During medical school, T.C. (name abbreviated to protect privacy) never imagined herself in her own practice. "They don't teach the business side of things in medical school," she says. "I never wanted to be involved with that aspect of medicine."
Now several years later and after negative experiences as an employee in other people's practices, she is enjoying life as a solo-practice family physician in Tampa, Florida.
After taking another job with a flat salary and inflexible hours, she decided to turn in her resignation. With four months' notice to work, she had time to get funding and figure out how to start her own practice. Dr. C bought a publication from the AAFP on how to start a medical practice and found it was invaluable, telling her everything she needed to know.
How to start a medical practice: location
"The hardest part was finding the location. That was not a quick process," says Dr. C. Once a suitable office was found, next was securing set-up financing. Young, with no assets, and carrying medical students loans, Dr. C first tried her local banks. She then turned to a commercial bank but was declined. Finally, after seeing an ad in a medical journal, she called a lending company. In 48 hours, she had been given approval for her loan. Within a week, she was given a check to cover her starting costs and later funds to cover tangibles, such as computers, exam tables, office supplies, and so on. In addition, Dr. C was able to negotiate terms similar to a bank. Lawyers helped her get incorporated and obtain a business lease.
How to start a medical practice: computers, software, equipment
With a loan in place and suitable office found, she needed to find a computer system for her practice. "The computers were another challenge," Dr. C says. "Just getting them set up so everything worked took longer than we expected." Using the Internet and copies of the Physicians and Computers journal, she researched different software vendors and choosed a system that allowed her to run a totally paperless office.
With a computer in every room, including exam rooms, the system works extremely well. Her medical assistant was able to type in the notes, vitals, and reasons for the patient visit, and then in the exam room she could pull up the file and add her own notes. The software also allowed her to run searches or reports on patients taking a particular drug, or find out when they are due for their next mammogram. The EKG connected directly with the computer, read it for her, and allowed her to edit the reading, and then print or fax it.
Dr. C says that running a paperless office allows her to spend more time with her patients. Using an article describing the things you need for each room, she equipped her practice and added her own personal touches fairly easily. Luckily, the previous tenant left some key equipment such as examining tables, and the rest she ordered from medical supply companies.