Paying the rent or the mortgage of the office, paying the utilities, salaries, insurance of all types. Ensuring that snow is shoveled or plowed from the sidewalks and parking lot so patients are not injured. Keeping an eye on the billing department for obvious and other reasons. Being civil to certain pharmaceutical representatives. Keeping up with Continuing Medical Education. Staying on schedule anytime, but especially during the flu season. Attending to patients' needs. Being a good parent to the spouse and kids. Feeding the fish in the waiting room aquarium.