June 13, 2025 • 34 mins
SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show!
We share some medical school scholarship opportunities and then answer a listener's question on what happens when your partner has a seasonal job in one location, but the best locum work opportunities are elsewhere.
Dr. Love Anani also joined us over the phone and we discussed what we use to track payroll, expenses, deductions and mileage.
FREE DOWNLOAD - 7 Considerations Before Starting Locum Tenens - https://darkos.lpages.co/7-considerations-before-locums
LINKS MENTIONED
Payroll - http://Gusto.com
Tracking expenses - http://Quickbooks.com
Mileage - http://mileiq.com
Q&A and Suggestions Form - https://forms.clickup.com/9010110533/f/8cgpr25-4614/PEBFZN5LA6FKEIXTWF
Send us a Voice Message - https://www.speakpipe.com/docsoutsidethebox
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
My partner has a seasonal job in Boston the worst
place.
Good luck to your partner andthe plan is to do locums to
match a similar timeline, julyto November.
Speaker 2 (00:09):
You could take that person with you right?
Speaker 1 (00:11):
The locums company is not going to pay for them,
especially if you have to fly,that's if you don't have a side
piece at your other job.
Speaker 2 (00:18):
You know what?
Nii?
People not going to write toyou, no more.
Nii, you can't be talking aboutpeople cheating on locums gigs.
What you're doing at yourlocums gigs, don't make me pop
up on you.
Speaker 1 (00:30):
Listen.
Speaker 2 (00:30):
I speak freely because I don't do any of that
stuff.
Speaker 1 (00:32):
So I'm just saying Okay, why you don't say Some
people got locums wives, yeah,locums husbands, so bring in
that person, oh, some people gotlocums, husbands oh snap yo
what's good, everybody.
Welcome to another episode ofdocs outside the box.
Yo, it's your boy, dr knee,joined by dr renee yo.
(00:54):
so listen guys, um, I juststarted realizing like a lot of
times, yeah, a lot of times,like we, we have been answering
questions um that you guys havebeen submitting through
Instagram, through textmessaging, whatever, and a lot
of times what happens is I'mtrying to encourage you guys
more to answer or, excuse me, tosubmit the questions, because I
always have all the answers.
(01:15):
You literally can figure outany situation that you have
Really Me.
So I wrote some stuff down andthen I was trying to memorize it
Right and I was like who cares,this is Doc's Outside the Box.
You guys don't need to haveeverything perfect and I always
talk about just take a stepforward.
So I wrote some down toencourage you guys to what do
you call?
Speaker 2 (01:34):
it.
So you're going to encourageright in the first five minutes.
Speaker 1 (01:36):
Yes, I am, it's my show.
Speaker 2 (01:38):
People listen to the show with their children in the
car children in the car.
Speaker 1 (01:45):
Okay, alfred, beep those out then.
All right, so here's myconversational podcast intro
that I wrote out.
Okay, me and chat GPT.
You ready?
So then, chat GPT wrote it.
I wrote it too.
Hey y'all, welcome to DocsOutside the Box.
This is the place where we talkabout real life beyond the
white coat hyphen or dash.
Finances, comma, career moves,comma, side hustles, comma, even
the stuff they never taught usin med school.
(02:06):
End quote and listen hyphen.
We want to hear from you.
Speaker 2 (02:11):
Why is there a hyphen there?
Speaker 1 (02:12):
I don't know that's what I put in there.
Got a question about studentloans Question mark Thinking
about going locums Question markNot sure if you're on the right
path.
Question mark Send it in.
It prompted me to get morehyped as we kept reading that up
in it.
Prompted me to get more hypedas we kept reading that up.
Seriously, no question is toosmall or too big.
If it's on your mind, chancesare someone else is wondering
the same thing.
Just email us, ask where shouldthey email us at.
(02:33):
Tell them see, that's where youhave to come, come in.
Just email us at go ahead wherethey don't email us if they do,
where do they email us?
Speaker 2 (02:42):
they don't email us.
We don't do email.
Where do they email us?
Speaker 1 (02:45):
at they don't email us.
We don't do email or hit us upon IG at Docs Outside the Box.
You might even hear yourquestion on a future episode.
Speaker 2 (02:52):
All right, let's get into it.
What happened to all thepunctuations Like you started,
like oh, I got tired of readingthat stuff.
Speaker 1 (02:58):
But hey guys, this is Docs Outside the Box.
This is we talk about real lifebeyond the white coat finances,
career moves, side hustles,even the stuff they never taught
us in med school.
And listen, we want to hearfrom you all.
If you got a question aboutstudent loans, you got a
question about locums, you got aquestion about relationships,
you got a question aboutanything in life, and you just
want to know if you're on theright path.
Uno, no, no, right here I'mgoing to answer all your
(03:20):
questions for you.
Okay, there's no questionthat's too small, too big.
If it's on your mind, chancesare someone else is wondering
the same thing.
There's so many ways you canhit us up.
You can text us, Go to the shownotes, go to the descriptions
and it's all in there that youguys can reach us in.
We do want to hear from you, wedo.
(03:40):
Speaking of such, we got areply back from dr moona.
If you guys it wasn't moana, itwas moona.
If you guys don't remember drmoona, she's the doc from.
I think she's finishing herresidency in psychiatry or
something in new york and shebasically trying to like get off
on her taxes and stuff, oh nowhatever it is.
But she was trying to get off onher taxes and not pay much and
she was like, let me figure outa scheme to like live in new y,
(04:02):
but I have my business inWyoming.
Speaker 2 (04:05):
Which.
Speaker 1 (04:06):
Wyoming actually does have pretty good.
Speaker 2 (04:07):
We peep gang Dr Muna.
Speaker 1 (04:10):
We peeped you, but she writes back.
Dr Nian and Dr Renee, thank youso much for the thoughtful
message and for answering myquestion on Docs Outside the Box
.
I finally had the chance tolisten and I just wanted to say
how helpful it was.
You really helped me understandthe importance of getting
written consent before sharingmy CV, and the way you broke
down the pros and cons ofsetting up an LLC out of state
(04:32):
gave me a lot more clarity.
I also really appreciated youtrying to pronounce my name.
Just to confirm, it'spronounced Muna, spelled
M-O-O-N-A.
She didn't really put apronunciation there, but I'm
going to just assume that she'ssaying Muna, right.
Yeah, that's no, but you don'tsay spelled, she would have
spelled M-O-O-N-A.
Speaker 2 (04:51):
Yeah, if you were to say it.
Speaker 1 (04:54):
You'd have to put the phonetic.
Speaker 2 (04:55):
No, you don't.
You don't have to.
Speaker 1 (04:57):
That's what the dictionaries do.
Speaker 2 (04:58):
No, and they should Nice little emoji too.
Speaker 1 (05:01):
I don't know what they do in Brooklyn, but in
Queens.
Speaker 2 (05:02):
Muna.
Speaker 1 (05:04):
That's how they did it.
Keep doing what you're doing.
It truly makes a difference.
Bet.
Speaker 2 (05:10):
Thank you so much, Muna.
We truly appreciate it and,yeah, it's a beautiful name,
Muna.
Speaker 1 (05:15):
It's a very beautiful name.
Speaker 2 (05:17):
And.
Speaker 1 (05:17):
I just want to say, guys, listen when you guys get
your answers, you know yourquestions answered.
You know your questionsanswered.
Or just tell other people aboutthe show, because we really are
trying hard, like we reallyenjoy doing this podcast, but
also, at the same time, wereally enjoy the interaction.
I love talking to you all.
I love answering your questions, figuring it out, we may not
have all the answers I'm justjoking around when I say I have
(05:37):
all the answers.
But he think you know we got alot of life experience right, so
it's super important and stuff.
So, um so today is a q a day.
This is what y'all say.
Um so we got two questions thatwe want to answer to say but I
do want to say one quick thing.
So before the last episode, Iwas joking, I was telling all
those people I needed to add.
So I was like y'all need tostart doing push-ups, right,
because we were talking aboutthe one big, beautiful bill and
(05:59):
how it's going to lower, youknow, student loans, the amount
of total amount of student loans, it's actually $150,000.
I think we said $100,000.
No, it's $100,000.
The bill is saying $100,000.
Speaker 2 (06:11):
The bill says $100,000?
Yeah, right now.
Speaker 1 (06:13):
it's $150,000 right now, oh I see I see, I see, I
see, okay, right, so thatpossibly could get you to two
and a half years of grad school,possibly right.
Speaker 2 (06:23):
You need more than that to go through med school.
Speaker 1 (06:26):
So I was joking before in the previous episode
and I was telling y'all y'allneed to do some push-ups, y'all
need to do some planks, y'allneed to go out and run because
y'all need to get into themilitary and get them
scholarships going right.
Speaker 2 (06:39):
But think about it yo .
Speaker 1 (06:40):
What if you're like in?
Speaker 2 (06:41):
oof.
Yeah, they won't take you.
Speaker 1 (06:43):
They'll take you.
Well, who won't take you?
The military.
The military won't take you,right, I don't know if they'll
take you or not.
Speaker 2 (06:47):
Is there a cutoff to join the military?
Speaker 1 (06:51):
I don't know.
Speaker 2 (06:51):
Somebody tell us Is there a cutoff?
I don't know.
Speaker 1 (06:57):
Don't chat GPT it.
Speaker 2 (07:06):
No chat GPT.
Listen see, the key thing isyou can use Chat GPT is not as
entertaining.
Speaker 1 (07:08):
It's right.
But that's where our life comesin, when you throw in what I do
, what you do, and then youthrow in some like actual facts
in there.
Bullshit and facts always is alot of fun, right?
That's what I think, sprinklinga little bit, you know I love
it.
All right.
So, real quick, the medicalschool scholarships.
I looked it up real quick.
There's the AMA FoundationPhysicians of Tomorrow
(07:29):
Scholarship.
This is about ten thousanddollars, right?
So this one is through the AMAFoundation.
We'll put these in the shownotes.
But AMA,000, right, you go toTylenolcom for a scholarship.
You got the National MedicalFellowships.
This is anywhere from, you know, very minimal to up to 7K,
(07:53):
maybe even plus.
This is nmfonlineorg.
You got the Health ProfessionScholarship Program that I was
telling you all about.
This is with the military.
This is with the Army, the Navy, even the air force.
All right, so they get yourweight up on this one.
The white coat investor who?
we had on like three episodesago.
(08:13):
He's got his own scholarship.
Um, I don't know how much he'sgiven out, but listen, you need
to go and look where you can getsome money.
There's um Herbert W Nickensmedical student scholarship,
right.
That's through the AAMC, right.
That's up to like $5,000.
You got the Indian HealthService Scholarship Program.
They got some programs that arebased specifically just at
certain institutions.
Johns Hopkins has one,university of Wisconsin has one.
(08:36):
Drexel University, boldorg.
These are programs that areactually at like companies that
do their stuff all throughonline, right, boldorg.
Going Merry Scholarshipscom.
There's a lot of stuff, guys.
Speaker 2 (08:54):
It's a lot of stuff, sherry Arnstein, I think.
Speaker 1 (08:56):
Yeah, from.
The osteopathic.
Speaker 2 (08:57):
Yeah, so there's there's before.
Speaker 1 (09:00):
I was listening to the previous episode because you
know I don't listen to episodesold episodes but this one I
wanted to listen to and I waslike man, I probably should have
put more.
I should have put more contextand more nuance to the
scholarships that are out there.
But those smaller scholarships,those are really hard to get,
whereas, like the healthprofession scholarships that are
(09:21):
with the military, thescholarships that are things
that you have to exchangeservice for, usually those are a
bit easier.
The ones at your school,depending on where your school
is at, they really don't havethat many funds.
So that's the reason I broughtthat up.
Do you want to add anything onthat before we jump into our
first?
Speaker 2 (09:39):
question.
I mean, you know, I think youknow, if you are going to med
school right now, look, you know, look into scholarships, not
just health related scholarships, right, because that's the
other thing is that we, you know, we try to sometimes create
these opportunities only withinthat particular lane, right, but
(10:02):
there is the, you know, if youhave a scholarship for being
redheaded and left-handed, right, you should be looking up all
of those scholarships, becausenot every single scholarship has
to be very specific to theindustry or the profession that
you're going into.
So if I were you, I wouldactually make looking up
(10:23):
scholarships almost like asecond job.
You know, take a day out of theweek, every single week, to be
able to look up scholarships andcomplete scholarships because,
yeah, you guys are going to needthem.
Speaker 1 (10:37):
Well, we don't know if this bill is going to really
go through, because the twobillionaires, quote unquote are
fighting about things right now,so we'll see Elon and Trump.
I'd say listen about thingsright now, so we'll see Elon and
Trump.
Speaker 2 (10:47):
I'd say listen, don't take no chances, we'll see.
Don't take no chances, we'llsee.
We'll see.
Speaker 1 (10:51):
All right, let's jump into our first question.
This is a locums question, soyou know we love locums.
I think it's the panacea foreverything.
Speaker 2 (11:00):
No, it's not Measles.
Really you should be runningfor you should have been
appointed.
You should have definitely beenappointed.
Speaker 1 (11:10):
Well, I have to do coke and all that stuff.
Speaker 2 (11:13):
You got to do coke and be able to speak in an
incoherent manner before you getappointed to any sort of
department in the government.
Speaker 1 (11:22):
I've learned so much from.
Speaker 2 (11:23):
Well, I just want to let everybody know that measles
is really not a problem in thiscountry We'd be dissing people
without actually name-dropping.
Speaker 1 (11:35):
This is like a diss track you know who you are Docs
Outside the Box is like a disstrack from 2016, all the way up
to now.
It is a subtle diss track onpeople.
You just have to know what'sthe acronym.
You know who you are.
What's the acronym?
I-y-k-y-k.
If you know, you know.
Speaker 2 (11:53):
If you know, you know , people be getting dissed on
this show.
If you know, you know.
Speaker 1 (11:58):
Shout out to Kendrick for teaching me how to diss
people subtly and overtly.
All right, let's do thisquestion.
Hello Dr Renee and Dr Neem.
I'm a third-year family medresident looking to do locums
coming out of residency.
I want to thank both for beingthe best source of information
out there.
With honest and entertainingtakes on the many layers of
(12:19):
locums and healthcare in general.
You helped transition the ideaof locums into a more digestible
, slash, realistic option.
I think for the most partthat's me right.
My partner has a seasonal jobin Boston and the plan is to do
what?
Are you looking at me like that?
Speaker 2 (12:33):
for?
No, like you like to takecredit for, like stuff that you
don't really need to take creditfor, no, I just feel like I I
don't think.
Speaker 1 (12:40):
Read the question me.
My partner has a seasonable.
Speaker 2 (12:49):
See ChatGVT can't do this.
Speaker 1 (12:52):
My partner has a seasonal job in Boston the worst
place.
Good luck to your partner andthe plan is to do locums to
match a similar timeline July toNovember.
Oh, okay, why July to November?
Speaker 2 (13:05):
Because the partner has a seasonal job.
All right guys.
Speaker 1 (13:08):
So this person's partner has a seasonal job
that's probably going to endsometime in November.
This person is looking to dolocums from July to November.
Speaker 2 (13:16):
Right when they graduate to November.
Speaker 1 (13:19):
There has been less jobs than advertised by the
locums agencies at the start ofthe search of, or jobs with
timelines, not willing to waitfor residency to finish a what
point?
Months, weeks?
Would you recommend consideringa different location entirely,
pursuing other options?
Have there been times or have?
Or how have you adjusted yourplans If opportunities aren't as
(13:40):
prevalent in the area you arelooking for?
A few other questions favoritewebsites to track payroll
expenses deductions, mileage, etcetera.
All right, we're going to getto that bottom part.
Last, oh, they also want toknow thoughts on AI scribing and
if it's the future, shortanswer yes.
So basically, the issue forthis person is they're trying to
find a locums gig that'll allowthem to work for a specific
(14:02):
period of time, and it looks asthough that person is trying to
look for specifically in thatarea where their partner is.
You want to start or you want meto start?
Speaker 2 (14:11):
No, you go ahead and start.
Speaker 1 (14:16):
I'd like to hear what you have to say especially
since you have so many wonderfulthings to say about Boston.
Okay, the third-year familymedicine resident that's writing
this.
So there's these things that ifyou look up in the sky they
look like birds, right, andthey're made of iron.
They have engines on the sideright, called planes, plane.
Speaker 3 (14:32):
Plain, not plain Plain.
Speaker 2 (14:38):
You know what Neat you cannot insult, I'm not
insulting, I'm just saying.
You cannot insult the personwho's asking the question.
Speaker 1 (14:45):
And then there's these horses right, they don't
have tails, but they're made ofmetal.
Right, it may say Amtrak on it.
Right Goes from like Bostondown to like New York, maybe
even lower than that, right ToDC, right, you know, ain't
nobody going to write to you, nomore.
And they could even cancel andthey could even stop at air, at
air, at airplanes, rightAirports, airports Like what
(15:06):
train goes to JFK.
Speaker 2 (15:08):
I don't know.
Speaker 1 (15:08):
There's trains that go to LaGuardia All right,
Listen, basically what I'msaying is this Listen, I get
what you're saying and I'm justjoking around, but look, it
could be hard to find, like aspecific locums job that is
going to be reasonable to thetimeline that you have Right,
Like depending on where you areRight.
You're just going to have tolearn to be a little bit more
(15:29):
feasible, flexible, with, youknow, going someplace else for a
little bit.
So Renee was in Atlanta.
I did not find any locums.
So while this is what 10 yearsago or 15 years ago, me and
Renee were dating, we becameserious, we got engaged, but she
was in Atlanta.
I was doing locums in Idaho,Minnesota, Wisconsin,
(15:51):
Pennsylvania, and I looked inAtlanta, I looked in Georgia.
There really wasn't anythingfor trauma surgery in that area.
But you know, I knew that overthe next several months we're
going to be getting married,we're going to be living
together, you know.
So I traveled and I traveled tothose different places and I'd
be gone for a week, I'd be gonefor two weeks, but then when I
(16:11):
came back home, I would comeback and split time between my
parents' house or spending timewith Renee home.
I would come back and splittime between my parents' house
or spending time with Renee.
Long story short is, sometimesyou're going to have to just
sacrifice, you know, for alittle bit.
You know sacrifice and havesome short-term pain to have the
long-term win which would be,you know, a consistent period of
time that you're going to bewith your significant other once
(16:32):
you guys find a job or jobsthat both fit you guys.
So that's why you know I'mjoking around and saying that
more than likely you're going tohave to travel.
Just be also know that whenyou're doing locums, when you're
being an independent contractor, like you know, you kind of run
the show.
So if there's places that arelike hey, like you know, we
can't wait, then you know youjust have to wait till I finish
(16:55):
residency, that's it.
But there are a ton of placesthat I know for a fact that they
make plans for peoplegraduating a year in advance,
sometimes even two years inadvance and depending on if you
grew up in that neighborhood, ifyou like, for example, like
we've been to, I've been tosmall places, small hospitals
where, like you know, the localprodigy grew up Right, and if
(17:17):
there's no other medical schoolsor there aren't any medical
schools there, they will make aspace for that person to come
back in three years.
Space for somebody like that.
When I was working in Idaho.
Speaker 2 (17:39):
I worked locums while I was in Idaho and I was
actually literally holding aspace for someone who was going
to be coming back to thisextremely small community it was
a community of like 15,000people and so they had an OBGYN
you know, who was getting readyto graduate from a residency a
year later, and so I came inabout 10 months before she
(18:02):
graduated and they held a space.
So you might be able to findsomething like that, something
similar, but I agree with you.
I think that you know if it'sseasonal July to November you
know, understand that that's avery short period of time and
that you can travel and thatdoing locums between July and
(18:27):
November right, doing locumsbetween July and November
doesn't necessarily mean thatyou're going to be gone from
July to November.
It means that you can run theshow.
You can say I want to workthese days between July and
November, right.
So you could say I want to workfour days a week, you know,
(18:49):
between July and November, or Iwant to take call, you know, on
two weekends per month in Julyand November, depending again on
the need.
The other thing that I thinkpeople don't realize is and I
don't know what your, you knowwhat your partner's schedule is
(19:09):
or how, you know what thelogistics is, you could bring
that person with you right,especially if that person has
some time off.
Let's say that person hasweekends off during this
seasonal job that they have andyou decide, okay, well, I'm
going to work weekends.
You could take that person withyou right?
The locums company is not goingto pay for them, especially if
you have to fly of the job.
(19:35):
You know what?
Nii People not gonna write toyou, no more.
Nii, you can't be talking aboutpeople cheating on locums gigs.
What you doing at your locumsgigs, don't make me pop up on
you.
Speaker 1 (19:44):
Listen, I speak freely because I don't do any of
that stuff, so I'm just sayingOkay.
Speaker 2 (19:50):
Listen, we gonna go live one of these days on IG.
Gonna pop up on Dr D talkingabout oh, you got a work wife,
you got a work wife.
Speaker 1 (19:59):
That's what I was getting to.
You got a work wife D.
Some people got locums wivesyeah, Locums husbands.
Speaker 3 (20:05):
So bring in that person.
Speaker 2 (20:06):
Oh, some people got locums husbands Ooh.
Oh, snap Okay we're going to golive on IG one of these days.
Speaker 1 (20:18):
Oh, one thing that I forgot to mention also is so you
brought up a good point.
So one thing to think about isthis you know, we always tell
people, particularly in thecourse that we have, we tell
people, hey, you actuallyshouldn't just have one locum's
job, you should have like maybetwo, three, sometimes even four.
It doesn't mean that you'regoing to be going to all four
places at the same time in thesame month.
No, you're just basicallyjuggling them Right.
So particularly if, let's say,for example, you're trying to
(20:40):
get into Boston and I'll be veryhonest with you, like when
you're in big cities, whenyou're in major cities, the
locums opportunities in majorcities usually are limited,
because a lot of people want todo that Right, want to be there
Like it's like trying to dolocums in Miami.
Imagine trying to do locums inMiami or locums in Los.
Angeles, or locums in New YorkCity or locums in Boston.
Speaker 2 (21:02):
Chicago where there's an overabundance of medical
professionals there who arewilling to take less by the way
in order just to live in thatcity.
So they're willing to take apay cut just so that they could
say I live in New York City.
Speaker 1 (21:15):
So, although you don't have to.
So the reason I'm saying is,you know, maybe if you want to
be closer to home, you may haveto negotiate, may have to take a
little bit less to be in Bostonfor a little bit but then have
another gig that is, you do likehalf of the other month, or in
other months where you can getthat money back that you're
losing by working in Boston,right.
(21:35):
So let's say you have anotherjob that takes, or in other
months where you can get thatmoney back that you're losing by
working in Boston, right.
So let's say you have anotherjob that takes you to the
Midwest.
It pays, very well, you know,you kind of incorporate that in
so that you can be home, andI'll be like doing locums and
then going back to your samehouse and seeing your
significant other.
That's amazing right, Especiallyif there's no change, if you
can do it, yeah.
You don't have to have asuitcase, you can come home and
(21:57):
have home cooking and everything.
It's a great experience.
But there are times where youmay have to just say you know
what, at this point I don't havecomplete leverage.
Let me sweeten the pot for themand say okay, well, you know.
Rather, do not take $80 an hour.
There's going to be some familymedicine docs who are like what
do you, you know?
Speaker 2 (22:13):
Yeah, don't do that.
Speaker 1 (22:22):
Especially if you do family medicine and you do ER,
yo, you could be making mad loot.
Speaker 2 (22:26):
Oh, that was the other thing I was going to say
right, family medicine.
You have a lot of options.
Okay, mad loot.
You want to say it three moretimes Mad loot.
Speaker 1 (22:39):
One Mad, loot Two Mad loot Three.
Speaker 2 (22:44):
Okay, got it.
So as a family medicineresident, you have a lot of
options.
So you can do family med, right, you could do urgent care.
Yes, you can do ER.
Yes, like I would take.
I would look at all of thoseopportunities potentially.
(23:07):
The other thing is so you livein Boston.
The question is, are there moreremote parts of that area where
, yeah, maybe you're a littlebit further away from home, but
you're not so far that youactually have to travel by plane
or by train?
You could literally just drivethere, maybe an hour, two hours
away, and be able to do yourshift or do whatever work you're
(23:29):
going to do for a certainamount of time and then be able
to come home.
You know, and you know, go backwhenever it is that you're
scheduled to go back.
Speaker 1 (23:39):
What are you doing?
Yeah, I'm trying to reach outto Dr Love.
I want to see what he doesBecause he's ER.
Speaker 2 (23:43):
I want to see if he's going to pick up, but we
recording.
I know we recording how do youknow he's going to pick?
Speaker 1 (23:48):
up, because I just know.
Speaker 2 (23:50):
But he's not picking up.
Speaker 1 (23:51):
Well, let's see if he's going to record or if he
what is going on.
He might be on shift.
Speaker 2 (23:58):
He might be working.
Speaker 1 (23:59):
I think he does night shift though.
Speaker 2 (24:02):
But then he's sleeping.
Speaker 1 (24:03):
D All right, dr Love.
You missed out on youropportunity.
Speaker 2 (24:05):
Oh, my Lord D Leave that man alone.
Oh, All right, because I wantedto get his perspective With
sexy voicemail.
Speaker 1 (24:13):
Thank you for calling Yo people real quick.
Another question for y'allPeople have messages on their
Hold on.
Hold on.
He's calling Dr Love.
You are on Docs Outside the Boxpodcast.
We are absolutely recording.
Please curb your voice.
What's going on?
What's good?
Speaker 3 (24:32):
Nothing much.
Speaker 1 (24:33):
I didn't think we were going to do this right now,
oh my God, yo, you got to stayready and be ready, aren't you
ER?
Speaker 2 (24:40):
I oh my God, you got to stay ready and be ready,
aren't you, er?
Speaker 3 (24:41):
I'm saying I am, I'm answering today.
No, but medical director got togo to places.
Speaker 1 (24:45):
So we got a question that we're trying to answer.
So we got a family medicineresident who is going to be
doing locums.
As someone who does primarilyER, are you still seeing family
medicine doctors who are doingER?
Speaker 3 (24:58):
Yes, medicine doctors who are doing er, yes, but I
have found that they are not atthe larger big old.
You know ordinary tertiaryhospitals, more rural places.
But they are around, yeahthat's what we were saying, and
and the ones that did thefellowship are greenlit and more
places.
So, uh, there are a couple guyswho work at my shop.
(25:20):
They're family medicine trained, but they did the ER fellowship
afterwards and they functionjust like an ER residency doc.
Speaker 1 (25:27):
All right, so real quick, do you?
I know you work as anindependent contractor, but it's
kind of like a hybridindependent contracting kind of
employed type thing.
So, in terms of trackingpayroll, expenses, deductions,
mileage, what type of softwareare you using for that?
Speaker 3 (25:48):
Oh, great question.
So for the mileage I use an app.
I got the idea after listeningto y'all.
I give y'all credit.
I use Stride for mine, so Ijust get in the car, hit the
track button, I drive, and whenI get to work I hit end and then
at the end of the year itaggregates all the miles and
gives you something for thetaxes.
So I do that.
Speaker 1 (26:08):
And then for business expenses I know, Dan, I know
you be putting some extra milesin there.
Let me go to Burger King realquick.
Speaker 3 (26:18):
Starbucks counts as work.
You know what I'm'm saying?
I'm going to get a drink fromwork.
I'm castrating myself.
That counts too oh, lord allright, it counts.
Speaker 1 (26:27):
All right, keep going expenses.
Speaker 3 (26:29):
I keep it simple.
Just if it's on the amex, it'sprobably a business expense.
Um, so I have an amex businessaccount and then everything on
there is basically business asfar as I can do it yo you using
black card or what you rollinglike that no platinum, platinum.
Oh, it's on that black okayit's on that black card status,
but you know it makes businessplatinum.
That that's the way to go.
(26:50):
Um, if anyone needs a link,holler at me.
Speaker 2 (26:52):
I could definitely use a couple extra points we're
gonna put, we're gonna put yourlink in the show notes.
Speaker 3 (26:57):
Hey look, if I get some people off of it, that
referral bonus is nice.
Speaker 1 (27:02):
Nice, he's trying to get put on by Docs Outside the
Box.
Speaker 2 (27:07):
We'll do that for him , since we did not pay him to
appear.
Speaker 1 (27:10):
Listen, man, this is all right.
So what about like payroll?
How do you do that?
How do you get?
Because we talked about this.
Yeah, talk about that.
Speaker 3 (27:18):
So I'm a little similar.
I think y'all are technically100% more complex than me.
I just got myself.
So I have ADP does my payroll.
For those who don't know, it'sa company out there that does
payroll, kind of specializing init they are.
I have everything set up there.
I enter myself as an employee,I enter the cost I'm supposed to
(27:38):
pay myself, and then ADPdeducts that from the business
account and then pays myself.
So my payroll is just to me.
So, because I am a salariedemployee for my company, it's
set.
So I don't check in like hoursin and hours hour, anything else
like that.
It's just set for the year, soI don't think about anything
(27:59):
else from there.
Really, okay, that's about all.
I am hours out or anything elselike that.
Speaker 1 (28:01):
It's just set for the year, so I don't think about
anything else from there, really, okay, so when you, so you and
you can clarify this real quick.
This will be the last questionwhen you get paid, when monies
comes to you from the hospital,is that coming to dr love, or is
that coming to?
Who's that coming to?
Speaker 3 (28:17):
great.
So whenever I get paid from thecompany I work for, it goes to
a mega PC company.
It goes to that account.
It's a separate account that Ihave for my personal account.
It goes there and then ADP goesthere and sends Love Anani his
salary from that account.
So everything, every hour Iwork in this building, every
(28:40):
shift I work, get put to MECA PC.
Speaker 1 (28:43):
Got it.
Got it.
Okay, alright, cool.
So we appreciate that.
Dr Renee, you want to addanything at all?
Speaker 2 (28:49):
No, this was really impromptu yeah that's how we do.
Speaker 1 (28:53):
That's how we do.
Speaker 2 (28:54):
That's how we do, man .
Speaker 3 (28:58):
Let me answer it.
That's how we do, man.
Speaker 1 (29:00):
Let me answer, that's how we do, that's how we do,
man, just so people know thatthis is real, this is
spontaneous.
Okay, dr Love, we appreciateyou, man.
Speaker 2 (29:04):
Thank you thanks, love peace bye alright y'all so.
I can't believe you just calledthis man.
Speaker 1 (29:13):
That's how we do, and we're gonna do more of that,
guys don't put your numbers inhere he the text questions.
Speaker 2 (29:26):
You're going to go?
Well, yeah, because we havetheir numbers after they text I
won't do that to you guys.
No, I might call.
Hey what y'all doing?
Speaker 1 (29:33):
All right, you want to come watch our kids.
So for payroll and expenses.
So, yes, we use one card to payfor everything on business.
It's a business card, right?
So when Dr Renee goes and sheworks and she gets a hotel, it's
on a business card.
When she goes and buys food,any type of food, it's on the
same business card.
(29:54):
And then same thing for me.
We don't use our personal cardfor Nathan.
Nothing, it's just.
Our personal card is for paying, taking care of our kids, you
know what, or whatever.
Business is on business.
Personal is on personal.
So for payroll and expenses.
So for payroll, we usesomething called Gusto.
It's gustocom.
(30:14):
It's a really popular websitethat a lot of people use.
Particularly small businessesuse ADP.
That's another type of thingwhere you can do payroll.
That's what Dr Love uses.
For expenses, like I said, weuse a card.
But to actually track expensesso that you can do some
projections like okay, well, ifyou're spending this much on
food or you're spending thismuch on travel, or even how do
(30:36):
you know, like that you got paidby the company, right?
Like you have to have a ledgerof expenses.
We use QuickBooks fordeductions.
Deductions that's part of theexpenses part Right.
(30:59):
So if you're using yourbusiness card to pay for
Internet, or if you're usingyour business card to pay for
gas or for flights, that's wherethe combination of the business
card as well as QuickBookscomes in.
That's where the combination ofthe business card as well as
QuickBooks comes in.
Now for mileage.
He uses Stride.
I might try that, but we useMileIQ.
Mileiq basically what theseapps are.
They're very easy to find.
All there is is you download it, you put it on your phone and
(31:21):
then it just tracks everywhereyou go.
So just be careful who you'regoing to, right?
Speaker 2 (31:25):
And then at the end of the week To your locum's work
wife.
Speaker 1 (31:28):
Right, so at the end of the week or even at the same
day, reality.
Tv Once the drive starts orstops, it'll categorize.
Excuse me, you have anopportunity to categorize.
Is this a personal side piecemove or is this like a move to
like mail some stuff to UPS?
You can make a business or youcan make it personal.
What you looking at me for?
Speaker 2 (31:48):
Yeah, I talk with a free chest.
Who want to go live with me?
Speaker 1 (31:51):
when, I go.
Speaker 2 (31:52):
Pop up on Dr Neen who want to go live.
Speaker 1 (31:55):
Free chest.
I got nothing, but some peopledo that.
Thoughts on AI scribing and ifit is the future, Absolutely,
guys, oh yeah for sure.
Like I'm not saying like AIscribing is like boom, but it's
basically another iteration ofthe dictaphone, right?
Or dictation, like it's justsomething that is listening to
you and then it's takinginformation, and if it can make
(32:17):
it easier, yeah I would say gofor it.
Speaker 2 (32:19):
Have you ever used Otter AI for?
Speaker 1 (32:21):
Zoom.
Speaker 2 (32:22):
Yeah, that's.
I mean, that's what it is.
It's just going to be likeOtter, Like if you use Zoom and
you've used Otter AI, it's goingto be exact same thing, except
that that particular AI is goingto be used very specifically to
say what was the chiefcomplaint, what was you know the
subjective, what was theobjective?
(32:43):
Blah, blah, blah, blah, blah.
That's it.
I mean, it's really not a, forme, it's a no brainer.
Speaker 1 (32:50):
Yeah, just make sure you double check everything.
Remember guys like this isstill all of this.
This is all beta, Right, All ofthis stuff is beta.
It's not perfect and you'reputting it into an actual
medical record that someone isgoing to make decisions about.
Treatments are going to bebased off of this.
History is going to come fromthis Life and death type
(33:10):
decisions are going to be basedoff of.
This History is going to comefrom this Life and death type
decisions are going to be madefirst.
So just make sure you doublecheck it, and then I would put
on the bottom that this wasdescribed using AI and stuff
like that, so people know that,hey, there could be possibly
mistakes in here.
So that's what I would do, butthey don't care.
Speaker 2 (33:22):
They don't care, you can put whatever you want, just
be careful.
Speaker 1 (33:32):
Just careful, but I double check everything you know
and sometimes even triple checkand just make sure.
Does this make sense?
Kind of like using templates.
Now, right, like because Idon't like typing template, I
don't like typing anymore.
I type for a long period oftime, like when I'm typing notes
, and like I start to get painhere, right, which is consistent
with, you know, carpal tunnel.
So it's like what's the point?
So I use the dictaphone or themicrophone and eventually, well,
you know, I know renee isalready using, but some AI
scribing is really dope.
So you didn't leave a name.
But listen, this was a greatquestion, yeah it was.
Speaker 2 (33:54):
They didn't leave a name.
Speaker 1 (33:55):
No, I didn't see a name, but we do wish you good
luck, man.
We wish you good luck.
It's going to work out for you,trust me, it's going to work
out for you.
Speaker 2 (34:01):
Keep us posted.
That's why and leave your name.
Keep us posted with a name,with a name MeAnonymous.
All right guys.
Thanks so much for thatquestion.
That was a great, greatquestion.
So in our next segment we'regoing to be talking about
whether or not 24-7 call issustainable for a week per month
(34:22):
.
So make sure you join us in thenext segment.
We'll see you there.
My partner has a seasonal job in Boston the worst
place.
Good luck to your partner andthe plan is to do locums to
match a similar timeline, julyto November.
Speaker 2 (00:09):
You could take that person with you right?
Speaker 1 (00:11):
The locums company is not going to pay for them,
especially if you have to fly,that's if you don't have a side
piece at your other job.
Speaker 2 (00:18):
You know what?
Nii?
People not going to write toyou, no more.
Nii, you can't be talking aboutpeople cheating on locums gigs.
What you're doing at yourlocums gigs, don't make me pop
up on you.
Speaker 1 (00:30):
Listen.
Speaker 2 (00:30):
I speak freely because I don't do any of that
stuff.
Speaker 1 (00:32):
So I'm just saying Okay, why you don't say Some
people got locums wives, yeah,locums husbands, so bring in
that person, oh, some people gotlocums, husbands oh snap yo
what's good, everybody.
Welcome to another episode ofdocs outside the box.
Yo, it's your boy, dr knee,joined by dr renee yo.
(00:54):
so listen guys, um, I juststarted realizing like a lot of
times, yeah, a lot of times,like we, we have been answering
questions um that you guys havebeen submitting through
Instagram, through textmessaging, whatever, and a lot
of times what happens is I'mtrying to encourage you guys
more to answer or, excuse me, tosubmit the questions, because I
always have all the answers.
(01:15):
You literally can figure outany situation that you have
Really Me.
So I wrote some stuff down andthen I was trying to memorize it
Right and I was like who cares,this is Doc's Outside the Box.
You guys don't need to haveeverything perfect and I always
talk about just take a stepforward.
So I wrote some down toencourage you guys to what do
you call?
Speaker 2 (01:34):
it.
So you're going to encourageright in the first five minutes.
Speaker 1 (01:36):
Yes, I am, it's my show.
Speaker 2 (01:38):
People listen to the show with their children in the
car children in the car.
Speaker 1 (01:45):
Okay, alfred, beep those out then.
All right, so here's myconversational podcast intro
that I wrote out.
Okay, me and chat GPT.
You ready?
So then, chat GPT wrote it.
I wrote it too.
Hey y'all, welcome to DocsOutside the Box.
This is the place where we talkabout real life beyond the
white coat hyphen or dash.
Finances, comma, career moves,comma, side hustles, comma, even
the stuff they never taught usin med school.
(02:06):
End quote and listen hyphen.
We want to hear from you.
Speaker 2 (02:11):
Why is there a hyphen there?
Speaker 1 (02:12):
I don't know that's what I put in there.
Got a question about studentloans Question mark Thinking
about going locums Question markNot sure if you're on the right
path.
Question mark Send it in.
It prompted me to get morehyped as we kept reading that up
in it.
Prompted me to get more hypedas we kept reading that up.
Seriously, no question is toosmall or too big.
If it's on your mind, chancesare someone else is wondering
the same thing.
Just email us, ask where shouldthey email us at.
(02:33):
Tell them see, that's where youhave to come, come in.
Just email us at go ahead wherethey don't email us if they do,
where do they email us?
Speaker 2 (02:42):
they don't email us.
We don't do email.
Where do they email us?
Speaker 1 (02:45):
at they don't email us.
We don't do email or hit us upon IG at Docs Outside the Box.
You might even hear yourquestion on a future episode.
Speaker 2 (02:52):
All right, let's get into it.
What happened to all thepunctuations Like you started,
like oh, I got tired of readingthat stuff.
Speaker 1 (02:58):
But hey guys, this is Docs Outside the Box.
This is we talk about real lifebeyond the white coat finances,
career moves, side hustles,even the stuff they never taught
us in med school.
And listen, we want to hearfrom you all.
If you got a question aboutstudent loans, you got a
question about locums, you got aquestion about relationships,
you got a question aboutanything in life, and you just
want to know if you're on theright path.
Uno, no, no, right here I'mgoing to answer all your
(03:20):
questions for you.
Okay, there's no questionthat's too small, too big.
If it's on your mind, chancesare someone else is wondering
the same thing.
There's so many ways you canhit us up.
You can text us, Go to the shownotes, go to the descriptions
and it's all in there that youguys can reach us in.
We do want to hear from you, wedo.
(03:40):
Speaking of such, we got areply back from dr moona.
If you guys it wasn't moana, itwas moona.
If you guys don't remember drmoona, she's the doc from.
I think she's finishing herresidency in psychiatry or
something in new york and shebasically trying to like get off
on her taxes and stuff, oh nowhatever it is.
But she was trying to get off onher taxes and not pay much and
she was like, let me figure outa scheme to like live in new y,
(04:02):
but I have my business inWyoming.
Speaker 2 (04:05):
Which.
Speaker 1 (04:06):
Wyoming actually does have pretty good.
Speaker 2 (04:07):
We peep gang Dr Muna.
Speaker 1 (04:10):
We peeped you, but she writes back.
Dr Nian and Dr Renee, thank youso much for the thoughtful
message and for answering myquestion on Docs Outside the Box
.
I finally had the chance tolisten and I just wanted to say
how helpful it was.
You really helped me understandthe importance of getting
written consent before sharingmy CV, and the way you broke
down the pros and cons ofsetting up an LLC out of state
(04:32):
gave me a lot more clarity.
I also really appreciated youtrying to pronounce my name.
Just to confirm, it'spronounced Muna, spelled
M-O-O-N-A.
She didn't really put apronunciation there, but I'm
going to just assume that she'ssaying Muna, right.
Yeah, that's no, but you don'tsay spelled, she would have
spelled M-O-O-N-A.
Speaker 2 (04:51):
Yeah, if you were to say it.
Speaker 1 (04:54):
You'd have to put the phonetic.
Speaker 2 (04:55):
No, you don't.
You don't have to.
Speaker 1 (04:57):
That's what the dictionaries do.
Speaker 2 (04:58):
No, and they should Nice little emoji too.
Speaker 1 (05:01):
I don't know what they do in Brooklyn, but in
Queens.
Speaker 2 (05:02):
Muna.
Speaker 1 (05:04):
That's how they did it.
Keep doing what you're doing.
It truly makes a difference.
Bet.
Speaker 2 (05:10):
Thank you so much, Muna.
We truly appreciate it and,yeah, it's a beautiful name,
Muna.
Speaker 1 (05:15):
It's a very beautiful name.
Speaker 2 (05:17):
And.
Speaker 1 (05:17):
I just want to say, guys, listen when you guys get
your answers, you know yourquestions answered.
You know your questionsanswered.
Or just tell other people aboutthe show, because we really are
trying hard, like we reallyenjoy doing this podcast, but
also, at the same time, wereally enjoy the interaction.
I love talking to you all.
I love answering your questions, figuring it out, we may not
have all the answers I'm justjoking around when I say I have
(05:37):
all the answers.
But he think you know we got alot of life experience right, so
it's super important and stuff.
So, um so today is a q a day.
This is what y'all say.
Um so we got two questions thatwe want to answer to say but I
do want to say one quick thing.
So before the last episode, Iwas joking, I was telling all
those people I needed to add.
So I was like y'all need tostart doing push-ups, right,
because we were talking aboutthe one big, beautiful bill and
(05:59):
how it's going to lower, youknow, student loans, the amount
of total amount of student loans, it's actually $150,000.
I think we said $100,000.
No, it's $100,000.
The bill is saying $100,000.
Speaker 2 (06:11):
The bill says $100,000?
Yeah, right now.
Speaker 1 (06:13):
it's $150,000 right now, oh I see I see, I see, I
see, okay, right, so thatpossibly could get you to two
and a half years of grad school,possibly right.
Speaker 2 (06:23):
You need more than that to go through med school.
Speaker 1 (06:26):
So I was joking before in the previous episode
and I was telling y'all y'allneed to do some push-ups, y'all
need to do some planks, y'allneed to go out and run because
y'all need to get into themilitary and get them
scholarships going right.
Speaker 2 (06:39):
But think about it yo .
Speaker 1 (06:40):
What if you're like in?
Speaker 2 (06:41):
oof.
Yeah, they won't take you.
Speaker 1 (06:43):
They'll take you.
Well, who won't take you?
The military.
The military won't take you,right, I don't know if they'll
take you or not.
Speaker 2 (06:47):
Is there a cutoff to join the military?
Speaker 1 (06:51):
I don't know.
Speaker 2 (06:51):
Somebody tell us Is there a cutoff?
I don't know.
Speaker 1 (06:57):
Don't chat GPT it.
Speaker 2 (07:06):
No chat GPT.
Listen see, the key thing isyou can use Chat GPT is not as
entertaining.
Speaker 1 (07:08):
It's right.
But that's where our life comesin, when you throw in what I do
, what you do, and then youthrow in some like actual facts
in there.
Bullshit and facts always is alot of fun, right?
That's what I think, sprinklinga little bit, you know I love
it.
All right.
So, real quick, the medicalschool scholarships.
I looked it up real quick.
There's the AMA FoundationPhysicians of Tomorrow
(07:29):
Scholarship.
This is about ten thousanddollars, right?
So this one is through the AMAFoundation.
We'll put these in the shownotes.
But AMA,000, right, you go toTylenolcom for a scholarship.
You got the National MedicalFellowships.
This is anywhere from, you know, very minimal to up to 7K,
(07:53):
maybe even plus.
This is nmfonlineorg.
You got the Health ProfessionScholarship Program that I was
telling you all about.
This is with the military.
This is with the Army, the Navy, even the air force.
All right, so they get yourweight up on this one.
The white coat investor who?
we had on like three episodesago.
(08:13):
He's got his own scholarship.
Um, I don't know how much he'sgiven out, but listen, you need
to go and look where you can getsome money.
There's um Herbert W Nickensmedical student scholarship,
right.
That's through the AAMC, right.
That's up to like $5,000.
You got the Indian HealthService Scholarship Program.
They got some programs that arebased specifically just at
certain institutions.
Johns Hopkins has one,university of Wisconsin has one.
(08:36):
Drexel University, boldorg.
These are programs that areactually at like companies that
do their stuff all throughonline, right, boldorg.
Going Merry Scholarshipscom.
There's a lot of stuff, guys.
Speaker 2 (08:54):
It's a lot of stuff, sherry Arnstein, I think.
Speaker 1 (08:56):
Yeah, from.
The osteopathic.
Speaker 2 (08:57):
Yeah, so there's there's before.
Speaker 1 (09:00):
I was listening to the previous episode because you
know I don't listen to episodesold episodes but this one I
wanted to listen to and I waslike man, I probably should have
put more.
I should have put more contextand more nuance to the
scholarships that are out there.
But those smaller scholarships,those are really hard to get,
whereas, like the healthprofession scholarships that are
(09:21):
with the military, thescholarships that are things
that you have to exchangeservice for, usually those are a
bit easier.
The ones at your school,depending on where your school
is at, they really don't havethat many funds.
So that's the reason I broughtthat up.
Do you want to add anything onthat before we jump into our
first?
Speaker 2 (09:39):
question.
I mean, you know, I think youknow, if you are going to med
school right now, look, you know, look into scholarships, not
just health related scholarships, right, because that's the
other thing is that we, you know, we try to sometimes create
these opportunities only withinthat particular lane, right, but
(10:02):
there is the, you know, if youhave a scholarship for being
redheaded and left-handed, right, you should be looking up all
of those scholarships, becausenot every single scholarship has
to be very specific to theindustry or the profession that
you're going into.
So if I were you, I wouldactually make looking up
(10:23):
scholarships almost like asecond job.
You know, take a day out of theweek, every single week, to be
able to look up scholarships andcomplete scholarships because,
yeah, you guys are going to needthem.
Speaker 1 (10:37):
Well, we don't know if this bill is going to really
go through, because the twobillionaires, quote unquote are
fighting about things right now,so we'll see Elon and Trump.
I'd say listen about thingsright now, so we'll see Elon and
Trump.
Speaker 2 (10:47):
I'd say listen, don't take no chances, we'll see.
Don't take no chances, we'llsee.
We'll see.
Speaker 1 (10:51):
All right, let's jump into our first question.
This is a locums question, soyou know we love locums.
I think it's the panacea foreverything.
Speaker 2 (11:00):
No, it's not Measles.
Really you should be runningfor you should have been
appointed.
You should have definitely beenappointed.
Speaker 1 (11:10):
Well, I have to do coke and all that stuff.
Speaker 2 (11:13):
You got to do coke and be able to speak in an
incoherent manner before you getappointed to any sort of
department in the government.
Speaker 1 (11:22):
I've learned so much from.
Speaker 2 (11:23):
Well, I just want to let everybody know that measles
is really not a problem in thiscountry We'd be dissing people
without actually name-dropping.
Speaker 1 (11:35):
This is like a diss track you know who you are Docs
Outside the Box is like a disstrack from 2016, all the way up
to now.
It is a subtle diss track onpeople.
You just have to know what'sthe acronym.
You know who you are.
What's the acronym?
I-y-k-y-k.
If you know, you know.
Speaker 2 (11:53):
If you know, you know , people be getting dissed on
this show.
If you know, you know.
Speaker 1 (11:58):
Shout out to Kendrick for teaching me how to diss
people subtly and overtly.
All right, let's do thisquestion.
Hello Dr Renee and Dr Neem.
I'm a third-year family medresident looking to do locums
coming out of residency.
I want to thank both for beingthe best source of information
out there.
With honest and entertainingtakes on the many layers of
(12:19):
locums and healthcare in general.
You helped transition the ideaof locums into a more digestible
, slash, realistic option.
I think for the most partthat's me right.
My partner has a seasonal jobin Boston and the plan is to do
what?
Are you looking at me like that?
Speaker 2 (12:33):
for?
No, like you like to takecredit for, like stuff that you
don't really need to take creditfor, no, I just feel like I I
don't think.
Speaker 1 (12:40):
Read the question me.
My partner has a seasonable.
Speaker 2 (12:49):
See ChatGVT can't do this.
Speaker 1 (12:52):
My partner has a seasonal job in Boston the worst
place.
Good luck to your partner andthe plan is to do locums to
match a similar timeline July toNovember.
Oh, okay, why July to November?
Speaker 2 (13:05):
Because the partner has a seasonal job.
All right guys.
Speaker 1 (13:08):
So this person's partner has a seasonal job
that's probably going to endsometime in November.
This person is looking to dolocums from July to November.
Speaker 2 (13:16):
Right when they graduate to November.
Speaker 1 (13:19):
There has been less jobs than advertised by the
locums agencies at the start ofthe search of, or jobs with
timelines, not willing to waitfor residency to finish a what
point?
Months, weeks?
Would you recommend consideringa different location entirely,
pursuing other options?
Have there been times or have?
Or how have you adjusted yourplans If opportunities aren't as
(13:40):
prevalent in the area you arelooking for?
A few other questions favoritewebsites to track payroll
expenses deductions, mileage, etcetera.
All right, we're going to getto that bottom part.
Last, oh, they also want toknow thoughts on AI scribing and
if it's the future, shortanswer yes.
So basically, the issue forthis person is they're trying to
find a locums gig that'll allowthem to work for a specific
(14:02):
period of time, and it looks asthough that person is trying to
look for specifically in thatarea where their partner is.
You want to start or you want meto start?
Speaker 2 (14:11):
No, you go ahead and start.
Speaker 1 (14:16):
I'd like to hear what you have to say especially
since you have so many wonderfulthings to say about Boston.
Okay, the third-year familymedicine resident that's writing
this.
So there's these things that ifyou look up in the sky they
look like birds, right, andthey're made of iron.
They have engines on the sideright, called planes, plane.
Speaker 3 (14:32):
Plain, not plain Plain.
Speaker 2 (14:38):
You know what Neat you cannot insult, I'm not
insulting, I'm just saying.
You cannot insult the personwho's asking the question.
Speaker 1 (14:45):
And then there's these horses right, they don't
have tails, but they're made ofmetal.
Right, it may say Amtrak on it.
Right Goes from like Bostondown to like New York, maybe
even lower than that, right ToDC, right, you know, ain't
nobody going to write to you, nomore.
And they could even cancel andthey could even stop at air, at
air, at airplanes, rightAirports, airports Like what
(15:06):
train goes to JFK.
Speaker 2 (15:08):
I don't know.
Speaker 1 (15:08):
There's trains that go to LaGuardia All right,
Listen, basically what I'msaying is this Listen, I get
what you're saying and I'm justjoking around, but look, it
could be hard to find, like aspecific locums job that is
going to be reasonable to thetimeline that you have Right,
Like depending on where you areRight.
You're just going to have tolearn to be a little bit more
(15:29):
feasible, flexible, with, youknow, going someplace else for a
little bit.
So Renee was in Atlanta.
I did not find any locums.
So while this is what 10 yearsago or 15 years ago, me and
Renee were dating, we becameserious, we got engaged, but she
was in Atlanta.
I was doing locums in Idaho,Minnesota, Wisconsin,
(15:51):
Pennsylvania, and I looked inAtlanta, I looked in Georgia.
There really wasn't anythingfor trauma surgery in that area.
But you know, I knew that overthe next several months we're
going to be getting married,we're going to be living
together, you know.
So I traveled and I traveled tothose different places and I'd
be gone for a week, I'd be gonefor two weeks, but then when I
(16:11):
came back home, I would comeback and split time between my
parents' house or spending timewith Renee home.
I would come back and splittime between my parents' house
or spending time with Renee.
Long story short is, sometimesyou're going to have to just
sacrifice, you know, for alittle bit.
You know sacrifice and havesome short-term pain to have the
long-term win which would be,you know, a consistent period of
time that you're going to bewith your significant other once
(16:32):
you guys find a job or jobsthat both fit you guys.
So that's why you know I'mjoking around and saying that
more than likely you're going tohave to travel.
Just be also know that whenyou're doing locums, when you're
being an independent contractor, like you know, you kind of run
the show.
So if there's places that arelike hey, like you know, we
can't wait, then you know youjust have to wait till I finish
(16:55):
residency, that's it.
But there are a ton of placesthat I know for a fact that they
make plans for peoplegraduating a year in advance,
sometimes even two years inadvance and depending on if you
grew up in that neighborhood, ifyou like, for example, like
we've been to, I've been tosmall places, small hospitals
where, like you know, the localprodigy grew up Right, and if
(17:17):
there's no other medical schoolsor there aren't any medical
schools there, they will make aspace for that person to come
back in three years.
Space for somebody like that.
When I was working in Idaho.
Speaker 2 (17:39):
I worked locums while I was in Idaho and I was
actually literally holding aspace for someone who was going
to be coming back to thisextremely small community it was
a community of like 15,000people and so they had an OBGYN
you know, who was getting readyto graduate from a residency a
year later, and so I came inabout 10 months before she
(18:02):
graduated and they held a space.
So you might be able to findsomething like that, something
similar, but I agree with you.
I think that you know if it'sseasonal July to November you
know, understand that that's avery short period of time and
that you can travel and thatdoing locums between July and
(18:27):
November right, doing locumsbetween July and November
doesn't necessarily mean thatyou're going to be gone from
July to November.
It means that you can run theshow.
You can say I want to workthese days between July and
November, right.
So you could say I want to workfour days a week, you know,
(18:49):
between July and November, or Iwant to take call, you know, on
two weekends per month in Julyand November, depending again on
the need.
The other thing that I thinkpeople don't realize is and I
don't know what your, you knowwhat your partner's schedule is
(19:09):
or how, you know what thelogistics is, you could bring
that person with you right,especially if that person has
some time off.
Let's say that person hasweekends off during this
seasonal job that they have andyou decide, okay, well, I'm
going to work weekends.
You could take that person withyou right?
The locums company is not goingto pay for them, especially if
you have to fly of the job.
(19:35):
You know what?
Nii People not gonna write toyou, no more.
Nii, you can't be talking aboutpeople cheating on locums gigs.
What you doing at your locumsgigs, don't make me pop up on
you.
Speaker 1 (19:44):
Listen, I speak freely because I don't do any of
that stuff, so I'm just sayingOkay.
Speaker 2 (19:50):
Listen, we gonna go live one of these days on IG.
Gonna pop up on Dr D talkingabout oh, you got a work wife,
you got a work wife.
Speaker 1 (19:59):
That's what I was getting to.
You got a work wife D.
Some people got locums wivesyeah, Locums husbands.
Speaker 3 (20:05):
So bring in that person.
Speaker 2 (20:06):
Oh, some people got locums husbands Ooh.
Oh, snap Okay we're going to golive on IG one of these days.
Speaker 1 (20:18):
Oh, one thing that I forgot to mention also is so you
brought up a good point.
So one thing to think about isthis you know, we always tell
people, particularly in thecourse that we have, we tell
people, hey, you actuallyshouldn't just have one locum's
job, you should have like maybetwo, three, sometimes even four.
It doesn't mean that you'regoing to be going to all four
places at the same time in thesame month.
No, you're just basicallyjuggling them Right.
So particularly if, let's say,for example, you're trying to
(20:40):
get into Boston and I'll be veryhonest with you, like when
you're in big cities, whenyou're in major cities, the
locums opportunities in majorcities usually are limited,
because a lot of people want todo that Right, want to be there
Like it's like trying to dolocums in Miami.
Imagine trying to do locums inMiami or locums in Los.
Angeles, or locums in New YorkCity or locums in Boston.
Speaker 2 (21:02):
Chicago where there's an overabundance of medical
professionals there who arewilling to take less by the way
in order just to live in thatcity.
So they're willing to take apay cut just so that they could
say I live in New York City.
Speaker 1 (21:15):
So, although you don't have to.
So the reason I'm saying is,you know, maybe if you want to
be closer to home, you may haveto negotiate, may have to take a
little bit less to be in Bostonfor a little bit but then have
another gig that is, you do likehalf of the other month, or in
other months where you can getthat money back that you're
losing by working in Boston,right.
(21:35):
So let's say you have anotherjob that takes, or in other
months where you can get thatmoney back that you're losing by
working in Boston, right.
So let's say you have anotherjob that takes you to the
Midwest.
It pays, very well, you know,you kind of incorporate that in
so that you can be home, andI'll be like doing locums and
then going back to your samehouse and seeing your
significant other.
That's amazing right, Especiallyif there's no change, if you
can do it, yeah.
You don't have to have asuitcase, you can come home and
(21:57):
have home cooking and everything.
It's a great experience.
But there are times where youmay have to just say you know
what, at this point I don't havecomplete leverage.
Let me sweeten the pot for themand say okay, well, you know.
Rather, do not take $80 an hour.
There's going to be some familymedicine docs who are like what
do you, you know?
Speaker 2 (22:13):
Yeah, don't do that.
Speaker 1 (22:22):
Especially if you do family medicine and you do ER,
yo, you could be making mad loot.
Speaker 2 (22:26):
Oh, that was the other thing I was going to say
right, family medicine.
You have a lot of options.
Okay, mad loot.
You want to say it three moretimes Mad loot.
Speaker 1 (22:39):
One Mad, loot Two Mad loot Three.
Speaker 2 (22:44):
Okay, got it.
So as a family medicineresident, you have a lot of
options.
So you can do family med, right, you could do urgent care.
Yes, you can do ER.
Yes, like I would take.
I would look at all of thoseopportunities potentially.
(23:07):
The other thing is so you livein Boston.
The question is, are there moreremote parts of that area where
, yeah, maybe you're a littlebit further away from home, but
you're not so far that youactually have to travel by plane
or by train?
You could literally just drivethere, maybe an hour, two hours
away, and be able to do yourshift or do whatever work you're
(23:29):
going to do for a certainamount of time and then be able
to come home.
You know, and you know, go backwhenever it is that you're
scheduled to go back.
Speaker 1 (23:39):
What are you doing?
Yeah, I'm trying to reach outto Dr Love.
I want to see what he doesBecause he's ER.
Speaker 2 (23:43):
I want to see if he's going to pick up, but we
recording.
I know we recording how do youknow he's going to pick?
Speaker 1 (23:48):
up, because I just know.
Speaker 2 (23:50):
But he's not picking up.
Speaker 1 (23:51):
Well, let's see if he's going to record or if he
what is going on.
He might be on shift.
Speaker 2 (23:58):
He might be working.
Speaker 1 (23:59):
I think he does night shift though.
Speaker 2 (24:02):
But then he's sleeping.
Speaker 1 (24:03):
D All right, dr Love.
You missed out on youropportunity.
Speaker 2 (24:05):
Oh, my Lord D Leave that man alone.
Oh, All right, because I wantedto get his perspective With
sexy voicemail.
Speaker 1 (24:13):
Thank you for calling Yo people real quick.
Another question for y'allPeople have messages on their
Hold on.
Hold on.
He's calling Dr Love.
You are on Docs Outside the Boxpodcast.
We are absolutely recording.
Please curb your voice.
What's going on?
What's good?
Speaker 3 (24:32):
Nothing much.
Speaker 1 (24:33):
I didn't think we were going to do this right now,
oh my God, yo, you got to stayready and be ready, aren't you
ER?
Speaker 2 (24:40):
I oh my God, you got to stay ready and be ready,
aren't you, er?
Speaker 3 (24:41):
I'm saying I am, I'm answering today.
No, but medical director got togo to places.
Speaker 1 (24:45):
So we got a question that we're trying to answer.
So we got a family medicineresident who is going to be
doing locums.
As someone who does primarilyER, are you still seeing family
medicine doctors who are doingER?
Speaker 3 (24:58):
Yes, medicine doctors who are doing er, yes, but I
have found that they are not atthe larger big old.
You know ordinary tertiaryhospitals, more rural places.
But they are around, yeahthat's what we were saying, and
and the ones that did thefellowship are greenlit and more
places.
So, uh, there are a couple guyswho work at my shop.
(25:20):
They're family medicine trained, but they did the ER fellowship
afterwards and they functionjust like an ER residency doc.
Speaker 1 (25:27):
All right, so real quick, do you?
I know you work as anindependent contractor, but it's
kind of like a hybridindependent contracting kind of
employed type thing.
So, in terms of trackingpayroll, expenses, deductions,
mileage, what type of softwareare you using for that?
Speaker 3 (25:48):
Oh, great question.
So for the mileage I use an app.
I got the idea after listeningto y'all.
I give y'all credit.
I use Stride for mine, so Ijust get in the car, hit the
track button, I drive, and whenI get to work I hit end and then
at the end of the year itaggregates all the miles and
gives you something for thetaxes.
So I do that.
Speaker 1 (26:08):
And then for business expenses I know, Dan, I know
you be putting some extra milesin there.
Let me go to Burger King realquick.
Speaker 3 (26:18):
Starbucks counts as work.
You know what I'm'm saying?
I'm going to get a drink fromwork.
I'm castrating myself.
That counts too oh, lord allright, it counts.
Speaker 1 (26:27):
All right, keep going expenses.
Speaker 3 (26:29):
I keep it simple.
Just if it's on the amex, it'sprobably a business expense.
Um, so I have an amex businessaccount and then everything on
there is basically business asfar as I can do it yo you using
black card or what you rollinglike that no platinum, platinum.
Oh, it's on that black okayit's on that black card status,
but you know it makes businessplatinum.
That that's the way to go.
(26:50):
Um, if anyone needs a link,holler at me.
Speaker 2 (26:52):
I could definitely use a couple extra points we're
gonna put, we're gonna put yourlink in the show notes.
Speaker 3 (26:57):
Hey look, if I get some people off of it, that
referral bonus is nice.
Speaker 1 (27:02):
Nice, he's trying to get put on by Docs Outside the
Box.
Speaker 2 (27:07):
We'll do that for him , since we did not pay him to
appear.
Speaker 1 (27:10):
Listen, man, this is all right.
So what about like payroll?
How do you do that?
How do you get?
Because we talked about this.
Yeah, talk about that.
Speaker 3 (27:18):
So I'm a little similar.
I think y'all are technically100% more complex than me.
I just got myself.
So I have ADP does my payroll.
For those who don't know, it'sa company out there that does
payroll, kind of specializing init they are.
I have everything set up there.
I enter myself as an employee,I enter the cost I'm supposed to
(27:38):
pay myself, and then ADPdeducts that from the business
account and then pays myself.
So my payroll is just to me.
So, because I am a salariedemployee for my company, it's
set.
So I don't check in like hoursin and hours hour, anything else
like that.
It's just set for the year, soI don't think about anything
(27:59):
else from there.
Really, okay, that's about all.
I am hours out or anything elselike that.
Speaker 1 (28:01):
It's just set for the year, so I don't think about
anything else from there, really, okay, so when you, so you and
you can clarify this real quick.
This will be the last questionwhen you get paid, when monies
comes to you from the hospital,is that coming to dr love, or is
that coming to?
Who's that coming to?
Speaker 3 (28:17):
great.
So whenever I get paid from thecompany I work for, it goes to
a mega PC company.
It goes to that account.
It's a separate account that Ihave for my personal account.
It goes there and then ADP goesthere and sends Love Anani his
salary from that account.
So everything, every hour Iwork in this building, every
(28:40):
shift I work, get put to MECA PC.
Speaker 1 (28:43):
Got it.
Got it.
Okay, alright, cool.
So we appreciate that.
Dr Renee, you want to addanything at all?
Speaker 2 (28:49):
No, this was really impromptu yeah that's how we do.
Speaker 1 (28:53):
That's how we do.
Speaker 2 (28:54):
That's how we do, man .
Speaker 3 (28:58):
Let me answer it.
That's how we do, man.
Speaker 1 (29:00):
Let me answer, that's how we do, that's how we do,
man, just so people know thatthis is real, this is
spontaneous.
Okay, dr Love, we appreciateyou, man.
Speaker 2 (29:04):
Thank you thanks, love peace bye alright y'all so.
I can't believe you just calledthis man.
Speaker 1 (29:13):
That's how we do, and we're gonna do more of that,
guys don't put your numbers inhere he the text questions.
Speaker 2 (29:26):
You're going to go?
Well, yeah, because we havetheir numbers after they text I
won't do that to you guys.
No, I might call.
Hey what y'all doing?
Speaker 1 (29:33):
All right, you want to come watch our kids.
So for payroll and expenses.
So, yes, we use one card to payfor everything on business.
It's a business card, right?
So when Dr Renee goes and sheworks and she gets a hotel, it's
on a business card.
When she goes and buys food,any type of food, it's on the
same business card.
(29:54):
And then same thing for me.
We don't use our personal cardfor Nathan.
Nothing, it's just.
Our personal card is for paying, taking care of our kids, you
know what, or whatever.
Business is on business.
Personal is on personal.
So for payroll and expenses.
So for payroll, we usesomething called Gusto.
It's gustocom.
(30:14):
It's a really popular websitethat a lot of people use.
Particularly small businessesuse ADP.
That's another type of thingwhere you can do payroll.
That's what Dr Love uses.
For expenses, like I said, weuse a card.
But to actually track expensesso that you can do some
projections like okay, well, ifyou're spending this much on
food or you're spending thismuch on travel, or even how do
(30:36):
you know, like that you got paidby the company, right?
Like you have to have a ledgerof expenses.
We use QuickBooks fordeductions.
Deductions that's part of theexpenses part Right.
(30:59):
So if you're using yourbusiness card to pay for
Internet, or if you're usingyour business card to pay for
gas or for flights, that's wherethe combination of the business
card as well as QuickBookscomes in.
That's where the combination ofthe business card as well as
QuickBooks comes in.
Now for mileage.
He uses Stride.
I might try that, but we useMileIQ.
Mileiq basically what theseapps are.
They're very easy to find.
All there is is you download it, you put it on your phone and
(31:21):
then it just tracks everywhereyou go.
So just be careful who you'regoing to, right?
Speaker 2 (31:25):
And then at the end of the week To your locum's work
wife.
Speaker 1 (31:28):
Right, so at the end of the week or even at the same
day, reality.
Tv Once the drive starts orstops, it'll categorize.
Excuse me, you have anopportunity to categorize.
Is this a personal side piecemove or is this like a move to
like mail some stuff to UPS?
You can make a business or youcan make it personal.
What you looking at me for?
Speaker 2 (31:48):
Yeah, I talk with a free chest.
Who want to go live with me?
Speaker 1 (31:51):
when, I go.
Speaker 2 (31:52):
Pop up on Dr Neen who want to go live.
Speaker 1 (31:55):
Free chest.
I got nothing, but some peopledo that.
Thoughts on AI scribing and ifit is the future, Absolutely,
guys, oh yeah for sure.
Like I'm not saying like AIscribing is like boom, but it's
basically another iteration ofthe dictaphone, right?
Or dictation, like it's justsomething that is listening to
you and then it's takinginformation, and if it can make
(32:17):
it easier, yeah I would say gofor it.
Speaker 2 (32:19):
Have you ever used Otter AI for?
Speaker 1 (32:21):
Zoom.
Speaker 2 (32:22):
Yeah, that's.
I mean, that's what it is.
It's just going to be likeOtter, Like if you use Zoom and
you've used Otter AI, it's goingto be exact same thing, except
that that particular AI is goingto be used very specifically to
say what was the chiefcomplaint, what was you know the
subjective, what was theobjective?
(32:43):
Blah, blah, blah, blah, blah.
That's it.
I mean, it's really not a, forme, it's a no brainer.
Speaker 1 (32:50):
Yeah, just make sure you double check everything.
Remember guys like this isstill all of this.
This is all beta, Right, All ofthis stuff is beta.
It's not perfect and you'reputting it into an actual
medical record that someone isgoing to make decisions about.
Treatments are going to bebased off of this.
History is going to come fromthis Life and death type
(33:10):
decisions are going to be basedoff of.
This History is going to comefrom this Life and death type
decisions are going to be madefirst.
So just make sure you doublecheck it, and then I would put
on the bottom that this wasdescribed using AI and stuff
like that, so people know that,hey, there could be possibly
mistakes in here.
So that's what I would do, butthey don't care.
Speaker 2 (33:22):
They don't care, you can put whatever you want, just
be careful.
Speaker 1 (33:32):
Just careful, but I double check everything you know
and sometimes even triple checkand just make sure.
Does this make sense?
Kind of like using templates.
Now, right, like because Idon't like typing template, I
don't like typing anymore.
I type for a long period oftime, like when I'm typing notes
, and like I start to get painhere, right, which is consistent
with, you know, carpal tunnel.
So it's like what's the point?
So I use the dictaphone or themicrophone and eventually, well,
you know, I know renee isalready using, but some AI
scribing is really dope.
So you didn't leave a name.
But listen, this was a greatquestion, yeah it was.
Speaker 2 (33:54):
They didn't leave a name.
Speaker 1 (33:55):
No, I didn't see a name, but we do wish you good
luck, man.
We wish you good luck.
It's going to work out for you,trust me, it's going to work
out for you.
Speaker 2 (34:01):
Keep us posted.
That's why and leave your name.
Keep us posted with a name,with a name MeAnonymous.
All right guys.
Thanks so much for thatquestion.
That was a great, greatquestion.
So in our next segment we'regoing to be talking about
whether or not 24-7 call issustainable for a week per month
(34:22):
.
So make sure you join us in thenext segment.
We'll see you there.
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