The Five-Day Weekend: Retirement Planning and Practice Legacy for Pediatricians

In this Pediatric Lounge episode, hosts discuss Nicholas Children’s upcoming postgraduate pediatrics CME conference and then interview repeat guest Dr. Neil Bevin of RBK Pediatrics about physician retirement. Bevin describes planning a year ahead to transition administrative responsibilities, defining financial independence based on cost of living, and how taxes affect retirement withdrawals. He highlights common mistakes such as underfunding retirement in peak earning years, failing to adapt practice models as pediatrics shifts toward chronic disease management, and retaining control too long, which can damage practice value and legacy. He explains RBK’s move from a defined benefit plan to a 401(k) and Roth options, notes limited retirement participation among younger employees, and discusses private equity’s impact on job security and pensions. Bevin shares his semi-retired “five-day weekend” schedule, stresses planning hobbies and purpose, recommends saving early (including 529 plans), and emphasizes leaving unhealthy practices, avoiding divorce, and using keyman insurance in small practices.

00:00 Podcast Intro and CME Plug
00:50 Snowy Weekend Banter
01:27 Meet Dr Neil Bevin
02:07 Planning the Exit
04:42 Financial Independence Basics
06:17 How Much Is Enough
07:17 Common Retirement Mistakes
10:42 Practice Legacy and Adaptation
16:33 Giving Up Control
18:46 Retirement Mindset and Hobbies
21:42 401k and Roth Basics
23:30 Pensions and Private Equity Risks
26:29 The Five Day Weekend
27:36 Fair Scheduling Mindset
28:11 Flexibility Beats Absolutes
28:20 529 Plans For Kids
30:21 Inflation Crushing Doctors
32:36 Law Pay Versus Pediatrics
35:07 Private Equity Job Risk
38:26 Starting A Practice Today
39:30 Mortgage And Refi Strategy
42:42 Retirement Advice By Age
45:11 Keyman Insurance Matters
46:43 Practice Culture Horror Story
49:11 Wrap Up And Credits

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The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.

Expanding Bluebird Kids Health: Access, Value-Based Pediatrics, and Payment Advocacy

Host Dr. Her Bravo welcomes Dr. Shannon Fox Levine and talk about her move into Bluebird Kids Health, which is expanding Palm Beach Pediatrics’ value-based, technology-forward model to new de novo sites in Florida to address pediatric care deserts for Medicaid populations, including new offices in Jacksonville and Broward County, and the use of a partnered mobile clinic. They discuss keeping Athena Health, hiring and training new clinicians, and interest in ambient AI to reduce documentation burden and improve patient relationships. Levine outlines Florida AAP concerns, including school vaccine mandate changes, Medicaid payment advocacy (including Medicare parity via incentives), and a pilot workflow to diagnose autism in primary care using tools like RITA-T and CARS-2 with appropriate reimbursement. She also describes her national AAP payer advocacy role, addressing issues like downcoding, EOB monitoring, and use of a price transparency tool, emphasizing sustainable payment to reduce burnout and maintain access.

00:00 Podcast Intro and CME
00:55 Meet Shannon Levine
01:46 Bluebird Kids Expansion
03:35 Tech and Mobile Clinics
06:55 Ambient AI for Notes
11:27 Training New Clinicians
14:13 Florida Advocacy Updates
16:37 Autism Diagnosis Pilot
20:11 Medicaid Contracts and Pay
22:31 Value Based Care Future
23:14 Florida MPIP Basics
24:08 Incentives Versus Quality
25:39 Risk Models And Proformas
28:11 Care Coordinators In Action
31:10 Stop Loss And Carve Outs
32:54 Metrics And Vaccine Denominators
35:35 AAP Payer Advocacy Workflow
40:11 Price Transparency Tool
42:26 Negotiating With Payers
45:11 Burnout And Closing Thoughts

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SOCIAL Media Pages ===============================
📝 - Substack
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The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.

Artificial Intelligence in Medical Education: Opportunities, Risks, and Guardrails

In this episode of The Pediatric Lounge, the hosts welcome back Dr. Rani Gareige, director of medical education and designated institutional official at Nicklaus Children’s Hospital and a clinical professor at Florida International University, to discuss artificial intelligence in medical education now and in the future. They preview Nicklaus Children’s Hospital’s 61st annual postgraduate pediatrics CME conference in Fort Lauderdale (Hilton Marina Resort, March 20–22), highlighting sessions on IBD, short stature, dermatology, psychological screening, AI in practice management, social media communication, genetic testing/personalized medicine, and Florida’s new requirement for EKG screening to clear athletes starting ninth grade.

The conversation covers common AI tools learners use (ChatGPT, Claude, OpenEvidence) and institutional concerns about HIPAA/PHI, including blocking public tools and using a secure in-house system (“Ask Nick”) and closed or constrained approaches (e.g., tools that search only approved sources or documents provided, such as Google Notebook).

They explore concerns about de-skilling and when to introduce AI in training, faculty development needs, and a precepting framework (DEFT-AI: Diagnosis, Evidence, Feedback, Teaching, and Recommendations for AI use) to assess clinical reasoning. The episode also discusses AI for simulated patient interactions (bad news delivery, motivational interviewing), ambient AI scribing pilots, clinician responsibility to review notes, and AI-driven coding that may reduce undercoding and administrative burden. The discussion concludes that AI will not replace physicians, but clinicians who use AI wisely may replace those who do not, stressing the importance of policies, ethics, transparency, and maintaining empathy and the art of medicine.

00:00 Podcast Intro and Guest
02:25 CME Conference Details
03:13 Hot Topics and New Laws
04:44 EKG Screening Program
07:42 AI Tools in Training
11:42 IRB and Data Privacy
14:39 Meeting Minutes Automation
16:48 Closed Models for Clinicians
19:13 AI Hallucinations and References
24:16 Deskilling and Timing AI
30:11 Teaching Frameworks for AI
32:46 Back to Evidence Basics
33:40 Questioning the Evidence
34:48 AI and Human Empathy
37:45 AI as Clinical Assistant
41:01 Recertification in the AI Era
46:32 Ethics and Prompting
50:40 AI Scribing and Guardrails
54:35 Coding and Care Gaps
57:15 Future of Medical Education
01:01:13 Virtual Trials and Wrap-Up
01:0

Support the show

🔴 Subscribe for more Doctor stories like this: 🎧Apple and give us a 5-star review.
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SOCIAL Media Pages ===============================
📝 - Substack
🎧 - PODCAST
👥 - FACEBOOK
🐦 - TWITTER
📸 - Instagram
➡️ - Linkedin

The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.