Succeed in Medicine

Ep471 - Escape the Physician Grind with Your Solo Private Practice

Jun 24, 2025
Kara Pepper, a primary care internist and executive coach from Atlanta, Georgia, discusses her transition from employed practice to founding an 18-state telemedicine service focused on eating disorders. She shares valuable insights on breaking free from traditional roles, embracing innovation, and navigating the complexities of medical billing. With a focus on autonomy and entrepreneurial spirit, Kara offers practical advice for physicians to overcome analysis paralysis and thrive in solo practice, while fostering sustainable models of patient care.
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ADVICE

Physicians Can Own Businesses

  • Any physician can start their own practice if they want to own a business, not just practice medicine.
  • Solo practices suit those who crave autonomy, innovation, and can tolerate risk and failure.
ANECDOTE

Leaving Despite Success

  • Kara Pepper left a high-demand employed practice to start her solo telemedicine practice.
  • She accepted reemployment as a worst-case safety net, reducing her risk fear.
INSIGHT

Tech Enables Lean Practices

  • Redesign solo practices from scratch to cut overhead using technology and nimble structures.
  • Tech automations and virtual assistants can replace big staffs, allowing leaner and more sustainable care.
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