INTRODUCTION
This book is for physicians, residents, interns, and medical students alike. It is for everyone involved in the practice of medicine, and anyone who each day faces the satisfactions, challenges, and frustrations that are an integral part of the modern healthcare system.

While medicine has always been one of the most rewarding of professions, being a doctor today is in many ways far more difficult than at any time in history. We know more about the causes of disease, and we have a powerful and growing arsenal of drugs and other treatments that have improved the human condition to a degree that could scarcely have been imagined just a few decades ago. Yet, many of us are dissatisfied, and a growing number of healthcare professionals are giving up and quitting long before the traditional age of retirement. The reasons given are many. Rising malpractice rates and increasingly heavy-handed managed care companies are common examples. However, those are just the most obvious challenges to a successful practice.

I believe that the greatest threat to our well-being as physicians can be found within each of us. Malpractice rates and uncooperative patients are just external challenges that can be overcome – or at least mitigated. The hardest problem to solve is a negative mindset and attitude, and it is here that we must focus our attention if we want to change our situations and give our lives new meaning.
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Chapter 1
THINK INSIDE YOUR BOX
Craig is a friend of mine who’s spent the past several years trying to build a practice in internal medicine. Beset by sky-high malpractice rates, he often speaks of how frustrated he’s become with the world of medicine and how he wants to get out.

During one conversation, he told me that he was buying up urban real estate properties and trying to rehab them for resale. So far, he’s made no money on the deals, but he’s convinced that real estate is the way to increase his income.

He’s just one of a long list of physicians who have taken the idea of “thinking outside the box” to mean they should delve into an area in which they have no experience. Some, like my friend Craig, read the myriad books on buying distressed properties with no money down or getting rich in penny stocks and think, “Yes, this is what I need to do to make the money I deserve.”
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