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6 ways to get free Bitcoin - 2020 guide Finder.com
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Bitcoin As a Startup - Hass McCook - Medium
Conscious Entrepreneurship Foundation
**[Conscious Entrepreneurship Foundation](http://CEFNow.org) (CEF)** supports the Bono Declaration of 2013: **Capitalism takes more people out of poverty than aid.** CEF's members seek to improve, promote, protect, and facilitate socially responsible consumerism and conscious capitalism that offers social and environmental benefits to communities on both local and global scales.
P2P Bitcoin Derivative Trading Through the Blockchain: Equities, Bonds, Forex & Commodities
Research & ideas to use [Veritaseum's UltraCoin](http://ultra-coin.com/) **user programmable Bitcoin swaps** to trade exposures to cryptos, forex, equities, bonds & commodities through 45,000+ global tickers & up to 10,000x price leverage - peer-to-peer. Veritaseum's UltraCoin is a software concern that holds no client funds and is not a financial entity, hence presents you with no counterparty or default risk. [Download the client & tutorials](http://ultra-coin.com/index.php/download-beta)
Free Office Space for Blockchain/Bitcoin Startup in Downtown Raleigh
We're offering office space in Downtown Raleigh (2 blocks from Moore Square) to any team/ startup working on the bitcoin/ $crypto startups. Fast Wifi (100mb/sec) Sit/Stand Electronic Desk Beanbags Soylent Amazing Location Access to full kitchen Not affiliated w/ Bitcoin or blockchain? That's ok, just tell us why your startup is better.
Nine Countries That Don’t Tax Bitcoin Gains- time to move
Tax liability is a major source of concern for anyone invested in Bitcoin and other digital assets. In sum, some have described it as nothing short of a nightmare. But while some countries are putting pressure on investors and levying taxes on income and capital gains from Bitcoin transactions, many are taking a different approach—often with the aim of promoting better adoption and innovation within the crypto industry. They’ve implemented friendlier legislation, and allow investors to buy, sell, or hold digital assets with no tax liability. Here’s our list of the nine most crypto-friendly tax jurisdictions. ———————
Belarus is taking an experimental approach to cryptocurrencies. In March 2018, a new law legalized cryptocurrency activities in the East European state, exempting individuals and businesses involved in them from taxes until 2023 (when it will come up for review.) Under the law, mining and investing in cryptocurrencies are deemed personal investments, and so exempt from income tax and capital gains. The liberal laws aim to boost the development of a digital economy, and technological innovation. The country was recently ranked third in Eastern Europe and 19th globally in levels of P2P crypto trading.
Germany offers a unique take on taxing digital currencies such as Bitcoin. Unlike most other states, Europe’s biggest economy regards Bitcoin as private money, as opposed to a currency, commodity, or stock. For German residents, any cryptocurrency held for over a year is tax-exempt, regardless of the amount. If the assets are held for less than a year, capital gains tax doesn’t accrue on a sale, as long as the amount does not exceed 600 euros ($692). However, for businesses it’s a different matter; a startup incorporated in Germany still needs to pay corporate income taxes on cryptocurrency gains, just as it would with any other asset.
Hong Kong 🇭🇰
Hong Kong’s tax legislation on cryptocurrencies is a broad brush affair, even after new guidance was issued earlier this year. Essentially, whether cryptocurrencies are taxed or not depends on their use, according to Henri Arslanian, a global crypto leader at PwC. “If digital assets are bought for long-term investment purposes, any profits from disposal would not be chargeable to profits tax,” he wrote in March when the directive was introduced. But he added that this doesn’t apply to corporations—their Hong-Kong sourced profits from cryptocurrency business activities are taxable.
In Malaysia, cryptocurrency transactions are currently tax-free, and cryptocurrencies don’t qualify for capital gains tax, because digital currencies are not considered assets or legal tender by the authorities. But the law is currently fluid; it only applies to individual taxpayers, and businesses involved in cryptocurrency are subject to Malaysian income tax. And things may soon change. Mohamad Fauzi Saat, director of Malaysia’s tax department said in 2018 that Malaysia was committed to working towards issuing comprehensive guidelines on the tax treatment of cryptocurrency by the end of 2020.
The government of the so-called “Blockchain Island” recognizes Bitcoin “as a unit of account, medium of exchange, or a store of value.” Malta doesn’t apply capital gains tax to long-held digital currencies like Bitcoin, but crypto trades are considered similar to day trading in stocks or shares, and attract business income tax at the rate of 35%. However, this can be mitigated to between five percent and zero, through “structuring options” available under the Maltese system. Malta’s fiscal guidelines, published in 2018, also discriminate between Bitcoin and so-called “financial tokens,” equivalent to dividends, interest or premiums. The latter are treated as income and taxed at the applicable rate.
Portugal has one of the most crypto-friendly tax regimes in the world. Proceeds from the sale of cryptocurrencies by individuals have been tax-exempt since 2018, and cryptocurrency trading is not considered investment income (which is normally subject to a 28% tax rate.) However, businesses that accept digital currencies as payment for goods and services are liable to income tax.
Capital gains tax does not exist in Singapore, so neither individuals nor corporations holding cryptocurrency are liable. But companies based in Singapore are liable to income tax, if their core business is cryptocurrency trading, or if they accept cryptocurrency as payment. The authorities consider payment tokens such as Bitcoin to be “intangible property” rather than legal tender, and payment in the cryptocurrency constitutes a “barter trade” where the goods and services are taxed, but not the payment token itself.
Slovenia is another country that treats individuals and businesses separately under its cryptocurrency tax system. No capital gains tax is levied on individuals when they sell Bitcoin, and gains are not considered income. However, companies that receive payment in cryptocurrencies, or through mining, are required to pay tax at the corporate rate. Notably, the Mediterranean country doesn’t permit business operations in cryptocurrency alone (such as only accepting Bitcoin as payment.)
It’s no surprise that Switzerland, home to the innovation hub known as “Crypto Valley”, has one of the most forward-thinking tax policies too. Cryptocurrency profits made by a qualified individual through investing and trading are treated as tax-exempt capital gains. For the complete link to the written article - click here Edit: hey thanks for the award, that was so awesome. Have a nice day everyone.
https://preview.redd.it/40fwcwyv9tu51.png?width=1200&format=png&auto=webp&s=b894d214940816169e1373d0d4d1efbd0929a932 We’re pleased to announce that Kaiko, a leading digital asset data provider, has integrated Crypto.com Pay invoicing feature. Kaiko is a market data provider in the blockchain-based digital assets space, providing institutional investors and market participants with enterprise-grade data infrastructure. With this integration, clients of Kaiko can now pay invoices in five popular cryptocurrencies, including Bitcoin (BTC), Ethereum (ETH), Ripple (XRP), Litecoin (LTC) and Crypto.com Coin (CRO) Eric Anziani, COO at Crypto.com said, “We are thankful to have a leading digital asset provider like Kaiko trust and use our Pay Invoicing feature. With our pay invoicing feature, Kaiko can generate invoices in seconds, in addition to allowing their customers to pay in crypto, anywhere. Crypto.com will continue to strive towards our vision of enabling more merchants to accept payments in crypto for free and gain access to a fast-growing digital-first customer segment.” The integration allows Kaiko to easily issue crypto invoices and collect crypto through Crypto.com Pay Invoice. Ambre Soubiran, CEO of Kaiko: "As a startup in the cryptocurrency industry, we understand how important it is that payment for our data services be available in crypto. Thanks to our integration with Crypto.com, our clients now have a wider range of payment options, which ultimately makes our services more accessible." Leveraging Crypto.com Pay Invoice Powered by the Crypto.com’s ISO/IEC 27701:2019, CCSS Level 3, ISO27001:2013 and PCI:DSS 3.2.1, Level 1 compliance platform, Crypto.com Pay Invoice safeguards customer payment data, providing companies peace of mind while offering customers the option to pay in cryptocurrencies. Are you a business? Offer your customers an option to pay in cryptocurrencies using Crypto.com Pay Checkout. Crypto received can be instantly converted to fiat currencies of choice for companies who do not wish to be exposed to the exchange rate volatility. Companies can also issue invoices via email to collect payment in crypto using the Crypto.com Pay Invoice service. Please refer here for more features of Crypto.com Pay and sign up for the service.
Want a great Christmas 🎄 gift 🎁 this year ? Pre-order your custom made Satochip hardware wallet 💳 using our crowdfunding on Flipstarter 🐲 !
Satochip is an open source and community driven project that aims to provide affordable harware wallet solutions for everyone. Since 2014, we are patiently working to give you an easy to use and affordable solution to store your favorite cryptocurrencies including Bitcoin Cash and SLP tokens. In that way, Satochip is the very first hardware wallet solution that supports natively all SLP tokens including USDH, USDT, SPICE, SOUR, HONK, MIST... So far, the Satochip team is a Belgian self-funded startup that works hard to make it real. Today, we would like to go further and be able to offer on-demand and customizable hardware wallet cards to everyone. In order to achieve that goal, we need you ! http://flipstarter.satochip.io<-- Bitcoin Cash hardware wallet on a smart card.
Open source project and funding solutions
As said, Satochip is a fully open source and self-funded project. That means our only source of revenue comes from the sales we make on our website. Since the begining of the project, people keep asking us to make dedicated design with a picture of their dog, to make a student badge looking card or to print the SPICE or SOUR logo on it. Unfortunately, our printing process is conditionned by a minimum quantity to make and print a specific design. We would like to acquire our own chip card printer so we can print on-demand and customizable Satochip cards. But how to achieve such a goal ? Satochip likes its sovereignty and wants to be master of its choices while keeping the project open source and community driven. That's why we have decided to choose the peer-to-peer crowdfunding solution gracefuly offered by Flipstarter ! http://flipstarter.satochip.io<-- flipstarter.satochip.io
What we plan to do with the raised funds
With the raised funds, we plan to buy a dedicated smart card printer such :
the Fargo HID HDP6600 dual-side with the laminator module.
the IDP Smart-70 with the IPLO configuration.
the Zebra ZXP7 with the laminator module.
These printers cost around 6000$ to 9000$ (without the software program or the printer consumables). On top of that, we also would like to create dedicated designs for the SLP token projects that would like it such as SPICE or SOUR tokens and list them on our shop. Our designer team has already made some proposals : SOUR hardware wallet by Satochip. SPICE hardware wallet by Satochip.
Help us and get your own and unique Satochip hardware wallet!
If we reach our fundraising target, we would like to thank our backers with Satochip cards. Help us and get (\)* :
A unique Satochip hardware wallet card with your own picture/image.
(\) Mix and match. For example: a 1 BCH donation can claim up to 9 Satochip cards and a card reader or a unique Satochip card, 8 Satochip First Edition and the card reader.*
All hardware wallet cards will come with our latest applet available on our Github so you can safely store and manage your BTC, BCH and SLP token, LTC, ETH and all the ERC-20 tokens ! As usual, we will provide a free shipping worldwide (for this campaign : tracked shipping is included). Thank you for your support !
Updated list of Global Beermoney opportunities (+180!) - June 2020
Updated list of Global Beermoney opportunities (+180!) - June 2020
The current, and now previous, Beermoney Global list started nearly 5 years ago. It’s been updated and has grown over all that time, but it also became a hassle to keep current. It was time to build a new list from scratch based on my experience in the Beermoney world over all these years and all the contributions all of you have been making in this sub. The lists consist of opportunities that are available in at least one country that is not the US. This means there are sites which only work in Canada or the UK. There’s sites which are open to the whole world, but this does not mean everyone can really earn something on it. It’s all still very demographic and therefore location dependent. This list should give you a starting point to try out and find what works for you. I’m not using everything myself as I prefer to focus on a few, so not all are tested by me. They are found in this sub, other subreddits and other resources where people claim to have success. I’ve chosen the format of a simple table with the bare minimum of information to keep things clean. It includes a link, how you earn, personal payment proof if available and sign-up bonus codes if applicable. Some of these bonuses are also one-time use codes specifically made for this sub! For the ones I don’t have payment proof (yet) feel free to provide some as a comment or via modmail so others know it’s legit. I am working on detailed instructions for each method that I personally use which will include things like cashout minimum, cashout options, tips & tricks,... For now I’ve split things up based on the type of earning like passive or mobile. Because of this there’s sometimes an overlap as some are both passive and on mobile or both earning crypto and a GPT (Get Paid To) website. The lists are obviously not complete so I invite you to keep posting new ones in the sub, as a comment to this post, or in modmail. Especially if you have sites or apps which work for one single specific country I can start building a list, just like I did for The Netherlands and Belgium. If you recognize things which are in fact scams or not worth it let me know as well.
Get Paid To (Surveys, tasks, offers, videos, clicking links, play games, searching)
For The Netherlands there are a few very good options next to a bunch of ‘spaarprogramma’s. There ‘spaarprogramma’s are all the same where you receive and click a bunch of e-mails, advertisements, banners,... I advise you to create a separate e-mail address or use a good filter in your inbox as you will be spammed to death. I believe they can be a nice piece of beermoney but they take quite the effort.
Attention incoming interns! Here's a list of TIPS I WISH I KNEW starting my intern year, some things you can start working on now and some less commonly discussed but very important parts of your job
It’s that time of year and yet again I’ve seen plenty of incoming interns asking what they can do to prepare. I wrote this post to share some tips for all of the not-exactly-medical stuff I wish I knew before I started intern year and to share a few things that interns can do before they start to feel like they’re well prepared for the long white coat. As a quick background, I was a surgery intern in the first half of the 2010s and much of this is informed by my notes and memories from that time in addition to everything I’ve learned since, particularly about professionalism both in medicine and in the business world with work I’ve done in the healthcare startup arena. I’m also not perfect and very much a work in progress myself and, outside the intern-specific items here, I try to do most of these things myself—sometimes more successfully than others. So take what you think are good ideas here, leave what you don’t think would be useful, and if anyone else has anything to add, please feel free to chime in. TL;DR: Intern year is hard. Here are some not-so-commonly-disucussed tips that may help.
1. Being an effective intern is, at its core, about being responsible, effective and reliable.
Your day to day responsibilities are nearly always dominated by the need to get things done and to do so in a manner that lets your other team members focus on their own roles and responsibilities. What about learning clinical medicine? You'll learn plenty and fast. Don't worry. When reading through these tips below, view them from an angle of “would this help me develop an effective system for making sure everything gets done and nothing falls through the cracks?”
2. For your in-the-hospital life as well as your outside-the-hospital life, remember this one thing: you will forget.
You will be busy and have responsibilities in a way you likely have never experienced before. This will naturally make the day-to-day things in life more difficult than you’re used to so developing ways to outsmart your forgetful brain will pay off.
3. You are a professional now. This is your career. You’re in it.
It’s easy to view your life as a trainee as a sort of advanced student or something in between a student and a “real doctor”. But that’s not true. View yourself as a professional building your career. Your intern year is just the first step of that career. You’re a real doctor as much as any other now.
4. One of the hardest things about being an intern or resident is dealing with feelings of isolation. It will take work to actively manage and overcome those feelings.
Imposter syndrome, feeling like you don’t know what you’re doing or that you don’t belong, feeling like you’re not the person you used to be, that you don’t have time to do all the “normal” things that other people do, thinking your co-residents or attendings think you’re dumb, feeling that you don’t have time for friends/family/hobbies, ruminating on “what if I screw this up and hurt a patient?”, or “this doesn’t matter -- the patient is going to XX or YY anyway” etc are all common feelings and they all share the same undercurrent of feeling isolated in one way or another. You need to actively work to find ways to confront and overcome these feelings or else they will control you. When they control you, you’re burned out. It may not seem like it at first, but nearly every single tip below is geared towards avoiding feelings of isolation. Feeling like you’re not in control of your finances will make you feel isolated. Feeling like you’re losing a handle on your relationships will make you feel isolated. Feeling like you’re behind on your email and haven’t done all the little things in life you need to do will make you feel isolated. Read these tips through that lens.
What you can do before you start
1. Organize and update your contacts. Seriously.
Here are some ways it can help you maintain and grow your relationships.
Use the ‘Notes’ feature in your contacts for everyone important in your life and all the new people meet.
You will forget your friends’ kids names and ages. Every time you get a birth announcement or see a post on social media, go to your friend’s contact, edit the notes and put in the info. Then, when you reach out to your friends, ask about their kids...by name.
You will forget your friends’ boyfriend/girlfriend/wife/husband/partner’s name, especially if you’ve never met them or haven’t seen them for a long time. Put their name in your friends’ card with a note like “Started seeing Sam in June 2020, he/she’s a software engineer”. Someone you know gets married? Add their wedding date to their card.
You will forget how you knew people in your contacts. Met at a conference? Was a medical student on your heme onc service? Friend-of-a-friend you met at a wedding? Someone shares an interest you have? Make a note in their contact card. Tip: these notes are for you, not them. So if someone reminds you of an actor, or didn’t stop talking about bitcoin, make a note. It will help because you will forget.
Tag your contacts or add them to lists and use those tags/lists to your advantage.
Make lists or tags for your family, your medical school friends, your undergrad friends, your coresidents, your attendings, your medical students, the hospitals you’ll be working at, etc. Put those lists or tags to use like this:
You will forget to stay in touch with people important to you. Set reminders in your phone for every week / two weeks / month, etc to pull up a list (family, medical school friends, etc), pick someone on that list you haven’t chatted with in a while and text them and ask them how they’re doing. Aim to start a conversation, ask about what’s happening in their life. Texts are more personal and meaningful than liking a post on social media or sharing a meme. Initiating conversations with your friends and family will help you feel connected and will increase the likelihood they reach out to you.
Don’t label your medical students like “MS3 Laura” or “Sub-I Juan”, etc. Label them with their full name and treat them like the colleagues they are. Put them on a list, clear it out next year if you want, but don’t treat them as “MS3 XXX“ or “MS4 YYY”. I’m sure you remember feeling like a nameless/faceless medical student at times in school and I’m sure you didn’t love it. So don’t repeat that behavior. Add a note or two about them while you’re at it. Take enough interest in your medical students to treat them well. You never know when or how you’ll cross paths with them again.
If you rotate through different hospitals, you will forget which “ED” or “PACU” or “nursing station 3rd floor” numbers are which. Tag them or put them on a list. It’ll make finding them when you need them much easier.
2. Use a good note taking app and a good task manager app to help with both your in-hospital life and your outside-of-the-hospital life.
Here are some ways to use a notes app.
Make a note for each rotation you’re on. Add in any unstructured tips as they come up, like “Send all of Dr. X’s patients home with Y”, “Use the call room in the basement outside of the locker room, passcode 1234”, “Park in the X lot on the weekends”, “Dr. A likes to manage Z with Y”, “The case manager, NAME, usually sits at the computer behind the 2nd floor nurses station”, etc. Don't overthink them, just write them down when they come up. Review those notes the next time you rotate through because you will forget all those little things and they will help you in the future.
Create a master grocery list of all things you typically get at the grocery store. Share it with a roommate/partner so they can keep it updated too. That way if you ever stop to pick something up, you can review the list to make sure there’s nothing you’ll forget.
Make master lists for other things in your life too like “packing for a conference”, “packing for a family trip”, “Target/Wal-Mart household master list” so you can quickly review anytime something comes up so you minimize the chance of forgetting something
Make notes for all of the other stuff you have to manage in your life like your car, your apartment/house, your loans, etc and update them every time you work on that thing. Change your loan repayment? Add it to the note. Have to get your brakes fixed? Add to the note where you got it done, how much it cost, etc. Talk to your landlord about fixing the shower? Add it to the note. Have to call the medical board to sort something out with a license? Add it to the note.
I like two note apps on iOS: Bear for personal notes since it’s fast and has great tagging and Apple’s Notes app for shared notes
Pick a good task manager app and use it for all the things in your life that aren’t your day-to-day work
Cousin getting married and you can go to the wedding? Make tasks to ensure your time off, book your travel, buy a gift, rent a hotel room, etc. Then put all the relevant info into your note because...you will forget.
Pandemic is over and you get to present a poster at a conference? Make tasks to review your draft with your coauthors, print your poster, book your travel, submit your reimbursement, etc. Then put all the relevant info into a note. Otherwise, you’ll forget.
I like Things and have also liked OmniFocus. There is a ton of content on how to set one of these things up for productivity so review it and use it YouTube search
3. Take charge of your finances
When I was an intern, I figured all I had to do was pay my loans and not go into more debt. I wish I had done the following instead:
Read these two books: The White Coat Investor and I Will Teach You To Be Rich. Both are very good and have different strengths. The WCI is directly applicable to you and will help educate you in ways medical school didn’t about your financial future. IWTYTBR is much more of a “millennial” book but it’s very good for explaining big concepts and for providing a system to set yourself up for success. They’re both easy and relatively quick reads and don’t require any financial background. WCI is fine as an e-book but IWTY has a bunch of dialog boxes that make the e-book a poor experience, get a physical new or used copy.
Set up a budget. I use and swear by You Need A Budget. It’s the best money I spend every year. Their system is easy and straightforward and it doesn’t take long to get the hang of it. I can’t recommend it highly enough.
4. Update your CV now and keep it updated regularly
You will no doubt have to share your CV with someone at some point whether it’s for fellowship or a research project or any number of things. The time to work on it is not when someone says “can you share your CV?” -- that’s a recipe for omissions, typos and mistakes. The only thing you should be doing every time you share your CV is giving it a quick once-over to make sure you don’t spot any mistakes and to make sure it’s up to date There are plenty of templates online and your training institution may even have a preferred format somewhere on their website. Your ERAS application will give you a good head start but most of your medical school CV lines will either be condensed or removed all together unless something was particularly notable. You can almost always find example CVs online from senior people in your department or institution with a quick web search -- use a few as a guide Set a reminder / task to update your CV at regular intervals. Quarterly is good, yearly at least. Save new versions of it each time so you can refer to the old ones if you need to and name them in a way to let you know you’re always sharing the most recent version, e.g., LASTNAME_FIRST NAME_CV_2020-06. You will forget if the one marked “CV” only is the right one you want to share.
5. Subscribe to a couple of newsletters to stay up to date with the world outside of your hospital
For general news, your preferred newspaper probably has a daily email briefing. Otherwise, Axios AM/PM and Politico’s Playbook are both very good quick reads to stay up to date with current events.
Keep up with healthcare news so you know what’s going on in the healthcare system broadly
Politico’s Pulse and Morning eHealth are both very good and have quick facts at the beginning if you just want to skim
Rock Health’s Rock Weekly is a decent summary of each week in the healthcare startup and technology world
Pick a few of these and aim to get through them each day. If you can’t get through them, unsubscribe to the ones you think are least relevant to you so you never feel “behind” in staying up with the news. You can breeze through the few you pick in a few minutes here and there throughout the day -- don’t make it any harder than that to feel like you’re “up to date” on the news.
General tips for maintaining relationships
For any romantic relationship, do these things if you don’t already:
1. Make a rule: no phones at the table. * Don’t put your phone on the table face-up. Don’t put your phone on the table face-down. Keep your phone off the table and set to silent. * Focus on the person in front of you and show them you care about them by paying attention to them. We all know what it feels like to be with someone more interested in their screen than in interacting with you. If you’re on call, say “sorry, I’m on call, I may have to check something here and there”, apologize if you do check it and then put your phone away. 2. Make another rule: no phones in bed * Same principle as at the table. Want to feel like two strangers just passing through life who just so happen to share the same bed? Wake up, reach for your phone and scroll through your feeds like a zombie before getting out of bed. Same idea before bed. Your phone can wait. 3. If you’re at the point where you share finances, set a regular meeting to review how you’re doing. * Ideally, this is a “red, yellow or green” meeting and should only take a few minutes. Money can be a big conflict issue for relationships and avoiding talking about money is a surefire way to eventually turn to conflict. If you have a budget and shared goals, this should be quick. * A monthly check-in is good. Create a recurring calendar event, attach the shared notes or spreadsheet document you use, add your goals for the meeting and honor the meeting when it comes around.
Eat with people who are important to you, if you can.
There’s something about sharing a meal that’s special in human nature. Friends who are important to you? Partners? Mentors you’re looking to get to know better after you’ve had a few chats? Try to eat with them when you can. And keep your phone off the table.
The same idea works with your coresidents and teams in the hospital. Eat with them if you can. Eating with others builds, strengthens and maintains relationships. Keep your phone off the table if you can.
Think about it this way: who would you consider a better mentor, the person you’ve met with a few times in their office where they sit behind their desk and you in front of them while they glance at their computer screen every time it pings or the person who’s invited you to get coffee or food and they kept their phone away the whole time? Now turn that around and realize the power of the message you can send to people you care about by trying to eat with them and show them they have your full attention.
1. Learn to think about tasks as a continuum from start to finish instead of as a binary 'done/not done'.
Let’s say you have to order a CT for a patient of yours.
Instead of marking the task as complete the second you place the order for the CT, recognize that the whole task is not just placing the order, but also knowing when your patient is going down to the scanner, when they’re back, when the CT is up in the system, when the report is up and also that you’ve looked at the CT yourself and have read the report.
When your senior or attending asks you, “Did patient X get their CT?”, a not-so-great answer is “Yes” or “No”. A better answer is “they’re down at the scanner now” or “the scan’s done but it hasn’t been read yet. Want to look at it?” or “Yes, it’s negative for XXX but did show YYY”.
Whatever system you eventually adopt for your day-to-day task management in the hospital, whether it’s a list or index cards or a printed signout sheet, make sure you’re tracking both when orders go in, when they’re complete, when they’re cancelled, etc. Just marking things as complete once you place the order isn’t enough.
2. Signout is taken, not given.
What I mean by this is that when you take signout, that means you’re accepting responsibility for those patients. They might be your patients, you might be cross-covering, it doesn’t matter. What matters is that when those patients are your responsibility, it’s your responsibility to get what you need to know to take care of them. Is someone signing out to you in a hurry and not giving you what you need? Ask them for that relevant past medical history, those exam findings, and so on. It’s not enough for the person handing off to say “we’re worried about x or y”, you’ve got to follow that up with “in case of x or y, is there a plan for what the team wants me to do?”. Get the answers you need. A lot of covering patients on call is playing defense whereas the primary team generally plays offense. But that doesn’t mean you can play defense in isolation. The last thing you want is for the primary team to feel surprised by your choices.
* Here’s two ways for the above example to go when turning the patients you were covering back over the next day or whatever: 1. You: “For patient so-and-so, you said you were worried about x or y. Y happened.” Them: “What did you do?”. You: “Z”. Them: “Shit, my attending’s not gonna like that”. 2. You “Y happened so I did A like you said, it went fine and here’s the current status”. Them: “Great, thanks” * See the difference?
Along the lines of taking responsibility for those patients, that means that if you couldn’t get the information you needed at signout then you have to go and see those patients and get the information you need yourself.
You’ll hear this idea said a bunch of different ways like “trust but verify”, “trust no one” and your comfort level will change over the year as you become more confident and comfortable. But always error on the side of going to see the patient and getting your own information at the start.
3. If you will be miserable without something when you’re in the hospital, bring it with you. You won’t reliably be able to find it at the hospital every time you need it.
Need coffee otherwise you turn into a demon? Bring it with you. You never know when you’ll get caught doing something and won’t be able to run to the cafeteria for your fix.
On call overnight and know you need food so you don’t go insane? Bring it with you. Here’s a hospital food rule: never rely on the hospital's ability to feed you. The hospital will let you down sooner or later, I guarantee it.
Know you always get cold on call? The day you forget your jacket/sweatshirt is the day you won’t be able to find a spare blanket in the hospital to save your life. Put a backup in your locker (if your hospital respects you enough to give you one).
Miscellaneous productivity, professionalism and lifestyle tips
1. Aim to “touch” everything only once
Example: your physical mail. You know, the stuff made of dead trees that accumulates in that box you check every once in a while. For every piece of mail you get, you should either trash it, file it, or act on it. Don’t touch it until you’re ready to do one of those things.
Example: your email. Either delete it, archive it, reply to it or do the thing it’s telling you to do right away. Don’t fall into the trap of using your inbox as a to-do list -- that’s a recipe to get burned. Use a task manager for your to-do list and aim to keep your inbox at zero. Realize that email’s true power is communication and use it as a communication tool and nothing else.
I’ll use the example of going to a wedding again as something to “touch once”. Aim to accomplish all the tasks at once or at least create tasks and reminders to complete those tasks all in one go. Respond to the RSVP, create the calendar invite with all the information from the invitation, share the calendar event with your date, book your travel, book your hotel, book your rental car, buy your gift from the registry and set a reminder to get your suit/dress cleaned a few weeks ahead, etc.
2. Lean to use your calendar as a tool
Professionals in the “real world” tend to live and die by their calendars. Some people, especially many senior people in medicine, don’t manage their own calendars. But you manage yours. With it you can:
Make sure all events—even small ones like dates or errands you want to run—have locations so all you have to do is click the location for directions
Send invites to friends / family / coworkers for anything you talk about doing that has the relevant info
Make reminders for yourself to prepare for upcoming events, i.e.., don’t count on seeing your parents’/spouses’/whomever’s birthday “coming up” to remind you to get a gift or send a card. Create an event two weeks before their birthday that says “Buy Mom a birthday card”, set it to repeat yearly and buy a card when it comes up, send it a few days later and don’t worry that it won’t get there in time.
3. Learn to use email well
Ever get an email from someone and feel their tone was terse, condescending or rude? Don’t be that person. Error on the side being polite and professional and writing in complete sentences without textspeak. It’s not hard — you type fast, even with your thumbs, I’m sure of it.
Learn to communicate effectively. Keep it short but not terse. State why you’re writing to someone, be clear if you’re asking a question, and think about it this way: “How am I making it as easy as possible for this person to understand why I’m emailing them and do what I’m asking them to do?
Don’t use a canned salutation like “Best, NAME” or even worse: “Best, INITIALS”. Use your salutation to continue to communicate your message and remember that politeness and professionalism extend through your signature.
I don’t know why “Best,” is so common in medicine but it’s meaningless, unthoughtful, inherently passive aggressive and I seriously read it as if the person writing it were signing off by saying “Go f*ck yourself,”. Same thing for “Regards,” and its ilk, any abbreviation like “vr,” or any form of cutesy quote.
Write your salutation fresh each time. Did you ask someone for something? Say “Thank you for your help”. Are you writing someone senior to you and want to sound somewhat formal? “Sincerely,” never goes out of style. Are you sharing information and essentially writing a memo? Use “Please let me know if you have any questions”. Your salutation is communication, treat it that way.
Sign with your name, not your initials. Signing with initials is a common way senior people will try to remind you they’re senior to you. If you do it, it’s like you’re trying to prove you’re a Cool Guy Big Shot too. It never comes across well -- even for those senior people. Initials are terse. Lowercase initials are even terser. Although they may look different at first glance, all initial signatures functionally come across as ‘FU’. Write your name.
If it’s a few rounds back and forth of email, it’s normal drop salutations and signatures and treat email more like texting. Keep using complete sentences without textspeak, though. I promise you’ll come across better that way.
Use the ‘signature’ feature of your email client to share your professional details and contact information
Your institution (not department) will hopefully have a format for this that’s standardized and includes minimal or no graphics. If it doesn't, then I feel sorry for all the inevitable IT headaches you will eventually endure at your institution since they clearly underfund and undervalue contemporary IT and professional services. It’s the wild west out there so find some good examples of clean, professional signature formats and make one for yourself.
Note: this signature lives below your salutation and sign off. It’s essentially the letterhead for your email that lets your recipient fill in the details you may not otherwise provide like your department, mailing address or fax number. It’s not a replacement for signing off of your communication professionally.
Never use bold, italics, underlines or different font sizes in your emails. They only make emails harder to read and jumble your message.
If you want to highlight something, put it in a numbered or bulleted list.
If you can’t communicate what you want with 2-3 bulleted points, then email is not the right medium to use. Do you like reading long emails? Of course you don’t. Write a memo, attach it as a PDF or shared doc and use the email to tell your recipients to review the attachment.
You will eventually, in some way or another, ask someone to introduce you to one of their contacts and or refer you for something. Learn how to write a good forwardable email that utilizes the double opt-in concept and how to make it easy on the person doing you the favor. Read more here, here and here.
While you’re at it, understand the power of using CC and BCC to communicate effectively.
Aim to answer all emails written directly to you within 24 hours.
If you can’t respond fully right away, respond briefly saying you got the note and that you’ll work on it and get back to them. Set a reminder or create a task to do or review the thing and get back to them once you’ve done it.
Do you hate being left on read in text? You do it in email every time you don’t respond to someone in a timely fashion. It’s better to share a quick, “I got it and I’m working on it message” then not replying until days or weeks later.
4. Don’t let someone else’s negative energy and/or anxiety transfer to you
You will frequently experience things like this in the hospital:
A co-resident disagrees with a management decision made at rounds and mentions that so-and-so is an idiot. So-and-so probably isn’t an idiot. Your co-resident probably isn’t an idiot either. Form your own opinions from your own experiences.
A nurse pages you with a tone that says “THIS IS REALLY BAD”. It might be, go and see. And on your way, stay calm and go over the steps in your head of what you’d do if it is, in fact, REALLY BAD. But don’t freak yourself out before you even get to the room. You won’t be able to make decisions with a clear head if you’re already worked up.
You’re a surgery intern and all your patients are normally on the med-surg floor. Every once in a while, one goes somewhere like heme-onc if the med-surg floor is full. Someone on your team says something like “great, now they’re going to screw up our patient”. Recognize that that floor isn’t full of terrible nurses and may just have less experiences with lines and drains and that the best thing you can do is go down there, talk to the nurse and say “here’s what we want to be called about” and “this thing may look bad but it usually isn’t and we don’t need to be called, here’s why”, and so on. Doing things like this will mean you get fewer calls. Fewer calls are good.
Your attending is having a bad day and you’re not enjoying your interactions with them. Don’t let that make you have a bad day too. Medicine is hard enough as it is, stick to your own bad days instead adopting other people’s. Then pull up your friend list, text a buddy and feel better.
5. Don’t neglect your physical health. Trying to eat well and stay active are even more important when you’re insanely busy.
The #1 thing you can do to help your waistline is cook your own food and pack your own meals. It doesn’t matter what you cook or how good of a cook you are, as long as you’re aiming to pack meals that an adult would eat, it will be healthier than takeout and cafeteria food. It’s better for portion control, you control all the ingredients and you get a sense of satisfaction for being on the ball. It’s better in every way. I know it’s not realistic to always prep and pack your own food on the busiest of services but you should try to hit at least a percentage like 25% or 50% of your meals. There are no lost causes in your own health. It will be hard to exercise and work out. You should still try to do it anyway. You will go long stretches without exercising at times. Don’t beat yourself up about it. Every day is a chance to do the thing you want to do so get back out there.
6. If your social profiles are private, consider doing some housekeeping and making them public.
Instead of thinking about them as a liability to be that needs to be hidden, think about them as a narrative you can control. Nothing is private on the internet. Even your private profile. You never know who knows someone you know or what may get screenshotted and shared down the line. It’s natural to run a web search on anyone you’re meeting for a date, interviewing with for a job, or researching in general. When you search your own name, what comes up? What do you think when you’re searching for someone and they have a private page? Do you ever click on a few links to see professional stuff from LinkedIn, and then some social pages to see what else you learn? So does everyone else. Use your social pages to put forward a version of you that shows who you are, shows some interests true to yourself, makes you seem like a totally normal and reliable person (which is exactly what any potential date, partner, fellowship director or hiring manager is asking themselves about you) and doesn’t share enough information to let a patient show up at your door. Medicine lags behind other industries with people still commonly hiding behind private pages. In the tech world, it’s more strange to not have a public page. A private page says more about you that you might want to hide red flags whereas a public page says “go ahead and look, you won’t find any red flags”. One is much more powerful than the other.
Closing and something to read
When you view your professional life, it’s natural to view your professional relationships as being a binary one between patient and physician. That’s certainly essential and certainly important, but as a professional you now have relationships to consider with so many more types of people: co-residents, faculty in your department, faculty in other departments, administrators, support staff, medical students, and so on. Just as you had to learn how to work with patients, you will have to learn to work with all of the other people in your professional life. Truly effective professionals will treat all interactions importantly and give thought and consideration to each one. All these interactions and relationships will all affect your day-to-day experience, your well-being and, ultimately, your professional experience. You will find yourself being not just responsible for your patients, but also for yourself, your career and your relationships. It takes effort to succeed in all of those areas. And even with effort, sometimes you’ll be winning in an area and losing in others. And in a few months it will be different -- that’s just life. I want you to consider looking outside of books and resources written specifically for physicians when you’re trying to tackle these issues inside the hospital and out. Medicine is a much-smaller-than-you-realize bubble with a long history of personality-driven examples of “that’s just the way we do it” or “that’s how we’ve always done it”. There are good books about medicine out there, to be sure, but you’ll benefit more professionally by learning from the wide world outside of hospitals since there are quite simply many more successful and accomplished people who’ve written great resources for all aspects of professional life that medicine tends to ignore. I’d recommend you start with this book: Andy Grove’s High Output Management (a review by another Valley titan here). Andy escaped communist Hungary, taught himself English and rose to be CEO of Intel and went on to be a sage of Silicon Valley before he passed. This book is a how-to guide for how to be an effective professional in an organization (hint: you're now a professional in an organization) and if you’ve enjoyed this post at all, you’ll love this book. You may think that this book applies to ‘managers’ and ‘business’ and not medicine but you couldn’t be more wrong. Although it was probably written around the time you were born, nearly everything in this book is a lesson that directly applies to your professional life in medicine and when you start seeing it, you’ll feel like you’re in The Matrix. Congratulations! You've worked hard to get here. Be proud of yourself, your degree, your long white coat and be the best doctor you can be.
Focusing on building Distribution Channels helped me scale my startup to 7 figures per year. Here's how:
Build Distribution Channels, Don’t Build Products
The number one reason startups fail is because they don’t succeed in getting traction. In other words, they fail because they don’t succeed in getting enough users or customers for their product or service so that revenues could be greater than expenses. I know I know, duh, that’s obvious. But, why do startups fail to get traction? Most of the time it’s not because the product was bad or the idea didn’t solve a real problem. No, predominantly a startup doesn’t get traction because the founders don’t approach the business from a distribution first perspective. They never spend any time really figuring out how to efficiently get their product in front of their target customer. They don’t invest in building distribution channels. This brings me to my main point: You should spend most of your time early in your startup’s life building distribution channels, not products.
The Mistake Everyone Makes
You are starting a company. The reason you are likely starting it is because you have an AWESOME idea for a new product or service that just needs to exist in the world. Of course, most entrepreneurs who find themselves at this point are going to spend the vast majority of their time and energy on building out their product and turning it into reality. It makes sense why they would do this. Naturally, the new product and that thing they are creating is what they are so excited and passionate about. The product is what they are in love with. Not the question of, “How are you actually going to get people to use this product?” So the distribution question gets ignored. In this circumstance, the entrepreneur is so confident in their idea, and they just know that it will naturally spread like wildfire once they launch it. Why spend any time on marketing when the idea is this good? The sad truth is that this NEVER happens, and the entrepreneurs who take this approach wind up launching their product to crickets. No one ever finds out about their amazing idea, and no one ever uses their product. This is the mistake everyone makes. It’s the main reason why so many startups fail.
Distribution First Mentality
To win in business, I think you need to approach every new venture or startup idea from a distribution first mentality. It should be the question above all other questions when evaluating a new business: “How am I going to get this product or service in front of my target customers at scale?” If you have a hard time answering this question, then your idea sucks. You HAVE to have a convincing, plausible, and executable distribution strategy for your product. If you do not, you are doomed to fail along with all of the other entrepreneurs who make the same mistake. How We Built Distribution First When starting our cryptocurrency tax software company CryptoTrader.Tax, we started with distribution first. From the launch of the company, we knew that it was extremely likely that one of the strongest distribution channels for this type of product would be Google Search. We knew this because we could see that there were THOUSANDS of searches being done on Google every month for questions like, “How to report cryptocurrency on taxes”, “Crypto taxes”, “Is bitcoin taxable”, etc. We used tools like Google Keyword planner, Ahrefs, and Ubersuggest to see keyword volumes on Google. The distribution channel was the search engine. So, if we could rank highly on Google for these types of search queries, we’d likely get a consistent flow of users into our website and into our cryptocurrency tax automation app. It’s that simple. We had an idea for an app, and we came from a distribution first angle: how can we get our app in front of our target customers? With that question answered, we started focusing on writing high quality content discussing the tax implications of cryptocurrencies. We published this content on our blog, and then focused on getting this content ranking as high as possible in the search results (SEO) for high volume queries like “crypto taxes” and “how to report crypto on taxes”. Before our product was even complete, we had thousands of people reading our blog content and signing up for the waitlist for an application that would automate all of their crypto tax reporting, a TurboTax-like experience for crypto investors.
Build the Distribution Channel
The examples of wildly successful entrepreneurs who took this same approach and built out distribution channels before launching products are endless. One of my favorite recent examples is what The Hustle did when launching their subscription informational product Trends. The Hustle is a media company that spent years building a free tech and business newsletter that gets read by millions of people every day (now THAT is a distribution channel). Then, on the back of this distribution channel, they launched a subscription product that helps identify up-and-coming startup Trends for hopeful entrepreneurs. The result? Within a year of launch, Trends is making the company tens of millions of dollars. This is only possible because the Hustle built their distribution first. They can now reap the benefits of owning that distribution in dozens of ways—including launching related products to their audience and making millions.
Spend more time thinking about how you’re going to effectively distribute your product over how you are going to build it. Better yet, build the distribution channel before the product is ever even live. Your chances of success go up exponentially. If you want to learn about more scrappy marketing tactics that will add jet-fuel level growth to your business, you should subscribe to my email list below. I blog about all of my marketing tactics that I am using to build my businesses, like the time I made $13,000 by growth hacking Instagram. I then email out all of my best tactics and ideas directly to the people on my email list. I’ll see you in the inbox! Original article: https://davidkemmerer.co/distribution-channels/
https://preview.redd.it/kfsh96wn21s51.jpg?width=2400&format=pjpg&auto=webp&s=594acbd437d1a3345d85aadba8c88d46b9404ee1 Bitcoin is the harbinger of the digital financial transformation which the world has witnessed. Amongst the many changes that it has brought in, Bitcoin has gifted the world with Blockchain, a distributed ledger platform that was initially used for Bitcoin exchange has come out from its conventional use, and now it finds application across different segments of the industry. But one of the critical areas which have still remained an area of the internet is Bitcoin. Nowadays, many people are planning to make a portfolio in Bitcoin by investing in it. The primary reason for this is the set of advantages that Bitcoin payment offers. In this blog, we are going to discuss the benefits of paying with Bitcoin. Benefits of paying with Bitcoin 1. No transaction fees- One of the benefits of paying Bitcoin is that you don’t have to pay any processing fee. The key reason for this is that the Bitcoin exchange operates on a peer-to-peer network. It allows the two parties to directly interact with each other, thereby eliminating the dependency on third-party, and thus there is minimal or no transition fees. Some of the popular Blockchain startups like NEO offer zero processing fees. 2. Faster processing- Another key advantage of Bitcoin exchange is that the processing time for transaction exchange is fast. You don’t really have to wait for third-party validation and approval. It thereby enhances work productivity. This especially becomes beneficial when it comes to cross-border transactions. Faster transactions and processing ensures that business runs seamlessly, and there is no delay in payment. 3. Data security- breach of digital security is one of the key concerns for every individual. Since we have so many digital platforms for online payment, but all of them are vulnerable, and there is a concern about digital threats. But with the Bitcoin transactions which run on Blockchain, the network is free from any digital attack. All the transactions or exchange that takes place on Blockchain is encrypted cryptographically. This data is free from breach or attack, thus making the system threat-free. 4. Decentralized platform- The next benefit of transaction or payment via Bitcoin is that it runs on a decentralized platform. It means that there is no third-party. This decentralization ensures that the system works seamlessly, and the information is accessible, even if one of the nodes fails. These are some of the key advantages of payment via Bitcoin. With a steady pace, Bitcoin is slowly paving the way to become one of the leading choices for those who are willing to invest in cryptocurrency. Concluding thoughts- Bitcoin and Blockchain is going to change the world. You will find its application across the different industry segments. It has also paved the way for new development and a new set of career opportunities. If you too wish to know about investment in Bitcoin, or you want to become a Blockchain developer, then this is the right time to invest in Bitcoin and learn more about it. Connect with Blockchain Council. It is one of the leading platforms here. You can learn about Blockchain and Bitcoin.
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