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How does one go about buying a home?

First, see your local home loan officer. Bank, credit union, mortgage company. Unless you have cash, you’ll need to borrow money. Get yourself Pre-Approved for a loan and an amount. This is your most important first step. Your loan officer can help you with First Time Home Owner Classes that will qualify you for special loan offerings. Experienced home owner? Your loan officer will lead you to programs specific in your area.Good houses go fast. You can bet if you found a house you like, so have others. Those ready to act quickly, will get that house. See a loan officer. Get Pre-Approved. An offer that identifies you as Pre-Approved, moves your paper to the top of the pile.Need the assistance of a real estate professional? Your loan officer works with all of them. He/she knows the good ones. Ask for referrals. Another good source of referrals is your local title company manager. They too work with all the agents/brokers. They know the good ones.

Is it possible to get a student loan (up to 20-25L) for studying abroad without collateral security?

Students are not always aware of the intricacies of trying to get a loan. At times, the branch managers are also not aware about which document is required or which document can be used instead of the one mentioned. Fortunately for me, I came across Wemakescholars on the internet. ( #1 Platform to fund your Study Abroad - Scholarships, Education loan )Wemakescholars (Wms) is an organisation supported by the IT Ministry, Government of India under their Digital India Campaign making their services free of cost.It has people with in depth knowledge about loans for abroad education and who help students in getting loan.I signed up for their assistance and was pleasantly surprised for their prompt response. It took me about 3 months of scrambling through documents, government offices and the bank branch to finally get the loan approved. Throughout this rollercoaster ride, Mr. Shabir Ahmed from Wemakescholars was always there to help me.Getting a loan had proven a headache for me. The laws of property and some other laws in Goa are very different from the rest of the country. The branch manager where I was applying for the loan was a transfer from out of Goa. He tried to help me however much he could, but due to unawares of some of the regional laws, his help was restricted. This is where Shabir came in to help me to choose the correct documents. Also the checklist provided by Wemakescholars proved to be more in depth and helpful as it contained some requirements which were missing from the checklist I received from the bank. If not for the former checklist, I would have had to again run about getting those documents when the processing officer raised queries.I have kept our property as a collateral and the bank needed an NOC from the society/builder for the same. There was no mention of the format for the NOC in the bank checklist and I wasn't informed about any specific format from the branch as well. Wemakescholars provided me with the required format, which saved me a tonne of time or else the processing officer would have asked for one with the format again thereby delaying my loan.I suggest students who are trying for abroad education loan to take assistance from Wemakescholars as this will make their journey of trying to get a loan much easier and fruitful even.P.s: Most the banks give out educational loans upto 7.5 Lakhs without needing a collateral.

Why should some doctors spend all those years in school only to do what nurse practitioners and physician assistants do, like family doctors and primary care givers (all noted for referrals)?

Why should some doctors spend all those years in school only to do what nurse practitioners and physician assistants do, like family doctors and primary care givers (all noted for referrals)?There were many answers when I found this question, so I was going to pass on it. Some responses I found inspiring, some less so. I completed my residency training for the medical specialty of family medicine in 1990. I do not “do what nurse practitioners and physician assistants do.” My scope has always been more comprehensive and at the same time more targeted. I have done inpatient care, obstetric care, assisting at surgery in the OR, minor office based surgery, school physician services, nursing home care, medical direction at three nursing homes. I am board certified with renewal every 7 years, and I have a certificate of added qualifications in geriatrics with renewal every 10 years. I am a certified medical director with renewal every 6 years. I established a hospital Department of Geriatrics. I have taught medical students. I have taught PA students. I ran a solo medical practice for 25 years. For most of that time I took call every day and night except about 10 days/nights every year; I was available to my patients, and they were respectful of that.I went into family medicine because I was unwilling to cut out big parts of medicine and say, “No, I don’t do that.” The competing specialty for me as a medical student was psychiatry, but it was too narrow. Student loans and lifestyle were not factors. The relatively meager pay for rural family physicians has been a source of resentment, and I am confident that is why “the best and the brightest” are not flocking to primary care. Done right, it is the most demanding medical specialty.A ENT surgeon came to a Department of Family Medicine meeting at our request. His nominal talk was on assessing the painful ear. The important point he made was that he was being abused by PAs and NPs working in primary care offices. He offered to have PAs and NPs come to his office so that he could further their education to stop the unwanted referrals. The hard call in primary care is knowing when your knowledge, skills and available resources are adequate, and when you should refer. He found that most referrals should have been addressed in our offices.It has been asserted that PAs and NPs will save primary care and reduce health care expenditures. I have serious doubts about that, and that ties into the paragraph above. If you know your stuff, then you practice smart medicine. You know from a CBC what further tests are going to pin down the cause of the anemia. You do not order an anemia profile or make a hematology referral. Many (not all) PAs and NPs work from protocols instead of from knowledge.I was going to step off my soapbox, but there is yet one more point. In the first months of my internship (first year of residency training), I rotated for a month into the ICU. I was astonished by the knowledge of the nurses. Six months later I again rotated for a month into the ICU, and I was astonished by how much I had learned. By then I was surprised by how little those same nurses knew. The explosion of knowledge and skills in residency training is phenomenal. Research was published this year on how experienced clinicians assess a new problem. What they do works, and it is not a preflight checklist. It is seat of the pants based on experience. Yes, further evaluation and testing are needed, but these serve chiefly to confirm the diagnosis, not to come up with it. It is the 60 hour workweeks when out in practice that develop that skill. Residency hours have been cut back with the notion that fatigue harmed patients and impaired learning. That decision is being vigorously reexamined. Perhaps the 100 hours a week that I did as an intern was excessive, but 2017 standards may be inadequate.Off my soapbox.

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