In this episode of the Leadership, Business and Innovation Podcast, Paul Rosen, Vincent Qin, and Eric Donnenfeld explore practice management in modern ophthalmology, with a focus on structuring a multi-physician practice. Drawing on real-world experience from multisubspecialty eye care centres, the discussion covers effective organisational and leadership models, optimising operations and patient flow, recruiting and training multidisciplinary teams, and aligning financial strategy with technology integration. The episode also highlights how strong clinical governance and an enhanced patient experience are essential for building sustainable, high‑performing practices.