#18 Is the Independent Physician a Dinosaur? [Pediatric Practice Management AwesomeCast]

ExtinctionNot too long ago, you couldn’t avoid reading in the media about how the independent doctors  were becoming extinct.

Pundits and experts in the field stressed that if independent doctors, those that own their own practice, didn’t join, sell, merge or retire all together, they were going to walk the same path as travel agents, video stores and mom-and-pop own book stores.

I’ve subscribed to a different thought.

I’m crazy enough to believe that there will always be a place for the small independent practice.

Sure, practices will have to adjust, figure out new ways to meet the demands (just like any other business) of a changing healthcare landscape.

But I’ve argued that even though travel agents aren’t around anymore, airlines, hotels and car rental companies are. Even though video stores are a thing of the past, Hollywood hasn’t stopped making movies. If anything, we have access to more video content than ever before.

But it has been a hard sell (not that I’m really selling anything) to convince people that the end of the world for private practices is not a certainty for all.

Recently, I’ve received great news from the consultant fronts. In conversations with Susanne Madden from the Verden Group, Mary Pat Whaley from Managemypractice.com and the Pediatric Practice Management AwesomeCast’s very own, Chip Hart with PCC, it seems that the independent private practice pediatrician is on the rise.

They all have shared with me that in recent months, their offices have field numerous inquiries from pediatricians looking to breakaway from the, let’s say, industrialized, corporate, factory style medicine, and start their own practice so they can practice medicine on their own terms.

Chip and I couldn’t wait much longer to talk about this topic because it is an area we are both very interested in. So for this week’s episode, we dedicate almost a full hour on the topic of being an independent physician.

We talk about what it means to be independent, the different kinds of independency (yes, there are several kinds), what are some of the trends out there and what to look for when exploring other options for your practice.

Here are other ways you can check out the AwesomeCast:


  1. Leila Abdi Kanani says:

    Awesome! This is exactly what I was hoping for you to do a session on. My husband and I are going to listen to it today!


    • Glad to see you are so enthusiastic about this topic.

      We’d love to hear back from you. Let us know if you agree or disagree with us. If we missed something you were hoping we would address or anything else you’d like to share.

      We love feedback – the good and the bad.



  2. This is astonishing. It started out promisingly, asking “who is paying you?” By the end of the video you did not mention direct care or concierge medicine – any practice in which the FAMILIES are the entities paying you, not a third-party payor or the state, or God-fobid a company. What, exactly, do you mean by independent when you don’t work for the child you’re caring for? How can you be independent a third party pays you?


    • Appreciate your feedback. Glad you took the time to share your thoughts.

      I think it is important to mention that our silly podcast, isn’t intended to be a robust, all encompassing, comprehensive analysis of the healthcare landscape, but rather a discussion between two friends that are passionate about what they do for a living.

      As a result, my approach to topics and discussions are unapologetically self-serving. I talk and opine on issues concerning my/our little business/practice as it pertain to our challenges.

      Direct care isn’t an issue that is on the table for us. Therefore I didn’t talk about it, bring it up or even consider it.

      Hopefully I’m not coming off as arrogant or as a smart ass. My intent is to give you some context about me, so that perhaps you can better understand my point of view.