Archive for December, 2009

How to Find the Best Physician Job

Wednesday, December 9th, 2009

Over the years, I have learned many pearls and methods to find the best physician jobs. There are various styles and approaches. Your individual approach is determined by how soon you need the job, and, your comfort threshold for exposing the fact you are looking for a new job. Here are my thoughts on a few approaches:

Recruiters – are often and wrongly lumped into the same category as car salesmen! Admittedly, this is the result of a few rotten eggs out there! However, a good, reliable, physician advocate recruiter is absolutely invaluable. Be patient with your recruiter. Communicate clearly to the recruiter what you are specifically looking for in a practice. For the most part, recruiters don’t cost the physician anything. If a recruiter begins to sell you on things that you are not interested in, it’s time to look for another recruiter. Overall, without question, a good physician recruiter can help you land that perfect job.

On-line job boards – are an excellent source for physician jobs. However, make sure you use a reliable and frequently updated website. Many job boards advertise for more than just physicians and doctors. Others have very outdated ads. Look for a site that is current, and updated, otherwise you will waste a lot of time.

Meetings – Local and State chapter meetings can be another good source for information regarding practice opportunities. Networking with colleagues typically produces discussions of group gossip. Without disclosing that you are looking, you can often hear and learn much about prospective places to inquire.

CME conferences – and workshops are an excellent place to obtain physician practice opportunity leads. However, you must be careful to attend the right conference. A small 1.0 unit, 1 hour, drug rep sponsored conference will generate fewer leads than a 2 day new procedure course at a Disney resort. Large 3+ day conferences hosted by your specialty’s college, often have exhibitor booths that are loaded with recruiters, practice representatives, and physician jobs. Make sure you visit these.

Journals – and throw-a ways I find very interesting. I actually like them to help me gauge the market, and help me keep up with salaries for a particular region. You can typically tell when a practice is struggling, by looking closely at the package details.

Internet – searches for physician job opportunities is a growing source of leads. You may get lucky, but right now, it’s still not a reliably consistent solution. By the time a particular internet ad makes it to the 500th position on Google, the job would have been filled by other means. (It sometimes takes at least 3 months for Google to recognize a new ad, and even longer to work its way up from the 100th page toward the top 2).

Colleagues – are an excellent source for job leads, and typically my first pick. However, the confidentiality of your clandestine or subtle inquire may be breached. As physicians, we tend to know a lot of other physicians, and there is always someone who knows something about a job opportunity. So practice your approach so as not to disclose that it is YOU who is actually looking for the job.

Medical Staff Lounge – much like your colleagues, the hospital or group practice medical staff lounge can be a fruitful place for physician job leads. This location however, is usually for more of the local job opportunities. You have to be even more stealth in your inquiry here, for rumors will spread rapidly.

There are more atypical ways such as locum tenens placement groups and staffing solutions, list-serv discussion groups, etc. However I have found those aforementioned to be more popular, and likely to help you land the best physician job. All the best in your professional endeavors!

Dr. Williams

Consulting Medical Writer

Mortgages And Loans. Islamic Finance Avoids Interest.

Saturday, December 5th, 2009

Two million Muslims in the UK face an ethical dilemma if they want a mortgage or a loan. Conventional mortgages and loans all require the payment of interest and “riba” as interest is called under Islamic law, is forbidden by the Koran.

British financial institutions are increasingly catering for Muslims’ specialist needs through a number of alternative arrangements that respects the teachings of the Koran. Here are just two of them:

Ijara with diminishing Musharaka – the mortgage alternative.

Ijara with diminishing Musharaka is an Islamic alternative to a conventional UK mortgage and has been adopted by several British banks and building societies.

In essence, Musharaka means partnership. Under this Islamic financial concept, the bank buys the house and legally becomes its owner. Then throughout the pre-agreed period, say 25 years, a monthly payment is made. Each monthly payment includes a charge for rent and a charge that buys a small proportion of the house itself. It’s form of variable shared equity plan with the proportion of the house being owned by the purchaser, steadily increasing as payments are made. Once the final payment has been made, the house is owned outright. Ijara

Here you tell the bank or financial institution what you want, for example a car, and they buy it. In return for a monthly payment that covers the cost of the bank’s capital, the bank then allows you to use the asset for an agreed period. In reality, it’s a form of leasing

Islamic finance is not widely available in the UK – so where can find it? Here are three suggestions:

Over the last few years Lloyds TSB has introduced Islamic products to 33 of its branches. Their spokesperson says, “It’s important for our customers to see that we are following the right procedures. We have a panel of four Islamic scholars who over-see the products. They offer guidance on Islamic law and audit the products”.

Another high street bank, HSBC, is developing a special range of Islamic products under the Amanah brand name. This range includes home finance plans, home insurance, commercial finance, and various current accounts and pensions. Hussam Sultan, the Amanah product manager says, “As a bank, we are not here to moralise or tell our customers that Amanah finance is the way to please Allah. We’re just here to provide them with a choice”.

The Islamic Bank of Britain has three branches in London, two in Birmingham and one each in Leicester and Manchester. They’re the only British bank specifically providing for Muslim customers and claim to be halal throughout their operations. All their financial products are approved by their Sharia’a Supervisory Committee – all Muslim scholars who are experts in all aspects of Islamic finance.

For your interest we show below, definitions of some words used widely in connection with Islamic finance.

A Glossary of selected Islamic words used in finance.

Amanah : Means trustworthiness, with associated aspects of faithfulness and honesty. As a central supplementary meaning, amanah also describes a business deal where one party keeps another’s funds or property in trust. This actually the most widely used and understood application of the term, having a long history of use in Islamic commercial law. It can also be used to describe different financial activities such as deposit taking, custody or goods on consignment.

Arbun : Means a down payment. It’s a non-refundable deposit paid to the seller by the buyer upon agreeing a sale contract together with an undertaking that the sale contract will be completed during a prearranged period.

Gharar : This means uncertainty. It’s one of three essential prohibitions in Islamic finance (the others being riba and maysir). Gharar is a sophisticated concept that encompasses certain types of uncertainty or contingency in a contract. The prohibition on gharar is often used as the grounds for criticism of conventional financial practices such as speculation, derivatives and short selling contracts.

Islamic financial services / Islamic banking / Islamic finance : Means financial services that meet the specific requirements of Islamic law or Shariah. Whilst designed to meet specific Muslim religious requirements, Islamic banking is not restricted to Muslims. Both the customers and the service providers can be non-Muslim as well as Muslim.

Ijara : Means an Islamic leasing agreement. Ijarah permits the financial institution to earn a profit by charging leasing rentals instead of lending money and earning interest. The ijarah concept is extended to hire and purchase agreements by Ijarah wa iqtinah.

Maysir : Means gambling. It’s another of three fundamental prohibitions in Islamic finance (the other two being riba and gharar). The prohibition of maysir is often used as the basis for criticism of standard financial practices such as conventional insurance, speculation and derivative contracts.

Mudarabah : A Mudarabah is a form of Investment partnership. Here, capital is provided by the investor (the Rab ul Mal) to another party (the Mudarib) in order to undertake a business or investment activity. Profits are then shared according to pre-arranged proportions but any loss on the investment is born exclusively by the investor and the mudarib then loses the expected income share.

Mudarib : The mudarib is the investment manager or entrepreneur in a mudarabah (see above). It is this managers responsibility to invest the investor’s money in a project or portfolio in exchange for a share of the profits. A mudarabah is essentially similar to a diversified pool of assets held in a conventional Discretionary Managed Investment Portfolio.

Murabaha : means purchase and resale. As opposed to lending money, the capital provider purchases the required asset or product (for which a loan would otherwise have been taken out) from a third party. The asset is then resold at a higher price to the capital user. By paying this higher price by instalments, the capital user effectively gets credit without paying interest. (Also see tawarruq the opposite of murabaha.)

Musharaka : This means profit and loss sharing. It’s a partnership where the profits are shared in pre-arranged proportions and any losses are shared in proportion to each partners’ capital or investment. In Musharakah, all the partners to the commercial undertaking contribute funds and have the right, but without the obligation, to exercise executive powers in that undertaking. It’s a similar concept to a conventional partnership and the holding of voting stock in a limited company. Musharakah is regarded as the purest form of Islamic financing.

Riba : This means interest. The legal concept extends beyond interest, but in simple terms, riba covers any return of money on money. It does not matter whether the interest is floating or floating, simple or compounded, or what the rate is. Riba is strictly prohibited under Islamic law..

Shariah : This is the Islamic law as disclosed in the Quran and through the example of Prophet Muhammad (PBUH). A Shariah product must meet all the requirements of Islamic law. To facilitate this, a Shariah board is usually appointed. This board or committee is usually comprised of Islamic scholars available to the organisation for guidance and supervision for the development of Shariah compliant products.

Shariah adviser : Means an independent professional, usually a classically trained Islamic legal scholar, appointed to advise an Islamic financial organisation on the compliance of its products and services with Islamic law, the Shariah. While some organisations consult individual Shariah advisers, most establish a committee of Shariah advisers (often known as a Shariah committee or Shariah board).

Shariah compliant : Means the activity that ensures that the requirements of the Shariah, or Islamic law are observed. The term is often used in the Islamic banking industry as a synonym for “Islamic”- for example, Shariah compliant financing or Shariah compliant investment.

Sukuk : This has similar characteristics to a conventional bond. The difference is that that they are asset backed and a sukuk represents the proportionate beneficial ownership in the underlying asset. The asset is then leased to the client to yield the profit on the sukuk.

Takaful : This is Islamic insurance. Takaful plans are designed to avoid the characteristics of conventional insurance (i.e. interest and gambling) that are so problematical for Muslims. They structure the arrangement as a charitable collective pool of funds based on the comcept of mutual assistance.

Tawarruq : When used in personal finance, a customer with a cash requirement buys something on credit on a deferred payment basis. That customer then immediately resells the item for cash to a third party. The customer thereby obtains cash without taking an interest-based loan. Tawarruq is the opposite to murabahah.

How To Select a Disability Lawyer

Tuesday, December 1st, 2009

A good tip if you ever need legal representation is to choose your attorney carefully and spend some time doing as it should not be treated as the weekly shop. This could not be more emphasis on the need to hire a professional disability advocate, if you take a disability claim with the court. Disability is the right and the expertise of an experienced lawyer can bring to the court should not be underestimated, their experience in court is essential. The law of disability is a highly specialized area which means that the lawyer dealing with general problems that can lose points for a disability lawyer may be immediately visible, its deep knowledge can make or break the case.

If you are already in the appeals process after a lawyer can speed up this process because he knows how important it is to have benefits reinstated. Go online and local businesses and national research as necessary, to find his lawyer, then follow the link to your site, comments from former clients who often represented are available for all. Look especially for cases that resemble their own, which should give an idea of its capabilities, you can also have friends who can recommend a good law firm specializing in disability law. His life is in the hands of his disability lawyer as far as their doctor, these professionals have your life in your hands!

Your research must remove lawyers with experience of at least five years in the case of the Law on disability, ideally should have at least 3 years of practice in their particular state. Act on Social Security, disability insurance and long-term disability are all areas of the disability of his counsel must be paid in one important aspect is that the type of work they specialize in every day. A proxy does not tell you what is happening or not honest about their chances not worth using. See the process of choosing a lawyer, as an interview, you will meet three to find one that you would be able to represent you as you need.

If you do not feel happy doing this alone, take along a friend or relative for you and note the information. Even if it is not uncommon for lawyers to waive the fees for initial consultations, the time is still important and will be a sign of respect, if they are well prepared for the interview, as they will. Your disability lawyer should be someone who is honest and realistic about the process, the business and its opportunities; honesty between you two is very important if the case moves forward but does not become dismayed if you do not find the right lawyer immediately in May the process will take time.