How to Decide on Your Clinic Hours

I met with my high school bff recently. I am in the medical field while she is in the corporate life for the most of her career. I remember an earlier conversation with her about how great it is for doctors to be able to schedule their clinics  against her fixed office hours.  I told her I envy her 13th month pay and bonuses, so we are even! 

But she is right. One of the great thing about practicing is the chance to shape your schedule as you wish. My clinic hours evolved through the years. I started mine with a toddler to raise. I was definite about being around for him. So I opted to see patients by appointment. Clinic starts not so early  and end not so late. As he grew and start big school, I shifted to a very early clinic and timed its end to his dismissal.  I am a morning person so this is great for me. I also like seeing inpatients early so i dont worry about them the rest of the day. 

Changes happened through the years. With an  administrative position in the hospital and additional reponsibilities, a clinic by appointment worked perfectly for me. I had control of my time.  With the traffic  during early morning commute , I experimented on the best time to leave the house  and the best time to go home.  The 2 to 3 hours early commute to the hospital  plus an hour to prepare is too much to bear.  My house is just 6 kilometers from the hospital. That’s an easy 20 to 30 minutes ride when there is no traffic. I figured its best to leave between 9:30am to 10:00 am. So the  morning girl  now holds clinic  at  11am onwards. I am yawning by the time  its 2pm. Good thing I am used to the schedule now. No more yawning ūüôā . I also make sure I leave for home no later than 4pm so i can get home in 30 minutes. 

So many things  get into deciding clinic hours. Consider your family schedule, your body’s peak productivity hours, type of work you need to do ( eg.early surgeries) and even type of patients you see  (eg.  diabetic patients  who are fasting has to be seen early). 

I learned through time that patients follow the doctor they like, no matter what. But do pay heed to what works best for you and what allows you to give the best attention to your patients.

Learning Jar

No doctor can become a good one without being a life long learner. As I began  my practice, I know  I need to keep learning. Attendance to annual convention is required to get a good standing. There are membership fees  to pay on top of convention fees. I also want to attend at least one general pediatrics  post grad course  and one or two subspecialty post grad courses once a year. Mabigat sa bulsa. Absent pa sa clinic. Kailangan isipin as investment not expense. 

During my early years,  I was going on “round” ( ūüôā kasi isang patient lang) when i chanced upon an admired lady consultant. I appreciate practical tips from her whenever we have chats. We were talking about expenses and how  many think doctors earn a lot. She told me that as one’s practice grows, many would ask for help, most often financially. She most often obliges but it can disrupt or dent one’s budget.  To solve the problem of sudden need for money when someone asks for help, she maintains a separate fund for it that she continues to fill up all year. Some patients and friends who are willing to donate as a way to pay forward because they have been attended to for free, are put in this fund too.  

This gave me an idea to set funds for future learning expenses. This will be my learning jar. A portion of everything I earn goes to this jar.  I can use it for the annual convention fees , post grad  courses, or any skill building expense I need.  As I do it this way, it reinforces the way I think about learning as an investment I need to save up for. It has worked for me through the years. Its  been worth it. After all, the biggest asset I  have is myself. Why not spend generously for my own growth and development. Go get your jar now and start filling it up!

Image courtesy of Stuart Miles at

Career Lessons from Freddy Mercury (Bohemian Rhapsody)

Have you watched Bohemian Rhapsody, the movie?¬† The story of Queen’s lead singer Freddy Mercury¬† is a powerful illustration of how a career can be shaped to achieve success. One thing¬† was clear: Freddy took charge of shaping his career.

Here are 3 career lessons  I learned from Freddy Mercury

Pursue your Passion. Freddy was relentless. He loved music and expressed the artist in him with his songs, costumes he wore and their album designs.

What are you passionate about? What do you want to keep doing that makes your heart sing and your eyes “twinkle” as one of my friends would say? Many say your passion is one that you want to do even if you do not get paid for it. Its not for the money. Its one that makes¬† good use of your gifts, your strengths and your talents. Think about it.

Do not be afraid to do things differently.  Freddy was different  and was not afraid to be so. He took a different path in his approach to his music. He redefined what  the audience would like. He refused to copy what is out there. He set the tone. He created his own.  Bohemian Rhapsody  was 6 minutes long with segments from different genre. It was way longer than the usual songs listened too. His producer told him people would not listen to a 6 minute long song. He persisted.

What is it about things that you would want done differently? What is stopping you? What is it that you want to challenge?

It takes a village to raise a child so with building your career.¬†Freddy made the Queen what it is , but the Queen made Freddy who he is.¬† Building a career entails working with people. As shown in Freddy’s life, it is not always as rosy when it comes to relationships. But growth is only possible when you work well with others. Who are your enablers in the career you have chosen? How well are you working with them?

Movies mirror life to us.  It entertains us. It teaches us. It  reveal to us what we sometimes fail to see.

If you have seen the movie, what other lessons  did you learn from it?

Please share in the comments so we can learn from it too.


photo credits: By Source, Fair use,

How to Orient your Medical Secretary






My secretary of ten years recently left for abroad.  If you read my previous blog entry ( on who can make or break your practice, your secretary sure is one who can!  Ms. A  has been an efficient partner  in my practice.  She knows how I want things to be so I  can work at my best. She genuinely cares for my patients too. She is like my administrative boss who is able to handle all non medical aspects of the job.

So what do you do when your trusted help suddenly tells you she or he is leaving? I appreciate that Ms. A told me way ahead. She knew I had to find a suitable  replacement.  She knew also that whoever replaces her had to be trained.  Here are three things you can do to prepare for a similar situation:

  1. Identify the work your secretary does for you (its like a job description). I asked Ms. A  to write down everything she does for me  then I grouped them into general categories. These may include: documents to keep and maintain, payments to make on a regular basis, clinic operations procedures (for me, this includes how to take patient weight, height and vital signs, vaccine ordering and safekeeping, collecting from HMO etc), location  and contact persons of vital offices  etc.
  2. Write up in detail how each of the tasks are done. Make it like how any company would write its manual of operations. If you are just starting a clinic, you may need to write this yourself. But if you have been practicing and your current secretary are doing these things, just have her write it and revise as you see fit.
  3. If you have the opportunity, have your old secretary train the new one weeks before formally taking over. Run through the tasks with the new one yourself  to check if she got things right.

Avoid getting caught off guard! If you haven’t done this, now is the time.¬† If you are just starting, do it to be prepared.

Have you got other ways to prepare? Share  and write in the comments.


3 Lessons I Learned from The Greatest Showman Movie


Have you watched The Greatest Showman?¬† The movie is starring Hugh Jackman sans the metal in his arms. The story is inspired by the life of¬† Phineas Taylor Barnum who founded the¬† Barnum’s American Museum and Barnum and Bailey Circus. He eventually sold it¬† to the Ringling Brothers¬† who merged¬† their¬† own show with it and became known as the Greatest Show¬† on Earth.


While the movie may have some cinematic license when it comes to certain details, there were lessons to learn from the movie as presented.

¬† ¬† ¬†1. P.T. Barnum’s dreams came true because he was passionate.¬† He knows what he¬† ¬† ¬† ¬† ¬† wanted and he pursued it relentlessly.¬† He was adamant despite obstacles and¬† ¬† ¬† ¬† ¬† ¬† ¬† ¬† downfalls. He was fired by his purpose.¬† If you are a start up like him, the same¬† ¬† ¬† ¬† ¬† ¬† ¬† passion he had becomes a fuel to pursue your future and make it happen.

2. He knew his audience and delivered what they clamor for.  He knew people are               by  nature are curious and he gave them what they seek  for.  His show became             relevant  to his audience because they were answers to their natural curiosity.  If             you are a start up, it pays to know the customer and respond to their needs.


3. He tried his best to make a life not just a living.  He may not have realized it                    earlier, but certainly in the end, he knew its not just about making a living. In                   planning your start up, have your big picture to include a life that makes your heart         smile.

How about you, any more insights from the movie?

Plan a Life Not Just a Living

For as long as I can remember,  I know I have always wanted to be a doctor.

When I was in high school, I met  a family friend  who is an anesthesiologist. She is kind, warm, compassionate.  She attended to me when I had my first minor surgery before entering college.  She is  partly practicing and partly holding an administrative position. She was simple, pretty and elegant.

Mostly I was attracted to her demeanor. Warm, soft spoken but firm at the same time. She reassured me while going through the procedure. She seem to like what she is doing. She has a family  and spends a good amount of time with them.  I sensed a great mix of work and family life. I kept that in my mind through the years.

I want a life like that ,I told my young self.

I have kept that image  of  work life balance in my mind. Many years forward, I am a physician and had opportunities to do administrative and training work in my hospital.

Have I done it?  The balance?  I must admit not all the time.  But I found a good means to  find my way back  when it tips  off to one side.

I would like to teach you how.

Let me share  one story with you.   In one training session, I met Dr. A. She is a young fellow in her last year of training. We had an activity where they were asked to create images of their desired future.

How would life be 5 to 10 years from now?

How would each day of waking up look like?

Where am I ?

Who am I with?

What is my work place like?

How is my weekend?

Do I have a family? How are we?

Many questions. The answer to which had to be placed on a board with the most colorful and representative pictures we could find.

Then it was time to share. As she was called, I noticed she was teary eyed. The exercise was a revelation to her. Looking at her board, she saw that her ideal life was way off with the lifestyle of her chosen field. She wanted a predictable day time job that would allow her to do other things. No night calls. No emergencies.

She cried. I can sense regret and sadness.¬† She is on her last few days of training . Then I told her, “you know, your practice¬† can be as you define and design it”. She couldn’t get back the years she spent training for her field but she can practice in a way that could fit her desired ideal life.

I see her around these days. She is happy. Her practice is mostly ambulatory. She trained further in a subspecialty that makes it more of a day job. This field does not require night calls and is seldom an emergency.

Create your vision of life and work.  Keep it where you can see it. Make it a reminder to yourself each day you wake up.

.Why plan a practice when you can plan a life?

What’s your plan? Share yours.

Photo by Free from Pexels

What’s Your Elevator Pitch?

What's Your Elevator Pitch?

Remember in grade school when we were asked to  introduce ourselves in front of the class?


Imagine if you had to do the same in a gathering of potential patients. You have been asked about what you do and everyone is listening. What do you say?


We are used to being introduced with all the accompanying  letters that appears after our name or with the training institutions we went to.  We can’t bore people with those.


You need an elevator pitch.


An elevator pitch is handy  when situations lead to an opportunity to tell others  about what you do and its value.


It is  an elevator  pitch because it should be as short as an elevator ride. A good  1-3 sentences long  will do.  It should tell others how you can help. Use words that evoke a visual picture.  A good one creates a stir, gets talk going   and helps  them remember you. If you only have one line to tell people  about what you do, what would it be?


As for me, I help parents raise healthy and happy kids. I am a pediatrician.


Write yours in the comments below!


Create your elevator pitch.

Image: Gregory Szarkiewicz /