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DOCTOR’SLife www.doctorslifetampabay.com

A Practical Workout for the Impractical Schedule

Business Lifestyles and Opportunities Issue 1, 2013 Tampa Bay Edition

Social Media Prescription Medical Real Estate Compass

Caribbean Hidden Gem in the


What’s Inside New Year, New You

Physician Spotlight

James T. Huang, M.D. Transplant and General Surgery Tampa General Medical Group Page 5

A practical workout strategy for the impractical schedule

From the Publisher

Welcome to the first issue of Doctor’s Life Tampa Bay Page 6

Page 16

Real Estate Compass Finding the perfect home for your practice

Puerto Rico

The best of the Caribbean Page 12

Page 8

Fit Corner

Your Social Media Prescription

A Specialist for doctors’ finances

Page 22

Use interval training to your advantage Page 17

Advertisers 1st United Bank

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Action Accounting & Tax Service

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The Forte Group at Morgan Stanley 2-3 Health & Wellness Channel

Page 18

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ImageFirst 11 The Mahr Company Paci Realty

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USAmeriBank 24 Wasson Bay Area Insurance 4

Doctor’s Life Tampa Bay

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Physician Spotlight

James T. Huang, M.D. Transplant and General Surgery Tampa General Medical Group

409 Bayshore Blvd., Tampa, (813) 844-5660

Doctor’s Life wants to know

What is your favorite Tampa restaurant? Toss up between Thai Island and Yummy House.

What is you favorite place in Tampa Bay to relax? Harbor Island Athletic Club, where I play tennis and work out to stay in shape. What is your favorite event to attend in Tampa Bay? Gasparilla Arts Festival—nice weather, interesting art and provides culture for my family. What is your favorite book? No particular book, I enjoy spy thrillers and crime mysteries. Michael Connelly and Alex Berenson are some authors I like. If you never became a physician, what was your second choice of career? I would have liked to become a diplomat or a member of the foreign service. I enjoy travelling and languages. As a junior in high school, I was a congressional page in Washington, D.C., and wanted to be a politician or diplomat, but with a father who is a physician, was brought back to reality and focused on medicine. What is the most rewarding part of your position as a physician? As physicians, our patients confront us with a health problem that needs to be solved. They have an illness that needs to be cured. Whether medical or surgical, it is rewarding whenever we can cure a disease or improve the health of a patient.

Break the myths that surround transplant surgeries and donors

Can an individual that donates a kidney go on to lead a normal, active life? Absolutely yes. We do a very thorough evaluation of any living donor to make sure they are healthy enough to donate a kidney. Are there any benefits to receiving a transplant from a living donor versus a cadaver? Living donor organs are healthier and function better and longer. In addition, the waiting time for the recipient is significantly shortened to months instead of years.

Dr. Huang is the surgical director of the renal transplant program at Tampa General Hospital. He also serves as the Chief of General Surgery at Tampa General Hospital and is a member of the credentialing and electronic medical record implementation committees. Dr. Huang joined the medical staff at Tampa General Hospital in 2002 after completing his general surgical residency at the University of South Florida and a subsequent transplant fellowship at LifeLink Healthcare Institute in Tampa. Dr. Huang received his B.S. and M.D. degrees from Washington University in St. Louis, Mo. He has been a resident of Tampa since 1996. How important is it to a transplant program for individuals to voluntarily donate their organs after they pass? More organs donated, more organ transplants performed and more lives saved and improved.

What organs are in the highest demand and why? More people are waiting for kidneys than any other organ. Heart and liver are life-saving organs because often the recipients may die if they don’t receive the organs in a timely manner. Heart and liver are in more urgent demand, but still more people need kidneys than there are available.

Is there any truth to the myth that physicians do not make every attempt to save an individual’s life when it is a lifethreatening injury and they are registered organ donors? We will make every attempt to save a life when possible. Only when the patient is brain dead or the injury is so severe and beyond recovery is the transplant team consulted for potential organ donation.

How has LifeLink played a crucial role in the successes of Tampa General’s Transplant program? LifeLink has a very successful organ procurement organization that approaches families in times of grief, with the loss of a loved one, and are able to obtain their consent for the donation of their loved one’s organs for transplantation. Without the generosity of donor families to consent to organ donation, we would not have organs to save lives.

On average, how many lives can be saved from one organ donor and how many from one tissue donor? Up to eight people may be saved from one donor: one heart, two lungs, two kidneys, one pancreas and the small intestine. Tissue donors may improve the lives of 50 people. Blood and bone marrow are also important tissues that one can donate without too many consequences, and while alive, and on a regular basis.

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From the Publisher

www.doctorslifetampabay.com

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ur vision for Doctor’s Life Magazine (DLM) is to be the outlet for the source of business, financial, legal and lifestyle information that is specific to physicians. I understand that our readership is inundated with information every day.

My commitment is to keep every edition short in length, however impactful with relevant content that is of interest. I will always be on the lookout for new practice ideas, cutting-edge financial strategies, upto-date legal issues and places, products and services that provide you a better lifestyle. DLM will always be interested in any suggestions that you feel would be of use to your colleagues. We want to hear about your favorite eateries, charities, coffee houses, banks, etc., along with your favorite vacation destinations and places where you relax. I not only encourage you, but challenge you, to email me all of your favorites in all things that surround your life and profession. I want to know about instruments or procedures that are cutting edge or even surrounded by controversy. DLM wants to be informed when something uplifting happens or of great philanthropic stories. I hope you enjoy this edition. We included a “New Year, New You” workout that is specifically designed for professionals who need a practical training regimen to meet your impractical schedule, a social media prescription and key commercial property strategies. Hopefully the new workout program will get you ready for the secret gem we show you in the Caribbean. I and everyone at Doctor’s Life wish you a Happy New Year. We hope to hear from you soon.

-Ed

www.doctorslifetampabay.com

A Practical Workout for the Impractical Schedule

Business Lifestyles and Opportunities Issue 1, 2013 Tampa Bay Edition

Social Media Prescription Medical Real Estate Compass

Caribbean Hidden Gem in the

Tampa Bay Tampa Headquarters 1208 East Kennedy Blvd. #1029 Tampa Fl, 33602 813-444-9204 Tampa Bay Publisher Ed Suyak publisher@doctorslifetampabay.com Creative Director Bryan Clapper Editorial Director Ed Suyak Advertising Account Executive CJ Cooper Doctor’s Life Magazine, Tampa Bay is always seeking events, stories and remarkable physicians. Please email the publisher if you have an event, an editorial idea or you know of a doctor or dentist who may have done something extraordinary. We want your suggestions and feedback. publisher@doctorslifetampabay.com Doctor’s Life Magazine, Tampa Bay does not assume responsibility for the advertisements, nor any representation made therein, nor the quality or deliverability of the products themselves. Reproduction of articles and photographs, in whole or in part, contained herein is prohibited without expressed written consent of the publisher, with the exception of reprinting for news media use. Printed in the United States of America.

Ed Suyak Publisher publisher@doctorslifemag.com 6

DOCTOR’SLife

Doctor’s Life Tampa Bay

Issue 1, 2013


The prescription for better medical malpractice coverage‌ The one insurance company that can handle all of your needs! Medical Malpractice Home Auto Flood Umbrella Business Life Disability Health Insurance Financial Planning Please call us with any questions about your policies, we are here to assist you!


Compass

Real Estate

Finding the perfect home for your practice

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avigating the commercial real estate decisions related to your medical practice is more important than ever, based on current economic conditions and with changes taking place in health care technology and health care delivery. A medical office can be a long-term commitment, making it critical that medical practitioners carefully perform their due diligence to make the most informed decisions regarding their real estate. It is important to ensure their goals and objectives are best being met, their risk is being mitigated where possible and they are setting themselves up for success by choosing an office that best suits their needs with respect to location, budget and functionality.

Location

Location is likened to the “golden rule� of real estate, and the location of your medical office is one of the most important factors to consider when deciding to open or relocate an office. Once a specific geographic area has been determined, many other factors should be considered to ensure the success of your office location. Some practices are more of a destination spot and can locate on a secondary road while others require retail-type exposure and visibility on a major thoroughfare; each should consider a location that is both convenient for patients and easy for patients to find.

Budget

office, as your office occupancy costs will likely be one of the largest expenses your practice incurs next to labor. Not only should you understand what office overhead your practice can support, but you must be aware of market rental rates and/or sale prices in the area in which you want to locate to ensure that your budget matches the market area.

Functionality and Layout

Since it is expensive and time consuming to relocate a business and many medical practitioners stay in the same office location for many years, it is important to evaluate and review those factors most important to your specific practice when deciding on an office. Special consideration should be given to the ideal square footage to meet your immediate and projected growth needs, as well as what layout is most conducive to your practice to ensure that the space will properly fit your furniture, medical equipment and allow you to work effectively and efficiently. An office layout that is functional for your needs and requirements can help an office run more efficiently. If your practice lends itself to a large number of patients or family members in the waiting room at any

Budget is a huge consideration when deciding where to set up an

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Doctor’s Life Tampa Bay

Continued on Page 10 Issue 1, 2013


Tampa Bay’s Medical Office Specialist. www.tampamedicaloffices.com

TMC-THE MAHR COMPANY offers specialization in Medical Office Real Estate Services. What this translates to for you, as a medical practitioner, is the TMC team becomes your problem solver and solution finder so that you can remain focused on what you do best: PRACTICE MEDICINE. TMC provides hands on services in the Tampa Bay area for medical office users including in the following areas: • Consulting • Sourcing • Build To Suits • Leasing • Lease With Equity • Marketing • Special Projects • Acquiring • Disposing Among our current offerings:

South Tampa

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813.835.4888 4807 Bayshore Boulevard, Tampa, FL 33611

www.mahrcompany.com


one time, having a small waiting room with insufficient seating could be a costly mistake. Alternatively, some medical offices work well with very small exam rooms and limited counter space and possibly don’t require a sink in every room, while others need large exam or procedure rooms with room for large specialty lighting, equipment and fixtures and also need ample counter, cabinet and plumbing in some or all rooms. Some practices are chart and paper intensive and need substantial chart storage space, while others are virtually paperless and therefore require differences in layout. Some medical offices prefer to have a patient bathroom in the lobby versus having waiting patients requesting entry to use the interior facilities and some offices need special adjustments made to their check-in and check-out areas.

and there are other situations where it is appropriate for the tenant to bear the cost of their build out. Depending on the economy, market and space being considered, there are many additional important factors to consider when leasing. Physicians should understand the concept of rentable vs. useable square footage when weighing various office rental options. For example, you may require more rentable square footage than anticipated when renting in a large multi-tenant office building because the square footage you are paying for may include your shared use of the common areas of the building. Depending on the type of practice you have and what location considerations are important to you, having other practitioners in the same building and having access to common area shared amenities may be well worth it!

Other Important Considerations

Buying

While not intended to be exhaustive, the following list describes some additional factors to consider when selecting a medical office to buy or lease. Parking: Is there adequate parking for your needs?

If purchasing an office is better suited to your specific goals and situation, there are many different financing vehicles available. Financing institutions can vary in the programs they offer to physicians, with some lenders offering more attractive financing options than others. Additionally, there are programs available through the Small Business Administration that combined with bank financing can allow a physician to buy their office with as little as 10 percent down. These programs can be a great option for new practices starting out, as well as long established practices looking to buy real estate for their office.

Financing

While city or county codes will detail parking requirements depending on the use of a property, you need to ensure that the parking available meets your needs. Signage: Does the location offer adequate signage for your business and/or ample signage for your patients to easily find your office? Accessibility: Is it relatively easy for patients to find your office and get in and out of your parking lot? Image: Does your office provide an image or aesthetic component that will make your patients feel comfortable and coincide with the image your business is trying to project? Plumbing / Electrical: Does your office offer adequate plumbing and electrical for your practice; if not, is it viable and cost effective to have these items added?

Lease, Buy or Lease with Equity

Many factors play a role in a physician’s decision regarding leasing vs. buying. Personal preference could be the deciding factor; however, supply and demand, pricing, tax and legal considerations will be determining factors. A lease with equity can be an attractive option to some physicians, as this is a hybrid between leasing and buying, providing the physician with equity but not requiring the capital outlay of a traditional purchase.

Leasing

Be forward thinking; consider build out modifications or upgrades that will be required or desired during your tenancy in the building. Think of your future and the future of the property so you don’t find yourself in a location where you want to stay well beyond your lease term and the landlord has different goals and objectives. Leases can be negotiated in a number of different manners; there are times when it is appropriate for landlords to offer a tenant some build out allowance and/or free rent

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Whether you lease or buy your office space, there are financing programs available to help new practices get going, by offering some working capital and financing many start-up costs, such as: medical equipment, furniture and computer equipment. Some of the financing programs available can structure the repayment timing where the physician pays less in the early years of the loan and more in the later years of the loan, thereby reducing initial start-up costs and giving the physician time to build their business. Starting with your own bank is a good idea; however, keep in mind that financing is a competitive industry and there may be more negotiation room than what is initially offered to you. Fielding an experienced team in place to help guide you will help ensure your success in finding the ideal office location and help in negotiating the best possible terms is critical so you can make educated decisions, while staying primarily focused on what you do best, practice medicine! Your team should include: An experienced commercial real estate broker to help explain various critical leasing and/or buying considerations, a CPA or tax advisor to help you determine the tax implications of leasing vs. buying, an experienced real estate attorney and healthcare attorney to help you determine the legal implications of leasing vs. buying for your practice and to advise you as to what type of entity should be formed to sign a lease under or take title under to best protect your interests. Depending on the scope of the office project, other professionals and consultants should be engaged, such as contractors, engineers, architects, medical equipment salespeople, furniture, phone system and IT vendors, etc. While a physician may negotiate for an office location as infrequently as once or periodically every several years throughout their career, a seasoned and professional commercial real estate medical office specialist does so continuously and can be a valuable asset and member of your team to help you navigate the complex commercial real estate leasing, buying or building process. Commercial real estate professionals can help with: selling an office, buying an office, renewing a lease at an existing location, expansion or contraction in office space and can even assist with finding a doctor to sublease excess space. For more information, please visit www.tampamedicaloffices. com or call The Mahr Company, licensed real estate broker at (813) 835-4888.

Doctor’s Life Tampa Bay

Issue 1, 2013


Puerto Rico The Best of the Caribbean P uerto Rico, officially the Commonwealth of Puerto Rico, is an unincorporated territory of the United States. It is located in the northeastern Caribbean, east of the Dominican Republic and west of both the U.S. Virgin Islands and the British Virgin Islands. Puerto Rico is only 100 miles long by 35 miles wide, making it the smallest island of the Greater Antilles. Puerto Rico (Spanish for “rich port”) consists of an archipelago that includes several striking islands, such as the main island, Vieques, Culebra, Mona, and numerous islets.

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t is said to be the best of the Caribbean with over 270 miles of white-sand beaches, consistent warm temperatures throughout the year, tropical flavors and rhythms and, of course, plenty of rum! The island stands out even amongst its fellow Caribbean island inhabitants. Puerto Rico’s culture is a colorful, festive fusion of Taíno, African, and Spanish influences. Every day is a celebration of the diversity of cultures that have shaped the island for over 1,000 years through rich cuisine, distinctive arts and crafts, vibrant music, and traditional festivals and parades. There is always a spot to hear the beating of the drums to salsa, bomba and plenas. These percussion-driven musical traditions keep the people of Puerto Rico ready to congregate, dance and celebrate! Puerto Rico is inhabited by extremely proud people and they love to show their island off to visitors. Great pride, humility and passion run through the veins of Puerto Ricans. Puerto Rico is a paradise retreat 24/7, 365 days a year. Visit historic El Morro Fort on the northwestern tip of the island and learn how it defended the city of Old San Juan from seaborne enemies. Explore lush foliage, waterfalls and rivers at El Yunque Rainforest and national park. The rainforest has a number of trails to walk, hike, and climb. Take an ecotour of the fascinating and beautiful bioluminescent Vieques Bay where water microorganisms emit a flash of bluish light when agitated at night. Adventure seekers may even dare to experience the intense water sports offered right off the shore. These are all excursions that should be placed on your to-do list while visiting Puerto Rico. Isla Verde is one of the many sensational areas to visit while in Puerto Rico. This area is a district of Carolina which borders the Atlantic Ocean, south of Gurabo, east of San Juan, and west of Canovanas. Isla Verde is a destination unto itself. Over a mile-long strip of some the most beautiful white sand beaches and generally calm water make it a perfect playground for water sports, swimming, and of course sunbathing. This strip plays host to some of the largest luxury resorts and casinos, filled with plenty of boutique shops and divine restaurants. Isla Verde is perfect for leisure and extremely welcoming for business. With some of the largest resorts and casinos taking up much of the real estate along the beachfront on Isla Verde Beach, one might miss the hidden gem of the area. Located directly across from one Puerto Rico’s most pristine beaches, the San Juan Water Beach Club Hotel is truly a David amongst several large Goliaths. This chic property brings the transparent waters of the Caribbean Sea flowing through the hotel. A cool mix of blues that swirl, ripple, and cascade throughout the sleek, modern building play point with brilliant shades of white, to a soundtrack all its own. With its new renovation complete, this hotel is perfect for a leisure fantasy escape or company retreat. Trip Advisor awarded the San Juan Water Beach Club Hotel the 2012 Certificate of Excellence as well as the 2012 Travelers’ Choice Award. Issue 1, 2013

The San Juan Water Beach Club Hotel offers executive services with an intimate Caribbean flare. The hotel has an oceanfront business center and indoor and outdoor function venues for board meetings, corporate training, or special corporate functions. At your disposal, the hotel offers an executive boardroom, state-ofthe-art audio/visual and telecommunications equipment, and other technology you may need upon request. Whether you are here for leisure or business, your stay will be first class. With the hotel located only five minutes from the Luis Muñoz Marin International Airport, it is extremely easy to bring larger groups or plan a stay for two on a romantic getaway. From the moment you disembark your transportation, you are greeted and pampered by the Beach Club staff. Every thought to make your stay more pleasurable is taken into consideration and executed by all staff members. Give them one day, and not only will they know your name, they will also personalize their

service based on your desires. No detail is missed—and a few might be added, based on your individual needs. No matter what you set your heart on while visiting Puerto Rico—a day at the beach, a couples massage on the beach, a tour of old San Juan, zip-lining on one of the longest lines in the United Sates, water sports, fishing, salsa dancing, trying your luck at one of the many outstanding casinos, exploring the rain forest, viewing a waterfall (and these are just the tip of things to do)—the Beach Club staff will make it their mission to fulfill your every request. The hotel has 80 rooms and suites that feature floor-to-ceiling windows with views of the tropical Atlantic and San Juan’s finest beach. When you decide to finally sleep, you will rest on a pillowtop mattress and snuggle up in fine linens. Your room comes with complimentary high-speed internet access, LCD flat screen TVs, an iHOME docking station, in-room safe, telescope, nightly turn-down service, plush towels, calming bath amenities, and of

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course coffee service with Puerto Rican Yaucono coffee for when you arise. Once you work up an appetite, you have two first-class dining options from which to choose. The San Juan Water Beach Club Hotel has two spectacular restaurants under the helm of local celebrity executive Raul Correa. Located on the rooftop of the hotel, Mist is the renowned hot spot for locals and tourists. Mist offers comfortable white plush couch- and bed-style seating areas, as well as dining tables facing the pristine water and scenic view of the Puerto Rican Mountain range. Words cannot describe the ambiance in this setting. The menu boasts an Island-Italian-Spanish fusion flare, featuring “socializers”— or small plates—that you can share, all prepared with fresh, locally grown ingredients. Once you’re done dining, grab one of their signature cocktails and take a dip in the rooftop pool overlooking the Atlantic Ocean. When you feel satisfied and have made every attempt to overindulge yourself at the rooftop oasis, you might check out the second restaurant on the main level. Zest is an avant-garde culinary experience that takes you beneath the waves, with special visual effects including dancing ripples on the walls, an ocean surface simulation on the ceiling, illuminated floors, and a cascading waterfall 14

adjacent the bar. Zest is an amazing sub-aquatic atmosphere with a mouthwatering modern-Latino cuisine, prepared using only sustainable local ingredients. Executive Chef Raul Correa’s unique style of cooking embraces both the sensory and scientific qualities of food, as he infuses each dish with a distinct panache designed to stimulate every sense. This executive chef is hands-on, and it is very likely that when your taste buds explode with one of his dynamite dishes, he will soon be table-side making sure your experience is like no other. After a long day taking in all that the Beach Club has to offer, it’s time to relax in your luxury room. No need to go to sleep, because the party on Isla Verde’s trendiest favorite night spot is just above you on the roof top lounge. Mist offers nightly DJs who spin a variety of music to get you out of your seat and onto the dance floor. Dance the night away, and get ready to do it all again tomorrow. There is so much to do and see while staying in the Isla Verde area of Puerto Rico, not to mention on Puerto Rico as a whole. The only way to really experience, enjoy, and absorb it all is to stop reading this article and book your trip to Puerto Rico! Isla Verde should be a definite stop while exploring the island, and the San Juan Water Beach Club Hotel should be your destination of choice.

Doctor’s Life Tampa Bay

Issue 1, 2013


At 1st United Bank, Your Business Is Our 1st Priority! We offer comprehensive healthcare banking including equipment lending for your practice. We specialize in providing 1st rate products and services such as our door-to-door 1st Concierge Banking* service. When your office calls, we are there in person to provide on-site business banking services so that you can stay focused on your patients. For more information about our comprehensive healthcare banking services, please call: Maureen Hegarty VP, Business Development Officer in Tampa: 813-549-0568

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Fit Corner

New Year, New You!

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A practical workout strategy for the impractical schedule orkouts for busy people are specifically focused on being time-efficient because the people they’re designed for often have very little spare time. Unfortunately, what should be the strength in short workouts is often the same very thing that makes them completely useless!

The reason is simple: the people who put them together try to push the boundaries of time so much that they end up shortchanging the effectiveness of the workout itself. The goal is to not have to spend countless hours in a gym or push the limits too far in a short period of time. Ultimately, you need an effective workout in a reasonable amount of time. In this article we’ll take a look at time-efficient workout strategies which busy people can use to get maximum results in minimum time!

What’s The Minimum Workout Duration?

Four-minute workouts based on the Tabata studies are popular and studies have proven great results in just four minutes but sometimes there’s a problem—most people can’t work hard enough to actually do Tabata. And while their workout will be intense, it’ll be more like High Intensity Interval Training (HIIT) which won’t get the job done in just four minutes. Realistically, you need at least 20- 30 minutes. This will allow you to maintain strength by giving you a proper warm up and adequate rest between sets.

What Exercises Are The Most Effective? High Intensity Interval Training

A group of researchers have been turning health and fitness studies on their heads by investigating just how little exercise we really need to sustain results. As long as you’re willing to work hard during your exercise, you probably don’t need as much as you think. The days of a mild long jog can be put behind you, unless you actually enjoy it. Most world-class athletes train in intervals: short, sharp bursts of strenuous activity, and interspersed with rest. There has been recent research that shows that a High-Intensity Interval Training

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that involves one minute of strenuous effort at about 90 percent of a person’s maximum heart rate, followed by one minute of easy recovery is maximizing your time and bringing big results. This process is repeated 10 times, resulting in a total exercise time of 20 minutes, and is to be carried out just twice a week. But can two interval sessions a week really get you fit? Well, despite the infrequent nature of the exercise, the researchers have shown that, after several weeks of practicing HIIT, both unfit volunteers and cardiac patients taking part in the study showed significant improvements in their health and fitness.

Resistance training with weights

Compound exercises are going to deliver the most “bang for your buck” as they work multiple muscles at once. For this reason you should make these the focus of your workouts and drop isolation exercises as much as possible. The choice is obvious: work one muscle at a time with a lighter load or work multiple muscles at the same time with heavier loads. Here are the best exercises: The most important three exercises • Bench Press • Dead lift • Squat Don’t waste time doing more work. Muscle growth and muscle maintenance is the result of intensity (e.g. weight on the bar), not the volume of work you do.

Doctor’s Life Tampa Bay

Issue 1, 2013


ASK THE COACH Sample Workout for Busy People

So how do you use these exercises in a workout that gets the job done in just two 20-30 minute workouts per week? Here’s a template you could use: Workout A Bench Press – 2 Sets of 6 reps – rest 3 minutes between sets One Arm Dumbbell Row – 2 sets of 8 reps – rest 2 minutes between sets Weighted Tricep Dips – 2 sets of 6 reps – rest 2 minutes between rest Workout B Squats – 2 sets of 6 reps – rest 3 minutes between sets Deadlift – 2 sets of 6 reps – rest 3 minutes between sets Chin/Pull Ups – 2 sets of 8 reps – rest 3 minutes between sets

The Key To Making Any Workout Effective

The workout is simply the tool, how hard you work and your overall progression dictates the results you’ll get. To ensure you get the best possible results here’s what you need to do: • Warm up properly. Don’t jump straight into the heavy weights in order to save time, you’ll be weaker and more susceptible to injury. Warm up slowly by following a proper gym warm up and you’ll have practiced correct form with the lighter weight. • Increase the weight used. Progressive resistance is the fundamental principle of effective workouts. Choose a weight heavy enough that you fail after the target reps, then next week increase the weight by a small increment and record the number of reps you do. If you can’t do the full target reps, start with the same weight next week and shoot for an extra rep. You’ll always improve and get stronger than the week before. • Don’t cut short rest periods. When you’re working with strength training exercises such as those in this workout, you need to rest between sets properly. It takes a minimum of three minutes for your body to get ready for another all-out set and if you try to lift heavy weights with less rest your strength will suffer. Less strength means progressive resistance is compromised. You’ll end up staying at the same weight for weeks and progress will grind to a halt! High-Intensity Interval Training and compound exercise resistance training have been proving to be highly effective methods to gain results with minimum time invested. They can be combined or used separately. Focus on heavier, strength training exercises and (HIIT) to get more done in less time. Ensure you’re diet is set up accurately and the 80/20 principle of effort to work will be reversed! You’ll be able to reap 80 percent of the benefits from just 20 percent of the effort and as someone with a demanding schedule, there’s nothing more you can ask for!

All information provided in this article is not the opinion or the recommendation of Doctor’s Life Magazine. It is recommended before you start any form of work out or training program you should consult with a physician first.

Issue 1, 2013

Doctor’s Life Tampa Bay

Question: What are some great training techniques for people with extremely busy schedules? Answer: Set aside 20-30 minutes, three days a week and perform resistance training with weights. The best exercises are compound exercises. Full body movements. Another great form of exercise is High-Intensity Interval Training. Tommy Parks Speed and Strength Coach Mississippi State University BA in Exercise Science Professional Baseball for 9 Seasons NFL punter with San Francisco 49ers & NY Jets

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Your Social Media By Dale Griffen, R.N. The Go! Agency USA

Sometimes our patients put off (or are afraid of) a visit to the doctor or dentist’s office. They know they should do it, but they procrastinate for one reason or another. Are you doing the same by putting off your ‘appointment’ with social media? If you think it’s a passing fad, or may not be relevant to the healthcare field - think again. Here’s a test - think of the top 5 influencers or hospitals out there in your field. Now type in a search for “(Their Name) on Facebook (or Twitter)”. I bet you find almost all of them Dale Griffen there, AND I bet that they have a decent following, as well as daily activity on their account. Let’s take that a step further - go and search for your competition on Facebook and see what they’re up to - you may be surprised. But....how can you market yourself and your practice on social media? How can it help your business? How much time do you 18

need to devote to it? Is your client base on social media? If you would like answers to these questions, read on! Channels such as Facebook, LinkedIn, Twitter, YouTube, Google+, and even Pinterest can have exponential benefits for your practice, give you the ability to educate your peers and patients, gain trust and approachability, and be positioned as a thought leader in your field. Social media is a 24/7, worldwide, online, professional cocktail party. To effectively “work the room”, you need to show up to the party with a goal: perhaps of meeting potential referral sources, patients, or other revenue streams. Then proactively introduce yourself to lots of targeted people. You need to approach them with a sincere interest in them, asking them questions - not approaching them with a ‘pitch’ about yourself (because people like to hear about themselves first!)...then keep them engaged, make them laugh, give them something to remember you by. After the party you need to follow up and continue the conversation after the party. Social media is very much the same - to be effective, you need to know what your goals are. Develop a list keywords and phrases that your potential referral source or patient would type into a search to find you. Then go out and ‘Like’, connect, and follow individuals, companies, or groups that you feel would be of benefit to you (or lead you to a potential client). Next, start the conversation. Depending on the platform(s) you decide to use - ‘Like’ their page, comment on a post, or feature they have that you truly like. Talk about what they do first. Share

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a post of theirs on your social media channels, if you feel it would be of benefit to your followers. Be sure to thank or return the favor to anyone that does the same for you. And remember, just like a cocktail party, it doesn’t all have to be business...a cute picture on a Friday, an invitation to an event you may be hosting, or even talk about a community event if you’re posting locally. It’s SOCIAL Media - so be SOCIAL! Your goal is to continue the conversation offline in order to get them to remember you and your services when they, or anyone they know, may need them. Use your social media channels to their full extent. Use any applications that may help your use of these platforms easier. For example, link your Twitter account to your LinkedIn account so that what you post on one, it will automatically post on the other. Be sure to join the max of 50 groups on LinkedIn and post discussions in each group. If a LinkedIn group isn’t very prolific, leave it and join another, until you get to that “perfect” 50. Follow the people that you respect in your industry on Twitter, follow your ‘competition’ to see what they’re up to - stay ahead of the curve, and dominate your digital presence and recognized as a thought leader in your industry! Now, where do you start? If you don’t have an account with these social media channels - visit their site and sign up. Claim your name before someone else does. Then optimize your profile - fill it out completely. Next, set up a schedule to do your online marketing consistently. Consistency is the most important action you could do with social media marketing! In terms of the time it takes you (or your staff) to do the marketing, start with a goal of an twenty minutes a day. Maybe start with Facebook, as people are generally comfortable with how this platform works. It’s best to create a business page on Facebook, rather than use your personal page so that you’ll be able to operate it completely separate from that personal page. Then start getting connected! Post content that is educational, entertaining, and engaging. Ask for ‘Likes’, ask people to share the content you post. What is content? Social media is PR - plain and simple. It’s not sales. Think of it as you would a billboard, but a billboard with muscle! It’s recommended to have less than 10 words on a billboard, and people spend about 3 seconds whizzing by it on their commute to work, before they start to ignore it (and that’s if they even notice it to begin with). Those with Facebook accounts, on average, spend nearly 8 hours per month on the site, much more than they spend looking at a billboard. Some other key differences are that the messages you post can be changed several times per day, have as many words as necessary, include images, links, your hours and directions to your office. Also, the messages are portable. So if a reader sees something they think would be valuable to someone across the country (or the world) they can share it with the push of a button! You can also get a pulse of what people want to hear about by listening and observing your competition, your peers, and respected industry leaders, and also by asking! 20

“But my client demographic isn’t on social media”. Wrong! It’s not just Generation X, Y, and Z that use social media! The largest growing users of social media are the 55+ group - the Baby Boomers and many of them are using it for their parents (incidentally called the Silent Generation) to find out more about everything from healthcare to what their peers think...and you

Dale Griffen, R.N. Head of USA Operations & Sales The Go! Agency USA dale@TheGoAgencyUSA.com 866-926-2636

know that people like to talk! Social media allows them to praise you, or show you where you may need improvement. “What if someone says something nasty?” Not to worry, you being active on social media won’t increase any negativity, they’re going to say it anyway. But by being present on social media you’ll be able to see any negativity and address it. Having a presence allows you to spin it to your advantage, rather than just leaving it out there to fester. Also, don’t forget your privacy settings! You have the ability to approve posts before they go live on many of the channels. Afraid of patient privacy, HIPAA, and other regulatory issues? With a simple disclaimer and common sense approach to your social media policy you’re covered! The Mayo clinic has a simple 12 word social media policy: “Don’t Lie, Don’t Pry, Don’t Cheat, Can’t Delete, Don’t Steal, Don’t Reveal”. “I don’t have time to do this!” That’s where a social media marketing firm may be of assistance. Spending the time doing it yourself does take you away from what you do best. Having an entry level person do it can be tricky, as it IS your reputation they’re handling. Dedicating a higher level person or marketing manager may take them away from other marketing, and sales opportunities. Although social media works in conjunction with your operations and marketing team, having them do the day-today activities may be more costly than outsourcing it. Give us a call and we’ll answer any questions you may have!

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t s i l a i c e p S for doctors’ finances

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ith the New Year upon us, a worthwhile resolution for any doctor might be this: “I will do everything I can to simplify the financial part of my life.” Certainly, that’s a good idea, but it’s hard to do without assistance. With that in mind, here are five things to think about that may help. Consider consolidating your financial services in one place

For example, many financial institutions can handle your banking, insurance and investment needs. The challenge is choosing a financial institution that has a single contact for its delivery of service. This approach helps you be more efficient, and gives you the opportunity to work with someone who can help you fit all the pieces of your financial life together. For example, you might be deciding whether to buy whole life or term insurance. But to know the right answer for you, a financial professional needs to be well versed in what your banking and investment profile looks like. “A good financial partner should see that your business and personal needs are being met at the same time,” says David Ogburn, who manages Professional and Executive Banking for USAmeriBank, which has a focus on helping doctors and other medical professionals in the Tampa Bay area. “This should be someone who understands your situation, so you don’t have to get that person up to speed when you want advice.”

Understand that to get financing, having a relationship with a bank is a huge help

Many medical practices are growing despite the difficult economy, but to grow, often financing is a must. Banks and other lenders prefer to give loans to companies and individuals who are already customers. This way, the bank has an intimate knowledge of the borrower’s situation, and can take a true “team approach” in working with the customer. Also, it’s important that you do business with someone who has experience in helping doctors and other professionals in the medical industry. As an example of how this works, USAmeriBank helped Dr. Allan Alexander, of Largo, Fla.-based Alexander Orthopaedic Associates, obtain financing for the development of two surgical centers – one in the Tampa Bay area and one in Orlando. Since Dr. Alexander does his personal and professional banking through USAmeriBank, the bank already knew his situation and was able to offer options that would most benefit him long-term. “It’s important that a bank understand its customers,” he said, “and I think someone would know very quickly if a bank

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Dr. Allan Alexander

is going to take the time to understand his business and what his needs are.”

Don’t be shy in asking for help and advice

Managing multiple bank accounts and figuring out such things as when to expand your business can be complicated. So don’t be afraid to seek out financial professionals who will help. A key factor in having the right relationships is whether our financial professional makes you a priority. Is your contact person

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locally based? Are your questions answered quickly? Do you have to call or e-mail the person again and again to get a response? And do the answers you get reflect a deep knowledge both of financial matters and of your business? Dr. Dipak Shah with University Medical Care in Tampa has been an internal medicine practitioner for 25 years. He has 16 accounts with USAmeriBank, partly because he has hotel and restaurant businesses in addition to his medical practice. “When you are a priority with the bank, things get done faster,” he said. “With USAmeriBank, I was able to quickly get loans for four office buildings.”

Debt isn’t a bad thing for your business, particularly if it’s tied to a quantifiable plan for growth

Certainly, it’s important to have a level of debt that is comfortably covered by cash flow. That said, a well-thought-out financing program can be a key part of future growth for your business. Work with your financial professional to create a business plan that includes revenue projections backed up by research into your customer base and your competition, along with realistic cost estimates. This type of plan shouldn’t be designed to be put on a shelf. Done well, it should be an ongoing guide for running the business, adjusted as variables change – which will be a must as the nation’s new health care system takes shape. And having a solid plan can help you decide where to spend time and money, whether it’s deciding whether to open a new location, or to decide if it’s time to add staff.

Consider your tax burden in everything you do; reducing your tax bill is one way to make more money

The government’s deal to avoid the “fiscal cliff” included higher taxes for the wealthiest Americans, only heightening concerns that to address the nation’s financial challenges, higher taxes seem inevitable long-term. Keep taxes top of mind as you make all your financial decisions: A tax expert should be part of your team of financial advisors. Think of all the times taxes come into play. Consider a few examples: When should you sell stock? What is the most advantageous way to save for retirement, from a tax perspective? Are there certain tax advantages if you open a new location and hire employees? The time to plan is not when your tax advisor is preparing your tax return. Update your personal and professional financial information with your tax professional at least once a year, and also whenever you have a significant change in your financial profile – for instance, if you buy a vacation home, or if you send a child off to college. The year ahead promises to be one of major change. The health care system is changing as we speak. New taxes are coming. And all this comes against a backdrop of an unpredictable economy that is getting better, but slowly. With this in mind, take comfort in knowing that getting a better handle on your finances is something you can control. And with the help of a trusted financial professional, this is something that will help you navigate all those twists and turns ahead.

Dr. Dipak Shah Issue 1, 2013

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