Physician NonClinical Careers Podcast Archives - NonClinical Physicians https://nonclinicalphysicians.com/physician-nonclinical-careers-podcast/ Helping Hospital and Medical Group Executives Lead and Manage With Confidence Tue, 06 May 2025 13:42:38 +0000 en-US hourly 1 https://wordpress.org/?v=6.7.2 https://nonclinicalphysicians.com/wp-content/uploads/2016/06/cropped-1-32x32.jpg Physician NonClinical Careers Podcast Archives - NonClinical Physicians https://nonclinicalphysicians.com/physician-nonclinical-careers-podcast/ 32 32 112612397 How One Monthly Adjustment Will Secure Your Investment Portfolio – A PNC Classic from 2020 https://nonclinicalphysicians.com/secure-your-investment-portfolio/ https://nonclinicalphysicians.com/secure-your-investment-portfolio/#respond Tue, 06 May 2025 11:13:37 +0000 https://nonclinicalphysicians.com/?p=64057 Interview with Dr. David Yeh - 403 In this week's podcast episode, Dr. David Yeh explains how a simple monthly adjustment can secure your investment portfolio. David is a practicing physician, speaker, author, investment advisor, and founder of The Wealthy Doctor Institute. He is also a Registered Investment Advisor. He is an alumnus [...]

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Interview with Dr. David Yeh – 403

In this week's podcast episode, Dr. David Yeh explains how a simple monthly adjustment can secure your investment portfolio.

David is a practicing physician, speaker, author, investment advisor, and founder of The Wealthy Doctor Institute. He is also a Registered Investment Advisor.

He is an alumnus of Cornell University and New York University School of Medicine. Following medical school, he completed residencies in radiology at SUNY Stoney Brook University Hospital and Nuclear Medicine at the University of Pennsylvania Health System. And he is board-certified in Radiology and Nuclear Medicine.


Our Sponsor

We're proud to have the University of Tennessee Physician Executive MBA Program, offered by the Haslam College of Business, as the sponsor of this podcast.

The UT PEMBA is the longest-running and most highly respected physician-only MBA in the country. It has over 700 graduates. And, the program only takes one year to complete. 

By joining the UT Physician Executive MBA, you will develop the business and management skills you need to find a career you love. To learn more, contact Dr. Kate Atchley’s office at (865) 974-6526 or go to nonclinicalphysicians.com/physicianmba.


For Podcast Listeners

  • John hosts a short weekly Q&A session on topics related to physicians' careers and leadership. Each discussion is posted for you to review and apply. Sometimes all it takes is one insight to take you to the next level of your career. Check out the Weekly Q&A and join us for only $5.00 monthly.
  • If you want access to dozens of lessons dedicated to nonclinical and unconventional clinical careers, you should join the Nonclinical Career Academy MemberClub. For a small monthly fee, you can access the Weekly Q&A Sessions AND as many lessons and courses as you wish. Click the link to check it out, and use the Coupon CodeFIRSTMONTHFIVE” to get your first month for only $5.00.
  • The 2024 Nonclinical Summit is over. But you can access all the fantastic lectures from our nationally recognized speakers, including Dr. Dike Drummond, Dr. Nneka Unachukwu, Dr. Gretchen Green, and Dr. Mike Woo-Ming. Go to Nonclinical Summit and enter Coupon Code “30-OFF” for a $30 discount.

Invest Wisely and Secure Your Investment Portfolio

After discussing David's background, he quickly describes the basic principles we should apply to long-term investing. The most basic way to invest wisely is to adopt an approach that limits losses.

Having a plan, even a simple one-rule plan such as dollar-cost averaging, gives you an edge over investors who have no plan. – Dr. David Yeh

According to David's analysis, the best outcomes come from following a plan, reviewing your portfolio, and applying adjustments monthly. Focusing only on trying to identify winning investments does not work.

Writing His Book

David explains the process he used for writing and publishing his book, The Busy Doctor's Investment Guide. With the assistance of his publisher, Advantage Media Group, he was able to capture his idea and complete the book quickly. Its staff helped him to organize the content and teach readers how to invest wisely.

The book is clearly written and highlights several loss-mitigation strategies to help you secure your investment portfolio. It also covers the basic principles that every investor should know. One chapter is devoted to investor psychology.

Preparing for a Career Pivot

David recommends focusing on the basics when preparing for a career pivot. There will likely be a temporary reduction in or loss of income at some point. So, it's best to be debt-free. And you should have a sufficient emergency fund and capital for living expenses, based on the projected time needed to complete your pivot.

If starting a new business, a business plan and financial projections must be prepared. You should double the estimated time to break-even and expenses during the first year. An overly optimistic business plan has sunk many small businesses.

Wealthy Doctor Institute

Today, David still practices part-time radiology. He considers himself semi-retired from clinical practice. He also runs his business, Wealthy Doctor Institute, and manages an investment fund. His philosophy is to be a coach to his clients and to be transparent in how funds are invested.

Summary

Dr. David Yeh successfully balances two careers: medicine and investing. In this week's interesting interview, we learn how he accomplished it. And we've identified a resource that you may use to help you secure your investment portfolio.


Links for Today's Episode:

Download This Episode:

Right Click Here and “Save As” to download this podcast episode to your computer.


 

Podcast Editing & Production Services are provided by Oscar Hamilton


Disclaimers:

Many of the links that I refer you to, and that you’ll find in the show notes, are affiliate links. That means that I receive a payment from the seller if you purchase the affiliate item using my link. Doing so has no effect on the price you are charged. And I only promote products and services that I believe are of high quality and will be useful to you, that I have personally used or am very familiar with.

The opinions expressed here are mine and my guest’s. While the information provided on the podcast is true and accurate to the best of my knowledge, there is no express or implied guarantee that using the methods discussed here will lead to success in your career, life, or business.

The information presented on this blog and related podcast is for entertainment and/or informational purposes only. It should not be construed as medical, legal, tax, or emotional advice. If you take action on the information provided on the blog or podcast, it is at your own risk. Always consult an attorney, accountant, career counselor, or other professional before making any major decisions about your career. 

The post How One Monthly Adjustment Will Secure Your Investment Portfolio – A PNC Classic from 2020 appeared first on NonClinical Physicians.

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Get Astonishing Results From Your Job Search Using These Tactics https://nonclinicalphysicians.com/astonishing-results/ https://nonclinicalphysicians.com/astonishing-results/#respond Tue, 29 Apr 2025 11:34:26 +0000 https://nonclinicalphysicians.com/?p=64010 Combine Planning, Accountability, Mentorship, and Support - 402 In this episode of the PNC Podcast, John describes 5 tactics that incorporate proven psychological principles to produce astonishing results in advancing your career. Drawing from both personal experience and years guiding hundreds of physicians toward new professional horizons, he reveals why written career roadmaps [...]

The post Get Astonishing Results From Your Job Search Using These Tactics appeared first on NonClinical Physicians.

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Combine Planning, Accountability, Mentorship, and Support – 402

In this episode of the PNC Podcast, John describes 5 tactics that incorporate proven psychological principles to produce astonishing results in advancing your career.

Drawing from both personal experience and years guiding hundreds of physicians toward new professional horizons, he reveals why written career roadmaps paired with strategic accountability relationships create exponential momentum. These proven tactics work whether pursuing hospital leadership, industry positions, or entrepreneurial ventures—providing a clear framework for transforming vague aspirations into concrete results.


Our Episode Sponsor

Dr. Armin Feldman's Prelitigation Pre-trial Medical Legal Consulting Coaching Program

The Medical Legal Consulting Coaching Program will teach you to build a nonclinical consulting business. Open to physicians in ANY specialty, completing Dr. Armin Feldman’s Program will teach you how to become a valued consultant to attorneys without doing med mal cases or expert witness work.

His program will enable you to use your medical education and experience to generate a great income and a balanced lifestyle. Dr. Feldman will teach you everything, from the business concepts to the medicine involved, to launch your new consulting business during one year of unlimited coaching.

For more information, go to nonclinicalphysicians.com/mlconsulting or arminfeldman.com.


Our Sponsor

We're proud to have the University of Tennessee Physician Executive MBA Program, offered by the Haslam College of Business, as the sponsor of this podcast.

The UT PEMBA is the longest-running, and most highly respected physician-only MBA in the country. It has over 700 graduates. And, the program only takes one year to complete. 

By joining the UT Physician Executive MBA, you will develop the business and management skills you need to find a career you love. To learn more, contact Dr. Kate Atchley’s office at (865) 974-6526 or go to nonclinicalphysicians.com/physicianmba.


For Podcast Listeners

  • John hosts a short weekly Q&A session on topics related to physicians' careers and leadership. Each discussion is posted for you to review and apply. Sometimes all it takes is one insight to take you to the next level of your career. Check out the Weekly Q&A and join us for only $5.00 monthly.
  • If you want access to dozens of lessons dedicated to nonclinical and unconventional clinical careers, you should join the Nonclinical Career Academy MemberClub. For a small monthly fee, you can access the Weekly Q&A Sessions AND as many lessons and courses as you wish. Click the link to check it out, and use the Coupon CodeFIRSTMONTHFIVE” to get your first month for only $5.00.
  • The 2024 Nonclinical Summit is over. But you can access all the fantastic lectures from our nationally recognized speakers, including Dr. Dike Drummond, Dr. Nneka Unachukwu, Dr. Gretchen Green, and Dr. Mike Woo-Ming. Go to Nonclinical Summit and enter Coupon Code “30-OFF” for a $30 discount.

Strategic Planning

John unveils the importance of creating a written career roadmap before embarking on any professional reinvention. Rather than vague aspirations, he advocates for articulating a precise mission and vision statement paired with SMART goals (Specific, Measurable, Attainable, Relevant, and Time-limited). Using his journey from clinical practice to hospital Chief Medical Officer as an example, John demonstrates how writing down specific commitments—from joining strategic committees to completing leadership coursework—creates clarity and momentum.

This documented framework serves a dual purpose: propelling forward movement through concrete milestones while providing a filtering mechanism for new opportunities that might otherwise derail progress. The written plan becomes a compass that prevents costly detours and ensures every professional step advances the bigger career transformation.

Astonishing Results Using an Accountability Architecture

The four acceleration strategies John shares focus on creating an external support structure:

  1. finding an accountability partner for regular check-ins,
  2. developing strategic mentor relationships,
  3. investing in professional career coaching, and
  4. joining a mastermind group—a circle of peers pursuing parallel goals.

Drawing from personal experience facilitating physician mastermind groups, John explains how this collective approach exponentially accelerates results through shared wisdom and mutual accountability. The episode concludes with John considering launching a specialized mastermind specifically for physicians targeting hospital C-suite positions—leveraging his 15 years of CMO experience.

Summary

Rather than leaving career transitions to chance and incremental progress, John outlines a structured approach combining clear written objectives with strategic relationships that create momentum. By implementing even a few of these powerful tactics, physicians can dramatically accelerate their path to more fulfilling professional opportunities while avoiding the common pitfalls of career transformation.

Want to Accelerate Careers?

Given the success of my previous MASTERMINDS, John has been thinking of developing a new Physician Career Mastermind. It would be different in 2 ways from what he has discussed today:

  • First, it would be focused exclusively on helping those of you who wish to pursue a hospital management career as CMO, COO, or CEO with a focus on achieving Top 100 Hospital Designation.
  • Second, this would be a paid Mastermind to help cover the costs of preparing and planning each meeting AND to provide an incentive for members to prepare and fully participate in every meeting.

If you’re interested or if you think John should start this new Mastermind focused on hospital management careers, please send an email with your feedback to john.jurica.md@gmail.com.


Links for Today's Episode

Download This Episode:

Right Click Here and “Save As” to download this podcast episode to your computer.


Podcast Editing & Production Services are provided by Oscar Hamilton


Transcription PNC Podcast Episode 402

Get Astonishing Results From Your Job Search Using These Tactics

John: Today's just me. And I remind you today of five effective ways to accelerate your job search. Each of them relies on psychological principles that help to keep us focused, maintain accountability, and avoid becoming distracted or complacent during our search. All right, well, let's just get started. Here are the five tactics that I found to significantly expedite the process that we're talking about today. I know they would have helped me immensely if I had used them from the beginning while I was making my career transition. And these are tactics that will help you to pursue almost any non-clinical career, side hustle, or new business startup for that matter.

So let's just jump right into it. Number one is develop a written plan. Now, if you're a business owner starting a new business, of course, you're going to have a business plan. Well, with your career development, you should develop and write a plan. Think about and write down your personal career focused mission, vision, and goals. And you're going to use SMART goals using the S-M-A-R-T of SMART to indicate that the goals should be specific, measurable, attainable, relevant, and time limited. So I have to have a deadline. So if you use those SMART goals when developing your plan, then you are going to be much more successful in achieving what you're planning to achieve.

So you want to start with a broad brush and answer these questions for yourself. What is the mission and vision for my career? What is my ultimate goal? Maybe there's steps in between. What steps do I take to get there? And what deadlines will I set for myself? I think it helps to give examples. So here's what mine might have looked like. If I had been more intentional when I was transitioning from part-time medical director to full-time hospital chief medical officer. Here's an example. My mission is to work in hospital management at the executive level. My vision is to pursue a career that provides more freedom, allowing me to express my passion in the areas of quality improvement, continuing medical education, medication safety, and hospital operations that result in tangible improvements in patient outcomes. I think that pretty much covers what I wanted to do as I set out on this journey.

I will start by joining the Pharmacy and Therapeutics Committee and attending the Quality Improvement Meetings and by chairing the CME Committee immediately at my hospital. So I actually had been offered a job to be the chair, so that's why I mentioned that. I will join the American Association for Physician Leadership and complete at least three management courses by the end of this first year. I will prepare a resume and schedule interviews for a hospital management position at least once a quarter beginning the second quarter of next year. So I'm really specific about what I'm going to do. And my goal is to be hired for a management job by the end of next year. So they're smart goals. They're measurable. They're very specific, and they are time limited in many cases as you noticed.

One of the benefits of writing down your mission and vision is that it helps you to make decisions about new opportunities that come up or new demands on your time. So if you're on this mission and on this journey to have this career transition, somebody might ask you to do something, they might ask you to join a committee or take on some new work, and you really should look at your plan and your vision and mission and say, is it aligning with that or not? And if not, I'm sorry, but it doesn't align with my current plans for the next six to 12 months.

By comparing possible new activities and projects against your plan, you'll be better able to determine if the additional work is aligned with your mission, vision, and goals and eliminate those that aren't. I recall volunteering for several committees. It took me down a rabbit hole that really delayed my career transition and just took up a lot of time. Again, this plan should be written, should be reviewed and updated regularly, and you need to keep on track and make sure that you're staying on track and taking the steps that will get you to that ultimate goal.

Now, the remaining four tactics I want to talk about next are helpful for assuring accountability. And actually the final three also add some potential guidance and advice to the mix. So while you don't have to follow all five of these tactics, actually the more that you do, the probably the better off you will be.

So the second step to consider is to find an accountability partner. This would ideally be someone who is also interested in pursuing a non-clinical job. You can meet weekly or biweekly, face to face or remotely, and discuss your plans, your progress, and your challenges. You'll keep each other accountable to commitments that you make at each meeting so you can both keep making progress forward, keep moving forward. Remember the mantra for accountability, doing what you said you would do, when you said you would do it, how you said you would do it. So your partner will help you to hold yourself to the new commitments you make and thereby expedite your search. It's very easy to skip a week or not make a phone call or not really work on this plan to change your career.

Okay, number three would be to find one or more mentors. A mentor is someone who's a step or two ahead of you, has succeeded in the career that you're pursuing, or has expertise in an area that you're weak in. So a mentor is not a paid coach or something which we'll talk about later. A mentor is an informal relationship, again, generally with someone who's doing what you would like to do or at least on that path to what you want to do. And the mentor simply needs to be willing to answer a question, help you avoid big mistakes, and just point you in the right direction from time to time.

I've had several mentors over the years and most of them didn't even know that they were my mentor. One was a physician working as a full-time chief medical officer, and I occasionally called him or I ran into him during a break at a conference or something, and I would ask his advice, ask him how it's doing, and did he have any suggestions for some of the steps I might take to follow in what he had already accomplished. The other was the CEO of my hospital and we went for years where I didn't report to him. I was still working as a physician, but I would occasionally get his advice and let him know that I was interested in pursuing a career in administration as an executive and what his advice was for advancing my career. And it was very helpful.

And you know, the thing I remember is to use mentors sparingly and to help focus and direct your efforts. But don't become a burden by, you know, bothering them too much or trying to make them responsible for your career success. That's again, not really the role of a mentor. A mentor should see it as something that is not onerous or overwhelming and not time consuming for them.

Well, the fourth one I want to list today is to hire a career coach. Now, physicians for some reason have an aversion to getting coaching, I've found for the most part, but a career coach, a business coach, an executive coach. These are all very often sought after types of professionals because they have a lot to offer and they accomplish some of the things mentors and accountability partners do. Plus they usually have deep experience in the area that you're thinking about pursuing.

So by working with a coach, you're going to have access to someone who has devoted their, like their attention to you, their career to you. In other words, that's why they're there. So they're definitely getting paid in most cases, and they are going to feel responsible for helping you move forward. And they'll help you to identify your strengths and weaknesses and define your interests and help you clarify your goals and work through self-limiting beliefs. And then they'll actually help you formulate more and more specific plans on how to get from step one to two, to three, to four, and so forth. They'll provide practical advice about where to find jobs that might align with your career goals, vision, and mission. In some cases, they might actually have relationships with recruiters or companies that hire physicians for these non-clinical positions.

And the physicians I've spoken with who have used a coach have been very happy and delighted with the outcomes of their coaching. And in many cases, they consider it to be the turning point in their career journey. Because it really makes it real that you're sitting face to face or on a Zoom call or something discussing your career. What have you done so far to make it better? What do you plan to do in the next week or two and so on and giving you advice about how to do interviews, how to search, things like that. So that's what career coaches can do.

Now number five is another very powerful thing to do and that's to create or to join a mastermind group. Now it's been said that you're the average of the five people you spend the most time with. If you spend time with people that are overweight and don't exercise, you're probably going to up being overweight and out of shape. If you spend most of your time with people that exercise constantly and follow their diets and are attuned to maintaining fitness and health, then I guess that's probably what you're going to be doing as well.

And a mastermind group is like an accountability partner on steroids. And by the way, sometimes I just call it a mastermind instead of a mastermind group, but both terms are used. Now, if you want to create such a group, identify two to five colleagues who are all striving for similar goals and talk to them, set this thing up, say, "Hey, we're going to meet every two weeks or every month." on a regular basis, perhaps monthly. For the first meeting or two, you'll get to know each other, including each other's career goals and steps you've already taken.

Then each meeting, you'll focus on one or two members with the other members asking questions and keeping the person in the hot seat accountable for plans they had previously agreed to implement, for steps they said they were going to do, for research they said they would get finished. And so there's a huge amount of accountability plus the other members will share what they have done. And since you're all doing essentially the same thing, which is trying to move your career forward and pursue a new job, then they're going to have done things that will be successful or not so successful, and they'll share that with you. And you're going to share the same results that you've gotten with them.

There many books that provide good description of masterminds, including the one that Define the Term was written by Napoleon Hill called "Think and Grow Rich," but there's many more contemporaneous books on this topic as well. And remember that by getting together regularly, you'll keep each other accountable, you'll help each other think of new approaches to advancing your careers, and accelerate the pace of change.

Now, many mastermind groups don't cost anything to join, but there are paid mastermind groups facilitated by a knowledgeable expert or coach. I've personally facilitated two formal mastermind groups of physicians that were not paid for. It was just something we all agreed to do. And of course, I was facilitating most of the time because I have this experience in physician career transition. But there were regular meetings. I think we were doing a monthly in two different groups. They were very successful in providing support, sharing advice, maintaining accountability. And accelerating the members career transition. So I mean, I think the members really did get a lot out of it. They were very good about trying to come to each meeting and come prepared and we would have assignments or things that we would expect at follow up meetings. So that's where the accountability came in.

So those are the five tactics that I wanted to talk about today. I think I've spoken about some of these things in the past. So let me just summarize the five tactics briefly here that will expedite your search for a new career. So develop a plan complete with your career mission vision and smart goals. And the SMART is that acronym that talks about what kind of goals to do. Get an accountability partner. Find one or more mentors, especially those that are doing the thing that you plan to be doing in the future. Sometimes LinkedIn can be helpful for that if you don't have anyone locally that you can run into or spend five or 10 minutes with. Hire a career coach. That's a big step. That's usually a paid thing. But it's very effective and it really shows a commitment on your part. And finally, number five is create or join a mastermind group.

You don't have to use all five of these tactics. You can start with the ones that make the most sense. The more that you do use though, the more likely you're going to quickly shift gears and find that fulfilling career that you've been looking for. Developing a plan is an important first step to expedite the search. The other tactics add accountability, some add expert advice and guidance. If I had had a plan like this earlier and used the other tactics more effectively, I'm sure my career transition would have been much smoother and quicker.

Now, given the success of my previous masterminds, I've been thinking of developing a new career, a physician career mastermind. But it would be different in two ways from what I've discussed today. First, it would be focused exclusively to help those of you who wish to pursue a hospital management career eventually as CMO or COO or CEO for that matter. So rather than hitting just any non-clinical or unconventional career, I would probably focus exclusively on hospital management, since I was a CMO for 15 years, that would be my perspective. And of course, I worked extensively with the COO and CEO when I was in that role.

Second, this would be a paid mastermind to help cover the costs of preparing and planning each meeting. And also making it paid provides more incentive for members to prepare for and fully participate and attend in every meeting. So I don't think I'm going to be doing any free sort of masterminds in near future. So I would like your feedback though, if you're interested or even if you think I should start a new mastermind focused on hospital management careers, because maybe you know somebody that's interested in that or that would be helped by that then please send me an email at john.jurica.md@gmail.com you know with your feedback on what we've talked about today and advice and whether you think I should start planning this new mastermind focused on hospital management careers. It'd be very helpful for me again. I've toyed with it for quite a while. I've done some research and I continue to look into it, and again if you can send me a note at john.jurica.md@gmail.com either with negative or positive feedback, I'd really appreciate it.

Before we go, I'll remind you that you can download a transcript of today's episode and links to resources that were mentioned today by going to the show notes at nonclinicalphysicians.com/astonishing-results/. If you appreciate today's presentation, please leave a five star rating and a review on your favorite podcast app, such as Apple Podcasts and Spotify and share it with a friend so we can get some more listeners out there. But that's it for today's show. I hope to see you here next Tuesday morning for another episode of the Physician Non-Clinical Careers podcast.

Disclaimers:

Many of the links that I refer you to, and that you’ll find in the show notes, are affiliate links. That means that I receive a payment from the seller if you purchase the affiliate item using my link. Doing so has no effect on the price you are charged. And I only promote products and services that I believe are of high quality and will be useful to you, that I have personally used or am very familiar with.

The opinions expressed here are mine and my guest’s. While the information provided on the podcast is true and accurate to the best of my knowledge, there is no express or implied guarantee that using the methods discussed here will lead to success in your career, life, or business.

The information presented on this blog and related podcast is for entertainment and/or informational purposes only. It should not be construed as medical, legal, tax, or emotional advice. If you take action on the information provided on the blog or podcast, it is at your own risk. Always consult an attorney, accountant, career counselor, or other professional before making any major decisions about your career. 

The post Get Astonishing Results From Your Job Search Using These Tactics appeared first on NonClinical Physicians.

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See Her Massive Professional Rebirth From Intensivist To Coach – A PNC Classic from 2020 https://nonclinicalphysicians.com/intensivist-to-coach/ https://nonclinicalphysicians.com/intensivist-to-coach/#respond Tue, 22 Apr 2025 13:20:22 +0000 https://nonclinicalphysicians.com/?p=63679 Interview with Dr. Jessie Benson - 401 In this week's PNC Podcast episode, John presents his conversation with Dr. Jessie Benson, who describes her transition from critical care specialist and intensivist to coach. During her journey, she became a homesteader, musician, and professional artist after practicing anesthesiology and critical care medicine for 10 years. [...]

The post See Her Massive Professional Rebirth From Intensivist To Coach – A PNC Classic from 2020 appeared first on NonClinical Physicians.

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Interview with Dr. Jessie Benson – 401

In this week's PNC Podcast episode, John presents his conversation with Dr. Jessie Benson, who describes her transition from critical care specialist and intensivist to coach. During her journey, she became a homesteader, musician, and professional artist after practicing anesthesiology and critical care medicine for 10 years.

Jessie received her medical degree from West Virginia School of Osteopathic Medicine. She then completed an anesthesia residency at the University of Alabama at Birmingham and a critical care fellowship at the Cleveland Clinic.

Jessie spent the first 3 decades of her life chasing achievement and approval. Her life was marked by perfectionism and a fear of failure and rejection. Through dedicated self-work, she broke free from this way of thinking. That's when she really started living.


Our Sponsor

We're proud to have the University of Tennessee Physician Executive MBA Program, offered by the Haslam College of Business, as the sponsor of this podcast.

The UT PEMBA is the longest-running and most highly respected physician-only MBA in the country. It has over 700 graduates. And, the program only takes one year to complete. 

By joining the UT Physician Executive MBA, you will develop the business and management skills you need to find a career you love. To learn more, contact Dr. Kate Atchley’s office at (865) 974-6526 or go to nonclinicalphysicians.com/physicianmba.


For Podcast Listeners

  • John hosts a short weekly Q&A session on topics related to physicians' careers and leadership. Each discussion is posted for you to review and apply. Sometimes, all it takes is one insight to take you to the next level of your career. Check out the Weekly Q&A and join us for only $5.00 monthly.
  • If you want access to dozens of lessons dedicated to nonclinical and unconventional clinical careers, you should join the Nonclinical Career Academy MemberClub. For a small monthly fee, you can access the Weekly Q&A Sessions AND as many lessons and courses as you wish. Click the link to check it out, and use the Coupon CodeFIRSTMONTHFIVE” to get your first month for only $5.00.
  • The 2024 Nonclinical Summit is over. But you can access all the fantastic lectures from our nationally recognized speakers, including Dr. Dike Drummond, Dr. Nneka Unachukwu, Dr. Gretchen Green, and Dr. Mike Woo-Ming. Go to Nonclinical Summit and enter Coupon Code “30-OFF” for a $30 discount.

A Coach, Musician, and Professional Artist

After practicing anesthesiology and critical care medicine for nearly a decade, Jessie took a leap of faith in 2014. She left medicine to build the life of her dreams.

She now lives in the Blue Ridge Mountains of Virginia on 5 ½ acres of heaven. Jessie’s days are filled with doing what she loves. She works with life coach clients. She creates and sells her beeswax and oil paintings as a professional artist. And since building her house, she now lives the life of a homesteader each day.

I just knew it wasn't the life for me, and so I decided I wanted to have a different life and that's what I do now.

In addition to developing her artistic impulses, she brought music back into her life. She began playing the cello, sometimes performing for others.

Shifting from Intensivist to Coach

Jessie has steadily grown her coaching practice to a vibrant one. In addition to meeting with her one-on-one clients weekly, Jessie leads workshops and retreats. The culmination of this work is her Brave Is Beautiful Circle, a year-long immersion program helping women connect with their authenticity and creativity and “find their brave.”

Jessie's Journey Didn't Stop There

Art and music weren't all that Jessie fell in love with. In preparation for her transition, Jessie completed yoga and meditation training and certification. Then, she traveled around the U.S. in an RV, hiking in many state and national parks. This helped her to select a location to settle down and begin her new life.

After her traveling journey, she started her life coaching practice. In her practice, she focuses on what she calls barrier beliefs. These are the obstacles to moving forward productively. Ultimately, that led her to develop her year-long coaching program. In it, she integrates much of what she has learned over the past several years. Now, she is super excited about her Brave is Beautiful Circle program. 

Summary

In this episode, Dr. Jessie Benson discusses why there is hope that each of us can find a more balanced life. Since leaving medicine, she now spends her time as a life coach, musician, homesteader, and professional artist. She now loves her life. And she encourages all of us to follow our own path to a more balanced and authentic life, whether in medicine or not. But it requires effort and commitment, and sometimes some coaching.


Links for Today's Episode:

Download This Episode:

Right Click Here and “Save As” to download this podcast episode to your computer.


Podcast Editing & Production Services are provided by Oscar Hamilton


Transcription PNC Podcast Episode 401

See Her Massive Professional Rebirth From Intensivist To Coach - A PNC Classic from 2020

- Interview with Dr. Jessie Benson

John: Dr. Jessie Benson, life coach, artist, and homesteader. Welcome to the PNC podcast.

Dr. Jessie Benson: Thank you, John.

John: This is going to be fun.

Dr. Jessie Benson: Yes. I'm very much looking forward to it. I've been excited all week.

John: You know, my audience just loves hearing stories about physicians who have successfully transitioned to whatever it is they transitioned to. So just to give a little preview for the listeners, we're going to hear about homesteading today, we're going to hear about art today, we're going to hear about coaching and some other things in between. So that's why I knew I had to get you here and really get into some of these topics.

Dr. Jessie Benson: Well, I'm very much looking forward to sharing my journey because it has been so much fun.

John: The other thing I like to share with people when I have guests on here is inspiration and hope. Just from what little I know about you, I get the feeling that you really enjoy what you're doing, you feel very balanced. You're doing different things, and to the extent that there were things in the past, maybe, that weren't so great ... which I don't know anything about, but it just sounds like you where you are now is fantastic. So we're definitely going to want to hear what led to your transition, because you are a physician. You're still a physician. Obviously, we're always physicians, but you're not doing medicine anymore and so this is going to be good.

Dr. Jessie Benson: Yes. I definitely love my life a lot more than what I call my medicine years, for sure.

John: Okay. Well then, without any further ado, then why don't you tell us about that? You were practicing for almost 10 years, and maybe just give us a little snapshot of what was going on and what prompted you to transition to what you're doing now.

Dr. Jessie Benson: So I practiced anesthesiology and critical care medicine. I was board certified in both and I did practice both, and I had been caught up in this cycle of chasing approval and achievement year after year, and my thing was A's. So chasing A's through grade school, high school, college, and so when the adults in my life said, "Go to medical school," seeking approval, I said, "Okay," and so I went full force. I was first in my med school class. I was best fellow at Cleveland Clinic, and eventually about 10 years ago, I realized that that life of approval and achievement was empty and I wasn't really enjoying it. I loved helping people, but the life ... I just knew it wasn't the life for me, and so I decided I wanted to have a different life and that's what I do now, and it wasn't just that easy. I had to overcome a couple of things. One of them was perfectionism and one of them was fear of rejection and failure. And so 10 years ago I was able to make a lot of progress in those areas and that's when my new journey began.

John: So I think we want to kind of get a kind of picture of how that looked. Some people ... I've had the occasional guests tell me, "Well, I just stopped doing what I was doing and just took six months off or a year off to figure it out." Others said, "I did a lot of soul searching and really a lot of research before I decided to leave medicine and I kind of tapered off and then converted and did something else and then something else, and now I'm where I am now." So kind of walk us through how you actually made that ... what were those kind of steps in between?

Dr. Jessie Benson: So mine was about a four year journey from ... from that moment 10 years ago, when I really decided to start having a good life, when I decided to start doing what I love, and that became art, that became music. I picked up playing cello. That became sprint triathlons. It became anything I wanted to do because I no longer only did things I thought I was going to "Get an A in." I actually started following my heart and doing things for fun, and so that was maybe 2011, '12, '13, '14. I became a professional artist. I was selling my art in galleries and at shows. I was playing cello professionally with a guitarist, and I just looked at my life in early 2014 and I said, "Medicine is keeping me from the things I love." I couldn't schedule concerts. I couldn't commit to shows because we had to pick our vacation a year in advance.

And the schedule wasn't good for me and neither was the mental and emotional drain on me, and so I paid off my $250,000 med school debt in March of '14, and so that was really the last string tying me to the career, because I knew I really needed to pay that debt off before I left to do something different, and I did, and then three months later, July 4th weekend in '14, I gave a six months notice to my practice and enrolled in life coach school because I had learned about it and realized, this is what I want to do. I want to work with people, helping them create lives that they love, and so I finished. My last night was December, 2014 in the ICU. I actually brought my cello and played for the nurses and the respiratory therapists and the patients. So it was a really wonderful last night of being on shift as a physician, and since then, I haven't looked back. People say, "Do you regret it?" Not many, no doctor, but other people will say, "Do you regret it?" And I say, "Absolutely not. I am truly living the life of my dreams and it gets better every day."

John: How did you get exposure to the life coaching? Where did that come up?

Dr. Jessie Benson: So I was reading an article when I was still full blown in medicine and it talked about what they do, and I realized, this is what I do for people. I listen to them. I inspire them. They come back six months later and say, "That thing you said that time in the locker room, I want you to know the difference it made in my life," and I realized that I could actually do that for living, not just in the locker room between cases. I could actually dedicate my full life to those moments with my clients, and so I researched schools and I picked one that was one of the original ones, and it was in Florida and then virtual, and I enrolled and actually started before I even finished medicine. I started in '14 while I was still practicing, my training.

John: All right. Yeah, one of the things I think several of us on the podcast have remarked on over the years is that one of the things about coaching is it kind of has all the good stuff that you do as a physician or a clinician and none of the bad stuff, the long call and the long hours and frequent call and what have you.

Dr. Jessie Benson: Absolutely, and I tell people, I get to help people, but I don't have to worry about life and death. Because as an anesthesiologist, responding to codes, responding to airway calls on the floor, taking care of patients in the ICU, that threat of death, even in a routine case, was ever present, and it weared on me, and now I get to help people feel better and I don't have to stress about that.

John: No, I think we forget that some ... I mean, I've talked to physicians that they don't even realize how stressed out they are because of those kinds of minute by minute decisions. Some are life and death, some it's just onerous, just paperwork that never ends and knowing that if you don't do it, it's going to be sitting there tomorrow and someone's going to be unhappy. I mean, all these things just are there and we kind of take it for granted, but if you step back and think about it, it can be quite painful and not even know it, and it's good that we realize it and decide how we're going to do something to change. Now some people can adapt and they love it. They love the intensity and they love the decision making like that, but I feel like most physicians, in 10 or 20 years, they're kind of worn out and need to do something else, but some of us learn that quicker than others, but we still need good physicians out there, don't get me wrong.

Dr. Jessie Benson: Yes. Yes, yes, yes. Please, don't all leave. But yes, for me, this is a more relaxed quality of life for sure.

John: And I think we're all entitled to that, and as I've said before, I mean I think all physicians are sort of part of one big family and we want each other to have great lives. So we're going to come back to the coaching later, but I want to talk about these other things that are interesting to me and I think to the listeners. So I want to hear about how you develop this whole interest in art, and maybe throw in your music, and then also this concept of homesteading. So you can go wherever you want with this.

Dr. Jessie Benson: Okay. Well I will go in chronological order.

John: Okay.

Dr. Jessie Benson: So art, I always enjoyed art and I always appreciated others' art, and even would support other artists by buying their work, but when I was still in that perfectionistic, A seeking mode, I just was unwilling to try. I wasn't willing to try anything, even if I thought it would be fun, because I was afraid I would fail, and I didn't feel like I could endure what I considered failure. So when that lifted, about 10 years ago, I just went and tried every art that I could. I tried charcoal and watercolor and oil paint and acrylic and sculpture and clay, and I loved all of them. And then one day I was at an art show and saw an artist who made her paintings out of beeswax, and I said, "What is this surface?"

And she said, "It's encaustic, it's beeswax," and so I went and bought everything. This is still while I was a physician in practice, and set up a place in my house for my home studio and just started creating. I bought two books and I did everything in those two books, and nothing looked like I wanted it to look. I wanted fine detail, and so the idea came to me for the technique that I do now, which is an original technique, and this is where I melt these wax and paint it on a board, and then with a very fine tool, I carved intricate nature drawing. So bird's nests or birds or trees, and then it's still just the wax, that light colored wax, and then I oil paint my lines and then the drawing comes to life and then seal it. And so in '13, that inspiration came to me and that's what I've been making and selling since.

John: Yeah. So, and we're talking about the art now. You have a website specifically for your art, is that correct?

Dr. Jessie Benson: Yes. It's my name, Jessie Benson Fine Art. So jessiebensonfineart.com, and I'm actually having a show ... I have occasional shows. You can kind of check back in and see virtual shows that I have yet, but I do a lot of commissions, actually, which are custom pieces. Someone might have me make one to honor a sister's wedding or the passing of a loved one. So a lot of my work is custom.

John: How do people find out about that? I mean, how do you develop clients in that particular part of your ongoing career?

Dr. Jessie Benson: Yes. So a major part that people find out about me is I was doing shows across the Eastern US, like Florida all the way up to Pennsylvania, and weekend shows that you might see in your own town, where artists set up booths for the weekend, and I gained a lot of exposure that way. And I still have people who will email me years later and say, "I saw you at this show. Will you make me a piece?" Or, "What do you have right now that you're selling?" And so that's a main way, and then I'm in galleries, and so folks will go into galleries, they'll see my work and they may not see something that they want there, or even if they do, then they'll get my contact info and email me for a custom piece.

John: All right. Well, somebody might track you down just for your advice on how to expand their art exposure.

Dr. Jessie Benson: I absolutely will help, because there are definitely tips, for sure.

John: All right. Well, I'll put the link to that website in the show notes. We have some others to talk about. So to go from there, chronologically then, the other things.

Dr. Jessie Benson: Yes. So then the next thing was cello. It was really just music in general, but especially cello, which is the instrument that I've actually trained on. Again, loved music my whole life, but unwilling to try. The story of my life up until 10 years ago, and then I was at a music festival with my friend and she saw her friend playing cello and I said, "Oh gosh, can I try your cello?" And he said, "Sure," and as soon as I touched that instrument, I knew that I would do cello. Everything in me said, "You are going to play cello," and so I went right away ... I was still a physician then, practicing. I went and rented a cello from the local string shop, and within six weeks I had already found a teacher, was dedicated and decided to buy my own cello, which is a substantial investment, and went with my cello teacher, picked it out. My cello's name is Grace, and just love playing cello. I've played at shows and I play on my own and house concerts. So cello's a big part of my life only because I was willing to try.

John: Now do you have people you that you tend to play with or do things with other than your own ... you said, I think maybe before we started the episode, the interview here about maybe doing something with a guitarist or something else?

Dr. Jessie Benson: When I was in Raleigh, which is where I lived, I knew a lot of people who would play music, and I would duet with any instrument that would be willing to duet with me. So I have played duets with trombone, with banjo, a female banjo player that was a vocalist, with guitar, with piano. I was basically in this place of anybody, let's play together. Yes, so definitely I duet with people, and then also just play at home for myself.

John: Yeah. We definitely need to practice for sure, but it's fun to ... it's just playing. I play the guitar poorly, but playing is just fun. It's just something you just want to do and could probably spend hours, depending on your mood and all that.

Dr. Jessie Benson: Absolutely. I love to play outside when it's raining. When I'm covered to play during the rain, just it's a beautiful. It's a wonderful experience to share, playing music.

John: Well, I do talk about sometimes doing the bluegrass thing on my guitar. Now, guitar players and bluegrass are a dime a dozen. So what I always encourage people ... Anyone in the Chicago area that plays banjo that's listening to the podcast, get in touch with me because I could really use someone like a banjo player or a mandolin player or a fiddle player for that, any of the above.

Dr. Jessie Benson: Banjo is such a wonderful instrument to duet with, for sure.

John: Yeah. That's great. Okay, so we're going down this path. So you're getting into the cello after starting your art. You're doing both of those things and he thought, "Well, I don't have enough things to be interested in," so what's the next thing?

Dr. Jessie Benson: So I fell in love with both of those things, art and music before my last night that I described in 2014, and then in '15, I got my yoga teacher training, meditation teacher training, life coach training and certification, and then when all that was finished in late '15, I went on an eight month trip around the US in an RV, hiking many state and national parks, and at the end of that, after looking at many different communities, wondering if this is where I want to spend the rest of my current life, and I decided I wanted to settle in a little place I'd heard about called Floyd, Virginia, and I went to college at Radford University, which is in Virginia, and Floyd had this reputation for being the sweet little arts and music town. I never visited, but it stuck in my mind, because 20 years later I pulled that 40 foot RV up into a nearby town and went and explored Floyd and said, "Okay, this is where I want to live."

And so three weeks later made an offer on property and two weeks later owned it, and that's when my homesteading journey began, and what homesteading essentially means ... and I actually call myself a hybrid homesteader, but what homesteading means is to essentially try to do as much as you can for yourself. So it's this idea of reliance, and so what that looks like in my version of homesteading is the biggest project has been designing and helping build my house, and so when I got this land, it was basically land and a pond and a well, and now it's my dream home, my art studio, and still the pond, which is beautiful, with a half built dock, which is not finished yet, because that's what homestead life is, just a series of projects in different states of completion, and all of that took work. So just from designing my house on a piece of paper with a pencil, to getting the building permit, to meeting with the engineer to confirm the framing plan.

I had to learn building code. I had to learn so many things, and my cousin is a builder and he led the way and I helped with so much of it, and that's what homesteading is. So that's the house, and then for me, it's also growing my own food. I try to grow as much of my food as I can, and then I do things like bake all my own bread, make my own pizza crust, which is my personal favorite, and then just tend the land. Need cut down, trees need cut off around the edge of the pond. Just land takes constant maintenance, and homesteading is doing that maintenance as much as I can myself, and it's fun.

John: Okay. That's awesome. Now this is what happens typically, because I'm an introvert and when thinking about questions as you're talking, I have to go back, and my guests hate this when I do it, but you had gotten really involved in yoga, the coaching and meditation certifications, I think and those things, then you went on the RV trip. So was the RV trip mainly to look around geographically? How much of the planning for what you were going to do occurred ... well I'm assuming it did during that process as well. You were kind of figuring out how to put those things together?

Dr. Jessie Benson: Yes. So the main reason ... although in the back of my mind, I was thinking, "Well, I might find a neat community," because I did downsize my belongings when I left and I did put my house on the market. So what I knew was I'm not going to live in Raleigh anymore and that was it. I'm going to be a life coach. I'm going to keep doing art and music. I'm not going to live in Raleigh, and then it was blank slate from that point on, and so as I traveled those eight months, it was mostly just to have fun. I had been in this regimented, constricted environment, as much as any employee ship is, and I just wanted to be free. I just wanted to see the country. I just wanted to feel what it felt like to hike a new place every two or three days, to wake up and see new scenery. I just really wanted that, and so, yes, I was considering a community, but more, I just wanted to have fun and have an adventure.

John: Now, one of the things that some of the physicians on the podcast talk about is this feeling, kind of this pressure they get from their families or friends or people like, "Well, what are you talking about?" Was there any kind of pushback on that when you explained to whoever, your cousin, the builder, whoever, "Hey, I'm just going in my RV for six to eight months."

Dr. Jessie Benson: No, the people in my life, I'm very fortunate that they have this philosophy, if you're happy, I'm happy, and in fact, of everybody .... and I told, of course, everybody in the hospital, and I was there for six months, because I wanted to give them plenty of time to replace my specialty, and of everybody who over those six months knew I was leaving, everyone was just happy for me. There was only one physician who asked, "Well, really what are you going to do?" But everyone else was just happy for me, and I think too, a part of it was ... and more than one said, "I wish I could do it," and I would say, "You can," but it was total support, thankfully.

John: That's good. That helps. That helps. You're not fighting those battles of trying to explain yourself to people that don't understand. So let's see. I think I want to now hear more about the coaching, because I'm sure that has evolved over this period of time from where you started, and so how did you ... because I think for some physicians, this is really an attractive career, coaching. It's got all the good things about being a physician, as we said earlier. So yeah, how did you start coaching? What kind of coaching and how has that evolved over time?

Dr. Jessie Benson: So I chose a school that had a very comprehensive approach, as opposed to say executive coaching. I wanted a really comprehensive approach to coaching and to be able to meet a lot of different needs for a lot of people, and so that was the training I received, and then when I first started having clients, post training, post certification, that was what I did. I just would coach different people. I'd coached physicians. I would coach people from other professions. I would coach men. I would coach women. I'd coach them about their jobs, about their relationships, just really getting a feel for who I wanted to work with and what was most enjoyable to me, and when I first was coaching, it was very project management oriented. Let's figure out what you want to do, let's figure out the steps to get there, and let's do them, and that still has tremendous value. Of course, if we want to get somewhere, we need to know where we're trying to get and how to get there.

But since my practice first started several years ago, it has become much more elegant. I focus a lot more on beliefs, what I call barrier beliefs, the obstacles for why we don't do things, our fears, because we ... just like you said, people might want to leave medicine, but their family might be giving them a hard time. So focusing on those things and focusing on the action steps, but always making sure that the beliefs are in order before the action takes place. Yeah, and it's been pretty much one to one coaching, so private coaching, and then I've done some retreats and workshops where I incorporate my coaching with my yoga teacher, with my meditation teaching, and then what I'm doing now is something I'm super excited about, and it's a year long program for women and it's called Brave is Beautiful Circle, and it's a program where I help women find their authenticity and their creativity by doing what I call helping them find their brave, and it is the culmination of everything that we've been talking about since we've been on this interview. I incorporate my own personal experience of leaving medicine, I incorporate art challenges, I incorporate other types of creativity challenges, mindset challenges, one-to-one coaching, group coaching. So it's everything I love about coaching in one year long program.

John: Very nice. It's a good spot to put the websites in here. So you do have jessiebenson.com, which probably points to the app, but then you also have braveisbeautifulcircle.com, which is specifically for this year long process of coaching and learning.

Dr. Jessie Benson: Yes. Yeah, www.braveisbeatifulcircle.com is where folks can just learn about the program. If they want to just learn about me and coaching in general, the jessiebenson.com, but as you mentioned, there is a link to the circle on jessiebenson.com.

John: Okay. So I'm going to get back to that in a minute, but I have to go backwards, as usual. At the beginning of your coaching ... this is a question I get a lot, and everyone goes through a training and they're certified and now they're kind of feeling like they're ready. They have to get clients. So I guess a couple of questions. One is, were you doing sort of some free coaching? Is that part of the process of learning to be a coach? And let's say at that very early stage, how did you get the word out? Where did you go to find clients?

Dr. Jessie Benson: So the answer to your first question about whether doing free, yes. During training, especially the program that I did, there is a lot of free coaching so that I can learn how to do it. I actually had to have, with my clients' permission, my calls recorded and then we would play them for our fellow students and our instructor. We would critique each other in a kind way, and so, yes, I did lots of free coaching. Then once I had my training and certification, then I took paid clients and it was all word of mouth, because I was in this large hospital and everyone knew what I was leaving to do. Some people would say, "Well, when you start coaching, I want you to coach me." I'd say, "Okay, I'll let you know when." So I had this kind of running list, because I did make it known this is what I'm going to do, and I didn't do that to get clients. I did it because people wanted to know what my journey was going to look like and I shared it, and so from the get go I had this pool of word of mouth client, and then word of mouth led to more word of mouth. So I actually didn't do any marketing my whole coaching practice up until now, when I'll start sharing about my circle, because that's a larger group of people, but it's just been word of mouth.

John: Now, the coaching that you started doing and have been doing for the last few years before the annual type of program or the year long program, what does that look like? How often do people usually get coached? What are they trying to get coaching for? How long does their coaching relationship usually last? It's kind of interesting to hear about those type of thing.

Dr. Jessie Benson: Yes, and so for all of my clients, no matter what they're coming to me for, I do a little free 30 minute thing to make sure that it sounds like what they want is something I can help them with, and then how I offer coaching as something that they want. So once we do that initial, then I do a two hour ... well, one to two hour, just depends ... life review session, and this is where we go through the nine fears of someone's life. So finances, work, relationships, rep, all those areas, and I have them rate their fulfillment on a scale of one to 10. So I get a snapshot and so today of what their life fulfillment in every area of life in this moment, and then we go from there.

And so right now I'm working with someone who's writing a book, and so we went right to career and contribution, because I already knew that person came to me ... she already came to me because she's writing a book and she wanted to support during that journey, and so we launched off from there, but we could just as easily have launched off from relationships or from self-care, like physical body care or mental care. And so from there, from that life review session, that's where the coaching happens, and then I meet with almost all of my clients 30 minutes every week, and I have one that we meet 30 minutes one time a month, but everybody else is 30 minutes a week, and then you asked how long is the relationship? It just depends. And so I have one person I've been working with for three years now. That person's been through career changes, from being employed, to being a consultant, to a relationship, to a new state, all sorts of wonderful life changes.

Another person I worked with a few weeks ago, her friend gifted her three sessions and she was having writer's block. Another author, separate author. I got a couple of authors at the same time, and we did those three sessions and we found out the root of her writer's block. She felt so lifted in this burden that she didn't even see, because that's what the help of the coach is. When we're in our own thing, we cannot see it, the idea of fish feel water, and when another set of eyes comes in, it's like, "Isn't this thing bothersome?" "Oh, that thing. Well, gosh, I hadn't even thought of that." So we did that in those three sessions and she had a really good result. So it really just depends.

John: Okay. Cool. All right. Well, I want to spend the last few minutes talking about the Brave Is Beautiful Circle. So, I mean I looked at the site and kind of the description and so forth. Now, have you been doing a version of this already? Or I this a brand new thing? Why don't you tell us a little bit about that.

Dr. Jessie Benson: Yes. This is my coaching dream come true. So I sat down, when I started thinking about once my house was finished ... because I've been working on this house for four years with my cousin and it is finally finished, finished. I had this wellspring of time. I thought what do I want to spend it on? And I thought, I want to finally do my coaching circle I've been dreaming about. So this is a brand new program. I'm going to start enrolling people now, and I am centering it toward women, and especially female physicians, because that's a group I understand. I am a female physician. I've lived the life of a female physician. I understand the unique challenges, and so that's the focus of the group, and it'll start in the fall. If someone signs up, they'll start getting one to one with me, but the group coaching will start later in the fall, all the different kinds of group sessions I mentioned to you. So that is brand new and I could not be more excited. I was thinking, when I sat down to design it, I thought what would I have wanted 10 years ago when I was trying to break free from perfectionism, from fear of failure, from fear of rejection? And this is it. And so that's the program I designed.

John: Okay. So this is actually a good time. So we're kind of ramping up to the group sessions. Right now you're starting with the solo, the individual. So yeah, we'll definitely put the link in there and let people know about it. What else do they need to know? You said particularly women, especially physicians, just dealing with, like you said, the perfectionism, maybe the unhappiness, the disenchantment or whatever it might be.

Dr. Jessie Benson: So the main two things that someone will get from this program is connecting with their authenticity and their creativity. So, things like learning how to say no, setting boundaries, excellent self-care, getting over that concept of giving for everyone else and leaving nothing left for oneself. So all of that authenticity work, and then the other half of it is creativity. So whatever that means in the woman's life, if it's music, art, cooking, but to start tapping into that living life with this sense of adventure, the sense of creative expression.

John: Very good. All right. Well we're just about out of time. So this has been really inspirational. We can't necessarily learn in 30 minutes how to become an artist, a cellist, a homesteader, a coach, but I think it's giving people hope that you could be ... I mean, you were in an intense career. I mean, intensivist, anesthesiologist in the CCU or ICU, and here you are 10 years later and very pleased and have tried a lot of different things, and so I think that's very inspirational, and so listeners, if you feel like you're trapped, there's no need to be remained trapped. you can move on, and it doesn't mean you have to leave medicine either. We're not saying that. We're just saying that we should be more intentional about what we're doing and we should be able to find a life that brings us joy and balance and fulfillment.

Dr. Jessie Benson: Absolutely. There is absolute hope in having a balanced life, whether you choose to stay in medicine or not, because leaving medicine is not for everybody, but I absolutely feel like someone can stay in medicine and still enjoy life.

John: Very good. Well with that, I do want to remind everyone to maybe go to jessiebenson.com. That's one place where you can at least see the coaching. I think maybe ... do you even talk about the art there, or you point them even to the art?

Dr. Jessie Benson: I don't think I do, John.

John: Well, we know the jessiebensonfineart.com is a place, but there'll be links in the show notes. So I just want people to understand that they have options and maybe follow a path similar to what you've done. So I'm really happy that you were able to come on the podcast today, Jessie.

Dr. Jessie Benson: Thank you so much for having me. I've loved it.

John: I can't imagine where you're going to be 10 years from now. The arc had been so steep here, I don't know.

Dr. Jessie Benson: I don't know either, but I am excited to find out.

John: All right. Well then we'll have to touch base again and find out where you are down the road.

Dr. Jessie Benson: Yeah, episode 500.

John: Yeah, oh my gosh. I better be retired by then, I don't know. All right, Jessie. Well, with that, I'm going to say thanks again, and we'll be in touch sometime in the future, but I'll just say goodbye at this point.

Dr. Jessie Benson: Thank you. Bye.

John: Bye bye.

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Unlock the Hidden Value of a Senior Care Business https://nonclinicalphysicians.com/hidden-value/ https://nonclinicalphysicians.com/hidden-value/#respond Tue, 15 Apr 2025 13:20:23 +0000 https://nonclinicalphysicians.com/?p=63695 From Conception to Sale - 400 In this episode of the PNC Podcast, John shares the inside story and hidden value of his wife's senior care franchise business.  Marking his 400th episode milestone, he provides rare insights into the business lifecycle—from startup costs to growth patterns to pandemic challenges to eventual sale—all through [...]

The post Unlock the Hidden Value of a Senior Care Business appeared first on NonClinical Physicians.

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From Conception to Sale – 400

In this episode of the PNC Podcast, John shares the inside story and hidden value of his wife's senior care franchise business. 

Marking his 400th episode milestone, he provides rare insights into the business lifecycle—from startup costs to growth patterns to pandemic challenges to eventual sale—all through the lens of a healthcare professional's transition to entrepreneurship.

Through Kay's real-world example, John illustrates how physicians frustrated with high-stress clinical roles can achieve both financial success and lifestyle freedom while leveraging their existing medical knowledge in a new business venture.


Our Episode Sponsor

Dr. Armin Feldman's Prelitigation Pre-trial Medical Legal Consulting Coaching Program

The Medical Legal Consulting Coaching Program will teach you to build a nonclinical consulting business. Open to physicians in ANY specialty, completing Dr. Armin Feldman’s Program will teach you how to become a valued consultant to attorneys without doing med mal cases or expert witness work.

His program will enable you to use your medical education and experience to generate a great income and a balanced lifestyle. Dr. Feldman will teach you everything, from the business concepts to the medicine involved, to launch your new consulting business during one year of unlimited coaching.

For more information, go to nonclinicalphysicians.com/mlconsulting or arminfeldman.com.


Our Sponsor

We're proud to have the University of Tennessee Physician Executive MBA Program, offered by the Haslam College of Business, as the sponsor of this podcast.

The UT PEMBA is the longest-running, and most highly respected physician-only MBA in the country. It has over 700 graduates. And, the program only takes one year to complete. 

By joining the UT Physician Executive MBA, you will develop the business and management skills you need to find a career you love. To learn more, contact Dr. Kate Atchley’s office at (865) 974-6526 or go to nonclinicalphysicians.com/physicianmba.


For Podcast Listeners

  • John hosts a short weekly Q&A session on topics related to physicians' careers and leadership. Each discussion is posted for you to review and apply. Sometimes all it takes is one insight to take you to the next level of your career. Check out the Weekly Q&A and join us for only $5.00 monthly.
  • If you want access to dozens of lessons dedicated to nonclinical and unconventional clinical careers, you should join the Nonclinical Career Academy MemberClub. For a small monthly fee, you can access the Weekly Q&A Sessions AND as many lessons and courses as you wish. Click the link to check it out, and use the Coupon CodeFIRSTMONTHFIVE” to get your first month for only $5.00.
  • The 2024 Nonclinical Summit is over. But you can access all the fantastic lectures from our nationally recognized speakers, including Dr. Dike Drummond, Dr. Nneka Unachukwu, Dr. Gretchen Green, and Dr. Mike Woo-Ming. Go to Nonclinical Summit and enter Coupon Code “30-OFF” for a $30 discount.

Healthcare to Business

John's wife, Kay, transitioned from respiratory therapist to senior care franchise owner, illustrating a powerful path for healthcare professionals seeking more control and better work-life balance. Her background in healthcare provided valuable insights into patient needs and facility operations, while the franchise model offered crucial support systems for a newcomer to business ownership.

Starting in their basement with minimal overhead, Kay gradually built a thriving operation providing non-licensed caregivers to clients in homes, assisted living facilities, and nursing homes.

Growth and Ownership Options

The business followed a classic S-curve growth pattern: slow initially, then accelerating as reputation spread and referrals increased. Despite the pandemic creating significant challenges, Kay's business demonstrated remarkable resilience, rebounding strongly and becoming attractive to buyers seeking a turnkey operation.

For physicians considering this path, John outlines four distinct approaches: starting a franchise or non-franchise business or purchasing a franchise or non-franchise business. Each option has different requirements for capital, time horizon, and expertise. The franchise model offers particular advantages for healthcare professionals with available assets but limited time to build from scratch. Similar principles can be applied to Direct Primary Care practices, providing comparable autonomy with even more direct application of clinical skills.

Summary

In this milestone 400th episode, John Jurica reveals how physicians can leverage their healthcare expertise to build profitable businesses through the lens of his wife's senior care franchise journey. His insider's view of business growth, pandemic resilience, and eventual sale provides clinicians with a concrete blueprint for escaping burnout while building substantial wealth outside traditional practice.


Links for Today's Episode

Download This Episode:

Right Click Here and “Save As” to download this podcast episode to your computer.


Podcast Editing & Production Services are provided by Oscar Hamilton


Disclaimers:

Many of the links that I refer you to, and that you’ll find in the show notes, are affiliate links. That means that I receive a payment from the seller if you purchase the affiliate item using my link. Doing so has no effect on the price you are charged. And I only promote products and services that I believe are of high quality and will be useful to you, that I have personally used or am very familiar with.

The opinions expressed here are mine and my guest’s. While the information provided on the podcast is true and accurate to the best of my knowledge, there is no express or implied guarantee that using the methods discussed here will lead to success in your career, life, or business.

The information presented on this blog and related podcast is for entertainment and/or informational purposes only. It should not be construed as medical, legal, tax, or emotional advice. If you take action on the information provided on the blog or podcast, it is at your own risk. Always consult an attorney, accountant, career counselor, or other professional before making any major decisions about your career. 

The post Unlock the Hidden Value of a Senior Care Business appeared first on NonClinical Physicians.

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First Find Your Zone of Genius Then a New Career – A PNC Classic from 2020 https://nonclinicalphysicians.com/find-your-zone-of-genius/ https://nonclinicalphysicians.com/find-your-zone-of-genius/#respond Tue, 08 Apr 2025 10:00:15 +0000 https://nonclinicalphysicians.com/?p=63647 Interview with Laura Garnett - 399 On this week’s episode of the PNC podcast, you will learn how to find your zone of genius with performance strategist, speaker, and author Laura Garnett. Laura works with CEOs and executives to identify their unique genius and purpose and leverage them in their daily work. She [...]

The post First Find Your Zone of Genius Then a New Career – A PNC Classic from 2020 appeared first on NonClinical Physicians.

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Interview with Laura Garnett – 399

On this week’s episode of the PNC podcast, you will learn how to find your zone of genius with performance strategist, speaker, and author Laura Garnett.

Laura works with CEOs and executives to identify their unique genius and purpose and leverage them in their daily work. She has consulted with organizations such as Google, Pandora, LinkedIn, and 15Five.

Before launching her own company, New York City-based Garnett Consulting, she honed her marketing, strategy, and career-refining skills at companies like Capital One, American Express, IAC, and Google.


Our Sponsor

We're proud to have the University of Tennessee Physician Executive MBA Program, offered by the Haslam College of Business, as the sponsor of this podcast.

The UT PEMBA is the longest-running and most highly respected physician-only MBA in the country. It has over 700 graduates. And, the program only takes one year to complete. 

By joining the UT Physician Executive MBA, you will develop the business and management skills you need to find a career you love. To learn more, contact Dr. Kate Atchley’s office at (865) 974-6526 or go to nonclinicalphysicians.com/physicianmba.


For Podcast Listeners

  • John hosts a short weekly Q&A session on topics related to physicians' careers and leadership. Each discussion is posted for you to review and apply. Sometimes all it takes is one insight to take you to the next level of your career. Check out the Weekly Q&A and join us for only $5.00 monthly.
  • If you want access to dozens of lessons dedicated to nonclinical and unconventional clinical careers, you should join the Nonclinical Career Academy MemberClub. For a small monthly fee, you can access the Weekly Q&A Sessions AND as many lessons and courses as you wish. Click the link to check it out, and use the Coupon CodeFIRSTMONTHFIVE” to get your first month for only $5.00.
  • The 2024 Nonclinical Summit is over. But you can access all the fantastic lectures from our nationally recognized speakers, including Dr. Dike Drummond, Dr. Nneka Unachukwu, Dr. Gretchen Green, and Dr. Mike Woo-Ming. Go to Nonclinical Summit and enter Coupon Code “30-OFF” for a $30 discount.

Find Your Zone of Genius

Laura Garnett released her most recent book, Find Your Zone of Genius, in 2020. Shortly thereafter, she joined us to define the phrase and help us identify our own Zone of Genius

During the conversation, Laura explains several other concepts from the book that will truly help anyone on their career journey:

  • How to find our innate talents.
  • Why is our purpose more important than our passion?
  • Why finding support is usually preferable to obtaining advice.
  • How your core emotional challenge determines your purpose.

Apply Your Genius

Laura explains why you should read Find Your Zone of Genius first, as you begin to apply your genius. Once you understand the concepts and start the process of self-discovery, you can then move to her comprehensive first book, The Genius Habit.

Getting into your Zone of Genius is possible for everyone, and I promise it makes work exhilarating. In the ideal scenario, you actively use your genius and feel the impact of your purpose at work. – Laura Garnett

Additional Resources

After reading her books, you may still encounter barriers as you attempt to discover your unique talents and apply your genius. You can then work through her free resources. If that is not sufficient, there are several levels of formal coaching to consider. All of these can be found on her website.

Summary

Those of us driven to find a new career often do so because we are not currently working in our Zone of Genius. The first step in addressing that issue is to identify our genius and purpose. To move into a new career without identifying these features of personality is to invite another unhappy job.

Once we discover our innate talents and purpose, we can identify our Zone of Genius. Then, by aligning our job with it, we will wake up each morning excited to go to work. 

Links for Today's Episode

Download This Episode:

Right Click Here and “Save As” to download this podcast episode to your computer.


Podcast Editing & Production Services are provided by Oscar Hamilton


Disclaimers:

*Many of the links that I refer you to, and that you’ll find in the show notes, are affiliate links. That means that I receive a payment from the seller if you purchase the affiliate item using my link. Doing so has no effect on the price you are charged. And I only promote products and services that I believe are of high quality and will be useful to you, that I have personally used or am very familiar with.

The opinions expressed here are mine and my guest’s. While the information provided on the podcast is true and accurate to the best of my knowledge, there is no express or implied guarantee that using the methods discussed here will lead to success in your career, life, or business.

The information presented on this blog and related podcast is for entertainment and/or informational purposes only. It should not be construed as medical, legal, tax, or emotional advice. If you take action on the information provided on the blog or podcast, it is at your own risk. Always consult an attorney, accountant, career counselor, or other professional before making any major decisions about your career. 

The post First Find Your Zone of Genius Then a New Career – A PNC Classic from 2020 appeared first on NonClinical Physicians.

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How To Beat Damaging National Practitioner Databank Reports https://nonclinicalphysicians.com/damaging-national-practitioner-databank-reports/ https://nonclinicalphysicians.com/damaging-national-practitioner-databank-reports/#respond Tue, 01 Apr 2025 13:14:51 +0000 https://nonclinicalphysicians.com/?p=63609 Beyond Credentialing Barriers - 398 In this episode of the PNC Podcast, John describes how to overcome damaging National Practitioner Databank reports that can interfere with a job search.  This topic is based on a question from a listener. The physician was concerned that NPDB entries were limiting his ability to land a [...]

The post How To Beat Damaging National Practitioner Databank Reports appeared first on NonClinical Physicians.

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Beyond Credentialing Barriers – 398

In this episode of the PNC Podcast, John describes how to overcome damaging National Practitioner Databank reports that can interfere with a job search. 

This topic is based on a question from a listener. The physician was concerned that NPDB entries were limiting his ability to land a new clinical position. And he was looking for strategies to overcome this challenge.


Our Episode Sponsor

Dr. Armin Feldman's Prelitigation Pre-trial Medical Legal Consulting Coaching Program

The Medical Legal Consulting Coaching Program will teach you to build a nonclinical consulting business. Open to physicians in ANY specialty, completing Dr. Armin Feldman’s Program will teach you how to become a valued consultant to attorneys without doing med mal cases or expert witness work.

His program will enable you to use your medical education and experience to generate a great income and a balanced lifestyle. Dr. Feldman will teach you everything, from the business concepts to the medicine involved, to launch your new consulting business during one year of unlimited coaching.

For more information, go to nonclinicalphysicians.com/mlconsulting or arminfeldman.com.


Our Sponsor

We're proud to have the University of Tennessee Physician Executive MBA Program, offered by the Haslam College of Business, as the sponsor of this podcast.

The UT PEMBA is the longest-running, and most highly respected physician-only MBA in the country. It has over 700 graduates. And, the program only takes one year to complete. 

By joining the UT Physician Executive MBA, you will develop the business and management skills you need to find a career you love. To learn more, contact Dr. Kate Atchley’s office at (865) 974-6526 or go to nonclinicalphysicians.com/physicianmba.


For Podcast Listeners

  • John hosts a short weekly Q&A session on topics related to physicians' careers and leadership. Each discussion is posted for you to review and apply. Sometimes all it takes is one insight to take you to the next level of your career. Check out the Weekly Q&A and join us for only $5.00 monthly.
  • If you want access to dozens of lessons dedicated to nonclinical and unconventional clinical careers, you should join the Nonclinical Career Academy MemberClub. For a small monthly fee, you can access the Weekly Q&A Sessions AND as many lessons and courses as you wish. Click the link to check it out, and use the Coupon CodeFIRSTMONTHFIVE” to get your first month for only $5.00.
  • The 2024 Nonclinical Summit is over. But you can access all the fantastic lectures from our nationally recognized speakers, including Dr. Dike Drummond, Dr. Nneka Unachukwu, Dr. Gretchen Green, and Dr. Mike Woo-Ming. Go to Nonclinical Summit and enter Coupon Code “30-OFF” for a $30 discount.

Understanding the Impact of NPDB Reports

John describes his analysis, based on an understanding of the requirements of the NPDB for reporting:

  • potential employers that are required to query it,
  • those that may or may not choose to do so, and
  • those unlikely to do so.

He lists several employer types that may query the Databank, yet be more lenient when evaluating a potential candidate. He then lists situations in which a databank query would be unlikely.

Minimizing Damaging National Practitioner Databank Reports

With these considerations in mind, he suggests several possible options to pursue as an employee and several practice options that would require starting a practice. The least costly of the practice start-ups would most likely be a cash-based business.

A Direct Primary Care Practice, Weight Loss Clinic, Med Spa, or similar business, in which the need to bill health insurers is eliminated, generally requires fewer staff and no expensive billing software, and eliminates NPDB inquiries from insurers. 

Summary

Physicians facing credentialing barriers can explore several alternative clinical career paths. If the physician has addressed the issues that led to the reports, there are several clinical practice options to consider as an employee or as a business owner if the physician prefers not to leave clinical medicine. If that is no longer a viable option, then a shift to a nonclinical position may be warranted.

Download This Episode:

Right Click Here and “Save As” to download this podcast episode to your computer.


Podcast Editing & Production Services are provided by Oscar Hamilton


Disclaimers:

Many of the links that I refer you to, and that you’ll find in the show notes, are affiliate links. That means that I receive a payment from the seller if you purchase the affiliate item using my link. Doing so has no effect on the price you are charged. And I only promote products and services that I believe are of high quality and will be useful to you, that I have personally used or am very familiar with.

The opinions expressed here are mine and my guest’s. While the information provided on the podcast is true and accurate to the best of my knowledge, there is no express or implied guarantee that using the methods discussed here will lead to success in your career, life, or business.

The information presented on this blog and related podcast is for entertainment and/or informational purposes only. It should not be construed as medical, legal, tax, or emotional advice. If you take action on the information provided on the blog or podcast, it is at your own risk. Always consult an attorney, accountant, career counselor, or other professional before making any major decisions about your career. 

The post How To Beat Damaging National Practitioner Databank Reports appeared first on NonClinical Physicians.

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Popular Home Based Careers You Will Love – A PNC Classic from 2020 https://nonclinicalphysicians.com/popular-home-based-careers/ https://nonclinicalphysicians.com/popular-home-based-careers/#respond Tue, 25 Mar 2025 13:50:47 +0000 https://nonclinicalphysicians.com/?p=59918 Eliminate Your Commute - 397 On this week’s episode of the PNC podcast, John runs through the most popular home based careers for physicians.  He starts by explaining why home based careers are so attractive. Then he describes the benefits and challenges of each one. Our Sponsor We're proud to have the University of [...]

The post Popular Home Based Careers You Will Love – A PNC Classic from 2020 appeared first on NonClinical Physicians.

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Eliminate Your Commute – 397

On this week’s episode of the PNC podcast, John runs through the most popular home based careers for physicians.  He starts by explaining why home based careers are so attractive.

Then he describes the benefits and challenges of each one.


Our Sponsor

We're proud to have the University of Tennessee Physician Executive MBA Program, offered by the Haslam College of Business, as the sponsor of this podcast.

The UT PEMBA is the longest-running, and most highly respected physician-only MBA in the country. It has over 700 graduates. And, the program only takes one year to complete. 

By joining the UT Physician Executive MBA, you will develop the business and management skills you need to find a career you love. To learn more, contact Dr. Kate Atchley’s office at (865) 974-6526 or go to nonclinicalphysicians.com/physicianmba.


For Podcast Listeners

  • John hosts a short weekly Q&A session on topics related to physicians' careers and leadership. Each discussion is posted for you to review and apply. Sometimes all it takes is one insight to take you to the next level of your career. Check out the Weekly Q&A and join us for only $5.00 monthly.
  • If you want access to dozens of lessons dedicated to nonclinical and unconventional clinical careers, you should join the Nonclinical Career Academy MemberClub. For a small monthly fee, you can access the Weekly Q&A Sessions AND as many lessons and courses as you wish. Click the link to check it out, and use the Coupon CodeFIRSTMONTHFIVE” to get your first month for only $5.00.
  • The 2024 Nonclinical Summit is over. But you can access all the fantastic lectures from our nationally recognized speakers, including Dr. Dike Drummond, Dr. Nneka Unachukwu, Dr. Gretchen Green, and Dr. Mike Woo-Ming. Go to Nonclinical Summit and enter Coupon Code “30-OFF” for a $30 discount.

Why Work from Home?

There are three main benefits to choosing a home-based career:

1. Convenience

When you work from home, you’re able to handle household responsibilities. Navigating childcare or adult caretaking responsibilities may make this type of career necessary.

2. Cost Savings

Eliminating your commute means you’ll save time, and reduce gasoline and auto maintenance costs, saving you thousands of dollars each year. And the time not spent commuting can be spent working and enhancing your income.

3. Flexibility

Home based careers offer the most flexibility. Though some require working 8-hour days, most will allow you to choose your hours. And you might be able to work from anywhere in the world, even while traveling. Or at odd hours, if you prefer.

Popular Home-based Careers

Here are the factors to consider when seeking one of these popular home based careers:

  • Chart Review: Performing chart reviews can be done for utilization management, disability and worker’s compensation assessments, expert witness consulting, clinical documentation, and quality improvement. You can work anywhere that has access to the Internet and phone service. Some jobs require work during regular business hours.
  • Medical writing: As a freelancer, you must set up your own business, and find work, initially. But once you develop relationships with several editors, you should be able to generate regular income, working from anywhere in the world. You must have the self-discipline to meet regular deadlines.
  • Telemedicine: This is an especially flexible career. You must ensure that you are working with a reputable company. You can start by supplementing your income by moonlighting. And you need to take the necessary steps to manage your liability exposure. You can boost your income by working when other physicians are not working, such as during weekends and holidays.
  • Consulting: If you're a consultant working from home, you will likely be freelancing, rather than working for a large consulting firm. You may have to do some traveling and speaking to build your authority and market yourself. But once you get started, most of your business can be done from home.
  • Coaching: Coaching is similar to consulting. But the term is usually used with life, health, wellness, and business coaching of individuals or small groups. It can be face-to-face, but remote coaching is much more common. You must choose a coaching field based on your personal expertise, or obtain formal training, and possibly certification.

Summary

Home based careers offer a great deal of flexibility. There are several attractive options to consider. The income levels might start out at the lower end of a clinical salary. But busy coaches, consultants, writers, chart reviewers, and telemedicine providers will experience improving revenues as they streamline their businesses and increase their customer or patient base. 

Download This Episode:

Right Click Here and “Save As” to download this podcast episode to your computer.


Podcast Editing & Production Services are provided by Oscar Hamilton


Disclaimers:

Many of the links that I refer you to, and that you’ll find in the show notes, are affiliate links. That means that I receive a payment from the seller if you purchase the affiliate item using my link. Doing so has no effect on the price you are charged. And I only promote products and services that I believe are of high quality and will be useful to you, that I have personally used or am very familiar with.

The opinions expressed here are mine and my guest’s. While the information provided on the podcast is true and accurate to the best of my knowledge, there is no express or implied guarantee that using the methods discussed here will lead to success in your career, life, or business.

The information presented on this blog and related podcast is for entertainment and/or informational purposes only. It should not be construed as medical, legal, tax, or emotional advice. If you take action on the information provided on the blog or podcast, it is at your own risk. Always consult an attorney, accountant, career counselor, or other professional before making any major decisions about your career. 

The post Popular Home Based Careers You Will Love – A PNC Classic from 2020 appeared first on NonClinical Physicians.

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Pursue One of These Part Time Nonclinical Hospital Jobs https://nonclinicalphysicians.com/nonclinical-hospital-jobs/ https://nonclinicalphysicians.com/nonclinical-hospital-jobs/#respond Tue, 18 Mar 2025 12:49:49 +0000 https://nonclinicalphysicians.com/?p=58788 The Path of Least Resistance - 396 In this week's episode, John describes the most accessible nonclinical hospital jobs and how to pursue them. These hospital-based roles—physician advisor for utilization management and physician advisor for clinical documentation integrity—present relatively low barriers to entry while offering flexible schedules and meaningful work that leverages a [...]

The post Pursue One of These Part Time Nonclinical Hospital Jobs appeared first on NonClinical Physicians.

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The Path of Least Resistance – 396

In this week's episode, John describes the most accessible nonclinical hospital jobs and how to pursue them.

These hospital-based roles—physician advisor for utilization management and physician advisor for clinical documentation integrity—present relatively low barriers to entry while offering flexible schedules and meaningful work that leverages a physician's clinical expertise in new ways.


Our Episode Sponsor

Dr. Armin Feldman's Prelitigation Pre-trial Medical Legal Consulting Coaching Program

The Medical Legal Consulting Coaching Program will teach you to build a nonclinical consulting business. Open to physicians in ANY specialty, completing Dr. Armin Feldman’s Program will teach you how to become a valued consultant to attorneys without doing med mal cases or expert witness work.

His program will enable you to use your medical education and experience to generate a great income and a balanced lifestyle. Dr. Feldman will teach you everything, from the business concepts to the medicine involved, to launch your new consulting business during one year of unlimited coaching.

For more information, go to nonclinicalphysicians.com/mlconsulting or arminfeldman.com.


Our Sponsor

We're proud to have the University of Tennessee Physician Executive MBA Program, offered by the Haslam College of Business, as the sponsor of this podcast.

The UT PEMBA is the longest-running, and most highly respected physician-only MBA in the country. It has over 900 graduates. And, the program only takes one year to complete. 

By joining the UT Physician Executive MBA, you will develop the business and management skills you need to find a career you love. To learn more, contact Dr. Kate Atchley’s office at (865) 974-6526 or go to nonclinicalphysicians.com/physicianmba.


For Podcast Listeners

  • John hosts a short weekly Q&A session on topics related to physicians' careers and leadership. Each discussion is posted for you to review and apply. Sometimes all it takes is one insight to take you to the next level of your career. Check out the Weekly Q&A and join us for only $5.00 monthly.
  • If you want access to dozens of lessons dedicated to nonclinical and unconventional clinical careers, you should join the Nonclinical Career Academy MemberClub. For a small monthly fee, you can access the Weekly Q&A Sessions AND as many lessons and courses as you wish. Click the link to check it out, and use the Coupon CodeFIRSTMONTHFIVE” to get your first month for only $5.00.
  • The 2024 Nonclinical Summit is over. But you can access all the fantastic lectures from our nationally recognized speakers, including Dr. Dike Drummond, Dr. Nneka Unachukwu, Dr. Gretchen Green, and Dr. Mike Woo-Ming. Go to Nonclinical Summit and enter Coupon Code “30-OFF” for a $30 discount.

Breaking Into Hospital-Based Physician Advisor Roles

John explains how physicians can position themselves for utilization management positions, where they'll help determine appropriate patient care status and educate colleagues on insurance guidelines. This role involves reviewing cases to ensure proper resource utilization while maintaining quality standards.

He recommends specific resources, including books like “Hospital Guide to Contemporary Utilization Review,” and organizations such as the American College of Physician Advisors. He also suggests gaining practical experience by joining hospital committees focused on case management or denials.

Building Expertise in Clinical Documentation Integrity

The clinical documentation integrity advisor role focuses on ensuring accurate medical documentation to support proper coding, appropriate reimbursement, and quality metrics.

John outlines practical steps physicians can take to prepare for this career path, including connecting with coding specialists, studying CPT guidelines, and engaging with professional organizations like the Association of Clinical Documentation Integrity Specialists. He emphasizes how this position can significantly impact hospital operations while allowing physicians to use their clinical knowledge in a less stressful environment.

Summary

Both physician advisor positions provide excellent opportunities for physicians to transition gradually from clinical roles while maintaining involvement in patient care at a systems level. These positions can begin as part-time commitments of just a few hours per week and potentially grow into full-time roles, making them ideal for physicians seeking work-life balance or testing nonclinical waters.

Additional resources and networking opportunities can be found through organizations like ACPA, ACDIS, AHIMA, and annual events like the SEAK Nonclinical Careers Conference.


Links for today's episode:

Download This Episode:

Right Click Here and “Save As” to download this podcast episode to your computer.


Podcast Editing & Production Services are provided by Oscar Hamilton


Transcription PNC Podcast Episode 396

Pursue One of These Part Time Nonclinical Hospital Jobs

John: I want to provide a brief overview of two part-time hospital physician advisor jobs that you might want to consider if you've decided to expand your options and begin your transition away from direct primary care for whatever reason. I’m addressing these two because they overlap quite a bit. They're both based in the hospital setting, generally started part-time, and can later become full-time jobs. There aren't a lot of barriers to starting such a position, and if you're already working in the hospital environment, it's really not all that difficult to do.

So, these are the two positions I'm talking about today: the physician advisor for utilization management and the physician advisor for clinical documentation integrity. Just so we know, using this term "physician advisor," sometimes these are called medical directors. Now, if you're doing utilization management for a large insurance company or other healthcare payer, they're typically going to use "medical director" for that position as the title. In the hospital setting, it's typically called a physician advisor. It's a part-time job that could start out as little as one or two hours a day, but they might also use that medical director moniker as well.

If you're already working in the hospital in a variety of inpatient settings, you could easily start doing one of these jobs if your organization has a need for it. So, when I talk about this kind of topic and about transitioning, I do like to generally talk about some other things to prepare us to make this kind of transition.

So, the first thing I want to do is mention some of these items and talk about how to get into the right mindset. What happens typically if you've been working clinically full-time and now you're thinking of making this change? It can be difficult because of some limiting beliefs or even some myths that we have internalized that I want to talk about right now. I'm not going to address every one of these; I actually have addressed this in other presentations. As a reminder, let's just go through two or three of these.

So, the first thing is that this is going to be a difficult process because all I know is medicine and I don't have the necessary skills to begin a new career. Here’s what I have to say about that issue: especially for these jobs, having completed medical school and residency, maybe a fellowship, you really already have a lot of demonstrated valuable skills and abilities. Okay? So whether it's focus and concentration, lifelong learning commitment, organizational skills, teamwork, analyzing data, and formulating a plan, you have a lot of background in the necessary sciences, including biochemistry, physiology, anatomy, epidemiology, etc. You're good at writing, lecturing, and speaking, teaching, and mentoring. You've done leadership oftentimes in your roles. You're great at decision-making, and you have a lot of other qualities that make you an awesome employee in general. So those exist, and these two jobs don't really have a lot of requirements for additional skills. So they lend themselves to being learned on the job. You will learn some new skills for this new career, but they'll be learned on the job. And since you're already a lifelong learner, it's going to be quite straightforward for you to do that.

The second belief sometimes is that you're wasting your medical career if you pursue a nonclinical job. The thing is, once you become a clinician, you actually have reached a plateau, and there are dozens and dozens of other jobs that you can only do after becoming an experienced clinician. It's like saying that you're wasting your training as an attorney if you decide to pursue politics or to become a judge, or you're wasting your training as a nurse if you decide to become a nursing home administrator. An administrative job is a business position, but yet you have that background as a clinician, which is very helpful for many important, fulfilling careers. Having a medical degree and board certification is a prerequisite to even being considered for that new career. So it's not wasted training. Chances are you've already applied your training in that venue, and now you want to move on to something bigger and better. In some cases, oftentimes it even pays more and has more responsibility, particularly when you're taking a leadership role.

Number three that I want to talk about is: you know, my family, my friends, colleagues, and other people I know will be disappointed if I leave clinical medicine for a variety of reasons. You think that they might not really understand it, and maybe they'll say something that makes you think that. But the reality is, particularly if you're burned out or unfulfilled with this job, it's not really satisfying you doing this clinical work. You know, everybody in your life that loves you just wants you to be happy, fulfilled, and working in a career that brings you joy. That's really the ultimate goal. Many of us think that taking care of patients is the way to do that, but for whatever reason, sometimes it's just not true. So I don't think the people that are important in your life are going to sit you down and try to convince you not to remain in a job that's tedious, unfulfilling, or producing anxiety or is unhealthy.

I know the financial aspects will be a concern at times, but really, ultimately, that shouldn't be the thing that stops you because there are a lot of positions that will equal your current financial reimbursement or compensation, and yet with less stress and more joy in doing that very job. I think that shouldn't hold you back either, unless you can find there's something simple to change in what you're doing clinically to make it more palatable that I think you should continue to move forward.

Now, there are also some caveats that I want to mention to you. Some of these are pretty obvious, and don't be offended if it seems like I'm being too obvious, but let's see here: first, no matter what job you're doing, continue to do it with excellence. Okay? So just because you're burned out or you're feeling like you're going to have to change jobs or something like that, don't sort of quit while on the job. Don't become lazy or try not to become overwhelmed and just indifferent. Your current employer and colleagues will be asked to comment on your dedication, integrity, ability to work with others, accountability, etc. If you've already started to pull away and not keep up that high level of performance that you probably are used to doing, it can harm you because it may take you a while to get that first job. Particularly, even if you're going to stay with your current employer, hospital, or health system, then that might be something that puts the hold on it, particularly if you somehow have been becoming more vocal about how unhappy you are. So try to keep everything at that level of excellence and just move forward with trying to make the change.

The second caveat is you must try to gain some experience in your new career even before applying for the new job if you can. Notwithstanding what I said earlier that these jobs are open to you already, but every little bit of information and understanding of the role you're going to step into will be helpful. And so if that means volunteering somehow, you can do that. Two areas we're talking about are utilization management and clinical documentation integrity. They usually interface with the medical staff and clinics face-to-face when you're dealing with the topic and also in committees and subcommittees that deal with the results and try to come up with plans for improving things. You can usually volunteer for one of those committees and understand the lingo better. You can meet some of the people that are currently involved in that. Sometimes you can get a little bit of experience in a nonprofit board of some type, some steering committee. So think about that.

That's the second caveat. The third is that it's always great to use a mentor, find a mentor, engage a mentor, and interact with them. Now, when I tell you about mentors, I'm always talking about something that's pretty low-key, not a lot of time. I've had mentors in my life who didn't even know they were mentors—just someone I would meet with briefly or run through, you know, briefly for five or ten minutes, ask a question, get the answer, and then use that information to help me figure out my next steps. So it's helpful to have multiple mentors and just use them judiciously to help point you in the right direction. Obviously, this mentor should usually be someone who's doing the job that you're thinking about moving into.

And so, you know, that's just the third bit of advice. The fourth is that there's probably some book or course that can help you in the process. You know, on these topics, for these two exist, and I'll talk about resources where you can find those in a minute. Fifth, there are usually places, getting, you know, kind of building on the fourth one, there are usually specialty societies or associations, professional organizations that have more resources that I'm also going to mention later.

So that's given. And then the sixth thing is that sometimes when you're doing a nonclinical career, it's helpful to have some kind of a blog or a podcast or something. I mean, as an example, if you're becoming a medical writer, then, you know, if you can create a platform where you're writing regularly and you're sharing some of that for free, in addition to posting things that maybe you've sold that you've done as a medical writer, that could be awesome. In this situation for doing these two, I would say the main thing is to get a good LinkedIn profile. You probably could find your first job directly on LinkedIn without even engaging a headhunter or something like that. You know, particularly after you've already done the job at your current organization, if that's how you choose to move forward. But having a really completed LinkedIn profile, which is something I've talked about in the past, can really help people reach out to you and actually recruit you directly off of your LinkedIn profile as long as you put in there some of the experience that you've already gotten that applies to the job that you're looking for.

So, let’s start then with the first position, and that’s as physician advisor for utilization management. So, to summarize, in the hospital setting, again, you can do this kind of job for an insurance company, but in the hospital setting, it's a little different. It's quite direct with the providers; the physicians and NPs and PAs are taking care of patients in the hospital. So basically, the physicians who are leading the patient care will need help in determining the appropriate care status—outpatient versus inpatient, for example—and work with other team members to decide if continued stay is warranted. Warranted means meeting guidelines, specific guidelines that say that they should either go or stay. They need an intermediary like you, the physician advisor, to help educate on that and to actually answer questions directly on this patient that we're considering right now.

So, you can do teaching too, where you help clinicians understand CMS and other payer rules. And that's around the appropriateness of testing and invasive procedures. Like, you know, if somebody comes in for heart failure and you've got them 90% better, is it appropriate to do a colonoscopy? Well, that can be hard to justify. That's a pretty obvious example, but you don't want to be doing those things because you really want to try to keep that admission as short as possible while using the minimum resources so that the hospital actually has a bottom line.

There are full-time and part-time positions doing just what I've described. Most of those job descriptions will say that you need to be residency trained, board certified, with five or more years of clinical experience. Sometimes they have a preference for primary care, but not always. And they may even say that they want a current hospital staff member.

Now, I'm going to read you a typical job listing for this. They don't all look exactly like this, and this is a very shortened version of it, but just so we're clear, let me describe that: Candidates have a strong clinical background with excellent communication skills and leadership abilities. The role of the physician advisor of case management services requires the review of other physicians' cases, their plan of care, and resource utilization. Case study can be necessary for various reasons, including patient outliers, i.e., extended stays, utilization review issues, reimbursement issues, or quality concerns. The physician advisor will work with hospital administration on all campuses and clinical committees as requested to develop processes and guidelines to improve quality of care and value, or the outcomes divided by the cost.

So, that is a short version of a typical job description.

So, let's talk about some real practical things you can do other than being a good medical provider right now at your current institution. First thing, the first step is to see if you can get your hands on a copy of the "Hospital Guide to Contemporary Utilization Review" by Stephanie Daniels and Ronald Hirsch. This thing is probably at least five, maybe even as long as ten years ago, originally published. I think there are multiple editions. But this is a good guide. So, this is what I mentioned earlier. There may be a book that can be very helpful. I think it's relatively expensive. I looked it up recently, and it was like $170 for a new copy, but you might be able to find a used copy or you might go to your own hospital and say, "Hey, do you have a copy of this thing?" Because the utilization management department might have it. And it can be helpful to read through it; it gives some of the background behind doing utilization management and affecting things like length of stay and how to move people through the system. And also, you know, what needs to be documented.

If possible, here are some other steps you can take. Join your own hospital utilization or case management committee if one exists. Get involved with denials management, maybe even in appeals. You may not be able to appeal another physician's case, but if you have a case that becomes denied and you know, normally you hand that responsibility over to the UM department, you could try and at least be involved in the appeal in your case, particularly, you know, if you're talking about an online or telephone appeal, live appeal, and you can learn about what's important in the terminology.

Again, I'll reach back to what I said earlier about a mentor. So, look for a mentor that's currently working in utilization management, possibly the current medical director or physician advisor for your case management. Establish that relationship and just talk with them a little bit over time. Again, don't make them feel like you're trying to own your success. You want to just chat with them, get their advice on how they got into this and are they aware of any really good resources that they found to be helpful?

Here are some of the resources I think that are no-brainers that you can get into right away: You might look at the resources in the American College of Physician Advisors. You can find them at acpadvisors.org. It's the American College of Physician Advisors. You can just Google that if you want. And they have all kinds of research sources written. They've got lectures and conferences that they do every year. I think sometimes they might even have some kind of certification. When I last looked, I mean, there were at least six or seven tabs on their website for resources for their members. You can get involved directly, and there's probably publications that you can get from them as well. And I don't think the membership fees are all that high.

When I've talked to other people about this, they always bring up the Seek Annual Non-Clinical Careers Conference because usually they have at least one speaker talking about this one, utilization management for sure. Sometimes they also have somebody talking about the second topic for today, which is the CDI or clinical documentation improvement. If you want to get really into it a little bit and understand how people use guidelines, what the guidelines look like.

Oh, by the way, to find the Seek Annual Non-Clinical Careers Conference, it's usually in October, and you can find it at nonclinicalcareers.com/conference. That's a link that I created from my website. So if you go to nonclinicalcareers.com/conference, it should bring you to the Seek Annual Non-Clinical Careers Conference. It's spelled S-E-A-K. It doesn't stand for anything in particular, but it is in the Chicago area every October, and they've been doing that for about 15 or 16 years.

You can get a copy of the Milliman Clinical Guidelines. That's one set of guidelines that UM nurses and others who are doing reviews of charts for purposes of, you know, utilization management and continued stay and so forth. That's what they use. They use Milliman Clinical Guidelines. There's InterQual guidelines as well, I believe, but the Milliman seems to be more commonly used, and you can find that at mcg.com.

And then there's an organization called the American Academy of Professional Coders. Now, when I talk to UM people and when I was doing this job as a physician advisor, I don't think I ever saw that organization or heard of that organization. But if you go to aapc.com for American Academy of Professional Coders, there are resources there that you can access, and it gives you again some of the basic nitty-gritty about becoming a physician advisor for utilization management, benefits management, and so forth.

All right. So now I want to move to the next one, which is this physician advisor for clinical documentation improvement. Well, now we call it clinical documentation integrity. And basically, if we want a short description of this, it is as follows: Physicians in this position will need to learn about appropriate coding and documentation guidelines, either in the hospital or outpatient setting, and help teach other physicians about coding and interact with them on specific cases to make appropriate changes to coding if necessary. Full-time or part-time positions are available.

Now, this one, you know, there's a big motivation to do well on this because the coding is what leads to the reimbursement. It also leads to the quality of care as observed by other people because a big part of coding is to capture pre-existing conditions, complications, and so forth. And if you find things that are present on admission and document those appropriately, then they won't be counted as a complication later on. So if somebody is admitted with some problem, let's say pneumonia, and then they develop diabetes or hyperglycemia and then they get a coding for diabetes during that stay. Now, we all know that it's probably pre-existing, but if it's not put in as a present on admission, then it's going to be counted as a complication. And that's a bad thing that can affect your reimbursement at the hospital.

They usually are going to be looking for someone who's residency trained, board certified, with five or more years of clinical experience. The typical job listing will sound something like this: As the CDI physician advisor, the PA will act as a liaison between the CDI professional, HIM (which is Health Information Management), and the hospital's medical staff to facilitate accurate and complete documentation for coding and abstracting of clinical data, capturing severity, acuity, and risk of mortality in addition to DRG assignment.

So, that's what you're going to see, and you're not going to see requirements for a lot of formal training. What they might look for is more experience. Now, another comment I want to make, kind of a caveat, at any time you're looking for a job and you're looking at job descriptions is that keep in mind that a job description is the new employer's attempt to get absolutely 100% of things they could get in the best possible circumstances. So, they almost never get a person that meets all those so-called requirements. And so you have to try and tease out whether the requirement they're listing is absolutely mandatory. Like, for example, they might say they want someone with five years of experience and at least two years doing a CDI. Well, what if you have four years of experience and you're only doing one year of CDI? These things are all flexible, and you have to learn how to tell the difference between something that's absolutely required as opposed to something that would be nice to have because most of this will be learned on the job.

Okay, so here are some advice for steps to take. Number one, you might get a copy of the CPT Professional 2025, which is the CPT manual that's put out by the AMA every year. Now, it's expensive, and you know what? Things don't change that much. So if you can get an old copy of the one from 2024 or 2023 or 2022, a lot of the rules will be in there; it'll be exactly the same. It's just the fine details change from year to year in terms of the definitions of the DRGs and the weighting and things like that. So just try and get a copy of that, and you can probably borrow the old one from your current CDI group and go from there.

If possible, these are some actions you can take now to position yourself: If there's a CDI team, see if you can join as a volunteer or go to some of their meetings. Spend time with the coding specialists in the Health Information Department. When you talk about coding and documentation, not only do you have yourself as a clinician doing the documentation part of that, but you have the nurse documentation specialists. And maybe some paramedical staff, you know, that aren't nurses or physicians. And then you have the billing departments, whether it's in a clinic or at the hospital, what you would call the Health Information Department. They have experts in coding and documentation. They're the ones that do the final coding on the charts.

They're usually not a nurse, but they usually work so closely with a nurse and the physician advisor to get things right. Sometimes they're in a big hurry and they don't want to take the time to do that. So you have to help set up systems where you can quickly respond when they have a question. Because again, the more accurate it is, the better off the hospital is and better paid the hospital is.

Okay, so you're going to try and just start mingling with those people. You're going to identify a mentor that's currently doing this kind of work, clinical documentation integrity, and maybe the medical director if there's a medical director in the hospital doing this, or there might be somebody who's over that in a large medical group. It's totally different coding in the outpatient and inpatient side, so you might want to end up specializing in one or the other, but most of the time, what I'm talking about are the physicians who are working for the hospital to do this job.

And then you're going to also complete your LinkedIn profile, just like I mentioned for the last position, and try and focus and list your experience and documentation and coding in the hospital setting. No question comes up on LinkedIn all the time is, "I don't want to scare away somebody, or I don't want to tip my hat, my hand, so to speak, that I'm thinking of leaving and looking for this job." So sometimes you can do a LinkedIn profile that's somewhat generic. That's focusing on your professional activities, and you know, you might put in there all the things you've done clinically, and then maybe a paragraph that talks about what you've done from the standpoint of documentation and coding and understanding how it works because all clinicians need to do this anyway. But if you focus on it a little bit more, then a recruiter is going to be more prone to notice and actually reach out to you on LinkedIn and say, "Do you want to talk about maybe looking for a job?" And it could be even a headhunter who maybe doesn't even have a job for you right now, but when they notice someone with that kind of profile, then they're going to reach out and position themselves to be ready to tap you when the time comes.

Some of the other resources which would be very helpful would be the American College of Physician Advisors, which can be found at acpadvisors.org. I think this is the same one that I said earlier. It's good for both utilization management and for clinical documentation improvement. So that's a repeat. The Seek Annual Non-Clinical Careers Conference is another repeat. Every October, you have a two-day event with a pre-conference and post-conference, so there's a lot of activities going on. You can look that up.

There is something new here: the Association of Clinical Documentation Integrity Specialists. It's a hard one to remember; it's kind of a tongue-twister. The Association of Clinical Documentation Integrity Specialists, known as ACDIS, can be found at acdis.org. Lots and lots of resources there. You can join even before thinking about doing this in a way, see if there's information in it that sounds interesting to you. And then when you do think about moving forward, then start accessing some of those. I think that one has training and even certificates, things like that.

The other big one is the American Health Information Management Association. Now, this is multi—actually, both of these are multi-professional, I guess. There are nurses, there are physicians, there are health information management workers, there are all kinds of people in both of these: ACDIS.org and the American Health Information Management Association, which is called AHIMA, A-H-I-M-A. A lot of people refer to it as AHIMA, and it's at ahima.org.

And then I've seen one mentioned several times in the past called the National Association of Physician Advisors. When I last tried to access it, it would not let me link up because of a fear of some kind of lack of security on the website. You know, some of these old websites are not really good at preventing, you know, issues with people trying to steal information and so forth. So if you can find the National Association of Physician Advisors, that might be useful. Otherwise, the other four places I talked about would be helpful for you.

But, so that's basically what I had to say about these two nonclinical positions. Again, they start part-time, they can eventually go full-time. There's a lot of jobs out there. There's lots of resources, and you can maybe find a job where you're doing 50% clinical, 50% one of these, or go 100%. There's a lot of flexibility. And if you're in a big metropolitan area, there's probably many jobs around that would be at other institutions within driving distance.

And so that's why I talk about these quite frequently. I've always had a lot of—not my most of my nonclinical jobs were in the hospital setting. These also can lead to getting a BPM or a CMO job because if you think about it, the Chief Medical Officer at a hospital is responsible for typical things that go that include these: utilization management and length of stay, quality improvement, clinical documentation integrity, which goes directly into quality improvement, and then informatics a lot of times. And so if you're involved with any of those four, it's a good starting point. And ultimately, if you end up looking for a job as a CMO, which usually pays more than a primary care clinical position with about 20% less commitment of time each week, that's an awesome job. Payments for CMOs are quite high. You're going to have to learn about all four of those plus a lot of other things.

And my usual advice for that is go to the AAPL, which is the American Association for Physician Leadership. And you can get a lot of those, which it wouldn't hurt to start that now while you're doing these other jobs or thinking about doing these other jobs. And they do have some specific courses, actually, at the AAPL, which are kind of introductions to the areas we're talking about today.

Disclaimers:

Many of the links that I refer you to, and that you’ll find in the show notes, are affiliate links. That means that I receive a payment from the seller if you purchase the affiliate item using my link. Doing so has no effect on the price you are charged. And I only promote products and services that I believe are of high quality and will be useful to you, that I have personally used or am very familiar with.

The opinions expressed here are mine and my guest’s. While the information provided on the podcast is true and accurate to the best of my knowledge, there is no express or implied guarantee that using the methods discussed here will lead to success in your career, life, or business.

The information presented on this blog and related podcast is for entertainment and/or informational purposes only. It should not be construed as medical, legal, tax, or emotional advice. If you take action on the information provided on the blog or podcast, it is at your own risk. Always consult an attorney, accountant, career counselor, or other professional before making any major decisions about your career.  

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This OB Doctor Snagged A New Technical Writing Job – A PNC Classic from 2020 https://nonclinicalphysicians.com/new-technical-writing-job/ https://nonclinicalphysicians.com/new-technical-writing-job/#respond Tue, 11 Mar 2025 11:56:56 +0000 https://nonclinicalphysicians.com/?p=54784 Interview with Dr. Kaci Durbin - 395 In this week's PNC Podcast episode, Dr. Kaci Durbin describes her journey from obstetrical hospitalist to her new technical writing job. Kaci received her medical degree from the University of Illinois College of Medicine. She completed her residency in obstetrics and gynecology at the University of [...]

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Interview with Dr. Kaci Durbin – 395

In this week's PNC Podcast episode, Dr. Kaci Durbin describes her journey from obstetrical hospitalist to her new technical writing job.

Kaci received her medical degree from the University of Illinois College of Medicine. She completed her residency in obstetrics and gynecology at the University of Louisville Hospital. She later completed an MBA while in practice at Southern Illinois University.

In addition to board certification in obstetrics and gynecology, she holds a certification from the American Medical Writers Association.


Our Sponsor

We're proud to have the University of Tennessee Physician Executive MBA Program, offered by the Haslam College of Business, as the sponsor of this podcast.

The UT PEMBA is the longest-running, and most highly respected physician-only MBA in the country, with over 650 graduates. And, unlike other programs, which typically run 1 – 1/2 to 2 years, this program only takes a year to complete. Recently, Economist Magazine ranked the business school #1 in the world for the Most Relevant Executive MBA.

While in the program, you'll participate in a company project, thereby contributing to your organization. As a result, the University of Tennessee PEMBA students bring exceptional value to their organizations.

Graduates have taken leadership positions at major healthcare organizations. And they've become entrepreneurs and business owners.

By joining the University of Tennessee physician executive MBA, you will develop the business and management skills needed to find a career that you really love. To find out more, contact Dr. Kate Atchley’s office by calling (865) 974-6526 or go to nonclinicalphysicians.com/physicianmba.


She was employed at a private practice for 5 years and then transitioned into OB hospitalist work. During her time as a hospitalist, she began part-time freelance medical writing, creating CME materials, needs assessments, manuscripts, and presentations.

She then worked as an independent contractor for a CRO. This Contract Research Organization later offered her a full-time position as a technical medical writer.

How To Transition to Her New Technical Writing Job

Kaci became dissatisfied early in her clinical career. She tried out several nonclinical side jobs while working clinically. And she discovered that medical writing was a popular option for other physicians. So, she decided to pursue a career as a freelance medical writer.

She joined the AMWA and became certified. To help create her freelance business, she took Emma Hitt Nichol’s medical writing course

After the course, Kaci contacted CME companies and landed several freelance jobs. Then she stumbled across technical writing and worked for a CRO as a freelance technical medical writer. That led to a full-time job with the CRO.

I think, once I got a couple clients and I started writing for them, it snowballed from there. Then they would refer me to someone else. Another job would come up.

Now she mainly writes clinical trial protocols and clinical study reports. Kaci enjoys helping to design clinical trials. She continues to do occasional freelance medical writing.

Resources for Medical Writers

Kaci mentioned important steps for aspiring medical writers to follow:

  1. Add a profile on AMWA.
  2. Include “medical writer” and related terms in your LinkedIn profile.
  3. Create a website with examples of your writing.
  4. Join and engage in pertinent Facebook groups.
  5. Search job listings on the Look for Zebras website.
  6. Search for jobs on the Virtual Vocations website.

SUMMARY

Kaci determined early in her clinical career that she didn't enjoy that work. She began exploring other part-time jobs. She obtained an MBA, thinking that she wanted to go into hospital leadership. However, her early experiences did not support that idea. She discovered medical writing and loved it. Then, she pivoted from CME writing to technical medical writing and found her niche.

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Disclaimers:

Many of the links that I refer you to, and that you’ll find in the show notes, are affiliate links. That means that I receive a payment from the seller if you purchase the affiliate item using my link. Doing so has no effect on the price you are charged. And I only promote products and services that I believe are of high quality and will be useful to you, that I have personally used or am very familiar with.

The opinions expressed here are mine and my guest’s. While the information provided on the podcast is true and accurate to the best of my knowledge, there is no express or implied guarantee that using the methods discussed here will lead to success in your career, life, or business.

The information presented on this blog and related podcast is for entertainment and/or informational purposes only. It should not be construed as medical, legal, tax, or emotional advice. If you take action on the information provided on the blog or podcast, it is at your own risk. Always consult an attorney, accountant, career counselor, or other professional before making any major decisions about your career. 

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It’s Time to Start a Direct Primary Care Practice https://nonclinicalphysicians.com/direct-primary-care-practice/ https://nonclinicalphysicians.com/direct-primary-care-practice/#respond Tue, 04 Mar 2025 12:41:44 +0000 https://nonclinicalphysicians.com/?p=54663 Never Bill Health Insurance Again - 394 In this week's episode, John explains why physicians should consider starting a Direct Primary Care Practice or DPC-style practice for specialists. He presents DPC as a viable alternative that allows doctors to reclaim their autonomy, improve patient relationships, and create a more sustainable practice model without [...]

The post It’s Time to Start a Direct Primary Care Practice appeared first on NonClinical Physicians.

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Never Bill Health Insurance Again – 394

In this week's episode, John explains why physicians should consider starting a Direct Primary Care Practice or DPC-style practice for specialists.

He presents DPC as a viable alternative that allows doctors to reclaim their autonomy, improve patient relationships, and create a more sustainable practice model without the administrative burdens of insurance billing.

This growing healthcare delivery model offers challenges and significant rewards for physicians willing to take a more entrepreneurial approach to medicine.


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Dr. Armin Feldman's Prelitigation Pre-trial Medical Legal Consulting Coaching Program

The Medical Legal Consulting Coaching Program will teach you to build a nonclinical consulting business. Open to physicians in ANY specialty, completing Dr. Armin Feldman’s Program will teach you how to become a valued consultant to attorneys without doing med mal cases or expert witness work.

His program will enable you to use your medical education and experience to generate a great income and a balanced lifestyle. Dr. Feldman will teach you everything, from the business concepts to the medicine involved, to launch your new consulting business during one year of unlimited coaching.

For more information, go to nonclinicalphysicians.com/mlconsulting or arminfeldman.com.


Our Sponsor

We're proud to have the University of Tennessee Physician Executive MBA Program, offered by the Haslam College of Business, as the sponsor of this podcast.

The UT PEMBA is the longest-running, and most highly respected physician-only MBA in the country. It has over 900 graduates. And, the program only takes one year to complete. 

By joining the UT Physician Executive MBA, you will develop the business and management skills you need to find a career you love. To learn more, contact Dr. Kate Atchley’s office at (865) 974-6526 or go to nonclinicalphysicians.com/physicianmba.


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Understanding the DPC Practice Model

DPC offers physicians freedom from traditional insurance billing through a subscription-based payment model where patients pay monthly, quarterly, or annual fees directly to their physicians. With approximately 2,500 practices now operating across all 50 states, this model allows doctors to maintain smaller patient panels (typically 400-600 patients).

This enables them to spend more time with each patient (30-60 minutes per visit) and provide enhanced access through telemedicine, email, texting, phone calls, and home visits. The elimination of insurance paperwork and billing cycles creates a more efficient practice with significantly reduced administrative overhead.

Building a Successful DPC Practice

Starting a DPC practice requires careful planning, including:

  • developing a business plan,
  • selecting an appropriate location,
  • establishing pricing structures, and
  • implementing effective marketing strategies.

While initial startup costs typically range from $40,000-$100,000, practices generally reach break-even with 250-300 patient members. Once established, DPC physicians commonly earn between $280,000-$500,000 annually while enjoying greater control over their schedules and practice style.

This model works particularly well for primary care but can also be adapted for certain specialties focused on chronic disease management.

Summary

Physicians interested in exploring the DPC model can find extensive resources at DPCFrontier.com and through the My DPC Story podcast with Dr. Maryal Concepcion. While transitioning to this model requires planning and initial investment, it offers a path to greater professional satisfaction, improved patient relationships, and the opportunity to build a valuable asset.


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Transcription PNC Podcast Episode 394

It's Time to Start a Direct Primary Care Practice

- Never Bill Health Insurance Again

John: Let's get to today's topic of discussion. Recently, I've become more and more interested in DPC as a solution to the unfulfilling corporate employment and its lack of autonomy, the lower pay, the long hours, and the interference in the physician-patient relationship. I've been doing a lot of research on this and a lot of reading, and I want to explain today why I think you should really consider developing your own DPC practice.

Now, this is for those of you who have been employed with a large system or a large group and you're thinking, "Okay, I'm burned out. I need to go into something completely nonclinical or unconventional." And really, I'm starting to believe that DPC practice is one option for you to consider.

It has some barriers and some caveats that I'll explain in a moment, but it's really a way to recapture the joy of practicing medicine and seeing patients, if that's really what you want to do.

What is a DPC practice? Hopefully, most of you have heard of it, but a DPC is direct primary care practice, a model where patients pay a monthly, quarterly, or annual fee directly to their primary care physician, rather than relying on traditional insurance billing or really relying on insurance as a payment method at all.

If you think about when you get rid of the insurance involvement in care, you really enable a physician, yourself, to spend more time with your patients. You're getting paid at the beginning of each month or each quarter. There's no collections, there's no billing, there's no sending overdue bills to a collecting agency, and you don't have to hire the staff to focus on things like coding and documentation and billing and so forth.

It really takes away a lot of the headaches and frees up time to spend with patients and also reduces your documentation time and other things. So let me just give you a little background.

DPC model began showing up around the early 2000s, and over the years, it's begun to catch on and building up steam and growing. In 2010, the Affordable Care Act recognized direct primary care as a viable healthcare delivery model, allowing DPC practices to compete with other more traditional settings, traditional not insofar as like from 50 years ago, but traditional as of the last 20-30 years. And now there's, I think, about 2,500 known DPC practices in all 50 states across the country and in Washington, D.C. And so, it seems to be growing and there's much more interest in it.

One of the questions that people have when they first get involved with this and start thinking about it is, "Well, look, if I'm doing this, can we still use Medicare for DPC? And if not, well, then how's that going to work? Because so many people depend on Medicare, and it's hard to convince them to switch over to a DPC model."

Patients can continue to use Medicare when they're involved with a DPC, but it would be for anything not happening in the physician's office. In other words, you could still use it for hospital care, expensive testing, inpatient visits, imaging, prescriptions, things like that. It's just that when it comes to the day-to-day ongoing chronic care and treatment of acute illnesses in the office, everything can be put under this new type of model.

Most DPC physicians do opt out of Medicare because they really don't want to have to interact and meet all the requirements for any kind of a Medicare payment. So you're best to just opt out, although there are some exceptions. If someone has chosen Medicare Advantage, then there may be network restrictions and so on. There may be some challenges. And these are all things you have to figure out before you set up your first DPC practice.

Now, I'm going to pause here and say, what's the best way to approach this from the standpoint of, is this something I can go into right after residency or fellowship? And probably not, because it would take a lot of planning. You'd have to spend the last year of your residency or fellowship thinking about how you're going to do the DPC, learn about marketing, put aside some money or arrange to borrow some money to set up the practice. I think it has been done. But to me, it makes more sense, you're fresh out of residency as let's say, a primary care doctor, and you would go to work for a hospital system or a large group, get a guaranteed salary, have them help pay off some of your loans.

But you would have this idea that maybe in three or four years, you're going to go out on your own into this kind of a practice, which has more flexibility and a better lifestyle. And so, one of the things you want to do early on then as you're looking at those contracts is you want to think about, well, if I want to leave that practice and maybe pick up some of those patients in my new DPC practice in three or four years, what do I need to do to plan for that?

And that's where an attorney comes in and looking at your contract. Can you get rid of the non-compete that will prevent you from moving away from that practice to a new practice and take some of the patients with you? Even if you can't take away the patients, like there might be a limitation on marketing to those previous patients, you still want to have the ability to actually set up another practice without too much of a restriction.

If you have a six-month non-compete and then you can open your doors in six months, that's not too bad. If the geographic limitation is within driving distance, so you really want to have an attorney help you think through that when you're signing your first contract as an employee. So that's really all I'm going to say about that.

But to me, you start out when you're first on a residency or fellowship, it's good to have continued interaction with other physicians in your specialty in a controlled environment where you don't have to worry about all those things that we're talking about.

But then once you're out three or four years, you should feel confident to start your own practice if that's what you want to do. Now as an aside, I'll say right now there are DPC practices which are quite large where the physician is actually employed in a DPC practice, but I'll talk about that more in a minute.

Let me review again the key features of a DPC practice. There's no insurance billing, period. Patients are paying monthly, quarterly, or annually. Sometimes employers are the ones paying. If you have a large employer or medium-sized employer that would like to provide for the care of its employees and there's not a lot of good primary care nearby, you can sometimes get the employer to pay for some or all of this on a membership or subscription basis because it keeps the employees at work. And some companies are really facing problems with employees constantly being injured or sick and you can work with employers to address that issue.

But most DPCs, I think the majority are actually just taking care of patients, usually within either like a family medicine or internal medicine or pediatric type of practice where you might focus on just a certain age groups, pediatric age groups or some might focus on adults in the middle ages and then sometimes senior practices.

But the nice thing is you get the flat membership fee. You're not billing patients. You can usually have a panel of no more than six or eight hundred at the most, so you can spend more time with your patients. 30 to 60 minutes per visit is often quite doable. And a lot of the benefit too is the improved access in non-traditional ways. So phone calls, using email, telemedicine, just messaging them on your telephone and even sometimes home visits.

And that all enables you to reduce the expenses in the office and really help people more quickly. And most DPCs have openings pretty much within one to two days as opposed to a two or three week backlog of patients. And then in that situation, again, the patients are much more happy with the longer time you spend with them and the fact that they have improved access and they become very secure with that kind of arrangement, much like concierge medicine, but obviously done in to meet the needs of chronic conditions as opposed to concierge, which usually focuses on acute things or just some carve out a particular type of specialty. I could belabor that, but I think it's really a nice model. Income is usually pretty good, and I'll get into that in a minute.

What are some of the potential downsides? The main one is that you have to create your own business, your own new practice from scratch, and it takes a while to plan. You have to learn some new things, perhaps, in terms of how to run a business. If you're doing high paying procedures, that doesn't lend itself to any kind of prepaid monthly payment as opposed to fee for service. And you have to learn how to market yourself so you can build that panel. You want to get to two, three, four hundred as quickly as you can.

And so, the biggest barrier basically is that up front investment and need to do all this planning, find a place to work and hire at least one person maybe after. You can start with just yourself when you only have five or ten patients, but once you start to get more and more and you're doing some marketing and they're starting to sign up, then you'll probably need at least one staff. But it's really pretty limited, one or two, if you're doing that kind of DPC.

Now, you could do another thing, and that would be to look for a practice that already is employing physicians and you would be an employee, but it would still have some of the advantage of a DPC if it's set up that way, because you'd have your own panel and you'd have some coverage. And again, the lifestyle would be better and you wouldn't be filling out a lot of paperwork. And even the charting is easier because you're not doing charting just for the sake of billing.

All right, let's go in a little deeper about this DPC model. I've kind of described the basics, and if we're thinking about starting a practice like this, you have to think about different things. You're going to have to actually create a business plan. Now, a business plan is just a document. It can be relatively short. It says, what do you plan to do? Who's your intended audience or patients you're going to recruit? What are you proposing to charge? Do a pro forma and engage an accountant and say, okay, well, if this thing grows in a certain way, let's say we're picking up so many patients per month for the first year, how quickly can you get to 200 or 300 patients, let's say in a basic internal medicine DPC practice? What can we expect in terms of all the expenses that will be covered during that first year and then in an ongoing basis?

You have to estimate those things and try and work out a pro forma of how you're going to go from losing money at the beginning, which obviously, if you have no patients, you're going to have some expenses and no income. The income is going to ramp up over time. You're going to be doing a lot of marketing.

When's the break even point? When's the point when you can start taking a salary? When's the point where you have to hire one or maybe a second employee and so forth? You need to spend some time thinking about the location. You can get creative and share space and really try and minimize the cost of your lease and the overhead associated with the clinic location. You have to choose an electronic health record and patient management software, that kind of thing.

Again, you're going to have to work on your pricing model. From what I read, typically children, you're going to charge $25 to $50 per month. Adults, $75 to $100 per month. For young ages, let's say $18 to $39. For older adults, maybe $100 to $125. And then when you get above age 65, probably $125 to $150. If you're in an affluent area, you may be able to get up as high as $200 for the kind of special service that you're going to be providing as a direct primary care practice.

With the children, I had a guest on. He was really on my show to talk about a new product that he had developed that he was selling. It was a software to help run and market a DPC practice.

But he did note that the charges for children depend a lot on the vaccine. So if you're getting newborns and those up to 18 months, three years, and they're going to receive a lot of vaccines, you have to make sure that you include that, consider that in your fees. As they get older, of course, all they're getting is routine checkups with almost no lab tests and no vaccinations.

And so that's where that price can get quite low on a monthly basis just to see them once a year for their physical, assuming they don't have any chronic illnesses, which would be not that common in a pediatric practice.

You're going to have to build that panel. You're going to have to set up a website, learn a little bit, pick some social media sites that will help promote and market your practice. You want to do community outreach where you're doing things live at health fairs or visiting local businesses and networking and doing some education in the community, which will get your name and your face out there.

And then in some cases, you might partner with an employer, as I mentioned earlier, which would be a way to try and keep the workforce healthy, especially when there's a lack of primary care in the area.

Staffing can be an issue only because you just need to decide how many staff you need, what they're actually going to do. But again, the requirements are much less than in a traditional practice. You might have six staff supporting a single physician with the billing and the scheduling and so forth. But when you're in a DPC, you're probably going to get along with one or two at the most to begin.

You're also going to have to set up your finances. The payments are coming in regular, so you're kind of prepaid. When you're doing it monthly, you're actually getting paid at the beginning of the month for each patient. And so you can very quickly see what it's going to take to break even. And then as you continue to grow, start becoming profitable. Some of the startup costs, I'm just giving you gross numbers, but you could probably start it from $40,000 to $100,000 overhead for that first year if you include the lease, the medical equipment, all the supplies, malpractice insurance, EHR, billing software.

Again, it's really just making sure that the membership fees have been paid. Marketing website and office supplies. Most break-even practices occur or reach that level when they've got about 250 to 300 members. Actually, you can kind of keep in mind. Now, I'm sure there are multiple books and courses and things that you can take to help walk you through this process. And I will be putting some resources at the end of the show notes. I'll mention it right now by going to nonclinicalphysicians.com/direct-primary-care-practice.

I think I've given you enough to get some idea what we're talking about and really start thinking about this. The other question that comes up from time to time is, can physician specialists build a successful direct primary care practice? Well, obviously, it's not a direct primary care practice, but it's a DPC style practice. And sometimes, yes, it can be very successful. The model needs a little bit of modification depending on what you're doing, but the model can be used by specialists for high demand specialty services and sometimes for employer contracts.

Let me give you some examples for this. For example, cardiology. Well, hypertension, heart failure, arrhythmia, sometimes there's chronic ongoing disease management for that. And cardiologists could carve out part of their practice following that kind of model in which they're getting a membership type payment every month or quarter. Now you have to, again, revisit this issue of can you do that. You can't do that for Medicare patients, obviously, if you are still a Medicare provider.

Now, if you've decided to focus on just those under age 65, then you can just leave Medicare and just do that part. And again, as I mentioned earlier, the patients can still access their Medicare for the other parts of their care. But if you're going to do outpatient only and chronic disease management, you could do this model. And it might even be possible to mix both, but I think you really need to check with an attorney or do some more research on that. Obviously, endocrinology, you can do diabetes care, thyroid disorders, hormone therapy, dermatology, concierge type of practice, only prepaid rather than pay as you go.

It takes probably a little more research, a little more aggressiveness to figure out how this would work as a specialist, but it can be done. And I think the pediatric side wasn't one that grew a lot initially, but it seems to be catching up now because a pediatrician that I spoke with says they're trying to figure these out, these problems out and how to handle the injections and immunizations. And it can work out quite well.

The marketing is a little different for a specialist. You're probably going to market to your referral base rather than directly to patients, although you could do both. There are examples out there. There's a cardiology DPC that is charging $150 per month per patient for unlimited consultations and quick access to the doctor and stress tests and EKGs on a regular basis and being very successful. Dermatology, cash-based clinic with a $300 initial consult and $150 per follow-up. And it's mostly for cosmetic procedures like Botox and fillers and laser therapy.

I think there's a practice out West and one of my guests was doing in which she was seeing psychiatric patients on a DPC style of practice, prepaid membership type of care rather than the episodic and fee-for-service with insurers.

I think that that's all I have to say about the specialty side of things. It can be quite lucrative and it also, again, brings you closer to the patients and much higher satisfaction for both practitioner and patient.

Should a specialist consider this? Yes, if you specialize in a chronic disease management or cash pay procedures, should work okay. And you'll get less insurance hassle and more direct patient interaction and can be quite lucrative. Now, if your specialty requires hospital-based procedures, then it's probably not going to work out. And if you typically rely heavily on high insurance reimbursements for high cost treatments, then again, it probably won't.

I think this could be a solution for some of you to sum up here. If you've been in practice, if you're unhappy, if you have no objection to being involved in the business side, you can start your own DPC practice, I kind of like it because I think we know that in general, people who are the most successful financially in life are usually those that own a business.

You can get some high salaries and specialties and even becoming a nonclinical physician, a CMO at a hospital or something like that. But at the end of the day, when you retire, what you have is your retirement savings and whatever investments you've made with that money. But when you have a practice, you can grow that practice. You can hire other medical providers. You can leverage your own care with APNs and PAs. You can hire more physicians eventually if necessary to make it work. You could bring them in on as partners.

But at the end of the day, then you can sell that practice or sell it to your partners or get bought out. And in addition to the earnings that you've made, which are going to be quite positive. Again, I didn't say specifically, but it's very common for a DPC with a mature practice to be earning anywhere from $280,000 to $500,000 per year as a primary care. And specialists can do even better than that with a combination type of practice. That's why I encourage that if you have any inkling that that's something you think you can manage. You can hire an accountant and an attorney to set things up. Make sure you jump through all the proper hoops.

You can get someone to help you plan the business, but you need to be working and either having a lot of money saved up to start this thing or continue to work part-time and cut down on your traditional practice as you begin to accumulate patients. And then if you've got a hundred or so, you can cut those ties completely.

Most of the time, most DPC primary care doctors are going to have anywhere from 400 to 600 patients. And you can earn a lot more getting to 700 or 800, but then again, the lifestyle begins to suffer. If you want to learn more about starting a DPC, it will require planning, investment of time and money. But if you're successful, you'll find that you're much more satisfied, your patients are more satisfied, and you'll be able to make a very good income while enjoying a wonderful lifestyle.

Tell you right now that if you go to DPC Frontier at www.dpcfrontier.com, there's a lot of information there. There's been a lot published on this in the literature and there's a weekly podcast called My DPC Story with Dr. Maryal Concepcion. Since September of 2020, she's been doing a weekly podcast. There's lots and lots of success stories in that podcast. I will add more resources for you to look at, again, at www.nonclinicalphysicians.com/direct-primary-care-practice.

Disclaimers:

Many of the links that I refer you to, and that you’ll find in the show notes, are affiliate links. That means that I receive a payment from the seller if you purchase the affiliate item using my link. Doing so has no effect on the price you are charged. And I only promote products and services that I believe are of high quality and will be useful to you, that I have personally used or am very familiar with.

The opinions expressed here are mine and my guest’s. While the information provided on the podcast is true and accurate to the best of my knowledge, there is no express or implied guarantee that using the methods discussed here will lead to success in your career, life, or business.

The information presented on this blog and related podcast is for entertainment and/or informational purposes only. It should not be construed as medical, legal, tax, or emotional advice. If you take action on the information provided on the blog or podcast, it is at your own risk. Always consult an attorney, accountant, career counselor, or other professional before making any major decisions about your career.  

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