What happens when the role that once fit perfectly starts feeling a little too small?

In this episode, Tracy sits down with Beth Welch, a PA whose career journey has taken her from trauma and critical care medicine into executive healthcare leadership, innovation, and systems-level impact.

Together, they explore what it feels like to step away from traditional clinical practice, navigate the identity shifts that come with career growth, and embrace opportunities that don't always fit the expected path.

They discuss:

• Why careers are more like jungle gyms than ladders

• The hidden leadership skills clinicians develop every day

• Influence without authority

• Burnout and career evolution

• The transition from bedside clinician to executive leader

• Systems thinking and healthcare innovation

• Finding purpose beyond a job title

• How clinicians can create impact at scale

Whether you're considering a non-clinical role, exploring entrepreneurship, or simply feeling called toward something bigger, this conversation offers both practical insights and permission to evolve.

Key takeaways

1. Roles Are Static. People Are Dynamic. Many clinicians experience discomfort not because they're in the wrong profession, but because they've grown beyond the role they're currently occupying.

2. PAs Are Built for Leadership Adaptability, communication, systems thinking, collaboration, and problem-solving are skills clinicians practice every day—even when they don't recognize them as leadership skills.

3. Influence Doesn't Require Authority. Some of the most impactful leaders aren't the people with the highest title—they're the people who consistently move projects, people, and ideas forward.

4. Burnout can be a Positive Catalyst For many clinicians, burnout becomes the signal that something needs to change—not necessarily medicine itself, but how they engage with it.

5. Career Paths are Rarely Linear The most fulfilling careers often look more like a jungle gym than a ladder, with lateral moves, pivots, experiments, and unexpected opportunities along the way.

Bethany Welch http://bethanywelch.com/ Clinician Entrepreneur Collective www.tracybingaman.com/waitlist

You've learned how to diagnose and treat patients.

But nobody taught you how to diagnose and treat a business.

In this special episode, I'm pulling back the curtain on the Clinician Entrepreneur Collective (CEC), my 8-week small business course designed specifically for clinicians. [https://tracybingaman.com/cec] 

If you've ever found yourself:

• Sitting on a business idea

• Coaching people informally for free

• Speaking, consulting, or creating educational content

• Building a side hustle

• Dreaming about more flexibility, freedom, impact, or income diversification

...this episode is for you.

We'll discuss why so many clinician businesses stall, the common "disease processes" that kill small businesses, and how your existing clinical skills translate directly into entrepreneurship.

Because medicine trained you to save lives.

Now it's time to learn how to build something sustainable alongside it.

Join the Clinician Entrepreneur Collective at https://tracybingaman.com/cec 

Our next cohort begins July 1, 2026.

Key Takeaways

✅ Clinicians are often far more entrepreneurial than they realize

✅ Clinical excellence and business expertise are two different skill sets

✅ Most clinician businesses struggle because nobody taught them foundational business systems

✅ Entrepreneurship can be taught using frameworks clinicians already understand

✅ Ethical sales looks a lot like informed consent

✅ Community and environment play a huge role in entrepreneurial success

✅ Building a business creates options, flexibility, and autonomy

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You can be clinically bored and logistically burned out at the same time.

And honestly? That combination is brutal.

In this episode, Tracy sits down with Kathryn Werner, PA-C — practice owner, telepsychiatry provider, and consultant helping clinicians launch and grow their own practices through CPAC.

Together, they unpack:

• what it actually takes to start a medical practice

• the startup costs and timelines most clinicians don’t understand

• why flexibility matters more than ever for clinician parents

• the hidden emotional realities of entrepreneurship

• boundaries inside business ownership

• how to know when it’s time to hire help

• why small practices are often able to serve patients better

• and how entrepreneurship can become a path toward sustainability instead of burnout

Kathryn shares her experience building White Pine Mental Health & Wellness from the ground up — starting lean, staying flexible, and growing intentionally over time.

This conversation is honest, practical, encouraging, and deeply relevant for clinicians who are tired of trying to force themselves to fit inside systems that no longer work.

Because maybe the answer isn’t trying harder inside a broken system.

Maybe the answer is building something better.

Resources & Links:

• Learn more about CPAC Team: https://cpacteam.com

• Follow CPAC on Instagram: https://www.instagram.com/cpacteam

• Join the Clinician Entrepreneur Collective Waitlist: https://tracybingaman.com/waitlist

If this episode resonated with you, please share it with a clinician friend and leave a review wherever you listen to podcasts.

clinician entrepreneur, healthcare entrepreneurship, physician assistant business, PA entrepreneur, clinician side hustle, healthcare side business, clinician coaching business, clinician entrepreneur collective, part time clinical work, physician associate entrepreneur, healthcare coaching business, clinician burnout, entrepreneurship for healthcare providers, medical side hustle, healthcare business ideas, clinician career transition, healthcare leadership, entrepreneur mindset, physician assistant career growth, make medicine optional

Have a business idea scribbled in your Notes app?

A coaching offer you can't stop thinking about?

A course, consulting business, product, podcast, or creative project that keeps tugging at your heart?

If you've ever wondered how clinicians actually make the leap into entrepreneurship, this episode is for you.

In this episode, we break down the three most common paths clinicians take when building a business:

✔️ Keeping your full-time clinical job while building on the side

✔️ Transitioning to part-time clinical work while growing your business

✔️ Leaving medicine entirely and going all-in on entrepreneurship

You'll learn the pros, cons, risks, benefits, and realities of each path—including the financial, emotional, and practical considerations most people don't talk about.

Because despite what social media may suggest, there is no single "right" way to become an entrepreneur.

The best path is the one that aligns with your goals, finances, risk tolerance, and season of life.

Key Takeaways:

• Why entrepreneurship isn't all-or-nothing

• The benefits and drawbacks of building a side hustle while working full-time

• Why part-time clinical work can create valuable entrepreneurial runway

• The truth about quitting medicine and going all-in on a business

• How financial stability impacts business growth

• Understanding your personal risk tolerance

• The importance of creating optionality in your career

• Why clinicians already possess many entrepreneurial skills

• How to determine which path fits your current life circumstances

You do not have to burn down your clinical career to build something meaningful outside of medicine.

Entrepreneurship can be strategic, intentional, and sustainable.

The goal isn't necessarily to leave medicine.

The goal is to create options.

Join the Clinician Entrepreneur Collective Waitlist: www.tracybingaman.com/waitlist 

Keywords: clinician entrepreneur, healthcare entrepreneurship, physician assistant business, PA entrepreneur, clinician side hustle, healthcare side business, clinician coaching business, clinician entrepreneur collective, part time clinical work, physician associate entrepreneur, healthcare coaching business, clinician burnout, entrepreneurship for healthcare providers, medical side hustle, healthcare business ideas, clinician career transition, healthcare leadership, entrepreneur mindset, physician assistant career growth, make medicine optional

What happens when a successful surgeon realizes the system he dedicated his life to… is simply fundamentally broken?

Join Dr. Joe Pazona for a deeply honest conversation about burnout, entrepreneurship, healthcare innovation, and what it really looks like to walk away from traditional clinical medicine without leaving patient care.

Dr. Pazona shares his six-year transition from practicing urologist performing major robotic surgeries to full-time CEO and founder of VirtuCare, [https://myvirtucare.com/] a company helping rural hospitals build sustainable outpatient urology programs through team-based care, physician collaboration, and APP education.

Learn & unpack:

• Why the best clinicians are often the most vulnerable to burnout

• The dangerous “sunk cost” mindset in medicine

• How entrepreneurship can become an antidote to burnout

• Why healthcare desperately needs innovation outside the traditional system

• The power of saying no

• How APPs and physicians can work together in sustainable, collaborative models

• Why “that’s just how we do things” may be the most dangerous phrase in healthcare

This conversation is equal parts inspiring, validating, and challenging. If you’ve ever sat in a healthcare or leadership meeting thinking, “I have questions…” this episode is for you.

• Why burnout is often a systems problem—not a personal failure

• How Dr. Pazona gradually transitioned away from full-time clinical medicine

• The hidden cognitive burden of “wearing too many hats”

• What entrepreneurship actually looks like behind the scenes

• How curiosity and self-education fuel entrepreneurial growth

• Why team-based care may be the future of sustainable healthcare

• The mindset shifts clinicians need when entering business

• Why taking action is often less risky than staying stuck

Partners:

PA Moms Women’s Medical Summit https://www.pamoms.com/wms26/ Enter “Tracy Bingaman” for who referred you! Links:

Clinician Entrepreneur Collective Waitlist www.tracybingaman.com/waitlist 

Schedule a call with Tracy https://calendly.com/the-pa-is-in/gen-call 

Keywords: burnout in healthcare, physician burnout, PA burnout, clinician entrepreneur, physician associate burnout, healthcare entrepreneurship, leaving clinical medicine, healthcare leadership, APP burnout, physician assistant career change, medical entrepreneurship, healthcare innovation, urology APP, rural healthcare access, team-based healthcare, clinician CEO, healthcare system burnout, clinician business owner, healthcare startup, physician entrepreneur

If your business feels like it has great ideas but no traction, this episode is your diagnosis—and your treatment plan.

In Episode 372, we’re continuing the “business as a body” framework and building out the nervous system of your business. Because a brain without a spinal cord and motor neurons? It can think… but it cannot move. And that’s exactly where so many clinicians-turned-entrepreneurs get stuck—overthinking, overplanning, and under-executing.

Today, we break down the Key Characteristics (who you must become) and the Critical Actions (what you must do every single day) to actually move your business forward. This is where clarity turns into consistency—and consistency turns into income.

• Why your business feels “busy” but not profitable

• The 3 questions that define your Key Characteristics

• Why identity—not goals—determines your success

• The difference between activity and progress

• The “Rule of Three” for daily Critical Actions

• How to evaluate your actions like a clinician (Treat & Assess)

• Why inconsistency keeps you stuck in clinical work

In this episode, we cover:Action Step:Define your three Critical Actions today—and commit to doing them daily for the next 6–8 weeks.Keywords:entrepreneurship for clinicians, physician associate business, PA side hustle, healthcare entrepreneurship, small business strategy, build a profitable business, business systems, time freedom, passive income for clinicians, online business growth, consistency in business, daily habits for success, marketing sales and operations, storytelling marketing, clinician burnout solutions, increase income without more shifts, business mindset, productivity vs progress, create promote connect, scalable income streams

What if the biggest mistake clinician entrepreneurs make… happens before they ever launch?

In this episode, Tracy sits down with entrepreneur, consultant, and former dermatology PA Kasey D'Amato for a masterclass in entrepreneurship, burnout, business strategy, and building something viable outside clinical medicine.

Kasey shares how she went from practicing dermatology in Los Angeles while managing celebrity patients and leading a medical practice to building and exiting a global skincare company after raising millions in capital! Now a consultant and advisor to companies managing $10-$100M a year, Kasey is an expert in how to focus your time, validate your ideas, and avoid the most common mistakes that kill businesses. 

Together, Tracy and Kasey unpack:

• Why most entrepreneurs build before validating demand

• The difference between owning a business and owning your job

• Why clinicians struggle with sales and marketing

• The myth of “freedom entrepreneurship”

• How to know if your idea actually has market potential

• The importance of building with the end in mind

• Why mentorship and community matter more than “doing it all yourself”

• The emotional intelligence entrepreneurship forces you to develop

This conversation is honest, strategic, and packed with practical advice for clinicians dreaming about creating income, impact, and flexibility beyond the exam room.

You'll learn:

• Why “if you build it, they will come” is terrible business advice

• The difference between a solopreneur and a scalable business

• How to validate an idea before wasting time and money

• Why your exit strategy matters from day one

• The hidden emotional cost of entrepreneurship

• How clinicians can leverage their skills outside medicine

• The role mentorship plays in entrepreneurial success

• Why failure is often the fastest path to growth

Links:

Kasey D’Amato https://www.kaseydamato.com/ 

Connect with Kasey on LinkedIn https://www.linkedin.com/in/kaseydamato/

Resources & Next Steps:

Follow Tracy on Instagram https://www.instagram.com/mrstracybingaman/

Connected with Tracy on LinkedIn https://www.linkedin.com/in/tracybingaman/ 

Join the Clinician Entrepreneur Collective waitlist: www.tracybingaman.com/waitlist

What You’ll Learn in This Episode
Book a call: https://calendly.com/the-pa-is-in/gen-call

Keywords: clinician entrepreneur, PA entrepreneur, physician associate business, healthcare entrepreneurship, entrepreneurship for clinicians, clinician burnout, women entrepreneurs, healthcare business coach, Kasey D’Amato, business strategy, business growth, business exit strategy, entrepreneurial mindset, clinician side hustle, digital business, entrepreneurship mistakes, business mentorship, clinician coaching, solopreneur vs business owner, healthcare leadership, passive income myths, scaling a business, clinician consulting, healthcare founder, physician assistant podcast

If your business feels chaotic, scattered, or like it’s draining more energy than it gives back… this episode is your diagnosis.

In Episode 370, Tracy breaks down one of the most common (and most overlooked) problems in small business: a lack of a clear, compelling treatment plan. Using clinical frameworks like SOAP notes and real patient examples, she shows you why your business might not be broken—it might just be lacking leadership direction.

You’ll walk away with a simple, actionable framework to create a business on a mission—one that drives revenue, aligns your decisions, and actually moves you forward.

In this episode, you’ll learn:

• Why most businesses feel busy but don’t grow

• The 3 non-negotiable elements of a business “treatment plan”

• How to create narrative traction that drives action

• Why revenue and impact are not in conflict (and why income comes first)

• The exact formula to build your own mission-driven plan

Your action step: Write your Treatment Plan using this formula: 👉 We will accomplish A, B, and C by D because of E.

Resources & Next Steps:

• Join the waitlist: www.tracybingaman.com/waitlist

• Book a call: https://calendly.com/the-pa-is-in/gen-call

Keywords: clinician entrepreneur, business mission statement, small business strategy for beginners, how to grow a business with clarity, physician assistant entrepreneurship, treatment plan for business, business clarity framework, narrative traction business, how to set business goals, entrepreneurship for healthcare providers

If you’ve ever thought, “There has to be more than just working more shifts to make more money…” — this episode is going to open your eyes.

In this conversation, I sit down with Dr. Christopher Cannell, PA-C, who shares how he transitioned from full-time clinical work into a flexible, high-income career combining academia, consulting, and entrepreneurship. What started as a single opportunity turned into a thriving medical legal consulting business—one that allows him to work less clinically, earn more, and take back control of his time.

We break down what medical legal consulting actually looks like, how to get started (even without a doctorate), and why this path might be one of the most aligned, ethical, and financially rewarding ways to use your clinical expertise outside traditional practice.

• What medical legal consulting actually is (and what you’d do)

• How expert witness work and case review really get paid

• Why you don’t need another degree to get started

• The balance between clinical work and consulting

• How to build income without burnout or overtime

• Why networking (not social media) is your biggest growth lever

• The mindset shift from employee → entrepreneur

• How this work can actually make you a better clinician

Keywords: medical legal consulting for PAs, expert witness physician assistant, PA side hustle ideas, healthcare consulting income, non clinical careers for physician assistants, medical expert witness jobs, PA entrepreneurship, healthcare side income ideas, physician assistant consulting business, legal nurse consultant alternative, make money as a PA outside clinic, clinician entrepreneurship, work from home healthcare jobs, PA career flexibility, burnout alternatives for clinicians, healthcare side gigs high income

SPONSORS:

PA Moms Women’s Medical Summit https://www.pamoms.com/wms26/ Enter “Tracy Bingaman” for who referred you!

LINKS:

Chris Cannell APConsultant Website: https://theapcconsultant.mykajabi.com/

Clinician Entrepreneur Collective Waitlist www.tracybingaman.com/waitlist 
Schedule a call with Tracy https://calendly.com/the-pa-is-in/gen-call

Goals Aren’t Enough—Your Business Needs a Plan

You’ve been told to set goals—big ones. Write them down. Visualize them. Work harder toward them. But here’s the problem: most goals are too vague to actually drive action. “Help more people.” “Make a difference.” “Grow the business.” They sound good, but they don’t tell you what to do on a random Tuesday night when you finally sit down to work. And that’s exactly why so many businesses stall.

If your business feels busy but not profitable, scattered instead of strategic, or exhausting instead of energizing—it’s not a motivation problem. It’s a clarity problem. Inside this episode, I break down what’s actually missing: a clear, specific, and compelling treatment plan for your business. Because just like in medicine, “feel better soon” isn’t a plan—and it won’t get results.

A real business treatment plan creates direction, urgency, and momentum. It helps you stop guessing, stop spinning your wheels, and start making intentional moves that lead to revenue and impact. And the best part? You already know how to do this—you’ve just been applying it to patients instead of your business.

• Why vague goals quietly kill small businesses

• The difference between being busy and being profitable

• How clinicians accidentally “wing it” in business

• The concept of narrative traction (and why it drives action)

• Why your business feels scattered, reactive, and draining

• The 3-part framework for building a business treatment plan:

• ✔ Three specific economic outcomes

• ✔ A clear deadline

• ✔ A compelling reason why it matters

• Why “impact without revenue is a hobby”

• How to create urgency that actually moves your business forward

• A real-life example (yes… including a $430 baseball bat ⚾)

Inside the Clinician Entrepreneur Collective, we take your clinical brain and apply it to business—so you can build something that creates income, impact, and freedom.

If your business feels like a side hustle you squeeze into the cracks of your life… This is your invitation to do it differently.

Join the waitlist: www.tracybingaman.com/waitlistNext cohort starts June 1, 2026

SPONSORS:

ADVANCED PRACTICE PLANNING, LLC: advancedpracticeplanning.com/fi

SERMO https://app.sermo.com:443/?sermoref=39d97a2c-f699-4f8b-b2f9-1eb131e18c75&utm_campaign=tell-a-friend

Keywords: business strategy for clinicians, entrepreneur mindset healthcare providers, clinician entrepreneur collective, how to build a business plan, why small businesses fail cash flow, treatment plan for business growth, storybrand business strategy, how to set measurable goals in business, increase revenue without burnout, side hustle for physician assistants, business clarity for entrepreneurs, mission statement examples business, narrative traction marketing, clinician side income strategies, how to grow a coaching business, sustainable business for healthcare workers