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The COVID-19 crisis has created a significant financial setback for almost all physicians. For the first time ever, many practices closed completely, decimating practice revenue and personal income. On top of this has come a stock market downturn and extreme market volatility, where many investors have seen years of retirement savings wiped out in a matter of months, or even weeks. All of this leads to a common but crucial question for many aesthetic surgeons: “What should I do?”  In this article, we will discuss six actions to take proactively, in terms of personal finances and investments.

Action #1: Focus on the Long Term: Macroeconomics

One of the topics we encourage aesthetic plastic surgeons to discuss with their trusted financial advisors is the long-term history of the U.S. stock market and economy.  Looking at more than100 years of data can help nervous investors reduce stress when seeing previous serious shocks to the system (like World Wars, Great Depression, Great Recession, etc.) and subsequent recoveries.  Doing so can help surgeons apply the ancient wisdom “this too shall pass” to the financial arena.

Action #2: Focus on Long Term: Microeconomics                     

Perhaps even more valuable than reviewing long-term macroeconomic history with your trusted financial advisor is to re-examine your personal (microeconomic) long-term future.  This means reviewing your long-term financial model with assumptions that reflect our new reality — ideally, through adjustable, iterative software where variables can be altered, and best/medium/worst cases saved for future review.  Many aesthetic plastic surgeons who are years away from retirement may see that even the short-term pain of today will have a relatively minor impact on their long-term plans.  This realization can be burden-relieving.

Another benefit of looking at one’s personal planning model is to re-focus on cash reserves and personal spending. In good times (i.e., the last decade), many physicians, including aesthetic plastic surgeons, lost some focus on both personal spending and maintaining a sufficient “rainy day fund.”  Times likes these can lead to an appropriate re-focusing on these two key elements of financial modeling.

Action #3: Make Tactical Investment Changes… or Don’t

Moving from the long term to the short term, there may be tactical investment changes to implement during this crisis. For some, this will simply mean rebalancing asset class allocations to their long-term strategic percentages.  As an example, an investor with a long-term strategic model of 70% stocks and 30% bonds and alternatives might see those percentages move significantly from those benchmarks during a stock downturn, especially if stocks lose value when bonds and alternatives remain steady or gain in value.  Simply rebalancing back to the 70/30 split would require some trading – even if both the client and advisor agree nothing should change for the long-term model.

For others who need cash to maintain their practices or pay personal bills, securities may need to be sold regardless of, or in addition to, rebalancing.  Determining which assets to liquidate and how to minimize tax implications is extremely important in these situations.

Finally, many investors may make no changes to their portfolios. In all three cases, of course, aesthetic plastic surgeons should be driven by rational decision-making, ideally with the assistance of a professional advisor.

Action #4: Make Sure Your Financial Advisor is Acting in Your Best Interest

Understanding the distinction between the fiduciary and suitability standards under which financial advisors work is crucial – yet it is one that even many experienced physicians do not comprehend.

Stated succinctly, one set of investment advisors operates under a professional standard that requires them to make suitable recommendations to their clients without having to place their interests below that of the client.  A key distinction in terms of loyalty is also important, in that this type of advisor’s duty is to the firm he or she works for, not necessarily the client served.

In contrast, another set of investment advisors operates under the fiduciary standard, meaning they have a fiduciary duty to their clients – i.e., they have a fundamental obligation to provide suitable investment advice and always act in their clients’ best interests.

There is no better time than during this crisis to understand how one’s advisors make money and to whom they owe their duty. Ask the right questions and you will learn the answers.

Action #5: Protect Against Other Risks

As we deal with the COVID-19 pandemic, we are primarily focused on its direct impact on health care, practice and personal financial risks. For those who have the capacity to do so, this can be a good time to focus on protecting against other risks as well.  We see physicians looking again at their insurances, from disability insurance and life insurance to long-term care coverages for themselves or family members.  Others are finally getting to legal planning that they have put off for years, including asset protection and estate planning.

Action #6: Use Downtime Wisely

We encourage all aesthetic plastic surgeons to use any downtime they have during this crisis productively.  For many surgeons, their practices may be closed, or they are seeing a significantly reduced patient caseload.  For these reasons and others (lack of travel, conferences, children’s activities), many surgeons have more time on their hands now than at any time in their careers.

If any of this applies to you, we encourage you to spend some of that time focusing on the actions outlined in this article. Physicians can also take advantage of a wide range of free educational content to increase your knowledge on financial matters. At some point, we will all go back to busier schedules and we will thank ourselves for being better prepared to handle the items on our financial to-do lists.