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Preparing Your Practice (or Business) for a Recession

Some of the most disconcerting things a dentist will encounter in their careers are the surprise effects of recessions for which we were unprepared for. This is often a surprise for us as healthcare professionals since we have been historically regarded as having “recession-proof” jobs. However, due to the unprecedented growth in the number of healthcare providers, there are areas of practice (physical location and services offered) that have incredible overlap and density of providers that make competition and susceptibility to market forces undeniable. Healthcare is one of those industries that have characteristics of necessities and commodities at the same time and rather than dwelling on it being susceptible to market forces, we can leverage this duality to protect the business to a certain degree from contraction during a down market. Two goals of recession preparation should be 1) reduce fluctuations in income for the business and for employees, and 2) reduce or eliminate loss o...
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How I Got Out of $200,000 of Student Loan Debt

Have you had the experience of not wanting to even look at your student loan balance because it never gets smaller, sometimes just keeps getting bigger, or is altogether too huge of a number that it scares you? I checked all of the above at one time or another. I’d love to say that there was some magic bullet to getting out of a mountain of debt like the $200k I accumulated from dental school. I’ve even heard of stories of dentists graduating with a half million dollars in debt when you throw in undergrad studies and specialist training afterwards. Many dentists and other professionals with this amount of debt end up resigning themselves to the idea that they will just always have a student loan payment, just like they’ll always have a car payment or a house payment. I’m here to tell you why it is of an even greater importance that you rid yourself of student loan debt in particular compared to any other type of debt. I began my journey as one who was just sick of paying my level pay...

The Power of a Day

Often I'll see bios of dentists that have been practicing for 25 years, 30 years, even 35 years. We love these dentists because they have so many years of experience, and they must be doing something right to be doing the same "job" all those years. I imagine, though, what that means in terms of a dentist's personal life and how one can have the stamina to perform consistently over the course of decades through the waves of love, loss, and liability. We're responsible for a lot of other things in our lives, and not only that, we're subject to many things around us we have little or no power over that can affect us dramatically- family issues, losing loved ones, health scares, market crashes, and existential crises. What does it mean to have years of experience when no one person's experience of the years is the same as someone else's? We live our lives as clinicians in relation to our patients in weeks, months, and years. The typical healing time o...

4 Lessons Learned From Interviewing Dental School Applicants

In the past few weeks, the admissions process for dental schools has been heating up with applicants starting to get invitations for interviews, or for many applicants, NOT getting invitations for interviews. I had the opportunity to conduct mock interviews with applicants from my alma mater a couple of weeks ago in order to help get them ready for the interview process. Knowing what I know now as a practicing dentist, I'd bet as an applicant I was someone who knew an infinitesimal amount about dentistry pretending to know what he was talking about. Here are some tips if you are going through the application process (or if someone you know is going through it): Always emphasize the positive Be humble, hungry, and smart Resilience is the single-most important quality to display Ask for help before you apply, or interview, or begin dental school Lesson 1 - Always Emphasize the Positive One thing an experienced interviewer can do without too much difficulty if they want ...

The Dentist on Fire Manifesto

There comes a point in a dentist’s career (and anyone’s career, for that matter) when we begin thinking, “What’s next?” This is a devastating question if you find yourself following the prescribed course of life that you have seen others follow before you, and you’re actually successful at following the course. You realize, at some point, there’s a certain emptiness in pursuing the next thing. At what point have you arrived? Where’s Valhalla? My vision for the Dentist on Fire is for that person to become the best version of themself. Not because you’ll make more money, indeed you will make more money since the goal is true financial independence - the FI of FIRE. And not because you’ll retire early (the RE of FIRE), but because you realize that if you have the option to retire early, you won’t be sad if your body gives out one day and you can’t do your best work on your patients. Most of us see dentistry as a calling rather than a job, and doctoring our fellow human beings is a sac...

Characteristics of Harvey Specter from Suits Worth Emulating

Like any good citizen of the world, I tend to binge-watch quality shows and often feel the guilt of realizing how much time I've actually spent watching a show. Now if it's an in-depth case study on high performance characteristics, well then it's not so much a waste of time as a valuable investment of time. What I've noticed about Harvey Specter in Suits is that, although he is flawed in many ways, he is extremely effective in others. Here are his 4 keys to success: Walk-away power - says what he needs to and then walks away.  Speaks with controlled forcefulness - visualize lifting and tossing a medicine ball with your voice.   Maintains poise in all situations - body language and facial expressions do not change even when receiving bad news.   Always reading and analyzing others’ tells - language, intention, and expressions, but also analyzes what is missing or not adding up.  More to come, but I have to get back to the binge-watching for now. -DOF

Letter to My 24 Year Old Self

Dear Me, I am writing to let you know a couple of things that may make life easier and (hopefully) reduce any regrets in the future. First of all, keep striving and challenging yourself physically. The feeling of knowing you had, at one time, been unstoppable and could actually accomplish the things you put your mind to physically will one day comfort you when you are then needing to adjust the reality of what you want to do to the reality of what you could actually do. Second, dig the well before you're thirsty. The relationships you'll wish you had should have been begun being built a long time ago. Find something like www.advancedhumandynamics.com and do the things they teach and don't put them off! Thirdly, you'll need to have the ability to navigate the world of interpersonal relationships masterfully and handle them with a clear sense of who you are. Do the work of developing a sense of the roles you play, know very clearly what you value, and never doubt ...