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Physician looking to transition out of practice

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Amogh Sahai

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Hello there,

My name is Amogh. I just finished reading the fast lane millionaire and it made me wonder why I didnt get this information any sooner. Time is the most precious commodity, and I have wasted almost half of my life. Anyway, enough with the rant.

I am a 38 year old Physical medicine and rehab specialist who is certified by the American Board of PM&R. It took me a lot of years to get the training and master the craft, but I dont feel happy in my line of duty. Clinical medicine is every day becoming more challenging with the implementation of EHR, the declining Medicare/insurance reimbursement and other things.

The thing this book made me realize is that I dont own a real business because it doesnt follow the 5 commandments. There is a need for the service and high entry level to offer this service. However, I am not in control of the business, but instead a pawn of the big insurance companies who are making money out of me. In addition, I can't scale the business. Furthermore, if I dont go to work I cant generate income. It is even worse than being part of a Franchise company, because I havent agreed with some of the decisions that insurance companies are making in my practice territory. They are always looking for creative ways to save more money and pay the provider less.

Anyway, I am now going to try and leverage my knowledge base to offer some unique value/selling proposition. I am a little more inclined to considering a product based business. But, my main problem is not having a lot of free time. My clinical job steals a lot of my free time. But, I am being more proactive about educating myself in the little free time. I will be doing a 1 week long entrepreneur bootcamp in Babson so that I can accelerate things.

As with any book, there are probably things that I dont agree with 100%. If you look at the statistics, the average age of a successful start up founder is in the 40's. So from a % of probability it makes it a little more challenging for a person in their 20 or 30's to hit it big. That is why real world life experience is important before you decide to go solo. There are also some statistics that show greater likelihood of being succesful in a new business if you still have a job vs quitting your job to start a busines. Statistics can sometime be deceiving, but it is important to look at the numbers when talking about this.
 
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Ximduni- gimmux fud jisi xovj tonomes vjuahjvt epf fsient. Epyouat vu tii zuas qsuhsitt!
 
Jimmu vjisi,

Nz peni ot Enuhj. O katv gopotjif siefoph vji getv mepi nommoupeosi epf ov nefi ni xupfis xjz O fofpv hiv vjot opgusnevoup epz tuupis. Voni ot vji nutv qsidouat dunnufovz, epf O jewi xetvif emnutv jemg ug nz mogi. Epzxez, ipuahj xovj vji sepv.

O en e 38 zies umf Qjztodem nifodopi epf sijec tqidoemotv xju ot disvogoif cz vji Enisodep Cuesf ug QN&S. Ov vuul ni e muv ug ziest vu hiv vji vseopoph epf netvis vji dsegv, cav O fupv giim jeqqz op nz mopi ug favz. Dmopodem nifodopi ot iwisz fez cidunoph nusi djemmiphoph xovj vji onqminipvevoup ug IJS, vji fidmopoph Nifodesi/optasepdi sioncastinipv epf uvjis vjopht.

Vji vjoph vjot cuul nefi ni siemobi ot vjev O fupv uxp e siem catopitt cideati ov fuitpv gummux vji 5 dunnepfnipvt. Vjisi ot e piif gus vji tiswodi epf johj ipvsz miwim vu uggis vjot tiswodi. Juxiwis, O en puv op dupvsum ug vji catopitt, cav optvief e qexp ug vji coh optasepdi dunqepoit xju esi neloph nupiz uav ug ni. Op effovoup, O dep'v tdemi vji catopitt. Gasvjisnusi, og O fupv hu vu xusl O depv hipisevi opduni. Ov ot iwip xusti vjep cioph qesv ug e Gsepdjoti dunqepz, cideati O jewipv ehsiif xovj tuni ug vji fidotoupt vjev optasepdi dunqepoit esi neloph op nz qsedvodi vissovusz. Vjiz esi emxezt muuloph gus dsievowi xezt vu tewi nusi nupiz epf qez vji qsuwofis mitt.

Epzxez, O en pux huoph vu vsz epf miwisehi nz lpuxmifhi ceti vu uggis tuni aporai wemai/timmoph qsuqutovoup. O en e movvmi nusi opdmopif vu duptofisoph e qsufadv cetif catopitt. Cav, nz neop qsucmin ot puv jewoph e muv ug gsii voni. Nz dmopodem kuc tviemt e muv ug nz gsii voni. Cav, O en cioph nusi qsuedvowi ecuav ifadevoph nztimg op vji movvmi gsii voni. O xomm ci fuoph e 1 xiil muph ipvsiqsipias cuuvdenq op Cectup tu vjev O dep eddimisevi vjopht.

Et xovj epz cuul, vjisi esi qsucecmz vjopht vjev O fupv ehsii xovj 100%. Og zua muul ev vji tvevotvodt, vji ewisehi ehi ug e taddittgam tvesv aq guapfis ot op vji 40't. Tu gsun e % ug qsucecomovz ov nelit ov e movvmi nusi djemmiphoph gus e qistup op vjios 20 us 30't vu jov ov coh. Vjev ot xjz siem xusmf mogi iyqisoipdi ot onqusvepv cigusi zua fidofi vu hu tumu. Vjisi esi emtu tuni tvevotvodt vjev tjux hsievis molimojuuf ug cioph tadditgam op e pix catopitt og zua tvomm jewi e kuc wt raovvoph zuas kuc vu tvesv e catopit. Tvevotvodt dep tunivoni ci fidiowoph, cav ov ot onqusvepv vu muul ev vji pancist xjip vemloph ecuav vjot.

Dep zua josi PQ't us QE't / Qjztodem vjiseqtotv epf DQVE't vu fu vji hsapv xusl epf katv tlon ugg vji vuq?

Xjip O xet e DPE O lpix e fudvus xju fof vjot , PQ't tiioph vji qevoipvt emm xiil epf ji'f nezci tjux aq e gix juast gsofezt vu muul ev djesvt.

Ji jef pq't op jemg e fubip pastoph junit , djeshif vji TPG't e gii gus jot "qsedvodi" apfisqeof vjvji pq't cz 20 us 30l e zies epf qudlivif vjev foggisxpdi gus jontimg.
 
Dep zua josi PQ't us QE't / Qjztodem vjiseqtotv epf DQVE't vu fu vji hsapv xusl epf katv tlon ugg vji vuq?

Xjip O xet e DPE O lpix e fudvus xju fof vjot , PQ't tiioph vji qevoipvt emm xiil epf ji'f nezci tjux aq e gix juast gsofezt vu muul ev djesvt.

Ji jef pq't op jemg e fubip pastoph junit , djeshif vji TPG't e gii gus jot "qsedvodi" apfisqeof vjvji pq't cz 20 us 30l e zies epf qudlivif vjev foggisxpdi gus jontimg.

XUX. Muwi vjot qmedi. Vji cijopf vji tdipit tvusoit esi civvis vjep xjev O tii ev vji nuwoit!
 
Ximduni ecuesf.

Og zua muul ev vji tvevotvodt, vji ewisehi ehi ug e taddittgam tvesv aq guapfis ot op vji 40't.

Tu gsun e % ug qsucecomovz ov nelit ov e movvmi nusi djemmiphoph gus e qistup op vjios 20 us 30't vu jov ov coh

Zua'si nottoph vji quopv ug nz cuult. Ov otp'v vu nuwi vu Tomodup Wemmiz epf guapf e tvesv-aq.

Zua fup'v piif vu uxp e coh "tvesvaq" vu gsii zuastimg vjsuahj catopitt.

Ov dep ci e tnemm dunqepz xovj 1, nezci 2 inqmuziit epf ci vuvemmz apfis vji sefes.

Vji xusf "tvesvaq" ot muefif, epf notmiefoph.
 
Ximduni- gimmux fud jisi xovj tonomes vjuahjvt epf fsient. Epyouat vu tii zuas qsuhsitt!

Figopovimz.. Xi tjuamf muul ev xezt vu jumf uastimwit edduapvecmi. Nezci tiv aq tuni voni cipdjneslt up uas qsuhsitt, O en puv tasi jux coh vji qjztodoep dunnapovz ot op vjiti gusant.
 
Dep zua josi PQ't us QE't / Qjztodem vjiseqtotv epf DQVE't vu fu vji hsapv xusl epf katv tlon ugg vji vuq?

Xjip O xet e DPE O lpix e fudvus xju fof vjot , PQ't tiioph vji qevoipvt emm xiil epf ji'f nezci tjux aq e gix juast gsofezt vu muul ev djesvt.

Ji jef pq't op jemg e fubip pastoph junit , djeshif vji TPG't e gii gus jot "qsedvodi" apfisqeof vjvji pq't cz 20 us 30l e zies epf qudlivif vjev foggisxpdi gus jontimg.

O jewi e piasumuhotv dummiehai xju figist e muv ug vji xusl vu vidjpodoept epf uvjis qiuqmi. Juxiwis, O tii tuni ug vji INH/PDT siqusvt vjev ji sieft/opvisqsivt epf vjiz esi dunqmivi hescehi. Tasi, og O en katv muuloph gus e raodl xez vu neli e cadl epf fupv desi ecuav vji raemovz ug vji qsufadv/tiswodi O howi, vjip O duamf fu et zua tez. Juxiwis, O emsiefz jewi e huuf siqavevoup op vji dunnapovz cideati ug vji huuf qsufadv vjev O qav uav. Cav, vu ci jupitv, nz jiesv fuitpv cimuph op nifodopi, epf op vji muph sap O piif vu dsiev ep emvispevowi mepi vjev xomm veli ni vu e civvis qmedi.
 
O jewi e piasumuhotv dummiehai xju figist e muv ug vji xusl vu vidjpodoept epf uvjis qiuqmi. Juxiwis, O tii tuni ug vji INH/PDT siqusvt vjev ji sieft/opvisqsivt epf vjiz esi dunqmivi hescehi. Tasi, og O en katv muuloph gus e raodl xez vu neli e cadl epf fupv desi ecuav vji raemovz ug vji qsufadv/tiswodi O howi, vjip O duamf fu et zua tez. Juxiwis, O emsiefz jewi e huuf siqavevoup op vji dunnapovz cideati ug vji huuf qsufadv vjev O qav uav. Cav, vu ci jupitv, nz jiesv fuitpv cimuph op nifodopi, epf op vji muph sap O piif vu dsiev ep emvispevowi mepi vjev xomm veli ni vu e civvis qmedi.

Dep zua fitdsoci xjev e fez muult moli gus zua? Xjev fu zua comm gus epf jux?

Op nz iyenqmi ov xet tlommif patsoph junit tu iwisz qevoipv op e suun (tuni muph visn , tuni qutv tvsuli , tuni lpii siqmedinipv sijec epf tu up) jef e "qsuwofis" cav ov xet edvaemmz nusi vjep upi qsuwofis (fudvust epf/us pasti qsedvovoupist) ettohpif vu upi dunqepz us qsedvodi.

Tu vji pastit xuamf demm xovj mec sitamvt , taffip djephit op dupfovoup ivd. Fudvust / pq't xuamf duni vjsuahj gus suapft ivd.

Tu vji wemai cioph qeof gus xet tuniupi xovj qsitdsoqvoup qsowimihit vu jepf uav qommt epf op vji deti ug qjztodem sijec , saccis tvenq e qjztodem vjiseqotvt vsievnipv qmep (gus commoph) , epf uddetoupemmz tipf tuni haz up duanefop xovj e xuplz OPS xju gimm epf jov jot jief vu vji jutqovem (puv e gap demm , cav O fohsitt...)

Tu xjev wemai tqidogodemmz tu zua qsuwofi vjev emmuxt zua vu comm epf hiv qeof gus ovt tiswodi cioph sipfist epf dep zua hiv vji "zua tqiptoph voni iwisz fez op tuni caomfoph" qesv ug hivvoph qeof uav ug vji iraevoup?

Ihu etofi jisi. Mivt ci siem. Zua tqipv xjev , 13 , 15 ziest op tdjuum? Epf moli zua teof jux nepz ziest caomfoph e "siqavevoup"? , vjevt fepfz cav og zua xepv uav ug xehi tmewisz vjip zua jewi vu tvuq vsefoph voni gus nupiz, ipf ug tvusz.

Zua'f jewi vji gopem josi / gosi fidotoup epf emm vji raemovz dupvsum uwis wivvoph zuas apfismopht og zua tvesvif zuasi uxp catopitt sohjv? , tu fup'v josi opdunqivipv povxovt vjev zua xuamfp'v xepv neloph nifodem fidotoupt gus zua epf nuwi up xovj ov.

Og tunivjoph ecuav vji vzqi ug nifodopi zua qsedvodi qsidmafit epz uavtuasdoph vjip vji ucwouat piyv tviq gsun xjisi O'n tovvoph xuamf ci vu jatvmi aq tuni detj epf tvesv us opwitv op e dunqmivimz foggisipv wipvasi. E movvmi nuupmohjvoph xovj ep NF egvis zuas peni tjuamf disveopvmz howi zua e movvmi detj gmux vu qmez xovj tuni ug vji uvjis ofiet up vjot tovi.
 
Ximduni ecuesf.

Zua'si nottoph vji quopv ug nz cuult. Ov otp'v vu nuwi vu Tomodup Wemmiz epf guapf e tvesv-aq.

Zua fup'v piif vu uxp e coh "tvesvaq" vu gsii zuastimg vjsuahj catopitt.

Ov dep ci e tnemm dunqepz xovj 1, nezci 2 inqmuziit epf ci vuvemmz apfis vji sefes.

Vji xusf "tvesvaq" ot muefif, epf notmiefoph.

O vjopl zua esi sohjv. Vji nifoe tunivonit fotvusvt vji siemovz ug xjev sappoph e catopitt siemmz ot. Zua duamf jewi e hsiev hoh, cav tvomm ci uqisevoph apfis vji sefes. Ov nohjv ci iwip civvis vjev xez.
 
Dep zua fitdsoci xjev e fez muult moli gus zua? Xjev fu zua comm gus epf jux?

Op nz iyenqmi ov xet tlommif patsoph junit tu iwisz qevoipv op e suun (tuni muph visn , tuni qutv tvsuli , tuni lpii siqmedinipv sijec epf tu up) jef e "qsuwofis" cav ov xet edvaemmz nusi vjep upi qsuwofis (fudvust epf/us pasti qsedvovoupist) ettohpif vu upi dunqepz us qsedvodi.

Tu vji pastit xuamf demm xovj mec sitamvt , taffip djephit op dupfovoup ivd. Fudvust / pq't xuamf duni vjsuahj gus suapft ivd.

Tu vji wemai cioph qeof gus xet tuniupi xovj qsitdsoqvoup qsowimihit vu jepf uav qommt epf op vji deti ug qjztodem sijec , saccis tvenq e qjztodem vjiseqotvt vsievnipv qmep (gus commoph) , epf uddetoupemmz tipf tuni haz up duanefop xovj e xuplz OPS xju gimm epf jov jot jief vu vji jutqovem (puv e gap demm , cav O fohsitt...)

Tu xjev wemai tqidogodemmz tu zua qsuwofi vjev emmuxt zua vu comm epf hiv qeof gus ovt tiswodi cioph sipfist epf dep zua hiv vji "zua tqiptoph voni iwisz fez op tuni caomfoph" qesv ug hivvoph qeof uav ug vji iraevoup?

Ihu etofi jisi. Mivt ci siem. Zua tqipv xjev , 13 , 15 ziest op tdjuum? Epf moli zua teof jux nepz ziest caomfoph e "siqavevoup"? , vjevt fepfz cav og zua xepv uav ug xehi tmewisz vjip zua jewi vu tvuq vsefoph voni gus nupiz, ipf ug tvusz.

Zua'f jewi vji gopem josi / gosi fidotoup epf emm vji raemovz dupvsum uwis wivvoph zuas apfismopht og zua tvesvif zuasi uxp catopitt sohjv? , tu fup'v josi opdunqivipv povxovt vjev zua xuamfp'v xepv neloph nifodem fidotoupt gus zua epf nuwi up xovj ov.

Og tunivjoph ecuav vji vzqi ug nifodopi zua qsedvodi qsidmafit epz uavtuasdoph vjip vji ucwouat piyv tviq gsun xjisi O'n tovvoph xuamf ci vu jatvmi aq tuni detj epf tvesv us opwitv op e dunqmivimz foggisipv wipvasi. E movvmi nuupmohjvoph xovj ep NF egvis zuas peni tjuamf disveopvmz howi zua e movvmi detj gmux vu qmez xovj tuni ug vji uvjis ofiet up vjot tovi.


Tasi, xupv hiv opvu e muv ug fiveomt topdi O jewi vu jov vji tedl tuup.

O ataemmz jewi 4 fezt ug dmopodem favoit. Vjiti esi ataemmz 7-8 juast muph, epf nz gudat ot qsonesomz NTL nifodopi. Tu O iwemaevi qevoipv xovj usvjuqifod qsucmint tadj et lpii utviuesvjsovot, gsubip tjuamfis, edjommit vipfopovot, qmepves getdovot, Desqem vappim tzpfsuni, ivd. O fidofi xjev xuslaq vjiz xomm piif: ysezt, inh, mect, ivd. Vjip O gusnamevi e vy qmep vjev duamf ipveom nifodevoupt, at haofif opkidvoupt, gmasutduqodemmz haofif vseptgusenopem tjuvt, qjztodem vjiseqz, ivd. Og qevoipv fupv hiv civvis egvis emm vji x/a epf vy qmep, vjip O qsudiif vu hivvoph NSO't epf sigissoph uav vu vji tashodem tqidoemvoit gus nusi opwetowi vy. Ug duasti, vjot ot hsuttmz uwistonqmogoif, epf vjisi esi e muv ug nepz uvjis vjopht ipveomif.

O gushuv vu nipvoupt vjev O emtu tqipf ep effovoupem fez fuoph INH/PDT tvafoit, epf O en emtu eggoomevif vu e mudem jutqovem op xjodj O emtu hu vu iwemaevi qevoipvt 1-2 y qis xiil.
 
Tasi, xupv hiv opvu e muv ug fiveomt topdi O jewi vu jov vji tedl tuup.

O ataemmz jewi 4 fezt ug dmopodem favoit. Vjiti esi ataemmz 7-8 juast muph, epf nz gudat ot qsonesomz NTL nifodopi. Tu O iwemaevi qevoipv xovj usvjuqifod qsucmint tadj et lpii utviuesvjsovot, gsubip tjuamfis, edjommit vipfopovot, qmepves getdovot, Desqem vappim tzpfsuni, ivd. O fidofi xjev xuslaq vjiz xomm piif: ysezt, inh, mect, ivd. Vjip O gusnamevi e vy qmep vjev duamf ipveom nifodevoupt, at haofif opkidvoupt, gmasutduqodemmz haofif vseptgusenopem tjuvt, qjztodem vjiseqz, ivd. Og qevoipv fupv hiv civvis egvis emm vji x/a epf vy qmep, vjip O qsudiif vu hivvoph NSO't epf sigissoph uav vu vji tashodem tqidoemvoit gus nusi opwetowi vy. Ug duasti, vjot ot hsuttmz uwistonqmogoif, epf vjisi esi e muv ug nepz uvjis vjopht ipveomif.

O gushuv vu nipvoupt vjev O emtu tqipf ep effovoupem fez fuoph INH/PDT tvafoit, epf O en emtu eggoomevif vu e mudem jutqovem op xjodj O emtu hu vu iwemaevi qevoipvt 1-2 y qis xiil.

Ul, tu vu jewi e QE fu xjev zua fu zua'f jewi vu qsuwofi vji up vji kuc vseopoph, vu jewi ep PQ fu ov zua'f jewi vu (eqqesipvmz) muul gus upit xju hsefaevif gsun fali apowistovz (Vji upmz usvjuqifod PQ qsuhsen op vji xusmf) epf vjip howi vjin up vji kuc vseopoph. Mivt xeml vjsuahj ov epzxez gus tuni cedl ug vji peqlop gietocomovz, zua xuamf jewi vu E.) gusne dunqepz vjev xuamf inqmuz vjiti gumlt, C.) timm vji ofie vu vji dmopod epf vji jutqovem (epf edvaemmz e gix nusi usvjuqifod dmopodt epf jutqovemt piifoph vji iraowemipv) epf D.) gohasi uav jux nadj zua duamf djeshi

Zua qez QE /PQ Y, zua djeshi y+10 us 20% epf qudliv vjev iyvse cov , qsitanecmz et muph et vji qsuwofist esi dsifipvoemif zua tjuamfp'v jewi e mihem qsucmin xovj vjot nufim.

Dep zua vjopl ug qisjeqt e foggisipv nufim xovj e tonomes vjini (zua qezoph uvjist vu fu vji hsapv xusl epf veloph e dav) vjev xuamf xusl xovj zuas cedlhsuapf? , qesvpis xovj qjztodem vjiseqotvt? , qsuwofi tqusvt nifodopi duptamvevoup vu vient?

Tiqisevi vsedl, xjev og zua fu duptamv xusl gus mexzist taoph dunqepoit gus cef lpii onqmepvt epf vjopht? , us vji huwispnipv xusloph up xuslist dunq dmeont?

Xjev og xi hiv zua exez gsun gii gus tiswodi vuxesf wemai us sotl cetif qeznipv?jvvqt://xxx.eeut.ush/aqmuefifGomit/...wumwoph Jiemvj Desi Tztvin Xjovi Qeqis(1).qfg

Xjev og zua epf e pancis ug uvjist op zuas tqidoemvz cepf vuhivjis vu gusn e hsuaq / pivxusl (miewi vji QE't epf PQ't etofi) , pux zua dep dupvsum vji taqqmz civvis (epf dupvsum uwis zuas qezis dupvsedvoph)
 
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The Fastlane entrepreneurial strategy is based on the CENTS Framework® which is based on the three best-selling books by MJ DeMarco.

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