Community Bankers

Financial Advisors

Insurance Agents

Mortgage Lenders

Practice Management

Realtors®

MD PREFERRED PROVIDERS - NEW

FINANCIAL ADVISORS

KAMSouth, LLC – Athens & Newnan, GA – Christian Koch

MORTGAGE LENDERS

Fifth Third Mortgage – Avon & West Lake, OH – Harry Azzano

Fifth Third Mortgage – Milwaukee, WI & Kansas City, MO – Tom Callahan

Fifth Third Mortgage – Brandon & North Tampa, FL – Carol Chase

Fifth Third Mortgage – Clermont & Windermere, FL – Rick DiMarco

Fifth Third Mortgage – Nashville, TN – Curtis Gardner

Fifth Third Mortgage – Orlando & Winter Park, FL – Amy Golbuff

Fifth Third Mortgage – Ft. Lauderdale & West Palm Beach, FL – James Green

Fifth Third Mortgage – Clearwater & St. Petersburg, FL – Dawn Gwin

Fifth Third Mortgage – Kalamazoo & Portage, MI – John Hatridge

Fifth Third Mortgage – Carmel & Greenwood, IN – Pamela Heck

Fifth Third Mortgage – Daytona Beach & Ormond Beach, FL – Lucas Hill

Fifth Third Mortgage – Detroit & Pontiac, MI – Deborah Hodge

Fifth Third Mortgage – Dayton & Kettering, OH – Holly Hutchison

Fifth Third Mortgage – Ann Arbor & Detroit, MI – Jacquie Keefer

Fifth Third Mortgage – Anderson & Fort Wayne, IN – Tiffany McIntosh

Fifth Third Mortgage – Atlanta, GA & Philadelphia, PA – Jay Meadors

Fifth Third Mortgage – St. Louis, MO & Memphis, TN – Kathy Miley

Fifth Third Mortgage – Florence & Fort Thomas, KY – Cary Mills

Fifth Third Mortgage – Chicago & Elmhurst, IL – Eric Mistal

Fifth Third Mortgage – Edgewood, KY – Kim Moore

Fifth Third Mortgage – Lakeland & Tampa, FL – Joseph Moran

Fifth Third Mortgage – Blue Ash & Liberty Township, OH – Danielle Newman

Fifth Third Mortgage – Hyde Park & Indian Hill, OH – William Nutt

Fifth Third Mortgage – Madeira & Oakley, OH – Terri Olsson

Fifth Third Mortgage – Kamms Corner & Middleburg Heights, OH – Trish Putrino

Fifth Third Mortgage – Pittsburgh, PA – Ken Roos

Fifth Third Mortgage – Chicago & Winnetka, IL – Dustin Schaff

Fifth Third Mortgage – Powell, OH & State College, PA – Joe Szymanowski

Fifth Third Mortgage – Charlottesville, NC & Knoxville, TN – Danielle Taylor

Fifth Third Mortgage – Charleston, SC & Dayton, OH – Chris Urti

Fifth Third Mortgage – Louisville, KY & Raleigh, NC – Becky Vitaniemi

Fifth Third Mortgage – Hilliard & Westerville, OH – Matthew West

Fifth Third Mortgage – East Grand Rapids & Wyoming, MI – Tony Wylie

Huntington Bank – Canton, OH – Dottie Beck

Huntington Bank – Akron, OH – Michelle Kelly

REAL ESTATE AGENTS

RE/MAX Metro – St. Petersburg, FL – Chris Ewing

RE/MAX of Grand Rapids – Grand Rapids & Wyoming, MI – Ken Ghent

RE/MAX of Grand Rapids / Buskard Group – Holland & Hudsonville, MI – Juanita Buscard

MD PREFERRED PROVIDERS – ANNIVERSARIES

REAL ESTATE AGENTS

ERA Herman – Denver, CO – Julie Smith

THE LAW AND MEDICINE According to a recent GAO report, Medicare is wasting more than $8 billion on an experimental program that was

buried within the 2000+ page 2010 healthcare reform legislation. Under the program, insurance companies

providing healthcare for millions of Medicare patients are being rewarded for substandard results.

The GAO report is uncharacteristically candid in branding the bonus program a disaster and urging the

administration to cancel it immediately. The report goes further in pointing out that the provision authorizing the

experiment is so poorly written that GAO researchers could come up with no way to determine if care was being

improved by the incentives at all.

And if that weren’t enough bad news, it would appear that those administering the bonuses have arbitrarily

lowered the bar for payouts. Investigators found that rather than rewarding high-quality care, the money was

going to “average performing plans” rated well below the benchmarks set by Congress.

And of course the administration reacted in a predictably arrogant manner, refusing to cancel the project. They

claimed that the program “could improve care for older Americans. They fail to point out that the 2010 health-

care law cut Medicare payments to very popular private Medicare Advantage plans which compete with

government run Medicare and in the same swipe of the pen offered bonuses to those same plans for “high-quality

care.” As is often the case, the anticipated results bear no resemblance to the promised benefits.

And now there is news from Massachusetts the state that in April of 2006 signed into law a universal health law

that became the model for Obama care. Politicians at the time claimed that covering more of the state’s uninsured

residents, especially young adults, would bring down health care costs. Instead costs have continued on an upward

spiral. Wait times for medical procedures have soared in some areas. There is a general recognition that

universal coverage didn’t solve anything.

So, the Massachusetts House and Senate are getting ready to take another shot at controlling healthcare costs.

Both have separate bills in the works modeled on the report of a high-profile state commission that suggested the

best way to save money and improve care would be to stop paying doctors and hospitals for every office visit, test

or procedure and put them on a budget to save money. Those budgets would have incentives to keep patients

healthy. Sound familiar? Here we go again.

THE RECRUITER’S CORNER

Tips and Tools from Today’s Physician Recruiter

, KPMG asked corporate interviews for the top three things that candidates did wrong that cost them a Recently

job. Here are the top three turnoffs during an interview:

Candidates who provide answers which lack specific examples to support their points

Candidates who cannot articulate past experiences

Candidates who ask inappropriate questions (use your imagination on that one)

from your job interview, the conversation in which you give notice is one of the most important ones you Aside

will have while practicing medicine. Handling it poorly is both foolish and unnecessary. Burning bridges will

come back to haunt you.

1. Show respect for your partners. Schedule a private meeting with the senior partner (s) and give them the

news face-to-face. Have your formal letter of resignation in hand and deliver it personally. Slipping the

letter under the practice manager’s door just won’t cut it. This approach will provide the best chance of

leaving on good terms.

2. Work hard at making your department as painless as possible for the practice. Assist in every way

possible with the transition. Discuss in advance with the partners how to handle notice to your patients. If

a replacement physician is on-board prior to your departure, offer to participate in the transition. Offer to

stay in touch and deal with issues that arise after your departure.

3. Keep it positive. There may more to your decision to leave than an opportunity somewhere else that was

just too good to pass up. Keep your emotions in check during the meeting. Be objective and honest but

try to keep things on a business level. Detailing all the things that are wrong with the practice is a

discussion that should have taken place long ago. This is not a time to air your grievances. Even if your

intensions are honorable, nothing good will come from your “advice in parting.”

What you say will be in place for years to come and could impact future references and your career advancement.

No one is perfect. In response to a question that highlights a problem with your past record, acknowledge the

negative, but focus on the positive. Explain how you learned from an error or mistake. Give examples of how

you handled things more successfully when faced with another similar situation. Point out that the negative was

an isolated event and not an indicator of deeper short comings or character flaws.

PERSONAL FINANCEMake it harder for someone to steal your personal information. But

be prepared in case the worst happens:

Do not sign the back of your credit cards. Instead, put PHOTO

ID REQUIRED.

When you are writing checks to pay on your credit card

accounts, do not put the complete account number on the Memo

Line. Instead, just put the last four numbers.

Put your work phone # on your checks instead of your home phone. If you have a PO Box, use that

instead of your home address. If you do not have a PO Box, use your work address. Never have

your SS# printed on your checks.

Photocopy the complete contents of your wallet. Do both sides of each license, credit card, etc. You will

know what you had in your wallet and all of the account numbers and phone numbers to call and

cancel. Keep the photocopy in a safe place. When traveling abroad, carry a photocopy of your passport.

In case your wallet is lost or stolen here are some things you should do WITHIN HOURS of discovering the

loss:

Notify the credit card companies. The key here is having the toll free numbers and your card numbers

available. If you followed the above procedure you will have a complete copy at your disposal.

Call the 3 national credit reporting organizations immediately to place a fraud alert on your name and also

call the Social Security fraud line number. The alert will inform any company checking your credit that

your information was stolen. They will be required to contact you by phone to authorize new credit.

Here are the numbers you will need:

Equifax: 1-800-525-6285

Experian (formerly TRW): 1-888-397-3742

Trans Union: 1-800-680 7289

Social Security Administration (fraud line): 1-800-269-0271

File a police report immediately in the jurisdiction where your credit cards, etc. were stolen. This proves

to credit providers you were diligent.

Print out these instructions and file them with your photo copied information.

PUT ALL YOUR EGGS IN ONE BASKET By: Anthony J. Ogorek, Ed.D., CFP

Ogorek Wealth Management LLC

Former Defense Secretary Donald Rumsfeld was famous for quotes such as the following: “There are known

knowns. These are things we know that we know. There are known unknowns. That is to say, there are things that

we know we don't know. But there are also unknown unknowns. There are things we don't know we don't know.”

In this missive, I would like to address the fact that what we think we know may produce unforeseen

consequences.

One of the more popular pieces of financial advice that people receive is: “don’t put all of your eggs in one

basket.” This phrase can have different applications, some of them valid, but other times not. For example, if the

quote refers to diversification, it very definitely can make sense. Unfortunately, many people tend to take a good

idea, such as diversification, and misapply it so that they can be worse off than if they ignored the advice in the

first place.

For example, some people interpret diversification in terms of “the more the merrier.” This thinking typically

manifests itself when we review people’s 401(k) or brokerage statements. If there are ten investment options,

people will think that holding all ten in equal weights is better than concentrating in just a handful of investments.

We have also seen examples of people diversifying into much of the same asset class. An example of this is a

portfolio consisting of five different government bond funds. In this case, there is no diversification if all of the

investments will behave exactly the same.

Another misapplication of the phrase “don’t put all of your eggs in one basket” is how some people spread around

their money in different institutions, with the thought that if a bank or brokerage house goes down, they will lose

everything. That may have been the case in the 1920’s or 1930’s, but today we have a very robust and highly

regulated financial system.

We have also encountered people who feel that they are protecting themselves by parsing out their investments

over a wide variety of advisors. They may believe that they are protecting themselves from malfeasance, or they

may attempt to pit the performance of one advisor against another; again, to them it just seems prudent not to put

all of their “eggs” in one basket.

Here are some of the problems that can result from following that strategy. It can be very difficult for an investor

to determine exactly what their returns have been like, weighted for the amount invested with each advisor.

Frequently, people will pull out a sheet of ledger paper or a spreadsheet where they have struggled to estimate

what they believe their results were for the year. Often times they miss the mark by a wide margin, especially if

their account had significant additions or withdrawals.

Another unintended consequence can be fragmenting your funds in so many different directions that no one pays

serious attention to the piece that they are managing. Sometimes people become irate by the lack of attention that

their investments receive, but sometimes they do it to themselves.

Putting your investment “eggs” in multiple baskets can result in adverse tax consequences. One advisor may be

trying to create a very tax efficient portfolio that is being completely negated by another advisor whose approach

is agnostic to tax implications.

Perhaps the greatest unforeseen consequence of splitting your assets among multiple advisors is the irony that,

due to a lack of communication between advisors, you may be constructing a “portfolio” that no one in their right

mind would ever create. Think about that for a moment. One of the greatest dangers to diversifying your assets

across multiple advisors is that you may be negating the benefits of a coordinated diversification strategy.

To paraphrase Donald Rumsfeld, there are things that we know that are true. How we interpret this truth and how

we implement this truth can lead to wildly different outcomes that most people cannot imagine.

Warren Buffett is never afraid to make concentrated investment bets. Why? Because he understands what he buys.

If you are over-diversifying, your lack of understanding could cause you undue angst.

THE FINANCIAL FACTS OF LIFE HAVE NEVER BEEN MORE

IMPORTANT FOR PHYSICIANS By David I. Katz, AAMS®

www.davidikatzauthor.com

The nation's healthcare system is undergoing a dramatic change –

and many physicians are woefully unprepared to deal with the new

reality.

I wrote A Financial Prescription for Doctors and Dentists –

Strategies for Achieving Your Personal and Career Goals to help

address that knowledge gap. It provides a clear, easy-to-read guide to

help medical professionals address the many business challenges in

their practices and the financial issues in their personal and family

lives. My wife has been a physician for over 25 years. I understand

the pressures and demands that medical professionals deal with

every day. That's why I work with them - to help medical professionals focus on their financial health. With over

two decades of experience helping medical professionals understand their financial position and develop a

strategy that protects their future, I understand that many physicians need guidance in managing their day-to-day

finances, setting aside money for the future, and achieving their long-term personal goals.

When doctors are in medical school, they focus on learning about the human body, not finances. But residents

and new doctors need to learn how to manage money, particularly since high debt loans are a big problem for so

many people.

~ Stuart L. Markowitz, MD, Senior Associate Dean for Student Affairs

Charles E. Schmidt College of Medicine, Florida Atlantic University

Choosing a financial advisor is an important step toward reaching your personal financial goals. Ideally, your

financial advisor will have the knowledge and skills to help you determine your objectives and your tolerance for

risk, and help build an appropriate portfolio.

Once you have chosen a financial advisor, try to convey your goals for the future, both personal and professional.

Talk about issues like a desired retirement lifestyle, what you would one day like to leave to your heirs and

whether you would like to leave a legacy to a favorite charity.

As you develop a financial plan and put your strategy together, listen carefully to what your advisor has to say,

and don't be afraid to ask questions to make you understand the characteristics and risk-return factors associated

with a certain asset class. If your advisor starts talking about "long-short hedging strategies" or "absolute returns,"

don't just nod your head and agree. Jump into the conversation and learn about these investment concepts and

approaches. Let your advisor become a teacher, as well as your guide to the financial markets.

I’ve prepared a checklist of questions you can ask when interviewing a potential financial advisor: 20 Questions

to Ask a Prospective Financial Advisor.

In my book I share key lessons with stories of real doctors and suggestions and strategies from attorneys,

accountants and other financial professionals who work with medical specialists to provide a broad spectrum of

advice. I offer advice to medical professionals at any stage in their careers with chapters such as "Understanding

the Financial Facts of Life," and "I'm a Doctor - Now What?"

One of the biggest problems for physicians and dentists is failing to look at their practices as businesses. In

general, they give way too much thought to going into a professional relationship and not enough thought to

coming out of it later in life. Certainly, how you share income and overhead costs is important, but what happens

when one of the partners says it's time to leave?

~ Jeffrey L. Cohen, president and CEO,

Florida Healthcare Law Firm

A Financial Prescription for Doctors and Dentists – Strategies for Achieving Your Personal and Career Goals is

published by OutSkirts Press and is available in hardcover, paperback and eBook at Amazon.com, Barnes and

Nobles, iBook and other online booksellers.

Profits from A Financial Prescription for Doctors and Dentists will be donated to charities including SmileTrain

and the National Multiple Sclerosis Society.

About the author:

In his 22-year career as a financial advisor, David I. Katz has worked extensively with doctors, dentists and their

families, helping them put together solid financial plans for retirement. He knows the financial pitfalls – including

poorly constructed trust plans, expensive divorces and costly lawsuits – that are among the top financial concerns

for medical professionals.

David I. Katz is available to speak to medical groups and schools about financial planning for doctors and

dentists.

MD PREFERRED

PHYSICIAN CONSULTANTS

Drawing on personal experiences on all sides of health care –as a patient, a physician, a

family caregiver, a business owner and an entrepreneur – Dr. Vicki Rackner helps

health care professionals thrive in the era of ObamaCare.

This former surgeon and nationally noted authority in the doctor-patient relationship helps

clients achieve the personal, professional and financial goals that drew them to a career in

medicine. She offers a bridge between the world of medicine and the world of business.

Dr. Rackner is regular quoted in the national media including CNN, The Wall Street Journal, USA Today, The

Washington Post, Reader’s Digest, Bottom Line Health, Woman’s Day, Real Simple and many others. She has

been interviewed on over 100 radio shows, including NPR, Martha Stewart Living and Health Talk.

The most recent book from this Chicken Soup author is Get More Patients Starting Today. This joins Caregiving

without Regrets, The Personal Health Journal and The Biggest Skeleton in the Medical Closet. Her most recent

book The New Medical Mindset: How Physicians Can Reinvent Themselves and Thrive in the Era of ObamaCare

is scheduled to be released in the spring of 2015.

Dike Drummond MD is a Mayo trained Family Practice Physician with a unique

combination of ground level experience in medicine, coaching and personal and business

development.

Dike’s expertise in personal change was developed through a combination of 11 years as a

family practice doctor and 10 years as a business coach working with physicians and startup

entrepreneurs; he has also developed his own unique, interactive guided imagery practice.

“The burnout epidemic in physicians is a completely predictable result of their medical training and the generally

accepted definition of “success” amongst doctors. AND it is both a preventable and treatable condition.”

“These days the physicians are often the canary in the coal mine of medicine and that has to change. The most

successful healthcare organizations in the years ahead will be those who take excellent care of their providers

and staff. These hospitals and groups will understand that physician satisfaction is the only true foundation for

consistent patient satisfaction.”

NEW HEALTHCARE OPPORTUNITIES

Provided by MedicalMatch.org

Emergency Medicine - Atlanta, GA - EmergiNet

You may know Atlanta as the unofficial capital of the South, but there’s more to this city than its southern

location. If you make your home in the Peach City, you’ll find an undeniable mix of Southern charm,

sophistication and traditions. Atlanta continues its reputation as a transportation hub with the world’s largest

airport and easy access to I-75 & I-85. When it comes to Atlanta’s reputation for growth and innovation, health

care tops the list as the city’s facilities expand and improve services across the metro area. Serving some of the

fastest growing hospitals is EmergiNet.

EmergiNet has positions available for BC/BP, EM residency trained physicians for work in hospitals surrounding

the Atlanta metropolitan area. We work as a team emphasizing quality emergency care, dedicated customer

service, professional and personal growth. Highlights include: Fee-for-service model having most MD’s starting

at around $350k with no ceiling; Profit sharing plan after first year including tax-deferred compensation to

supplement 401k(100% vested immediately); Physician-centric practice owned and run by physicians; All

facilities located within 30 minute drive from downtown Atlanta.

EmergiNet provides a full range of clinical and administrative professional services to the facilities we serve. Our

mission is to maximize patient care and facility resources, as well as educate, facilitate and integrate the delivery

of health care within the community. We continually seek ways to enhance the level of excellence and quality in

the services we provide to our clients. To review this and other opportunities E-mail CV to Neil

Trabel, ntrabel@emerginet.com; fax 770-994-4747; or call 770-994-9326, ext. 319. Please

visit www.emerginet.com for more information.

Neurologists with stroke experience – Tulsa, OK – AIM Consultants

AIM Consultants is currently recruiting 2 Neurologists with stroke experience to join the Neurohospitalist

program at Hillcrest Medical Center, the flagship hospital of the Hillcrest HealthCare System, licensed for 691

beds and located in Tulsa, Oklahoma. We also have a new Neurology position in Oklahoma City!

Staff Physician Needed – Toledo, OH – The Pediatric Center

Staff Physician needed immediately to join an established Pediatric practice. You will be joining a medical staff

that includes 3 physicians, 6 mid-level providers, supported by 12 nurses. The practice is affiliated with 5

hospitals. Our physicians round on newborns only. We do not attend c-sections. We utilize pediatric hospitalists

and/or specialists for patient admissions. Mid-level providers are on call for parents/patients.

Internal Medicine or Family Practice – Columbus, OH – OhioHealth

OhioHealth has an immediate, full-time opportunity for an Internal Medicine or Family Medicine Physician. Join

a team of experienced physicians in a very busy practice. The ideal candidate will be BC/BE in Internal Medicine

or Family Medicine and willing to work in an outpatient setting.

Interventional Pain Specialist – Florida – All Care Consultants

Established Rehab facility seeks full time interventional pain (neurologist, anesthesia, physiatrist, orthopedic

surgeon) physician for outpatient clinics. We have five established locations, and opening a sixth. We are looking

for a physician with good beside manners, strong diagnostic skills, and a team player. Our current clinicians

consist of general physiatrists, interventional pain physiatrist, neurology, primary care, and midlevel providers.

We are equipped with C-Arms, X-Ray, MRI, and technicians to assist physicians.

Managing Physician – Toledo, OH – The Pediatric Center

Managing Physician needed immediately. Established Pediatric office has an immediate need for a Physician to

provide medical supervision for a 4 office, privately owned practice. Position includes development of medical

policies, procedures and practices to be followed by medical staff. Current medical staff includes 4 physicians, 6

mid-level providers, supported by 12 nurses.