About The Book

Essential Paths to Life After Residency covers everything from how to prepare for the future during residency, to the various career routes one can take after residency, to the insurance decisions for private practices. It is the ideal reference for students currently in their residency and for those who are interested in starting a practice or entering academia. The breadth of knowledge from the editors and contributors, all of whom have successful, long-standing medical careers, is invaluable.

Dr. K.J. Lee’s “common sense pearls” and “common sense nuts and bolts of a usable robust EHR” are included as appendices.

From the Foreword

“Part of the reason recent graduates fear starting a practice or joining a private practice is that they learned nothing about the requirements for success in their training. Training people to do surgery and examine patients is no longer sufficient, no matter the pathway you choose upon graduation. Traditionalists do not see educating trainees in contracting, office management, billing and collection, pension planning, purchasing, and so forth as part of the “academic training”. “This book helps set the course for your education. It will enlighten you on the the things that are almost never discussed in medical school or residency.”
Gerald B. Healy, MD, FACS, Professor of Otology and Laryngology, Harvard Medical School, Healy Chair in Otolaryngology Emeritus, Children’s Hospital Boston

About The Authors

Dr. K. J. Lee is one of the leading Ear, Nose, and Throat practitioners in the country and in the world and a leading advocate of health care reform.

Dr. Lee is heavily involved in furthering his field, whether through improved technology, authorship, or nonprofit foundations. He designs surgical instruments for pituitary and ear surgeries. He is an acclaimed lecturer and author on scientific, medical, and health policy topics, and one of his numerous books, Essential Otolaryngology, is considered one of the leading texts in the ENT field in the world translated into many languages. He is also an authority on electronic medical records and serves on the editorial boards of international and national medical journals. He is past president of the American Academy of Otolaryngology-Head & Neck Surgery and former president of the medical staff and chairman of the medical board at the Hospital of St. Raphael in New Haven.
Dr. Lee has done much to advocate health care reform on the national stage. His numerous lectures on health care policy have done much to raise awareness about the problems with the current state of health care in this country. His work includes the sponsorship of a Bipartisan Presidential Healthcare Solution Summit in 2000 and 2004 and serving as a past vice-chair of a federally funded HMO.

Yvonne Chan, MD, FRCSC, MSc, HBSc, is an Assistant Professor and the Continuing Professional Development Director in the Department of Otolaryngology-Head & Neck Surgery at the University of Toronto. She is the division head of Otolaryngology at Trillium Health Partners. She is the vice chair of the Canadian Rhinology Working Group. At the Mississauga Academy of Medicine, she is the undergraduate medical lead for Otolaryngology. She finished her otolaryngology residency training at the University of Toronto and subsequently completed a rhinology fellowship at the Georgia Nasal and Sinus Institute. Dr. Chan obtained her medical degree and an MS degree in molecular biology also from the University of Toronto. Since 2015, she has been the coeditor of the world-renowned otolaryngology textbook, K. J. Lee’s Essential Otolaryngology (11th edition). Other texts that she has coedited include Health Care Reform Through Practical Clinical Guidelines and Essential Paths to Life After Residency.

Table Of Contents

  • 1 From the Eyes of a Resident
    • Alisha West
  • 2 The Basics of a Practice Setup
    • Seth M. Brown and Yvonne Chan
  • 3 From the Eyes of a 10-Year Practitioner
    • Thomas G. Takoudes
  • 4 Academic Practice: Early Career Perspective
    • Subinoy Das
  • 5 Academic Practice: A Midcareer Perspective (1)
    • David Eibling
  • 6 Academic Practice: A Midcareer Perspective (2)
    • M. Boyd Gillespie
  • 7 Academic Practice: A Chair’s Perspective
    • Kathleen Yaremchuk
  • 8 Academic Practice: An Emeritus Perspective
    • Roger L. Crumley
  • 9 What Do You Look for When Recruiting Faculty Members?
    • Harold C. Pillsbury III
  • 10 How Do You Build Succession for Your Department?
    • Harold C. Pillsbury III
  • 11 Solo Practice and Building Up
    • Brian W. Downs
  • 12 The Solo Practice
    • Ed Ermini
  • 13 Transitioning from Solo to Partnership Practice
    • Daryl Colden
  • 14 Subspecialty Group
    • Jose N. Fayad
  • 15 Multi-specialty Group Practice: Early Career
    • Seth M. Brown and Belachew Tessema
  • 16 Multi-specialty Groups: A Midcareer Perspective
    • Jay Raisen
  • 17 Multi-specialty Group: A Seasoned Perspective
    • Michael G. Glenn
  • 18 Hospital-Owned Group
    • David Karas
  • 19 Analytical Perspective of Academic Medicine, Multispecialty Group Practice, and Hospital-Owned Group
    • Michael S. Benninger
  • 20 Military (and VA) Career
    • Lee A. Pietrangelo and David Eibling
  • 21 How to Sustain and Grow the Practice Past Ten Years
    • K. J. Lee
  • 22 How Do You Wind Down
    • K. J. Lee
  • 23 Pros and Cons of Ancillary Services in Otolaryngology
    • Gavin Setzen, Michael Setzen, Siobhán Kuhar, Adam Weisstuch, and Manderly A. Cohen
  • 24 Understanding Physician Reimbursement
    • Ryan Scannell
  • 25 Starting a Practice in the Canadian Health Care System
    • Yvonne Chan
  • 26 Starting a Practice in the UK System—Primary Care Perspective
    • Jas Lidder
  • 27 Starting a Practice in the United Kingdom—Specialty Perspective
    • Vyas M. N. Prasad
  • 28 Lifelong Learning
    • David R. Nielsen and Sonya Malekzadeh
  • 29 Maintenance of Certification
    • Robert H. Miller
  • 30 Canadian Certification Process
    • Ian J. Witterick
  • 31 How to Work with Software Engineers in Health Information Technology
    • Gregory J. Clary and K. J. Lee
  • 32 Real Estate
    • Lloyd Lee, Chieko Yoneyhama, and K. J. Lee
  • 33 Inadequate Insurance or Insurance Poor
    • Robert F. Eilers Jr., Emily A. Melin, and David Soule
  • 34 Long-Term Care Insurance
    • Jay Sabot
  • 35 What Kind of Practice: Legal Entities — Pros and Cons?
    • Susan Epstein
  • 36 Practice and Personal Income Tax Planning
    • David L. Reynolds, Esq.
  • 37 Now You Have Made It, How to Grow and Protect It
    • Carolyn A. Matthes and William L. Matthes
  • 38 Ten Tools to Be a Successful Surgeon
    • Peter A. Adamson
  • 39 The Art of Listening and Healing
    • Jeralyn Fantarella


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