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The Sunday Best 03/30/2025

PoF: Sunday Best

Not everyone ties their identity to being a physician.

Some people pick a lane, and stick in it forever, and build a career and stay there forever. That works for them.

Others evolve. They let curiosity lead. They step into new spaces even when they don’t have the credentials.

Its not flakiness. Its expansion.

Side gigs have always been part of physician culture through “moonlighting.” Beyond extra income, these pursuits can help us test alternative careers. Your clinical job pays the bills, but your side gig could become your fulfilling encore—intellectually, emotionally, and spiritually rewarding as you transition to retirement.

These don’t need to be medical—perhaps teaching occasionally, consulting, writing, or learning music. Many find these activities create bridges between their established identity and unexplored aspects of themselves.
As healthcare continues to evolve and burnout rates climb, intentionally cultivating these alternative pathways isn’t just prudent—it’s essential self-care. Your side gig might become your sanctuary when clinical practice feels overwhelming, or your transition plan when retirement approaches.

So ask yourself: What interests have I set aside in service of my medical career? What skills have I developed that might be valuable in unexpected contexts? What problems would I solve if my medical degree weren’t the primary tool in my toolkit?
Medicine has shaped you but needn’t define your entire existence. Your side gig could become your next chapter—on your own terms.

Jorge Sanchez, MD

Naples, Florida

The Sunday Best 03/30/2025

There’s a lot of confusion about what’s happening with student loans. So here’s what student loan borrowers need to know right now, and what actions they may need to take.

Real income and spending are two of the most important indicators of the well-being of the consumer. With the general weakening of the economy, let’s check if real spending on goods would sputter. Signs were mixed in February.

The American psyche was deeply scarred by the dramatic inflation surge during the pandemic years. This recent history has left American households highly sensitive to perceived inflationary threats, complicating the Fed’s efforts to reliably achieve its 2% inflation goal.

Transitioning from saving and investing to spending and consumption is a psychological hurdle that can be difficult to overcome in retirement. There are bigger problems in the world but so many discussions revolve around the worries of spending money in the face of all the uncertainties involved in retirement.

America might be the richest country in the world, but that doesn’t mean we have wealth equity. Because if that was the case, half of America’s retirees wouldn’t be fearing bankruptcy right now.

Some of the most futuristic-looking technology isn’t solving new problems at all. It’s simply replacing tasks that humans have done for a long time…food delivery, driving, surgery, etc. Eventually, robotic delivery will be reliable and predictable, and very few humans will deliver food. Or drive. Or perform surgery alone.

A confluence of fiscal austerity, shifting political priorities, and systemic pressures has redefined the landscape of biomedical innovation. The NIH’s indirect funding to laboratories, now capped at 15%, stands at levels not seen since the early 2000s after adjusting for inflation.

79% of employees are disengaged at work, according to Fortune. It might be because nobody works. Nobody in the government works. Not many people in the private sector work, either. Even successful companies are bogged down in political gamesmanship, and nobody actually does anything. The same can be true for non-profits as well.

Speaking of work, full-time employees in the U.S. have been working fewer hours per week for the past five years. What are the implications for employees and their organizations? And what’s driving the trend

Something in contemporary Western diets must shift, for both moral and ecological reasons. Fortunately, there are alternatives to our current food system – ways of eating that are equally, if not more, nutritious but without the suffering and climate impacts of factory-farmed meat. Unfortunately, many people find these alternatives disgusting.

Women are approximately 65% more likely to report leaving paid work to care for a family member, which might explain why they retire with roughly 63% as much retirement income and are 56% more likely to end up in poverty following divorce.

Despite women now comprising nearly 38% (AAMC 2023) of the physician workforce, their financial outcomes starkly contrast with those of their male peers. Data from the American Medical Association (AMA) underscores a sobering reality: female physicians earn, on average, $2 million less over their careers than male physicians.

Workers everywhere have yet to recover from the isolating effects of the pandemic. The COVID-19 pandemic has quickly and dramatically accelerated the need for new workforce skills. The most important skills to develop tend to be social and emotional in nature.

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