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
Read more
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
Read more
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
Read more
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
Read more
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
Read more
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
Read more
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
Read more
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
Read more
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
Read more
As another new year gets underway, I would like to take a look back at 2017 to see how far this website and I have come. It is also a good time to look forward for some changes to the website and new posts to follow. It’s been a while since my last post, and below I’ll explain why.
2017 was the best year I’ve ever had.… Read the rest
Read more