Welcome back to the Ketamine Startup Podcast! It's great to be back with you for our first new episode of 2026. After sharing a couple episodes from the vault in December, we are excited to dive back into fresh content.

In this episode, we tackle the most frequently asked question we get: "Do I need to be present in the room during every ketamine infusion?"

This isn't just about regulations. It's about balancing autonomy, patient safety, business scalability, and your personal values as you transition from traditional healthcare to private practice.

We explore the complex regulatory landscape across different states, the tension between wanting professional freedom and providing exemplary patient care, and the practical considerations every clinic owner must navigate.

We share our own philosophy and approach while acknowledging the legitimate business and personal factors that influence these critical decisions.

What You'll Learn:

・The "loved one test" for making staffing decisions: a simple framework to determine your comfort level and standards

・State by state regulatory variations: why Texas, Utah, and California have different requirements and what that means for you

・The business reality of scaling vs. safety: how to balance growth aspirations with quality patient care

・Building reputation in a small community: why integrity matters more than short term profit in the ketamine field

Episode 48 show notes:

00:00 Teaser - The most common question…

02:25 The "loved one test": What would you want for your family member receiving treatment?

04:23 Balancing autonomy vs. quality care: The tension clinicians face

06:32 Federal vs. state regulatory landscape: How regulations vary across different states

09:37 Scope of practice considerations and corporate practice of medicine laws

12:01 Philosophy behind practice decisions: What's right for you and your patients

13:28 Sam's approach: Why he's always present and recommends starting that way

16:56 Balancing physician wellbeing with high-quality patient care

19:26 State-specific research requirements: Medical board, legal, and insurance considerations

21:05 Malpractice insurance requirements and how they affect your practice decisions

23:03 Final recommendations: The decision framework based on your values

24:44 Closing thoughts: What would you want for your loved one?

Thanks for listening

Want to go deeper on some of these topics? Check out these related episodes:

Episode 007 - Who Can Open A Ketamine Therapy Clinic?

Episode 034 - Ketamine Clinic Insurance: Expert Insights with Canyon Clifton

Follow us on

Linkedin

Ketamine StartUp Website

YouTube

🚀 Want to fast track launching your ketamine clinic? If so, download our free checklist.