Are there any older physicians around where you are who might be looking to retire soon? I was finally able to get over the hump in terms of volume when I picked up several patients from 2 friendly physicians who gave up practice and gave my name out. Also, hospitalists can be a good referral source, as several patients (with good insurance) will end up in the hospital and not have a physician to follow up with. NO DOC call in the ER used to be a good source, yet you are at higher risk of acquiring patients you may not want (i.e. uninsured substance abusers).

Also, what other physical space is available to you. Are you in a building where other suites are available? If so you may be able to negotiate a move without breaking your lease (My position would be "Downsize me or I'm bankrupt and you have nothing.") If that option is unavailable, what is the penalty for breaking your lease? Hopefully, you used a lawyer to review everything, but if not, you may want to retain one to see what exit strategies are available to you. Best of luck.

Last edited by JMayer; 08/07/2008 4:27 AM.