so you want to be a relief or locum tenens doctor? things to think about

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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

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Page 1: So you want to be a relief or locum tenens Doctor? things to think about

© 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

Page 2: So you want to be a relief or locum tenens Doctor? things to think about

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$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

Welcome to

Who Wants to become a Veterinary

Relief Doctor Millionaire

50:50

Page 3: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

Page 4: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

151413121110987654321

$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

Page 5: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

A: Dr James Herriot

C: Lydia Gray, DVM, MS

B: Raymond J. Ramirez DVM

D: Robert M Miller DVM

50:50

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$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

This world renown veterinarian is

discussing the traits a good relief

veterinarian should have:

Page 6: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

151413121110987654321

$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

Page 7: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

A: loco

C: unusual

B: crazy

D: Locum tenens

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$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

This is the official title of a veterinarian who is doing relief

work.

Page 8: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

151413121110987654321

$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

Page 9: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

A: Want to change the world one practice at a time

C: Looking for best place to work

B: Have family at home and want more flexiblilty

D: Retired but want to keep up

50:50

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$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

What is not a reason one would have for becoming a relief

veterinarian?

Page 10: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

151413121110987654321

$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

Page 11: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

A: take spontaneous time off

C: Flexibility of schedule

B: Want to get more vacation

D: Looking for permanent work

50:50

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This is not a reason why veterinarians

consider performing relief work

Page 12: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

151413121110987654321

$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

Page 13: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

A: enjoy learning different anesthetic protocols

C: Enjoy taking my time with each client – minimum 1 hour

B: Enjoy learning new medication / vaccine protocols

D: Willing to go with flow

50:50

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$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

This would be an attribute about my practice habits that

would be problematic as a relief veterinarian

Page 14: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

Congratulations!

You’ve ReachedYou’ve Reached

the $1,000the $1,000

Milestone!Milestone!

Congratulations!Congratulations!

Page 15: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

151413121110987654321

$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

Page 16: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

A: expedient surgical skills

C: Have good typing skills

B: Afraid to ask colleague to critique my skills

D: Adaptable to a new clinic protocol – not ‘my way or the highway’

50:50

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$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

Which of these skills as a relief doctor

would not expand your ability to help the

hiring clinic

Page 17: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

151413121110987654321

$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

Page 18: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

A: Doctor references

C: License lookup

B: Google check

D: Governor Blagojevich phone number

50:50

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$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

Which of the background check items may not give you a positive reference if you were to give it to a

prospective clinic

Page 19: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

Page 20: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

Page 21: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

Page 22: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

Page 23: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

Page 24: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

Page 25: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

151413121110987654321

$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

Page 26: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

A: Clean tee shirt and dress slacks or scrubs

C: White coat over professional pant business suit

B: Long sleeve dress shirt/ dress pant/ tie

D: Professional dress and smile

50:50

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The following is not recommended dress

attire as a locum tenens veterinarian

Page 27: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

Page 28: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

151413121110987654321

$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

Page 29: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

A: Quickbooks

C: Pen/ paper

B: Quicken Home and Buisenss

D: Excel

50:50

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$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

This financial program can not make it easier to keep track of income and

expenses

Page 30: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

Page 31: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

151413121110987654321

$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

Page 32: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

A: Find out core/non core vaccines

C: Find out heartworm and chronic medication

B: Call clinic to make sure no date/ time changes

D: Find out about

Mandated employee breaks

50:50

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$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

When preparing to be at a clinic in the next week, the following

would be least helpful to do:

Page 33: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

Congratulations!

You’ve ReachedYou’ve Reached

the $32,000the $32,000

Milestone!Milestone!

Congratulations!Congratulations!

Page 34: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

Page 35: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

Page 36: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

Anticipation and Follow upFollow 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.

Page 37: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

151413121110987654321

$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

Page 38: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

A: Federal Identification number

C: Workmans Compensation Insurance

B: W9 form

D: Separate personal / business accounts

50:50

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$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

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

Page 39: So you want to be a relief or locum tenens Doctor? things to think about

© 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

Page 40: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

151413121110987654321

$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

Page 41: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

A: Illionios state (& controlled substance license)

C: Radiation monitor

B: DEA

D: Accreditation

50:50

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$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

The following license is not required to practice

medicine, take radiographs, prescribe controlled

anesthetics, and sign health certificates

Page 42: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

151413121110987654321

$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

Page 43: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

A: Euthanize a patient in clinic

C: Prescribe Phenobarb from clinic pharmacy

B: Anesthetize a patient in clinic with controlled drugs.

D: Anesthetize a patient with Propofol/ inhalant anesthetic

50:50

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$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

Without your own personal Drug

Enforcement Agency (DEA) number, you

can only do the following:

Page 44: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

151413121110987654321

$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

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© Raymond J. Ramirez DVM - All Rights Reserved

A: $ 600

C:$ 1,000

B: $ 800

D: $1,500

50:50

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$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

As an Independent Contractor under the IRS guidelines, you should

receive a 1099 form from the clinic where you made

more than:

Page 46: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved

151413121110987654321

$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

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© Raymond J. Ramirez DVM - All Rights Reserved

A: Quincy

C: Cairo

B: Kaskaskia

D: None

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$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

This is the only Illinois city west of

the Mississippi River

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© Raymond J. Ramirez DVM - All Rights Reserved

YOU WIN $1 MILLION DOLLARS!

Page 49: So you want to be a relief or locum tenens Doctor? things to think about

© Raymond J. Ramirez DVM - All Rights Reserved