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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$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

© Raymond J. Ramirez DVM - All Rights Reserved

© Raymond J. Ramirez DVM - All Rights Reserved

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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

© 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

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This world renown veterinarian is

discussing the traits a good relief

veterinarian should have:

© Raymond J. Ramirez DVM - All Rights Reserved

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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

© Raymond J. Ramirez DVM - All Rights Reserved

A: loco

C: unusual

B: crazy

D: Locum tenens

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

work.

© Raymond J. Ramirez DVM - All Rights Reserved

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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

© 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

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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?

© Raymond J. Ramirez DVM - All Rights Reserved

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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

© 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

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This is not a reason why veterinarians

consider performing relief work

© Raymond J. Ramirez DVM - All Rights Reserved

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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

© 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

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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

© Raymond J. Ramirez DVM - All Rights Reserved

Congratulations!

You’ve ReachedYou’ve Reached

the $1,000the $1,000

Milestone!Milestone!

Congratulations!Congratulations!

© 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

© 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’

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Which of these skills as a relief doctor

would not expand your ability to help the

hiring clinic

© Raymond J. Ramirez DVM - All Rights Reserved

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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

© Raymond J. Ramirez DVM - All Rights Reserved

A: Doctor references

C: License lookup

B: Google check

D: Governor Blagojevich phone number

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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

© Raymond J. Ramirez DVM - All Rights Reserved

© Raymond J. Ramirez DVM - All Rights Reserved

© Raymond J. Ramirez DVM - All Rights Reserved

© Raymond J. Ramirez DVM - All Rights Reserved

© Raymond J. Ramirez DVM - All Rights Reserved

© Raymond J. Ramirez DVM - All Rights Reserved

© 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

© 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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$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 not recommended dress

attire as a locum tenens veterinarian

© Raymond J. Ramirez DVM - All Rights Reserved

© Raymond J. Ramirez DVM - All Rights Reserved

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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

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

expenses

© Raymond J. Ramirez DVM - All Rights Reserved

© Raymond J. Ramirez DVM - All Rights Reserved

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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

© 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

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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:

© Raymond J. Ramirez DVM - All Rights Reserved

Congratulations!

You’ve ReachedYou’ve Reached

the $32,000the $32,000

Milestone!Milestone!

Congratulations!Congratulations!

© Raymond J. Ramirez DVM - All Rights Reserved

© Raymond J. Ramirez DVM - All Rights Reserved

© 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.

© Raymond J. Ramirez DVM - All Rights Reserved

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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

© 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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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

© 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

© Raymond J. Ramirez DVM - All Rights Reserved

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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

© 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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The following license is not required to practice

medicine, take radiographs, prescribe controlled

anesthetics, and sign health certificates

© Raymond J. Ramirez DVM - All Rights Reserved

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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

© 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:

© Raymond J. Ramirez DVM - All Rights Reserved

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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

© 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:

© 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

© Raymond J. Ramirez DVM - All Rights Reserved

A: Quincy

C: Cairo

B: Kaskaskia

D: None

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 is the only Illinois city west of

the Mississippi River

© Raymond J. Ramirez DVM - All Rights Reserved

YOU WIN $1 MILLION DOLLARS!

© Raymond J. Ramirez DVM - All Rights Reserved

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