Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
There's a group of
people who are committed to
(00:02):
patients.
There's a group of people whohave an unbelievable capacity of
putting people before profits.
There are a group of people.
They're the ones who are goingto change healthcare, and that
is us.
Hi docs, welcome to the EntreMDpodcast, where it's all about
helping amazing physicians justlike you embrace
(00:22):
entrepreneurship so you can havethe freedom to live life and
practice medicine on your terms.
I'm your host, dr Imna.
In the very first business bookI wrote, which was called the
Entremet Method, I made astatement there and I said the
Calvary isn't coming, it is here, it is us.
(00:44):
Okay, when you look at all thethings going on in healthcare
and you're like this is gone,it's so messed up, all of those
things, I want to invite you tonot be a part of that
conversation, because nobody'scoming to change it.
The insurance companies can'tchange it.
Big Pharma is not going tochange the hospital system, for
sure, they're not going tochange it.
But there's a group of peoplewho are committed to patients.
(01:06):
There's a group of people whohave an unbelievable capacity of
putting people before profits.
There is a group of people andthey're the ones who are going
to change health care, and thatis us.
Ok, we, the physicians, we'rethe ones, we are the ones who
took the oath.
The relationship is called adoctor-patient relationship.
Everybody else is a middleman,and it's time for us to go back
(01:29):
to taking responsibility forthat.
Okay, and I want you to hear meout so maybe you're listening
to this.
You don't own a privatepractice or you own a private
practice, but I want you to leanand I want you to hear this.
I want you to share this withthe doctors in your world.
I want you to rise to answerthe call, because that's what is
going on now At the time ofthis, recording the day this
goes live.
This is National PrivatePractice Physicians Day.
(01:51):
Okay, this is a day that wecreated.
Entreemd created last year.
Last year was the very firstone private practice docs to
kind of acknowledge them whatthey're doing to make it a big
day where there's a big boostfor them, whether that's reviews
that are coming in, referralsthat they get, people sharing
(02:11):
their stories of how they'vebeen such a gift to them, and
all of that.
So it's a movement for, youknow, private practice docs, a
movement for physicians and amovement for physician allies.
Okay, so what I want to do iskind of unpack you know what
this is, so you can rise and youcan be part of the cavalry,
because if we have all hands ondeck we will turn this right
(02:34):
side up.
Now, before we created this day,I started getting very
concerned because, you know,initially I had this whole focus
of, you know, helping doctorsthrive in private practice and
all of that stuff which is goodfor everybody.
But then I started seeing, on asystemic level, if we don't do
this, we're going to run intosome major problems.
(02:56):
Walmart and their decision toclose 50 of their stores, and I
remember thinking about it like,just like that, just a
corporate decision.
Boom, we're going to close 50stores and 50 clinics.
Not 50 stores, 50 clinics.
(03:17):
And I said, wait, hold on.
I was like if they close 50,let's say, each one had a panel
size of a thousand, that's50,000 displaced patients in one
state.
That's like 50,000 displacedpatients in one state, that's
like 50,000.
And so I think, you know, I'mlike it's easy for them to walk
away, but do we have the privatepractices that can absorb these
people?
And then it wasn't only Walmart.
Then CVS made theirannouncement and you know, and
(03:41):
all these announcements startedgoing.
I'm like, oh my goodness.
I'm like, if we don't help,private practice owners win,
we're talking about real peoplenot having access to care, real
people having delayed care, realpeople having complications
they didn't need to have.
Real people dying right.
And so this is beyond just.
You know, I want my privatepractice to thrive and I want
(04:03):
your private practice to thrive,and we've created resources so
your private practice can thrive.
But it's a little more thanthat.
Like, the United States ofAmerica needs you.
You're listening to this, itneeds you.
Okay, all right, so let's leaninto this a little bit.
Okay, so last year weimplemented this and you know we
looked at the problems.
What are the problems thatpeople are facing in private
(04:23):
practice?
Because these are real problems.
They're real problems.
The first problem is thedecreasing reimbursements and,
as you know, this was a reasonlast year.
Okay, this was a problem lastyear.
And then this year, in additionto that already being a
challenge, medicare decides tocut by another 2.83%.
Okay, so is this a real problem?
(04:44):
Yes, it's a real problem.
The second problem is that, youknow, the cost of delivering
the service is so much higher.
Like post COVID, it just wentthrough the roof.
It's so much higher to deliverthe same care, and so, on one
hand, you have that thereimbursements are less and, on
the other hand, you have thatthe cost is more, so, which
(05:06):
means for many, the profits havecompletely disappeared.
Hang on, I'm going to show yousomething.
Okay, I'm going somewhere withthis.
I'm definitely not going toleave you at the point of the
problem.
The third thing is theadministrative burdens.
Oh, my goodness, right, there'salways a new thing the prior
authorizations, all of thosestuff.
So hospitalizations, all ofthose stuff.
So there are doctors who talkabout spending as much as 10 to
16 hours a week on non-clinicalwork, just catching up on all
(05:28):
this stuff, and that's non-paidtime, that's just time doing
stuff in addition to what youreally need to do, which is take
care of the patients.
And then, fourth, you have thecorporate takeover, right,
whether that's by hospitals Idon't want to use the word
intimidation, but it's veryclose to it right?
Whether it's hospitals orprivate equity and stuff like
that, some of them, you know,with very interesting practices
(05:56):
and applying such a squeeze thatprivate practices are finding
it difficult to stay open.
And the truth of the matter is,you know we are at a time where
more private practices areowned by hospitals of corporate
entities like private equitythan actual physicians, okay.
And then the fifth problem, andthis was a problem that came
right after COVID, and that wasthe great resignation, and so
you have it's more difficult tokeep staff.
(06:16):
Of course, you know salariesand all that stuff have gone
through the roof and all of that.
So it's been challenging.
So I'm not denying thechallenge.
They're challenging, okay, andthese challenges create cashflow
problems, they create burnout,they create all of that.
And if you've listened to me fora while, you know what my
(06:37):
philosophy is.
And my philosophy is if weapply great business principles,
we can build private practicesthat are thriving in spite of
these challenges.
Once we have enough privatepractices thriving, then we can
come and go for the system.
In our disempowered state we'renot going to go for the system
(06:59):
Like that's just not the way itworks, right, that's just not
the way it works.
And so our first part is totake care of the owners, and
once we have enough owners thatwe've taken care of, then we can
go for the system.
Okay, all right.
So we did a number of things.
So last year, on the day of theNational Private Practice
(07:22):
Physician Day, we launched theProfitable Private Practice
Playbook, which is a book thatwe wrote showing seven ways
doctors, private practice owners, leave money on the table and
how to fix that.
And this is a book, it's notfluff, there's nothing fluffy
about it.
Like you literally read chapterone, go do chapter one, read
chapter two, go do chapter two,and everyone leads to cha-ching,
(07:42):
cha-ching, cha-ching.
Okay, and so we released thatplaybook and it was a way of you
know, like we have the EntremetBusiness School.
I know everybody's not going tocome into the Entremet Business
School, but everybody can buy a$15 book.
Okay, it's $15.99.
And I think the ebook is like$5.
And so now it's like everybodyhas at their tips what they can
(08:02):
do to stop the bleed in theirprivate practices.
And so many practices have suchsignificant bleeds that if they
just apply this, it will feellike they gave themselves a
raise.
Okay, it will be like, oh, thisis our best year yet Meanwhile
it was the same number ofpatients because there's so much
money left on the table.
So that's what we did.
So today the book is a year old, which is phenomenal, okay so.
(08:27):
So we did, which is phenomenal.
Okay so we did that right.
But since then, what have wedone?
Okay, so we've sold thousands,hundreds and hundreds and
thousands of copies of theProfitable Private Practice
Playbook, which has led totransformation in the lives of
real doctors.
In fact, I'm going to pull uphere, I'm going to pull up here,
(08:48):
some of the reviews that peoplehave left for that book,
because I want you to see and ifyou haven't got a copy, you can
go to Amazon, it's called theProfitable Private Practice
Playbook and get your copy.
If you have any doctor in yourlife, anyone that you love, who
owns a private practice, youwant to get them a copy as well.
Okay, okay.
So this is the review section,and I'm just going to pick a few
(09:13):
because I think that would bepowerful for you to see.
Okay, so this is Dr Sabo.
She's a veteran.
She's run her practice fordecades.
At this point, she said runninga private practice is hard in
our current environment, whereregulations, insurance,
reimbursements all favor biginstitutions.
(09:34):
However, the heart of patientcare is in private practice,
where patients are treated as ahuman and not a number.
It is also where physicians canfreely use their knowledge to
prescribe the right medicationand not dictated by political
interests.
This book is essential for thephysician entrepreneur who,
despite all odds out there,wants to serve and help patients
in a financially sound way.
(09:57):
I love the way Dr Una pointsout one by one the different
departments in our practices toexamine and where to make
changes.
This information was definitelya great summary and inspires me
to audit my company and makechanges immediately.
Okay, so that was her.
I love this.
This is Dr Deepak.
Dr Deepak says as a physicianin private practice and in this
(10:19):
era where most of the physiciansare employed or working for
large healthcare systems, thisbook is like a guide, a
step-by-step Bible on the how-tofor your private practice, your
business and for you as aphysician.
I have read the first 20 pagesand I'm blown away with action
steps implemented this week andwitnessed instant results.
(10:41):
Remember I told you it was nofluff.
Internal and external marketingreally was such an eye-opener.
Buy it, read it and implementthose actions.
You will thank and loveyourself for running your
private practice successfully.
And I could go on and on and on.
There's so many reviews there,and so we spent the year working
on getting this book in thehands of doctors so they can
(11:03):
create all these transformationsand create all these changes.
There's rarely a day that goesby where somebody doesn't buy a
copy of the book, right?
So we have all of these thingshappening.
So that's number one.
Then in December, so I spenttime thinking like okay, what
else can I do for privatepractice docs on a large scale?
When you think about it, it's123,000 primary care practices
(11:25):
alone, not including specialtycare, just primary care.
And I'm like what can I do?
And after you know, sittingwith the team doing a lot of
work and all of this, we came upwith a profitable private
practice movement.
Okay, and this is a membership.
It's less than a cappuccino day.
It's $197 a month.
I saw doctors going like youare nuts for doing that, like
(11:47):
you could charge 10,000 a yearfor this thing.
And I know, I know, I know, butthere's a reason I did that and
we created this membership andit's so simple.
It's so simple.
Literally every Thursday, thedoctors get together to work on
their businesses.
So sometimes once a month, it'sa strategy session with me.
I have taught them things likehow to turn your business around
(12:09):
in 90 days, how to create aseven-figure marketing plan, how
to create a seven-figurereferral base, how to make
data-driven decisions like aseven-figure CEO, and so many
great sessions like that.
Then I also have doctors whoare also running million-dollar
practices come in and sharetheir stories behind the scenes,
answer questions, and so we'vehad a lot of phenomenal docs
(12:31):
come in so, so phenomenal.
We've had a big shout out.
Dr Oluyemisi has come in.
We've had Dr Anita Wanga comein.
We had Dr Tulu.
Dr Tulu talked about how toturn your current team into your
dream team, and all of that.
We had Dr Sarah Merritt.
So we've had all these doctorscome in, right, and so they'd
come in.
And then the other two weeksthey're doing co-working
(12:51):
sessions.
So the things they've learned,they just come together, they're
working on it.
So imagine this you have everyThursday you're getting
world-class mentorship and thenyou're working on your practice.
And so what people have donenuts, like people have built,
you know, like so many reviewsthat now they have tons of
patients coming through reviews.
They've built referral bases.
(13:12):
We've had patients who juststarted practices and the week
they started they had referralscoming in.
Like, I want you to think aboutthat.
You have referrals.
We have people who are nowtraining their office managers,
so their office managers are nowcreating results.
We have someone who's like Iwas finally able to take, you
(13:34):
know, two weeks off, you know,because now I understand how to
create revenue in my business.
Had another doc who's like nowI'm confident, as the CEO of my
practice, I understand how tomake money.
Come on, guys Like so wild.
So so we built that very simple,not a lot of curriculum, not
because we don't have time forthat, okay, and and so they come
in every Thursday.
They work on their businesses,you know, do, do the work and
create the results, then go seetheir patients, and all that
(13:55):
come back next Thursday.
I want you to think about thiscoming together once a week with
such an amazing community ofphysician entrepreneurs and
creating results in yourbusiness week to week.
Okay, all right, so so we didthat and it's been, it's been
mind bogglingly phenomenal, okay, so that's that's that.
You can check it out.
It's it's ontrendycom forwardslash movement, and if you're a
(14:17):
private practice owner, oh mygoodness, come join us.
You have, literally you havenothing to lose, cause if you
think about the value you get on, a podcast episode is more than
$197 for the episode, and youget all of this for $197 a month
.
It's insane, it's beyond insane, so, anyway.
So we did that, okay.
(14:38):
And then we also launched aprivate practice specific
YouTube channel where we just dothe nitty gritty how to do
those interviews, how to meetwith your team for big results,
how to fill up your panel in 90days, one of your biggest
(15:03):
referral sources.
We did some stuff on AI, all ofthat Okay.
And so if you go to YouTube atthe private practice channel and
then you'll see that thereAgain, what are we doing this
for?
We need to see private practicesthrive as many as possible.
Some will pay us, some will payus a little, some of them will
be in the entrepreneur businessschool, pay us a lot, whatever,
but we want to see everybody win, okay.
So that's what we did.
(15:23):
And so what have the resultsbeen?
Over the last?
Um, over the last year, we haveseen private practices go from
you know we're not making anymoney um to now, there's seven
figure practices, multiple sevenfigure practices.
We celebrated our first clientsto have a first seven-figure
month, first seven-figure month.
(15:46):
We've had people who wereapproached by private equity,
who could comfortably say no,thank you, and take me off your
list because they know what todo to make that One of them had
taken.
I think she did half a millionlast year and this year she had
her first quarter where she did275,000 for the quarter and so
(16:09):
she's on her path to her firstmillion.
And so when private equity waslike oh yeah, and she's like oh
no, thank you, because she knowswhat to do to take it to a
million.
She knows what to do to take itto multiple seven figures, she
knows it, she's on the path.
A million she knows what to doto take you to multiple seven
figures, she knows it, she's onthe path right.
Okay, we had so many doctorsgetting their time back for the
like oh, my goodness, this isthe first time I was able to
take two weeks off, four weeksoff, eight weeks off.
(16:31):
I had a challenge in my familyor a loved one who passed on,
and I was able to just send myteam a text and say, take care
of it, I need to be gone.
And they were gone and theirpractice was working.
We have so many people who haverockstar teams.
Now they have nightmare teams.
Now they have rockstar teamsbecause they know how to lead
(16:51):
their team.
They know how to createprofitable teams.
Right, because that's one ofthe places where, in private
practice, all profits go to dieswith the team, because it's the
biggest expense, if you will,but there's no ROI.
And so they're building theserockstar teams and they're just
loving it, and so we've had somany of those things happen and
(17:11):
we're so grateful so many newpractices launched, so many of
them growing really well, somany of them scaling, because we
support everyone, supporteveryone, grow, launch, you know
, launch, grow, scale.
The whole gamut and you know.
So those are the things thatwe've seen and we're so excited
about it.
So we're so excited about thetools we've built.
(17:32):
So we've built the YouTubechannel, we've built the
Profitable Private PracticePlaybook, we've built the
Profitable Private PracticeMovements, which is a membership
, and then the entrepreneurbusiness school and the
entrepreneur business school.
We have the tier.
We have the first tier, whichis like grow, and we have the
second tier, which is like skill.
So the doctor is doing who havecrossed the million dollar mark
(17:53):
, that's where they come toscale and all of that stuff.
And so we were so committed,guys, what I'm saying is we're
so committed to seeing privatepractice owners win.
We're so committed and I wantto invite you, okay?
So today's National PrivatePractice Physician Day is all
about the physician who owns aprivate practice.
I already told you thechallenges they're having the
(18:14):
decreased reimbursement, theincreased cost of living, the
administrative headaches, thecashflow problems, the burnout,
like.
All these things are potentialsand even for the ones who don't
experience this, it is aHerculean task in our time to
build these practices.
We show them what to do.
They're getting it done, butthey're doing it against odds.
They're doing it because oftheir commitment to patients and
(18:35):
healthcare and all of thosethings, and I really want us to
make today special for them,okay, okay.
So here are some of the thingsyou can do, okay.
So one is if you're a privatepractice doctor, your private
practice owner is a physician.
I want you to share your story.
Share your story Now.
You use the hashtag shared onsocial media NPPPD, right?
(18:57):
National Private PracticePhysician Day NPPD.
So use that hashtag, hashtagNPPD, but share your story,
right?
You know, this is who I am.
This is who I take care of.
This is why I'm so excited tobe a private practice doctor.
Today's our day.
I'd love it if you celebrate,you know, in the comments.
Let me let us know how ourpractice has served you or how
I've served you, or whatever.
(19:18):
But share your story and if youtag us, I will reshare your
stuff.
I'll come there and promote youand do all of that stuff
because I want to see you win.
So share your story, right?
Share a story.
You can share a story of apatient's life.
Who's better and you're like.
This is why I do what I do and,yes, it's one of the most
challenging times, but I'm hereand I'm here for the long haul,
(19:41):
right, and so do that and putthe hashtag there and invite
your patients to share theirstories.
Share why they continue to comeback to you, be so surprised
and sometimes in the days thatis challenging.
It's good to have that to lookat.
Right, it's good to have that,okay.
Second thing, whether you're aprivate practice doc or not, I
want you to shout out anotherprivate practice doc, because
(20:02):
guess what?
I know you have a doctor, okay,so chances are you have a
primary care if your woman hasalso have an ob-gyn.
You may have a dermatologist,you may have a
gastroenterologist, you may havewhatever it is, but, oh my
goodness, do a post, shout themout.
Tell them thank you, like forsomebody.
And let me tell you practicedogs they get so much coming at
them that it is so fun for themto be able.
(20:24):
It is so helpful.
It is so meaningful for them toread that what they do is
working, that the sacrificesthey're making it's even worth
it, okay.
So, whether you're a dog or not,a private practice dog or not,
celebrate another privatepractice dog or not a private
practice doc or not, celebrateanother private practice doc.
Tag them.
Tag their practice.
(20:44):
Share a meaningful story withsome meat to it, of how they
changed your life or how theyturned something around.
Tag us hashtag NPPPD right,because I want to come there and
make some noise too, my teamand I.
But tag them so they can see it, so other people can see it,
and stuff like that.
Right, that could be the wayyou shout out.
Or go leave them a Googlereview.
(21:05):
Stop thinking in your heart oh,they're so amazing.
Like.
Go leave them a Google review.
If there's somebody like oh,this will be a good doctor for
this person, do a referral,right, like there's so many
things.
If you're someone who doesvideos all the time, do a video.
Do a video and say this is howthis person changed my life.
But, my goodness, put a smileon some private practice
physician's face.
(21:25):
Let them know it's worth it.
Encourage them to keep goingbecause all of us, all of us
need them.
Okay, all of them need them.
So give them a good day.
Give them a great day.
Maybe for you, it's ahandwritten card you're going to
send to them and you're goingto say, oh, my goodness, this is
how you made a difference forme or my parents or my sister or
(21:45):
my child or whatever.
That is okay, but do it.
Do it and tag me.
Okay, I want this tag, I wantthis hashtag trending because of
the number of people doing this.
This is important.
Okay, I want to invite you tojoin the mission.
If you're a private practicedoc, come join us.
Entremdcom forward slashmovements.
Why did we build?
Why did we build a membershipthat's less than a cappuccino a
(22:07):
day?
Because we want you to easily,easily, have access to what you
need to be profitable, to thrive.
Okay, now you know you get allthat stuff going.
You want to come join us in theEntree MD Business School?
Come.
But my goodness, yeah, right,like, come join the movement.
We built it for you, we builtit for you.
(22:27):
And if you know any leaders ofphysician communities and you're
like, oh man, dr Una, this willbe a good connection for you.
Maybe you could do a workshopthere, maybe whatever I don't
know what it is, but we havetools that can help private
practices win, and for the lastseven years we have been helping
(22:49):
them win, right.
And so there are communitiesthat you can connect us with.
There are organizations thathave, you know, like a hundred
private practice docs orwhatever.
Connect us with.
If you're part of anassociation, you're like, oh my
goodness, and you can get us onstage, whatever.
If there's any way you can helpus amplify the message, please
connect us.
Okay, please connect us.
You can connect with me onsocial media email druna that
(23:12):
D-R-U-N-A at entremdcom you know, and then share the resources.
Listen to me.
You have a private practice doc.
Get them a copy of theProfitable Private Practice
(23:35):
playbook it's 15 bucks.
Like, get them a copy.
Say, hey, doc, I was thinkingof you.
I found this resource.
I think it would be great.
People are raving about it,right?
These are the challenges I'mrunning by private practice.
Share the YouTube link withthem, share the movements with
them.
But today is one day.
Take 30 minutes, take an hourand do something that is going
to radically shift the narrativefor private practice physicians
.
I can't do it alone, you can'tdo it alone, but together we can
(23:59):
make a big difference.
So I want to invite you to dothat, to share this episode as
well, and let us make this amagical day for private practice
.
Like, let one doc have like 10people, 12 people you know, tag
them and tell them stuff.
You're like whoa, what's goingon?
You're like happy NationalPrivate Practice Physicians Day,
right, so let's do this.
Let's make it.
Let's make it a theme, right,so let's do this.
(24:23):
Let's make it a theme.
Let us encourage the people whoare taking care of our health,
because we're going to need it,we need it, we desperately need
it.
Okay, and yeah, let's do that.
Let's do that.
I'm a private practice doc aswell, right, but for today, I
just want to make it a magicalday, magical day for every
private practice doc.
So do your part, put in thetime, put in the work.
(24:44):
Just know that what you'redoing will lead to so many
private practices you know,figuring out how they can stay
really profitable in such a way.
It's meaningful for them, sothey don't need to shut their
doors and they don't need to goget extra jobs, because you know
they're not making any money intheir practices and people can
be cared for and these practiceshave longevity and
(25:07):
sustainability.
Okay, we can do.
We have it's within our powerto do so.
Let's use our power.
Today We've complained, we'vefelt bad about it, we felt stuck
, we felt like victims.
Today's the day.
I want to invite you to feelempowered and take all the tools
at your disposal to make thingsso much better for private
practice docs Rooting for you.
Thank you so much for being apart of the Calvary.
(25:28):
Okay, I'm going to end it theway I started it.
The Calvary is not coming.
It is here.
It is us, you and I.
All right, let's go do it.
See you on the next episode.