I usually just lurk and learn from your intelligent discussions. However I feel I need to be my own IT person for the same reason that my wife makes me do yard work and replace the rotten deck, and me telling patients to walk the dog instead of hiring someone to do it. When I am over my head in IT, I ask for help, just as I had help spreading a ton of gravel. I also train my MA/nurse/successor in all matters IT, including networking, "connect", UpDox, VOIP, and CompanyWeb. "Staying in the game" allows me to know what's going on, do easy fixes like rebooting and adding computers, and helping other docs in IT decisions. Sure I may spend some hours trying to figure out network issues that ultimately traced to a router that worked fine except in one special area, but I feel that's worth it.
