Defining Their Own Practice as Partners in Love and Locums

Horseshoe Curve

Building and maintaining relationships is important to me.  As an introvert, one of the ways in which I work on professional relationships is by attending professional conferences each year.  One organization that is near and dear to my heart is the Student National Medical Association.  This organization was pivotal to my success as a medical student and consequently as a physician.  When I became an attending, it was imperative for me to volunteer with this organization and I had the awesome opportunity to serve on their Board of Directors for four years.  During my term, I re-connected with Dr. Renee Volny-Darko, a kindred spirit in Obstetrics and Gynecology, a believer in student mentorship and an advocate for health equity.  As part of her practice, Renee had worked as a locums physician while transitioning from one position to another.  It should be no surprise that when I started to consider a career doing locums tenens that I reached out to her to share her experience.  She was straightforward, honest and encouraged me to follow my path.

A little over a year later, I received a call from Renee.  She and her husband had decided not do only work as locums physicians but also to start their own locums company!  She asked me if I wanted to work with them and I said, “Of course!”  They offered me a position in Altoona, PA. I’ve traveled to Altoona a few times now.  Historically a railroad town in the middle of the state, the town is one of many working to redefine themselves now that the major industry has changed.  It is still the home the historic Horseshoe Curve built by the Pennsylvania Railroad.  However, the corners are now populated with Sheetz, a convenience store chain who house their corporate headquarters in Altoona.  Two hours from Pittsburgh and 4 hours from Philadelphia, Altoona has its own unique and inviting personality.

For that reason, the Darkos have decided to stay in Altoona as they work to grow their business. They have focused on recruiting physicians who are patient focused and team players with the goal of optimizing the experience for the physicians and the employer.  Working with Renee and Nii is like working with family.  And recently, the couple grew their family of two to three… Not only balancing practicing medicine, running a company, they are now the proud parents of a bouncing baby boy!

Today, I would like to learn more from Renee and Nii, partners in love and work, about how they are living their best life.

  1. Tell us a little about yourselves and your family.

We have been together for almost 15 years and married 4 years this November. We’ve accomplished many things together, but our greatest accomplishment is our soon-to-be four-month-old baby boy. Nii grew up partly in Queens, NY and Irvington, NJ. Renée grew up in Brooklyn, NY. We met in Kansas City, MO, where we attended and graduated from Kansas City University of Medicine and Biosciences and obtained a Masters of Business Administration from Rockhurst University. Nii trained in general surgery at the Morehouse School of Medicine in Atlanta and trauma/critical care in Miami. Renée trained in OB/GYN at Robert Wood Johnson Medical School in NJ.

We decided to work in Altoona after Nii had a locums experience there. Being newly married, it was important to us to be at a place that we liked and to be at the same hospital so that we could see each other even if our work schedules got busy. We did not want to live like two ships passing in the night. It has worked out very well for us!

  1. What is the most rewarding aspect of medicine for you?

Medicine has been a wonderful way for us to contribute to society both nationally and globally. Having worked primarily in underserved areas of the US, we are happy that we are helping to fill the gaps of medical care in communities in need. We have also done medical missions in Ghana with an organization called the International Healthcare Volunteers (IHCV). IHCV is a very rewarding experience because of its focus on educational exchange between US and Ghanaian doctors. We love to teach the Ghanaian doctors, residents, and medical students, but we learn so much from them as well. The impact of any mission is not measured in the number of patient encounters, but in the improving health of a nation as a result of education.

  1. How do you balance career, advocacy and parenting?

That’s a tough one! Being deliberate about balance is key. It won’t just happen organically. Early in our marriage, we established our family as our first priority. Nii worked full-time and Renée worked part-time, again, so that we could optimize our time together. If something interferes with our ability to live happily as a family, it’s not an option for us. Starting our locums company, Equal Access Health, has played an important role in giving us the balance that we need to be doctors, advocates, and parents. Working strictly as a locums physician allowed Renée the flexibility she needed during her pregnancy and now for us both to be home with our son as often and as long as we want. We’re also more free to spend extended visits with our parents and siblings. We have more time to work with IHCV on future plans to provide more continuous care and education in Ghana. We’re always reassessing our balance to ensure that we don’t over-extend ourselves.

  1. What advice do you have for young physicians as they start their careers?

Allow yourself to dream beyond the traditional practice of medicine. We are seeing very tragic repercussions of physician burnout. We are only human. It’s ok to be unconventional in your practice (like locums, part-time, or concierge) to fulfill your basic needs. We also encourage docs to have interests other than medicine. Our non-clinical ventures include the locums company, a podcast, a pre-med consultation service, and a lifestyle blog. We enjoy being doctors, but we have other talents that we’d like to explore.

  1. Mentorship is important to both of you.  How would you encourage professionals to stay connected to those still in training or early in their careers?

Remember that receiving and providing mentorship is lifelong. We both have mentors and we both continue to mentor. Like life balance, making a deliberate effort to maintain mentoring relationships is the key to staying connected. Continue to stay involved with your alma mater and student organizations. Look for opportunities to teach or precept residents.

https://www.equalaccesshealth.net/

 


 

 

 

 

 

Enjoying the Journey: Traveling Spirit, Lawyer, Champion for the Little Guys

South Africa

One of the many great memories I have from my eight years in Nashville, is the diversity of my friends.  I was fortunate to not only make fabulous friends while I lived there, we have continued to keep in contact and often see each other several times a year. A Saturday in Nashville could go in many different directions from paintball to canoeing to a hot chicken festival.  One such Saturday, a friend and I went to a pool party where we met a young lady who had recently relocated to Nashville to start her law career.  The inviting bunch that we are 🙂 she soon became part of our weekend adventures in Nashville.  Now looking back, it’s hard to remember a time in Nashville when Kinika wasn’t there as we have become great friends and frequent travel partners.

As with any great friendship, we spend time talking about our careers, our personal goals and reflecting on our true purpose in life.  Though younger than I am, Kinika has more working experience than I do, as when we met she was starting her first year at a law firm, while I was starting residency. As an incredibly intelligent, organized and detail oriented person, she quickly made her mark and accelerated through the ranks to become Partner at a prominent firm.  However, we both came to a similar roadblock in life. While our jobs were fine, and technically, we could do them for the next 30 years, would we feel like we were fulfilling our purpose, living our best lives?

Soon after I embarked on my locums journey, Kinika started to explore other options as well.  She was fortunate enough to be offered an opportunity to be the Director of Children’s Health at the Tennessee Justice Center (TJC).  This position offers her a chance to fight for one of our most vulnerable populations.  Social justice work can be painstaking, slow moving and frustrating.  It is also necessary and rewarding beyond measure.

Today, I would like to talk with Kinika Young about her inspiring transition.

  1. Tell us a little about yourself.

I was born and raised in Montgomery, Alabama. I moved away for college and attended Florida A & M University in Tallahassee, Florida. My decision to attend FAMU, an historically black college/university, took my classmates and teachers by surprise because, as a National Achievement Scholar, I pretty much had my pick of schools. They didn’t consider FAMU to be “good enough” for me, but I’m so glad I didn’t listen to them. I chose FAMU because I received a full scholarship and because of its pre-law program. FAMU has been a top feeder school for sending black students to law school. It turned out to be a great learning environment, where I gained the perspective, confidence, and fortitude that helped me going into law school and the real world.

My first choice was to attend Vanderbilt University Law School. I earned a spot during early admission and received a partial scholarship. But, I couldn’t pay the remaining costs. So, I went to Tulane University Law School on a full scholarship. Again, I lucked upon a great school. I enjoyed New Orleans, and it remains one of my favorite cities in the world. During law school, I decided to focus my job search on a few cities based on size, career opportunities, and cultural scene (like art, music, sports, etc). Nashville was one of those cities. I had never even visited Nashville until I came for interviews. I got a summer clerkship at a firm in Nashville during the summer after my second year of law school.

At the start of my third year of law school, Hurricane Katrina hit New Orleans. I evacuated safely, and while I was home in Montgomery trying to figure out what to do, I received a phone call from the hiring partner at the firm where I had clerked. He called to check on me and to inform me that the hiring committee had just met earlier that day and decided to extend an offer for me to join the firm after graduation. The firm found housing for me and arranged for me to attend Vanderbilt University Law School as a visiting student during the fall semester, while New Orleans was recovering. So it all came full circle. I ended up at my first choice law school under circumstances that no one could’ve predicted. Many people at the law school and the law firm were incredibly helpful and accommodating. It was a testament to the kind and welcoming spirit that defines Nashville, which made me fall in love with the city. I ended up practicing at this same law firm for over 10 years until I left to join a non-profit organization.

  1. What prompted you to consider a position at the Tennessee Justice Center?

I first learned of the Tennessee Justice Center when I did a leadership program for attorneys in 2013; one of my classmates worked at TJC. I believed in their mission (helping people get access to life’s necessities, particularly healthcare), so I handled a couple of pro bono cases and became a monthly donor. After seeing all the turmoil and civil unrest in 2016, I felt like I needed to devote more time to working on social justice issues and making a difference in people’s lives. First, I considered the financial implications of leaving the firm and all the perks that come with it. I was able to follow my heart (and not the paycheck) because I had no debt, I’m single, and I saved a lot from the beginning. Next, I talked to several friends about it, and one friend suggested that I reach out to the executive director of TJC. I did, and just like that, I made the biggest career move of my life!

  1. What have you enjoyed the most in your new position?

Being the Director of Children’s Health allows me to immerse myself in health care policy and analysis, think creatively about ways to influence people, and advocate for a worthwhile cause–protecting and improving the health safety net for children. The work is extremely relevant right now. TJC has been at the forefront of the fight to save healthcare and defeat efforts to repeal the Affordable Care Act and slash federal funding for Medicaid. The few months that I’ve been at TJC have been the most exciting of my legal career. I hope the big threats are behind us now, but given the ongoing need for healthcare reform, I think this position will remain challenging and fulfilling.

  1. What has been the most difficult part of your transition?

It’s been difficult to grieve the death of my brother in the middle of a job change. He was murdered around my last week at the firm. Learning about health policy issues like dealing with the effects of adverse childhood experiences (ACEs) has given me a different perspective into what may be the root of most violent crime and how health care (or the lack thereof) affects many issues facing society at large.

It’s also been rough adjusting to a set work schedule and limited paid time off. At the firm, I worked a lot but I pretty much set my own schedule, and I took time off whenever I wanted it or needed it. As long as the billable hours were met, no one cared whether I was at my desk by 9 a.m. or whether I took off 2 weeks to go to Australia. I love to travel, so it will be a challenge to reconcile my jet-setter-side with my help-the-children-side!

  1. Do you have any advice for young professionals on how to practice law and live their best life?

Be authentic. Practicing law is challenging and can be consuming—no matter if you choose a large firm, small firm/solo, government, or non-profit. It becomes an integral part of your identity, so you want your practice to be a true reflection of you. At the end of a long day, if you can feel good about the work you’re doing and the reasons you’re doing it, then it will be time well spent. Whether you choose a practice to provide a certain lifestyle, to take care of your family, to help people, or to change the world, embrace it. There is no one size fits all; don’t judge yourself based on another person’s path. As long as you’re honest with yourself about what you value most and what you hope to accomplish, then your practice will be rewarding and will allow you to live YOUR best life.

Nashville
New Orleans

 

 

 

 

 

 

 

 

http://www.tennessean.com/story/money/industries/health-care/2017/06/11/kinika-young-trades-corporate-law-for-protecting-kids-healthcare/322601001/

When in Doubt… Read!

 

My favorite pastime growing up was reading.  I was the kid that looked forward to the summer reading list.  I usually made my way through the list and read a few more.  Each summer, I would challenge myself to something different… How many books could I read? How fast could I read one book?  How many books could I read at the same time? (I’ve done five, but 2-3 is a more workable number).

Generally, I have always preferred fiction since it allowed me an outlet from my everyday life.  I enjoyed the sense of adventure, the sneak peek into others’ lives and their trials and their triumphs.    If I have to pick a specific genre, historical fiction would be my favorite.  But I’ll read just about anything.  As an adult, I am always reading something, though depending on my work schedule it takes me considerably longer.  During residency, it was not uncommon for it to take me the better part of a year to get through one book. I often had to go back and re-read passages due to the infrequency of my leisure-reading schedule.  (I should be clear; I did plenty of medical reading!)

It should come to no surprise that when I found myself at a transition point, I turned to my old pastime for guidance.  (Though an avid supporter of the public library, it became increasingly difficult to get the books back on time…)  I went into a local bookstore chain and walked through the aisles, looking for a title that jumped out at me.  I found several books, sat on the floor and leafed through them until I settled on 4-5.  In the past two years, my tenacity for reading has been re-energized.  I have not reached to 60 books a year (or whatever the number is that successful leaders are supposed to read), but I’ve enjoyed this part of my journey.  As you can notice from the list below, more non-fiction has crept its way into my life…   I think I lost track of a few and these are in no particular order, but here’s my reading list for the past two years or so.

 

Fiction

The Cutting Season  Attica Locke

River, Cross My Heart Breena Clarke

The Twelve Tribes of Hattie Ayana Mathis

Lazaretto Diane McKinney-Whetstone

Happily Ever After Elizabeth Maxwell

 

Non-Ficton

Blink Malcolm Gladwell

I don’t know what I want to do, But I know it’s not this Julie Jansen

The Tipping Point Malcolm Gladwell

Drink More Whiskey Daniel Yaffe

The Bogleheads Guide to Investing Lindauer, Larimore & LeBoeuf

The Art of the Bar Hollinger & Schwartz

Lean In Cheryl Sandberg

Outliers Malcolm Gladwell

Real Estate Investing McGraw-Hill

The 4-hour Work-week Timothy Ferriss

The One Minute Millionaire Mark Victor Hansen & Robert G. Allen

1000 Dollars and an Idea Sam Wyly

When Things Fall Apart: Heart Advice for Difficult Times Pema Chodron

 

Currently:

The White Coat Investor James M. Dahle

The Post-Birthday World Lionel Shriver

 

 

Louisville, KY

Finding the Path to Nomadness by Becoming Debt-free

Bethel, ME

There are many articles/books on financial well-being.  I am a novice and I don’t have anything earth shattering to impart here.  I would refer to the experts to tailor a plan to your exact needs. However, for me transitioning to a nomadic existence required some amount of fiscal forethought and I wanted to share that part of my journey with you.  Essentially, saving is not too unlike dieting.  Diet = less in, more out.  Saving = more in, less out.  Both require discipline and a small amount of sacrifice for an ultimate long-term benefit.  My habit of saving allowed me to have the confidence to feel comfortable pursuing a career doing locums and is also allowing me to volunteer in Kenya this fall.

I’ve always been debt adverse.  I don’t like to owe anyone, anything.  I’ve also known I wanted to be a doctor since a young age, so I started planning for college and medical school in middle school.  (Yes, I know…)  I knew my parents could not personally finance my education and I knew I did not want to accumulate a mountain of debt that was common with medical school graduates.  So, I set a goal to apply for and receive as much scholarship assistance as possible.  Therefore, I finished medical school with only a modest amount of student loan debt compared to the mortgages some of my colleagues acquired.

I enjoy saving.  However, residency training does not lend itself well to aggressively saving.  But, you can manage your spending to create minimal credit card debt.  During my fellowship year, I started actively saving.  Each month I siphoned off at least 25% of my check into a savings account.  I deferred my student loans, but I paid off the ACOG HELP loan that I applied for and received my fourth year of residency and I made the minimum payment on my credit cards.  I bought a car my first year of residency.  I had a 60 month lease, meaning I paid it off the last month of my one-year fellowship.  I did not then, nor I have I since, bought a new car.

After starting my first job, I continued saving.  I was paid bi-weekly.  From one check I transferred 25% to my short term savings account and from the second, I transferred 25% to my long term savings account.  I set up automatic payments to cover the minimum payment to my student loans to avoid any fees or an increase in interest rates due to missed payments.  After I covered my monthly expenses, I used whatever I had left to pay-off my credit card debt.  Once I paid off my credit cards, I doubled, then tripled my student loan payments, making sure the additional amounts were applied directly to the principal.

Remember my two savings accounts?  Once the short-term account balance equaled my student loan balance, I paid it off in a lump sum.

Voila! Debt-free!

I continued to grow my long term saving account until I felt it could cover me for at least 6 months if I were unemployed.

Take Aways:

  1. Establish a habit of saving.
  2. Pay off timed loans first, high interest/credit card loans second, low interest/student loans third.
  3. Be a Realist. Understand your financial strengths and weaknesses.
  4. Minimize non-essential spending, but still enjoy life.
  5. Debt-free = Freedom.
Bar Harbor, ME