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I am a neurology fellow who is contemplating starting a neurology IMP.

IMP seems like a great idea: keep low overhead so you can see fewer

patients and spend more more with them and not get burnt out. I have

not been a part of the " treadmill system " yet, so I don't have any

experience with managing an office, let alone different EMRs, dealing

with insurance, etc. I have several questions.

1) I wonder if you know anyone who tried IMP and thinks it's a horrible idea.

2) Additionally, is there anyone here who started an IMP right out of

residency or fellowship? Is that a categorically bad idea?

3) Also, what is your percentage overhead if you take all expenses

(malpractice insurance, rent, EMR, your family's medical coverage,

staff, other big ticket items?, etc.) into account? Also, how many

hours per week do you work? (since working more hours with fixed

expenses will reduce overhead percentage) Also, do you employ staff?

Sincerely,

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