I’ve been out of training now for several years and in that time I’ve seen quite a bit of change in medicine already. Independent doctors are becoming the minority. A career in medicine for physicians is shifting from business owner to being employed by an investment group with a primary means to make money for its investors. This seems to be occurring throughout almost every specialty of practice.… Read the rest
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Primary care is not dying. Solo primary care is dying. Doctors who remain solo will continue to have a hard time at a viable practice going forward. This may be a bit striking, especially for me to say since I went into solo practice. I started my practice initially as part time June 2018, then transitioned to full time October 2018.… Read the rest
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Rent where I’m located in Texas is very very high. Most places that are in grade A office buildings are going to run about $45 per year per square foot (including all fees / NNN). This means that a 2,000 square foot office is going to rent for about $90,000 a year. Sounds insane, I know. The alternative is to rent a building in a less desirable neighborhood or a less desirable building.… Read the rest
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I have finally hit the six month anniversary since my medical practice opened doors. To say there has been a learning curve would be an understatement. Most of the learning curves center around how to navigate insurance companies. Choosing to open a medical practice is not for those who want an easy payday. In the past six months a lot has happened, and I mean A LOT.… Read the rest
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Choosing when to hire our first employee was one of the hardest things that I had to do when starting my business. Hiring employee number two (I’m technically employee number one) is an exciting time in a young businesses life-cycle. Hiring an employee is in some ways a guarantee to the employee to have their job and paycheck available. Something that I didn’t want to take lightly.… Read the rest
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Picking up extra shifts in a subacute care facility sounds like a wonderful idea. Almost no overhead is involved for the physician, especially since most doctors already have a laptop and a malpractice policy. It seems like a natural progression that almost every hospitalist or primary care physician goes through, telling yourself that you can make extra money doing subacute care.… Read the rest
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I’ve decided to go solo by starting up my own primary care clinic! The past two years have been extremely exciting with tons of change. I graduated from residency, started working as a hospitalist, bought a house, paid off all my student loans, became medical director of a skilled nursing facility and a second facility, have completed over 50 locum shifts, watched my better half have two surgeries for a tumor in her jaw, and I’ve now started up my own practice.… Read the rest
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The cost of healthcare has been a very popular political topic for several decades. Several weeks ago, I received two separate emails that struck me as a bit odd. My group highly encouraged us via email to avoid any professional relationships by accepting gifts, food, or money from drug representatives. In a separate email that I received from my congressman, he wrote about how he was against net neutrality.… Read the rest
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Being a Medical Director is more than collecting a monthly paycheck. One of the most popular questions that I receive is how to make extra money as doctor. While there are many ways to make extra cash, becoming a medical director always seems to come up as a possible “easy” way to make money. While there are some perks, including financial benefits, there are also several risks to becoming a medical director.… Read the rest
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After 11 months of searching for a house, I’ve finally bought a home. The paperwork associated with buying a house is most likely not as difficult as soon to be new home owners think. The hardest part of the process was finding a house that I wanted to buy. For those who have been following this website, you know I’ve been searching for a long time.… Read the rest
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