Re: RE: Replicating Solo Practices - the best route?

[Guest guest]

I am inspired by the many doctors on this list who are

making their practice dreams happen.

I think those most likely to consider a solo or micro

practice are those just starting out with strong ideas

about what they want and those making a career change.

Talking to the M3 and M4 students, mentoring them and

showing them the economics of the practice are the way

to add to the fold.

For an established doc, the pain of transitioning to a

new model must be less than the pain of staying in the

old model and grinding away on the wheel. This ground

is not as fertile.

There is little formalized business training in

medical school or most residencies. Most hospital

systems with residencies want you business savvy

enough to be scared of the unknown and go to work for

the company store.

The process of practice start up would be greatly

aided by a real world how-to manual of practical step

by step instructions. Ideally this would be an ebook

that could rapidly be changed as software

recommendations and the general practice landscape

changes.

The challenge is to make practice start up plans as

easy as Mc's instructions for making a hamburger

so that any doc with limited business training could

do it.

It helps the cause of family medicine to speak out

about the joys and frustrations we face. The stress

and economic pressures on Family Medicine is a classic

case of the mom and pop store vs. Walmart. People

want to hear about that. They want to watch the

underdog give 'em hell.

This spring I will be speaking about a bit about my

practice at:

the Kellogg School of Business at Northwestern Univ.

the Illinois Rural Health Association and

the AAFP 10 state meeting in Chicago about my " trying

to be ideal " practice.

Best Regards,

Ben Brewer MD

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