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So you want to be a relief or locum tenens Doctor? things to think about

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Information about So you want to be a relief or locum tenens Doctor? things to think about
Business & Mgmt

Published on February 20, 2014

Author: RayJRamirez

Source: slideshare.net

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© Raymond J. Ramirez DVM - All Rights Reserved So you want to be a Relief Doctor? • Raymond J. Ramirez DVM • Relief Dr working in over 100 clinics in two states from 1989 – 2007 • Slideshare.net/RayJRamirez

Welcome to 50:50 Who Wants to become a Veterinary Relief Doctor Millionaire 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

© Raymond J. Ramirez DVM - All Rights Reserved

© Raymond J. Ramirez DVM - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

© Raymond J. Ramirez DVM - All Rights Reserved This world renown veterinarian is discussing the traits a good relief veterinarian should have: 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 A: Dr James Herriot B: Raymond J. Ramirez DVM C: Lydia Gray, DVM, MS D: Robert M Miller DVM

© Raymond J. Ramirez DVM - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

© Raymond J. Ramirez DVM - All Rights Reserved This is the official title of a veterinarian who is doing relief work. 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 A: loco B: crazy C: unusual D: Locum tenens $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

© Raymond J. Ramirez DVM - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

© Raymond J. Ramirez DVM - All Rights Reserved What is not a reason one would have for becoming a relief veterinarian? 50:50 A: Want to change the world one practice at a time C: Looking for best place to work 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 B: Have family at home and want more flexiblilty D: Retired but want to keep up

© Raymond J. Ramirez DVM - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

© Raymond J. Ramirez DVM - All Rights Reserved This is not a reason why veterinarians consider performing relief work 50:50 A: take spontaneous time off C: Flexibility of schedule 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 B: Want to get more vacation D: Looking for permanent work

© Raymond J. Ramirez DVM - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

© Raymond J. Ramirez DVM - All Rights Reserved This would be an attribute about my practice habits that would be problematic as a relief veterinarian 50:50 A: enjoy learning different anesthetic protocols C: Enjoy taking my time with each client – minimum 1 hour 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 B: Enjoy learning new medication / vaccine protocols D: Willing to go with flow

© Raymond J. Ramirez DVM - All Rights Reserved Congratulations! Congratulations! You’ve Reached the $1,000 Milestone!

© Raymond J. Ramirez DVM - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

© Raymond J. Ramirez DVM - All Rights Reserved Which of these skills as a relief doctor would not expand your ability to help the hiring clinic 50:50 A: expedient surgical skills C: Have good typing skills 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 B: Afraid to ask colleague to critique my skills D: Adaptable to a new clinic protocol – not ‘my way or the highway’

© Raymond J. Ramirez DVM - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

© Raymond J. Ramirez DVM - All Rights Reserved Which of the background check items may not give you a positive reference if you were to give it to a prospective clinic 50:50 A: Doctor references C: License lookup 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 B: Google check D: Governor Blagojevich phone number

© Raymond J. Ramirez DVM - All Rights Reserved

© Raymond J. Ramirez DVM - All Rights Reserved

© Raymond J. Ramirez DVM - All Rights Reserved

© Raymond J. Ramirez DVM - All Rights Reserved

© Raymond J. Ramirez DVM - All Rights Reserved

© Raymond J. Ramirez DVM - All Rights Reserved

© Raymond J. Ramirez DVM - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

© Raymond J. Ramirez DVM - All Rights Reserved The following is not recommended dress attire as a locum tenens veterinarian 50:50 A: Clean tee shirt and dress slacks or scrubs C: White coat over professional pant business suit 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 B: Long sleeve dress shirt/ dress pant/ tie D: Professional dress and smile

© Raymond J. Ramirez DVM - All Rights Reserved

© Raymond J. Ramirez DVM - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

© Raymond J. Ramirez DVM - All Rights Reserved This financial program can not make it easier to keep track of income and expenses 50:50 A: Quickbooks C: Pen/ paper 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 B: Quicken Home and Buisenss D: Excel

© Raymond J. Ramirez DVM - All Rights Reserved

© Raymond J. Ramirez DVM - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

© Raymond J. Ramirez DVM - All Rights Reserved When preparing to be at a clinic in the next week, the following would be least helpful to do: 50:50 A: Find out core/non core vaccines C: Find out heartworm and chronic medication 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 B: Call clinic to make sure no date/ time changes D: Find out about Mandated employee breaks

© Raymond J. Ramirez DVM - All Rights Reserved Congratulations! Congratulations! You’ve Reached the $32,000 Milestone!

© Raymond J. Ramirez DVM - All Rights Reserved

© Raymond J. Ramirez DVM - All Rights Reserved

© Raymond J. Ramirez DVM - All Rights Reserved Anticipation and Follow up Follow up form Date/client/ presenting compliant/ treatment done / resolution if any. Available Word document at ramirezdvm.com What could I have done to make my stay there better.

© Raymond J. Ramirez DVM - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

© Raymond J. Ramirez DVM - All Rights Reserved The following is required to have and to give to the clinic when performing your first locum tenens job as an independent contractor as defined by the IRS 50:50 A: Federal Identification number C: Workmans Compensation Insurance 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 B: W9 form D: Separate personal / business accounts

© Raymond J. Ramirez DVM - All Rights Reserved Independent Contractor Benefits  Deduct car mileage  Deduct uniform expenses  Deduct medical equipment – stethoscope,  Deduct books, subscriptions, dues, VIN subscriptions**  Deduct cell phone bills  Deduct computer purchased used for work  ? Home office Disadvantages  Keeping track of receipts (easier with computer)  Sending in quarterly payments  Likely need accounting assistance  Some extra year end tax forms ** = Raymond J. Ramirez DVM is employed by VIN as a representative

© Raymond J. Ramirez DVM - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

© Raymond J. Ramirez DVM - All Rights Reserved The following license is not required to practice medicine, take radiographs, prescribe controlled anesthetics, and sign health certificates 50:50 A: Illionios state (& controlled substance license) C: Radiation monitor 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 B: DEA D: Accreditation $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

© Raymond J. Ramirez DVM - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

© Raymond J. Ramirez DVM - All Rights Reserved Without your own personal Drug Enforcement Agency (DEA) number, you can only do the following: 50:50 A: Euthanize a patient in clinic C: Prescribe Phenobarb from clinic pharmacy 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 B: Anesthetize a patient in clinic with controlled drugs. D: Anesthetize a patient with Propofol/ inhalant anesthetic

© Raymond J. Ramirez DVM - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

© Raymond J. Ramirez DVM - All Rights Reserved As an Independent Contractor under the IRS guidelines, you should receive a 1099 form from the clinic where you made more than: 50:50 A: $ 600 B: $ 800 C:$ 1,000 D: $1,500 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

© Raymond J. Ramirez DVM - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

© Raymond J. Ramirez DVM - All Rights Reserved This is the only Illinois city west of the Mississippi River 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 A: Quincy B: Kaskaskia C: Cairo D: None $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

© Raymond J. Ramirez DVM - All Rights Reserved YOU WIN $1 MILLION DOLLARS!

© Raymond J. Ramirez DVM - All Rights Reserved

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