There’s a group of physicians I think healthcare quietly squeezes.
Here’s what I mean.
A lot of top clinicians decide early: “I didn’t get into medicine to run a business.” Many of them head to large academic medical centers. They do research. They teach. They work at the cutting edge of their field. The institution handles the business.
For that select group, it’s a great answer.
But it’s only part of the story.
What about the physician who is one of the best at taking care of patients? Not research. Not teaching. Seeing patients, day in and day out, and doing it exceptionally well.
The academic medical center may not be the right home for them. They may not be treated like the top of the top there, even though they are.
So they do the other thing. They open or join a practice.
And now they’re in a vice.
On one side, the clinical work they love and are excellent at. On the other, a business they never trained to run: payroll, payers, staffing, leases, compliance, growth decisions.
They didn’t choose independence to become administrators. They chose it to practice medicine their way.
Those are the physicians I most want to help. Because the answer shouldn’t be “go somewhere you’ll be undervalued” or “carry the whole business alone.”
There has to be a third option.
If you chose practice over academia: what part of running the business takes the most out of you?

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