The so-called “Big Beautiful Bill” was passed by both houses of congress and signed into law by the president on July 4th, 2025. This bill will have a sweeping impact on the already declining healthcare landscape in America.

Physicians who view reform not as a threat, but as a catalyst for reinvention, will be best positioned. Those clinging to the old model risk being commoditized; those who adapt, innovate, and lead will reclaim autonomy.

This week, Dr. Pepper reviews seven things every physician needs to be doing in the aftermath of this bill.  You are not powerless.  What will you do this week to prepare and safeguard your career?

Micropractice Mastermind - a vetted, expert roadmap to start your own practice. Join this physician community as we change the future of medicine.  You can actually enjoy practicing medicine. Join us.

Checklist to launch a micropractice​ - for those of us who love to check off a to-do list, here are the basic steps to get you started. 

Sign up for emails for weekly support in launching your own practice and improving your delivery of care.

Before paying for google ads or any other marketing, you must be able to articulate a clear message. Caroline Harbin of COR Marketing met with the Micropractice Mastemind and provided a clear framework for digital advertising.  Whether you are starting a private practice, or you want to tailor your current practice, understanding these principles will save you time and money. 

Micropractice Mastermind - a vetted, expert roadmap to start your own practice. Join this physician community as we change the future of medicine.  You can actually enjoy practicing medicine. Join us.

Checklist to launch a micropractice​ - for those of us who love to check off a to-do list, here are the basic steps to get you started. 

Sign up for emails for weekly support in launching your own practice and improving your delivery of care.

In this episode, I’m joined by Dr. Brittney Anderson, a board-certified family physician and founder of a thriving private practice in Alabama. Dr. Anderson shares the deeply personal and incredibly practical journey that led her from burnout in academic medicine to building a mission-driven, insurance-based solo practice that now has a waitlist of patients.

Dr. Anderson didn’t just hang a shingle. She reverse engineered her success with strategy, intention, and heart. She shares the five key moves that helped her build a successful practice from the ground up, and offers encouragement for other physicians who dream of practicing medicine on their own terms.

Join us as we discuss:

If you're wondering whether starting a private practice is possible—or profitable—this episode is a must-listen. Dr. Anderson's story proves that with a plan, a little faith, and a lot of intention, physicians can reclaim autonomy and joy in their careers.

Listen to Dr. Anderson's podcast, Physicians Hanging a Shingle, anywhere you get your podcasts.
Get her weekly email for pragmatic, supportive tips on starting your own practice.

Today I share seven ways to burnout-proof entrepreneurship - especially for physicians building medical practices.  

1. Start with a Lean Model

2. Prioritize Revenue-Generating Activities

3. Work in 90-Day Cycles

4. Theme Your Days to Reduce Decision Fatigue

5. Set “Enough” Metrics

6. Automate + Delegate Early

7. Schedule White Space - on Purpose

Takeaway: You can build a medical practice that feels peaceful and sustainable.

Micropractice Mastermind - a vetted, expert roadmap to start your own practice. Join this physician community as we change the future of medicine.  You can actually enjoy practicing medicine. Join us.

Checklist to launch a micropractice​ - for those of us who love to check off a to-do list, here are the basic steps to get you started. 

Sign up for emails for weekly support in launching your own practice and improving your delivery of care.

When the excitement of launching a practice wears off and the messy middle begins, many new entrepreneurs feel overwhelmed with what feels like an insurmountable journey ahead.  I talk about how to break this large task in to smaller achievable actions, and the short list of must-do items in building a practice.  

Micropractice Mastermind - a vetted, expert roadmap to start your own practice. Join this physician community as we change the future of medicine.  You can actually enjoy practicing medicine. Join us.

Checklist to launch a micropractice​ - for those of us who love to check off a to-do list, here are the basic steps to get you started. 

Sign up for emails for weekly support in launching your own practice and improving your delivery of care.

In this episode of It’s Not Just You, I’m joined by Dr. Jen Williams, an OB/GYN who is stepping away from a successful 24-year practice to launch a micropractice focused on perimenopause and menopause care. Dr. Williams is a Micropractice Mastermind participant in the messy middle of leaving her practice and launching a practice for the care of menopausal women. 

Dr. Williams' story is one of deep integrity, clarity, and rebellion against a system that no longer aligns with how she wants to show up for her patients or herself. We talk about the challenges of doing things differently, the pushback from well-meaning people, and what it looks like to trust your gut even when the path forward isn’t fully mapped out.

Join us as we discuss:

Dr. Williams brings wisdom, humor, and honesty to this conversation. Her passion for helping women navigate midlife is exactly what the world needs more of. You can find her on her website and Instagram. 

The number one questions I am asked about how to build a practice, is "How much is this going to cost?" In cliff notes from the Mastermind, we review the top five items to consider when financially planning for a practice and growing your practice.  

Micropractice Mastermind - a vetted, expert roadmap to start your own practice. Join this physician community as we change the future of medicine.  You can actually enjoy practicing medicine. Join us.

Checklist to launch a micropractice​ - for those of us who love to check off a to-do list, here are the basic steps to get you started. 

Sign up for emails for weekly support in launching your own practice and improving your delivery of care.

Our guest this week is Dr. Maria Guzman - a sleep and obesity medicine specialist. Her vision for patient care goes far beyond prescriptions and protocols. In this episode, she shares how burnout pushed her to build something different—her own private practice rooted in lifestyle medicine, mindfulness, and compassion.

After recognizing the limits of insurance-based care just six months into her first job, Dr. Guzman began the journey of creating Dream Life Medicine and Wellness. From considering telemedicine to securing a physical office, her approach has evolved to align with her values and her community.

She talks openly about the challenges of entrepreneurship, the importance of community and accountability, and the joy of staying curious as she weaves in new areas like menopause and mind-body medicine.

Connect with Dr. Maria Guzman at dreamlifemedical.com and on Instagram.

I had no idea what I was doing and no community for support when I launched my medical practice.  It was scary and overwhelming.  Today, I walk through the naive mistakes I made when I launched my medical practice - so you don't have to make them. 

Micropractice Mastermind - a vetted, expert roadmap to start your own practice. Join this physician community as we change the future of medicine.  You can actually enjoy practicing medicine. Join us.

Checklist to launch a micropractice​ - for those of us who love to check off a to-do list, here are the basic steps to get you started. 

Sign up for emails for weekly support in launching your own practice and improving your delivery of care.

I walk through the fundamentals of starting your own private practice, from the basic information needed to get started, malpractice insurance, business plans, startup costs, community support, and much more.  

Micropractice Mastermind - a vetted, expert roadmap to start your own practice. Join this physician community as we change the future of medicine.  You can actually enjoy practicing medicine. Next cohort starts May 4, 2025. 

Checklist to launch a micropractice​ - for those of us who love to check off a to-do list, here are the basic steps to get you started. 

​AMA's Private Practice Playbook

Sign up for emails for weekly support in launching your own practice and improving your delivery of care.

As we graduate the first cohort of the Micropractice Mastermind, I review four things you must do before leaving your practice.  

Our Mastermind guest today, Dr. Leanne Wu, shares her story of opening an insurance-based pediatric practice to serve the Taiwanese community in Portland, Oregon.  You can Find Dr. Wu and LIttle Island Pediatrics on her website and Instagram. 

Micropractice Mastermind - a vetted, expert roadmap to start your own practice. Join this physician community as we change the future of medicine.  You can actually enjoy practicing medicine. Next cohort starts May 2025. 

Checklist to launch a micropractice​ - for those of us who love to check off a to-do list, here is a rough approximation of what we are completing in the Micropractice Mastermi​nd.

Sign up for emails for weekly support in launching your own practice and improving your delivery of care.

In this episode of It’s Not Just You, we are honored to welcome Dr. Wendy Oliver-Pyatt, a leading expert in the field of eating disorder treatment. She has built nationally recognized treatment centers and continues to evolve her career.  Dr. Oliver-Pyatt shares her recovery cycle between clinical entrepreneurial ventures and how that has fostered her creative and clinical energies. 

Join us as we discuss:

Dr. Oliver-Pyatt’s wisdom and compassionate approach offer hope for those seeking relief and a new path forward.

You can connect with Dr. Oliver-Pyatt on her website, LinkedIn, Facebook and Instagram.

Micropractice Mastermind - a vetted, expert roadmap to start your own practice. Join this physician community as we change the future of medicine.  You can actually enjoy practicing medicine. Next cohort starts April 2025. 

Checklist to launch a micropractice​ - for those of us who love to check off a to-do list, here is a rough approximation of what we are completing in the Micropractice Mastermi​nd.

Sign up for emails for weekly support in launching your own practice and improving your delivery of care.