sfernandez:

Before hiring more staff, consider staying small and lowering your overhead further, as in the Ideal Micro Practice model.

Here are some resources related to this concept:

Articles by Gordon Moore:
http://www.aafp.org/fpm/20020200/29goin.html
http://www.aafp.org/fpm/20020300/25goin.html

There is an excellent Yahoo listserv group devoted to this concept. You have to sign up for the group, but if you pose this question there, I guarantee you will get a lot of great answers:

http://health.groups.yahoo.com/group/Practiceimprovement1/

One more related site:
www.idealmicropractice.org

Brian Cotner, M.D.
Family Practice