For those who are interested in low overhead/no staff or low staff practices, the Ideal Medical Practice listserve is a great resource. Some folks here are also there. Very supportive group and lots of info on frugal technological options for practice management.
I have been in my current practice since 2004 and have had a receptionist intermittently. Most recently, I had my daughter acting as receptionist as she needed part-time work. She is now off to med school and I am finding, once again, there are great advantages to working totally alone. I am more organized, there are no interruptions, and the money I save means I can see 1-2 fewer patients per day. My patients love the longer visits and I find the practice very satisfying. And if you didn't offer longer visits, gosh- you would just be out of there that much earlier!
Carla Gibson FNP
Missoula, MT