John-ryanjo--I can't recall which throw away journal but actually read where the exercise/annual exam at the fitness center is being recommended as part of the patient centered medical home--
John Nolte--a breath of fresh air to read your thoughts--my wife has been helping out at the office this week and we were just talking about extending patient time slots--I agree listening/spending time is often the best medicine
David--I was the same as you and did not have an economic model in mind and did not have any role models who ran their own small business growing up, but was extremely fortunate 19 years ago when I got my first job to have joined a small group of like minded docs, with one in particular that was a small business genius (he still is but just retired) and I was able to pattern my business model after his--basically the lichen principle I have mentioned before. But feel extremely grateful to chance or fate or both to have been given the privilege of learning from him these past 19 years on how to run an office-something I will always cherish.

jimmie
internal medicine
gab.com/jimmievanagon