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Health Gov

What to Do When You Hit the Dreaded Plateau

Hitting a plateau is when you have seen some results, and then find that the results stall, slowing or stopping altogether.
The reason is generally simple – you have become accustomed to the training plan you are on and need to shake things up a bit.  If you are running 3 miles, 3 times a week, you will need to do something different, or at least increase the intensity in order to keep seeing results. Our bodies are great at becoming efficient – so we need to outsmart it by continually adding new challenges!
If you are training in a gym with resistance, you should never follow the same programme for more than 4-8 weeks (very fit athletes at the lower end of the scale, beginners can go for longer) before you must change at least some elements of the programme, for the same reason. And throughout the programme you need to ensure you are gradually increasing your work as you get fitter – if you are lifting the same weights at the end as at the beginning, or doing the same reps, then you are working out less hard at the end in theory, as should now be fitter! So you need to incrementally increase the work you do – harder variations, heavier weights, more reps etc. When you change programmes you need to change some element of the programme: exercises, rep ranges, frequency can all be altered – and you don’t have to change everything all at once!
Nutrition-wise we often see fat loss plateaus because of calorie creep! You may have got great results at the start, then let the calories or treats creep in as you get more complacent. And ironically, as you lose weight you need fewer calories in order to keep losing – so the lighter you get the harder it becomes in that respect.  However, by increasing lean muscle through resistance training and by increasing your metabolism by using resistance and intervals, you can ensure that your body is in prime condition to burn more calories, even at rest.  But you still need to watch for the ‘treat creep’!
There is a difference between a true plateau and just not seeing results. Either way the important thing is to look at the entire picture: training, lifestyle activity, nutrition, sleep, recovery. If you are not seeing results the answer is ALWAYS in there somewhere, and usually we know exactly where if we are honest with ourselves! Take an honest look at what you are doing, and where you could push a little harder – it is often a case of a simple switch (such as more veggies instead of starches or herbal tea instead of a full fat latte) or taking something you are treating yourself to daily (a cereal bar, a dessert) and ensuring you only allow it once or twice a week.
So the key things:
1. Identify what action you are taking in each of the key areas, and if you have let any one of them slip.
2. Ask yourself honestly what areas you could make changes in (the answers are usually there!)
3. Make a few tweaks and see the results flood back – usually a few tweaks are all that you need!…

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General Article

Physician Recruiter

Large medical facilities like hospitals have a huge need for many doctors to perform all the services that they offer.  Many times these facilities will hire someone to help them find the best doctors.

A human resources professional called a physician recruiter is often used to help facilities find the best possible doctors for the openings that they have.  These human resources consultants are specialists in finding doctors.

Sometimes the consultant works for a human resources company.  Other times they are paid by the job, receiving their fee only after they are able to place a satisfactory doctor

There are basically three different kinds of physician recruiters.  Some in-house recruiters work for really large medical facilities and hospitals.  They work directly for the facility, not for an outside human resources company.  The advantage of using an in-house recruiter is that they can give the prospect more first-hand information about the opening.

Doctors are understandably looking for the best possible position.  Talking to an in-house recruiter lets the doctor learn about the practice or the hospital from someone who is there every day.  They can tell the doctor what it’s like to live in that community, and what the medical community is like.

Another type of physician recruiter is called a contingency recruiter.  This is the type of recruiter who works for a fee. Usually, they work for a smaller human resources company.

A doctor who uses a contingency recruiter will need to make sure that the recruiter is a member of the NAPR.  This is an organization that issues ethical guidelines for recruiters.  Contingency recruiters send the doctor’s CV to as many organizations as they possibly can in order to increase the chances of placing the doctor and therefore earning their fees.

If the contingency recruiter is a member of the NAPR the doctor can feel more comfortable that his CV is not being sent to the wrong kind of places.  You can ask the recruiter not to send your information to the places that you chose.

When a hospital or facility hires a particular human resources firm to find a doctor to fill an opening that is called a retained recruiter.  Retained recruiters often work with the same hospital frequently so that they know more about the opening than a contingency recruiter.

Since they are hired specifically for this one hospital or facility they will have done their homework – visiting the facility, talking to other doctors, getting a feel for the place.  They can help the doctor decide if it is a good fit for them or not.  The doctor doesn’t have to worry that their CV may be sent to the wrong place.

Retained recruiters will also help a doctor with other parts of the hiring process like negotiating salaries and partnership terms.

As with any business transaction, the doctor will want to ask the recruiter for their information.  Ask about their experience, what kind of recruiter they are, if they are members of the NAPR, and if they can provide references.…