This is such a great video along with the content on your website. Last summer, I returned from a 7 week solo trip in Europe (4 of those weeks in Spain) determined to get a job in telemedicine so I can live in between CA and Spain. It is definitely not as easy as I thought it would be, especially as a PA but I am determined and know it will be worth it. Thank you for sharing all of your knowledge on this topic, it is greatly appreciated and helps keep me inspired!
Thank you Michael. This topic comes up a lot so I wanted to get into the weeds with it. If you can think of any other aspect that needs more attention please let me know - I'm always looking for good content to share on here.
Amazing video. There aren’t many people out here who talk about living abroad while working as a practitioner for the US. I’m currently in the process of getting my Psychiatric NP license and want to eventually relocate to Portugal. I’m sure it will cause a lot of issues when it comes to paying taxes for 2 different countries but I’m determined to make it happen. Thanks for providing useful content. Cheers
It's hard to get into double taxation. The tax treaty laws make it fairly straightforward to avoid your initial set of taxes to the US and pay your appropriate taxes to Portugal. I think you'll find that it's easier than you think. I'm always a fan of running your own practice with US patients instead of working for a company. Best of luck. There are many of us who are doing this but we stay under the radar.
@@johnnyace1300 perhaps, but if something ever happened they could figure out you were prescribing controlled substances from a foreign country and say good bye to your license.
Thanks a lot for sharing this wonderful and very useful video. I’m a physician with medical license in USA planning to start my own Telemed platform from abroad with direct payment from patients. I just wonder if it would be very difficult for my to get the malpractice insurance as I am not USA resident, hope you cover a little more about this on your next videos.
There are other hurdles you'll have to overcome before dealing with this factor. Being a non-resident of the USA means you're a non-resident of the state where you have a state medical license. Does your state allow that? Imagine a scenario where you're going to court and the prosecutor proves that you weren't even holding a valid license in the first place. These and many such factors are what physicians overlook in this complicated regulator scene and end up dealing with rather complicated problems down the road. Classic case are physicians who have expatriated to another country while holding their state license and not informing their state of their new address. I have covered this and similar topics on my videos and blog posts and podcasts. Please check that information out. Again, missing any of this information is rather costly and it just takes a little bit of expertise to protect against such things. It's well worth the investment to make sure you're not forgetting about what isn't even on your radar.
I don't have any list handy but I have other videos and content on my website at digitalnomadphysician.com where I talk about how to find such companies.
Hello, I am an experienced RN, graduating from NP school in 5 months. I was born in Bolivia and I would like to go back to Bolivia for a few years and work from there because my Father was diagnosed with Alzheimer’s and I want to be there for him. Do you have any advice on how can I do this transition? I don’t mind making less money in Bolivia, but I really need a salary to survive of course. Do you have a website, or class that you can recommend, thank you 🙏🏻. Or if you can coach me and guide me I can pay for your guidance? Let me know, thank you.
Congratulations on graduating - as an NP you'll have many opportunities available to you. Since you are in the very early stages of your research I would recommend reading through my website at digitalnomadphysician.com and listening to the podcast episodes and viewing all of these videos that I have created. Everything I know is well organized in this content. For someone who is a bit more along on their career journey and wants to move forward with their own virtual practice, I recommend signing up for my paid course www.nomadphysician.com/offers/FZpYRzKV/checkout. If, after reading the content, you have specific questions, book a paid 30-min session with me at digitalnomadphysician.com/consult
Good morning , i have been told from a medical group and read online that a new law ( not sure if its federal or florida state law) prohibits accessing or storing any pHI overseas , that means you can't access any emr from overseas . i'm planning to live overseas and manage my clinic that is in Florida ( financials operations etc) while employed physicians are seeing my patients in Florida. Any explanation or solution for that law? how can i access the emr from overseas and stay legal? Thank you
@@DigitalNomadPhysicians i keep trying to post the link but the comment is not going through if you google florida ban of offshore storage of electronic health records then you will see the post in a couple of websites
www.hipaajournal.com/florida-bans-offshore-storage-of-electronic-health-records/ I mentioned a few years back that it's a matter of time before laws will be passed to force physicians to be located in the US when engaging with patients. Fortunately, laws are really tough to pass and there are always ways to legally get around them. For example, if the intention is patient security then it matters little where the data is stored unless you think that someone will break into an underground data center and steal the storage servers and break into the encrypted drive - great sci-fi but not real. But what this accomplishes is an even harder time for doctors to compete with large medical groups and keep the money in the coffers of the states. I can already think of 3 ways to get around this quite easily and any good tech consultant could help you with the same. From paper charts to logging into a remote server you set up state side to using a camera to view the home server computer. I wish Florida the best of luck.
It's complicated and will depend on your state and the contracts you have with your malpractice carrier and your insurance companies and your NP/PAs. It's not difficult to structure the right kind of workflow to keep you out of trouble but it requires some foresight and a final sign off by an attorney.
![8 Reasons Why Americans LEAVE Costa Rica [Why I Left]](/img/1.gif)
This is such a great video along with the content on your website. Last summer, I returned from a 7 week solo trip in Europe (4 of those weeks in Spain) determined to get a job in telemedicine so I can live in between CA and Spain. It is definitely not as easy as I thought it would be, especially as a PA but I am determined and know it will be worth it. Thank you for sharing all of your knowledge on this topic, it is greatly appreciated and helps keep me inspired!
That was fantastic. It’s been be no easy task finding such comprehensive information. And I do appreciate your very nuanced perspectives. Stay free!
Thank you Michael. This topic comes up a lot so I wanted to get into the weeds with it. If you can think of any other aspect that needs more attention please let me know - I'm always looking for good content to share on here.
Amazing video. There aren’t many people out here who talk about living abroad while working as a practitioner for the US. I’m currently in the process of getting my Psychiatric NP license and want to eventually relocate to Portugal. I’m sure it will cause a lot of issues when it comes to paying taxes for 2 different countries but I’m determined to make it happen. Thanks for providing useful content. Cheers
It's hard to get into double taxation. The tax treaty laws make it fairly straightforward to avoid your initial set of taxes to the US and pay your appropriate taxes to Portugal. I think you'll find that it's easier than you think. I'm always a fan of running your own practice with US patients instead of working for a company. Best of luck. There are many of us who are doing this but we stay under the radar.
new DEA rules prevent prescribing controlled substances from abroad. Don't think that living abroad is a possibility for us psychiatry people.
@@aahsimovieprojects idk seems hard to control
@@johnnyace1300 perhaps, but if something ever happened they could figure out you were prescribing controlled substances from a foreign country and say good bye to your license.
@aahsimovieprojects med management is gonna take a hit but it's a good opportunity to set up a more therapy based approach with appropriate patients.
Thank you for everything. Just kinks in the system
This was helpful!! I will check out some companies
Thank you for this!!! I'm a Psych NP and want to live abroad soooo bad.
That is great. Just got a wonderful text from an NP who is doing TM for the US from here in Spain. Best of luck.
which company are they working for that allows working from overseas?
new DEA rules prevent prescribing controlled substances from abroad. Don't think that living abroad is a possibility for us psychiatry people.
@@aahsimovieprojects show me
Thank you. This was very helpful.
Thanks a lot for sharing this wonderful and very useful video. I’m a physician with medical license in USA planning to start my own Telemed platform from abroad with direct payment from patients. I just wonder if it would be very difficult for my to get the malpractice insurance as I am not USA resident, hope you cover a little more about this on your next videos.
There are other hurdles you'll have to overcome before dealing with this factor. Being a non-resident of the USA means you're a non-resident of the state where you have a state medical license. Does your state allow that? Imagine a scenario where you're going to court and the prosecutor proves that you weren't even holding a valid license in the first place.
These and many such factors are what physicians overlook in this complicated regulator scene and end up dealing with rather complicated problems down the road. Classic case are physicians who have expatriated to another country while holding their state license and not informing their state of their new address.
I have covered this and similar topics on my videos and blog posts and podcasts. Please check that information out. Again, missing any of this information is rather costly and it just takes a little bit of expertise to protect against such things. It's well worth the investment to make sure you're not forgetting about what isn't even on your radar.
great information , can you please list any telehealth companies that will employ pediatricians and allow them to reside overeseas ? thank you !
I don't have any list handy but I have other videos and content on my website at digitalnomadphysician.com where I talk about how to find such companies.
Thanks for the valuable information. Which VPN company do you use?
Google, quite easy to use and reliable
Hello,
I am an experienced RN, graduating from NP school in 5 months. I was born in Bolivia and I would like to go back to Bolivia for a few years and work from there because my Father was diagnosed with Alzheimer’s and I want to be there for him. Do you have any advice on how can I do this transition?
I don’t mind making less money in Bolivia, but I really need a salary to survive of course. Do you have a website, or class that you can recommend, thank you 🙏🏻. Or if you can coach me and guide me I can pay for your guidance? Let me know, thank you.
Congratulations on graduating - as an NP you'll have many opportunities available to you. Since you are in the very early stages of your research I would recommend reading through my website at digitalnomadphysician.com and listening to the podcast episodes and viewing all of these videos that I have created. Everything I know is well organized in this content.
For someone who is a bit more along on their career journey and wants to move forward with their own virtual practice, I recommend signing up for my paid course www.nomadphysician.com/offers/FZpYRzKV/checkout.
If, after reading the content, you have specific questions, book a paid 30-min session with me at digitalnomadphysician.com/consult
@@DigitalNomadPhysicians I will, read everything and get in contact with you when the time gets closer. Thank you for your reply.
Good morning , i have been told from a medical group and read online that a new law ( not sure if its federal or florida state law) prohibits accessing or storing any pHI overseas , that means you can't access any emr from overseas . i'm planning to live overseas and manage my clinic that is in Florida ( financials operations etc) while employed physicians are seeing my patients in Florida. Any explanation or solution for that law? how can i access the emr from overseas and stay legal? Thank you
Do you have a link to that law? Sounds like it would be impossible to enforce but still, curious.
@@DigitalNomadPhysicians
i keep trying to post the link but the comment is not going through if you google florida ban of offshore storage of electronic health records then you will see the post in a couple of websites
www.hipaajournal.com/florida-bans-offshore-storage-of-electronic-health-records/
I mentioned a few years back that it's a matter of time before laws will be passed to force physicians to be located in the US when engaging with patients. Fortunately, laws are really tough to pass and there are always ways to legally get around them. For example, if the intention is patient security then it matters little where the data is stored unless you think that someone will break into an underground data center and steal the storage servers and break into the encrypted drive - great sci-fi but not real.
But what this accomplishes is an even harder time for doctors to compete with large medical groups and keep the money in the coffers of the states.
I can already think of 3 ways to get around this quite easily and any good tech consultant could help you with the same. From paper charts to logging into a remote server you set up state side to using a camera to view the home server computer. I wish Florida the best of luck.
Any suggestions for specialist traveling abroad seeing patient via telemedicine with PA/NP on-site.
It's complicated and will depend on your state and the contracts you have with your malpractice carrier and your insurance companies and your NP/PAs. It's not difficult to structure the right kind of workflow to keep you out of trouble but it requires some foresight and a final sign off by an attorney.